In the development and implementation of evidence-based practice into the realm of contemporary nursing, it is advantageous to compile knowledge from previous research as well as nursing models and theories.
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Get it written →In the development and implementation of evidence-based practice into the realm of contemporary nursing, it is advantageous to compile knowledge from previous research as well as nursing models and theories. This benefit is because a significant source of previous findings with current thinking can evaluate and develop new practices that best serve patients and their care. Within the Pressure Injury Predictive Model,’ there ‘complex and dynamic nature of pressure injuries’ are recognized and a comprehensive picture is developed that represents the full risk of pressure injury for the patient (Tschannen & Anderson, 2020). This model addresses the patient amongst a variety of other factors, a few of which include nutrition, oxygenation, and mobility as well as nurse staffing, hospital environment, and unit type. Another theory is the Integration Nursing Theory which is a linear theory that can be applied into different health care issues. Within the issue of pressure ulcer care, the Integration Nursing Theory is in order as follows: “Understanding the wound condition, discussing with nurses and patients, selecting the theory, implementing the theory involving patients and their caregivers, evaluating the use of theory and wound healing, and documenting all the wound care processes’ (Subrata & Phuphaibul, 2022). Although both mentioned theories provide detailed information on the approaches of pressure injury protocols and the value of recognition, they are vastly different. The Pressure Injury Predictive Model provides a circular and recurring framework for pressure injury development, the Integration Nursing Theory on pressure ulcers provides a linear and chronological process of pressure injury prevention. Despite their differences, each theory provides valuable insight. When diving deeper into the pressure injury issue in ICU patients with care devices, it would be best to further involve the Pressure Injury Predictive Model. This is because it truly grasps the complexity of the issues and the various causes that can overall contribute to pressure injuries. When developing a pressure injury protocol, these various factors must be addressed to best target the different risk factors that ICU patients face.
References
Subrata, S. A., & Phuphaibul, R. (2022). The need for integration nursing theories into pressure ulcer care in the community. British Journal of Community Nursing, 27(Sup12), S6–S10. https://doi-org.lopes.idm.oclc.org/10.12968/bjcn.2022.27.Sup12.S6
Tschannen D, Anderson C. The pressure injury predictive model: A framework for hospital-acquired pressure injuries. Journal of clinical nursing. 2020;29(7-8):1398-1421. doi:10.1111/jocn.15171.
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