Create 15 powerpoint slides about hospital acquired pressure ulcers.
Create 15 powerpoint slides about hospital acquired pressure ulcers. Follow the guide and information that I uploaded here. The slides should include these in order: INTRODUCTION, METHODS, TARGET GROUP, AIMS & OBJECTIVES, DEFINING NEEDS, CAUSES, FINDINGS and lastly and most importantly , SOLUTIONS. Throughout the paper utilize 5 scholarly articles (within past 5 years) to support your reasoning and/or claims. I uploaded the file that has the detailed instructions for this under the file name ” GUIDE” . I also uploaded the paper draft of the information about this topic name “Quality improvement Paper” Use the info from the quality improvement paper file but also add more information from scholarly articles. Thank you
Requirements: 15 slides
Introduction
Identify and establish concerns
Significance to nursing- what is the impact? Negative patient outcomes? What is the financial impact? Provide statistics.
Establish goal
Methods
Establish it is an actual problem by providing the following:
Measurable Indicators
Data sources
How will you collect data? Surveys, individual interviews, focus groups, audits, etc.?
Target group
After reviewing the data and/or peer reviewed articles r/t to your concern, identify the source of the problem?
Aims and Objectives
Specify a desired outcome based on the goal and key stakeholders/target population.
Defining Needs
Collect data to determine the current state of the target group in relation to the desired outcome.
Formulate need statements based on discrepancies between current and desired outcomes.
Need statement describes the gap, or discrepancy, between “what is” and “what should be”
List concerns (need areas) in rank order of importance. Within each area of concern separately rank the identified needs.
Causes
Determine general and specific causes of high priority needs. To help with this part, ask yourself “Why does this need persist?”
Identify the factors that are amenable to intervention with control of your program
Findings
Summarize findings by need with an explanation of the major causes.
Solution
Lastly list the possible solutions, select a solution, and propose a plan.
Throughout the paper utilize 5 scholarly articles (within past 5 years) to support your reasoning and/or claims. If you have any questions please let me know.
Hospital Acquired Pressure Ulcers
Introduction
Hospital-acquired pressure ulcers (HAPUs) are a significant concern within healthcare settings due to their potential to cause adverse patient outcomes and increase financial burdens. This report addresses the issue of HAPUs, specifically in diabetic patients. This quality improvement project aims to reduce the incidence of HAPUs in diabetic patients by implementing targeted interventions and strategies.
Identifying and establishing concerns
HAPUs in diabetic patients are a critical concern due to their association with prolonged hospital stays, increased pain and discomfort, and heightened risk of infection. Financially, the treatment of HAPUs significantly adds to healthcare costs. According to a study by Şahin et al. (2022), the average cost of treating a severe HAPU is approximately $129,248. Furthermore, HAPUs can lead to litigation, affecting the hospital’s reputation and increasing legal expenses.
Significance to nursing
HAPUs pose a substantial impact on nursing care. Nurses play a pivotal role in preventing, assessing, and managing pressure ulcers. The adverse patient outcomes associated with HAPUs include increased pain, prolonged hospitalization, compromised quality of life, and higher mortality rates. Diabetic patients are particularly vulnerable due to impaired skin integrity and reduced tissue perfusion. Statistics indicate that the incidence of HAPUs in diabetic patients is around 12.3%, significantly higher than the overall incidence rate of 9.3% (Han, 2020). Such statistics should be taken into consideration when formulating future plans.
Establishing goals
Reduce HAPU Incidence- Decrease the number of new HAPU cases among diabetic patients by 30% within the next six months.
Improve Early Identification- Increase the percentage of diabetic patients with a documented pressure ulcer risk assessment within 24 hours of admission from 60% to 90% within three months.
Enhance Repositioning Compliance- Increase adherence to the repositioning protocol among nursing staff from 70% to 95% within four months.
Increase Patient Education- Improve patient knowledge of pressure ulcer prevention strategies by conducting educational sessions with at least 80% of admitted diabetic patients within the next quarter.
Methods
Measurable indicators
Measurable indicators are essential tools for tracking progress, evaluating the effectiveness of interventions, and ensuring that the quality improvement project is on course to achieve its goals. In addressing hospital-acquired pressure ulcers (HAPUs) in diabetic patients, selecting appropriate indicators is crucial for accurate measurement and assessment (Floyd et al., 2021). The following are critical measurable indicators that will be used to monitor the progress of the quality improvement project:
HAPU Incidence Rate:
This indicator measures the frequency of new HAPU cases among diabetic patients within a specified time frame. According to Gefen et al. (2020), this incidence rate is calculated by dividing the new HAPU cases by the total number of diabetic patients during the same period.
Measurement Formula:
HAPU Incidence Rate = (Number of New HAPU Cases / Total Number of Diabetic Patients) × 100
Compliance with Risk Assessment:
This indicator assesses the percentage of diabetic patients who undergo a documented pressure ulcer risk assessment within a specific time frame, typically within 24 hours of admission. It indicates the extent to which healthcare providers adhere to the established protocols for assessing patient vulnerability to HAPUs (Artzi et al., 2020).
Measurement Formula:
Compliance with Risk Assessment = (Number of Patients with Documented Assessments / Total Number of Diabetic Patients) × 100
Repositioning Compliance Rate:
This indicator evaluates the percentage of nursing shifts in which the established repositioning protocol is followed correctly. Proper patient repositioning is crucial to preventing pressure ulcers, especially in patients with diabetes (Choi et al., 2021).
Measurement Formula:
Repositioning Compliance Rate = (Number of Shifts with Proper Repositioning / Total Number of Shifts) × 100
Data sources
Collecting accurate and relevant data is crucial for assessing the effectiveness of interventions and making informed decisions in a quality improvement project focused on hospital-acquired pressure ulcers (HAPUs) in diabetic patients. The following data collection methods will be employed to gather comprehensive and actionable information:
Patient Records and Audits:
Regular audits of patient records will provide insights into the incidence and severity of HAPUs among diabetic patients. These audits will include reviewing medical charts, nursing documentation, and wound assessments to identify new cases of HAPUs, track patient care processes, and assess compliance with preventive measures.
Pressure Ulcer Risk Assessment Documentation:
Reviewing documentation related to pressure ulcer risk assessments will help determine if and when risk assessments were conducted for each diabetic patient upon admission (Floyd et al., 2021). This data will indicate whether healthcare providers consistently perform checks within the recommended timeframe.
Nursing Shift Reports:
Gathering information from nursing shift reports will offer insights into repositioning compliance rates. Nurses’ documentation of patient repositioning activities during their shifts will help monitor adherence to the established repositioning protocol.
Target group
The target group comprises individuals directly affected by the issue and for whom interventions will be designed to improve outcomes. In this case, diabetic patients are particularly vulnerable to developing pressure ulcers due to their compromised skin integrity, reduced tissue perfusion, and potential for impaired sensation. This susceptibility is further exacerbated by prolonged hospital stays, immobility, and potential comorbidities associated with diabetes. In addition to the target group, critical stakeholders in the project include nursing staff, wound care specialists, hospital administrators, families, and healthcare educators.
Aim and objectives
Increase the percentage of diabetic patients with a documented pressure ulcer risk assessment within 24 hours of admission from the current baseline of 60% to 90% within three months. This will be achieved by providing training sessions to nursing staff on proper pressure ulcer risk assessment as well as implementing standardized risk assessment tools to ensure consistent and timely assessments.
Improve adherence to the repositioning protocol among nursing staff from the current compliance rate of 70% to 95% within four months. Strategies implemented to achieve this objective include developing and communicating clear repositioning guidelines for different patient populations, including diabetic patients, conducting education sessions for nursing staff, highlighting the importance of proper technique and frequency.
Increase patient engagement in educational sessions on pressure ulcer prevention from the current rate of 50% to 80% within six months. This will be achieved by developing patient-friendly educational materials on pressure ulcer prevention and diabetes-specific risks and incorporating education into admission processes, ensuring that diabetic patients receive preventive measures.
Defining needs
Defining needs involves a systematic approach to assess the current state of the target group, identify gaps between the existing situation and the desired outcome, and prioritize areas of concern. It will include the following:
Collecting Data to Determine the Current State:
Collecting data involves gathering information about the current incidence of HAPUs in diabetic patients, the adherence to preventive protocols, patient engagement in education, and other relevant factors. According To Floyd et al (2021), his data provides a baseline understanding of the problem and helps identify areas that require improvement.
Formulating Need Statements:
Need statements are concise descriptions of the discrepancies between the current state (“what is”) and the desired outcome (“what should be”). These statements identify the gaps that need to be addressed to achieve the project’s goal of reducing HAPUs by 30% within six months.
Need statements
Current State: Only 60% of diabetic patients receive a documented pressure ulcer risk assessment within 24 hours of admission.
Desired Outcome: All diabetic patients receive a written pressure ulcer risk assessment within 24 hours of access.
Need Statement: There is a need to improve the early identification of pressure ulcer risk in diabetic patients upon admission by 30%.
Current State: Compliance with the repositioning protocol among nursing staff is at 70%, leading to inadequate pressure redistribution for diabetic patients.
Desired Outcome: Adherence to the repositioning protocol among nursing staff increases to 95%.
Need Statement: There is a need to enhance compliance with the repositioning protocol for diabetic patients to ensure adequate pressure relief.
Listing Concerns (Need Areas) in Rank Order of Importance
Concern Area 1: Pressure Ulcer Risk Assessment
Need: Enhance early identification of pressure ulcer risk in diabetic patients upon admission.
Need: Ensure consistent documentation of risk assessments in patient records.
Need: Improve communication of assessment findings among healthcare providers.
Concern Area 2: Repositioning Compliance
Need: Increase adherence to the repositioning protocol for diabetic patients.
Need: Implement monitoring mechanisms to track repositioning compliance.
Need: Address challenges faced by nursing staff in executing repositioning practices.
Causes
Understanding the causes and factors contributing to the identified high-priority needs is essential for designing effective interventions and strategies to address the issue of hospital-acquired pressure ulcers (HAPUs) in diabetic patients. By analyzing the underlying causes, the quality improvement project can target the root sources of the problem and implement interventions that are within its control. Among the reasons for HAPUs is inadequate awareness among nursing staff about the significance of early risk assessment for diabetic patients and the lack of standardized risk assessment tools tailored to diabetic patients’ unique needs and vulnerabilities (Crunden et al., 2022). Other causes include inconsistent understanding of repositioning protocols and their importance among nursing staff, heavy workload, and time constraints that hinder proper protocol implementation during busy shifts.
Findings
While investigating the root causes contributing to the identified high-priority needs, the quality improvement project uncovered critical insights into the factors driving the occurrence of hospital-acquired pressure ulcers (HAPUs) in diabetic patients. The analysis revealed that only 60% of diabetic patients receive a documented pressure ulcer risk assessment within 24 hours of admission (Karahan et al., 2022). This deficiency hinders the timely identification of at-risk patients, compromising their preventive care. The other finding is that only 50% of admitted diabetic patients engage in educational sessions on pressure ulcer prevention, suggesting a lack of awareness and engagement.
Solutions
The possible solutions to improve HAPU cases include Implementing standardized pressure ulcer risk assessment tools, developing and implementing a comprehensive repositioning protocol, and providing targeted patient education on skincare and prevention.
The proposed plan will entail conducting training sessions on pressure ulcer risk assessment for nursing staff using standardized tools. This will be followed by establishing a multidisciplinary team to design and implement a comprehensive repositioning protocol. The next step will be to develop educational materials for diabetic patients on skincare and prevention strategies. Finally, progress will be monitored through regular audits and patient feedback and analyzing data post-implementation to evaluate the effectiveness of interventions.
References
Artzi, N. S., Shilo, S., Hadar, E., Rossman, H., Barbash-Hazan, S., Ben-Haroush, A., … & Segal, E. (2020). Prediction of gestational diabetes based on nationwide electronic health records. Nature medicine, 26(1), 71-76.
Choi, J. S., Hyun, S. Y., & Chang, S. J. (2021). Comparing pressure injury incidence based on repositioning intervals and support surfaces in acute care settings: a quasi-experimental pragmatic study. Advances in Skin & Wound Care, 34(8), 1-6.
Crunden, E. A., Schoonhoven, L., Coleman, S. B., & Worsley, P. R. (2022). Reporting of pressure ulcers and medical device related pressure ulcers in policy and practice: A narrative literature review. Journal of Tissue Viability, 31(1), 119-129.
Floyd, N. A., Dominguez-Cancino, K. A., Butler, L. G., Rivera-Lozada, O., Leyva-Moral, J. M., & Palmieri, P. A. (2021). The effectiveness of care bundles including the braden scale for preventing hospital acquired pressure ulcers in older adults hospitalized in icus: A Systematic review. The Open Nursing Journal, 15(1).
Gefen, A., Kolsi, J., King, T., Grainger, S., & Burns, M. (2020). Modelling the cost-benefits arising from technology-aided early detection of pressure ulcers. Wounds Int, 11(1), 12-17.
Han, D., Kang, B., Kim, J., Jo, Y. H., Lee, J. H., Hwang, J. E., … & Jang, D. H. (2020). Prolonged stay in the emergency department is an independent risk factor for hospital‐acquired pressure ulcer. International Wound Journal, 17(2), 259-267.
Karahan, E., Ayri, A. U., & Çelik, S. (2022). Evaluation of pressure ulcer risk and development in operating rooms. Journal of Tissue Viability, 31(4), 707-713.
Şahin, E., Rizalar, S., & Özker, E. (2022). Effectiveness of negative-pressure wound therapy compared to wet-dry dressing in pressure injuries. Journal of Tissue Viability, 31(1), 164-172.
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