PICOT-D Question: For elderly and debilitated patients [P], will the implementation of a pressure preventive bundle [I], compared to routine pressure injury care [C], reduce the incidence of pressure injury [O], within 60 days? [T].
APA Reference (Include the GCU permalink or working link used to access the article.) |
Research Questions/ Hypothesis, and Purpose/Aim of Study | Type of Primary Research Design | Research Methodology Setting/Sample (Type, country, number of participants in study) Methods (instruments used; state if instruments can be used in the DPI project)How was the data collected? | Interpretation of Data (State p-value: acceptable range is p= 0.000 – p= 0.05) | Outcomes/ Key Findings (Succinctly states all study results applicable to the DPI Project.) |
Limitations of Study and Biases | Recommendations for Future Research | Explanation of How the Article Supports Your Proposed Intervention |
| Darvall, J. N., Mesfin, L., & Gorelik, A. (2018). Increasing frequency of critically ill patient turns is associated with a reduction in pressure injuries. Critical Care and Resuscitation, 20(3), 217-222. https://europepmc.org/article/med/30153784. | Hypothesis: A change from 5-hourly turns to 3-hourly turns will significantly reduce pressure injury incidence in critically ill patients. Aim of the study: the study determined the significant difference between 5-hourly turns and 3-hourly turns in reducing the incidence of pressure injuries in critically ill patients. | A pre-post intervention evaluation study | Setting/sample: the study was conducted in an intensive care unit at the Royal Melbourne Hospital, Australia. Participants included patients admitted during pre-intervention period (1094) and the study’s post-intervention period (1165). Methods: patient turns were conducted by the nursing staff and clinical assistants amid other interventions for reducing pressure injury incidences, such as regular skin checks, protective dressings, and risk assessment. Random turn audits and chart reviews were conducted monthly. Similar instruments can be applied to the DPI project. Data collection: pressure injury data were derived from the reporting database. | Pressure injury incidence halved in the post-intervention period (p < 0.001). | The key finding was that a change in turn frequency from 5-hourly turns to 3-hourly turns reduced the pressure injury incidence by 50%. As a result, older adults and critically ill patients can benefit from a similar change in the frequency of turns. | Darvall et al. (2018) did not evaluate the potential detrimental effects of increased turning on patients. As a result, the findings are skewed to the positive impacts. | Researchers recommend a future studies through a prospective, multi-center trial. Future studies should also be randomized to reduce systematic errors. | The single-center study affirmed the positive impacts of repositioning and increasing the frequency of turns to reduce pressure injury incidence. Repositioning is a core component of the DPI project’s care bundle. |
| Pickham, D., Berte, N., Pihulic, M., Valdez, A., Mayer, B., & Desai, M. (2018). Effect of a wearable patient sensor on care delivery for preventing pressure injuries in acutely ill adults: A pragmatic randomized clinical trial (LS-HAPI study). International Journal of Nursing Studies, 80, 12-19. https://doi.org/10.1016/j.ijnurstu.2017.12.012 | Hypothesis: optimizing turning compliance with wearable sensors provides a better protective effect against developing pressure injuries than traditional reminders. Aim of the study: the research assessed the effectiveness of wearable patient sensors in improving total time with turning compliance and pressure injuries prevention in critically ill patients. | Randomized contr
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