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Pressure injuries are also known as pressure sores or pressure ulcers (Alderden, 2017). They are mainly caused due to progressive damage to the skin and tissues underneath the surface. The main mechanism and the root cause of development of the same can be attributed to the increased friction and constant pressure on the bony surfaces. People with advancing age have more fragile skin and thus, are more prone to the development of pressure injuries (Alderden, 2017). These pressure injuries can add to the suffering of individuals suffering from the same. However, with early detection and intervention management, the condition can be controlled from extending and impacting the neighboring tissues. It is a common phenomenon observed in aged care facilities, where older people are being managed for. Due to the lack of mobility and multiple comorbidities, the healing process of the patient might be lowering and thus, adding to the discomfort of the patient (Kayser, 2019). Multiple intervention strategies can be followed by the nurses to manage and prevent the formation of pressure injuries in patients residing in aged care facilities. The study design and methodology will help in pondering the role of nurses in the process of prevention of pressure injury and the intervention strategies in terms of their impact on the healing of pressure injuries in patients residing in aged care facilities.
What is the nurse's perception regarding the prevention of pressure injuries in aged care facilities?
The condition of pressure ulcers is preventable but it can also be an alarming situation for the patient to suffer from (Palfreyman, 2016). Preventing this condition is not only vital to protect the patients from the underlying harm, but also to considerably reduce the cost of treatment aligned with the same. Pressure ulcers can also result in morbidity and can lead to more severe impairments. This can lead to the patient developing an underlying infection, delayed healing, and longer stays in healthcare settings (Russell, 2020). The nurses are the vital team members that work with the patient, to enable care providers to them. The perception of the nurses is, therefore, crucial to acknowledge to understand the barriers and limitations faced by them during the care provision of the patient. This will help define advanced healthcare solutions to prevent the life-threatening impact of pressure ulcers in older patients (Lichterfeld, 2020).
The prevalence of pressure ulcers is observed on an increasing trend in older patients. There are multiple implications on health along with the advancing age. Pressure injuries can deteriorate the overall health status of the patient, leading to declining healthcare outcomes (Beeckman, 2019). The main objective of the study will be to review the evidence present on the perception of the nurses aligned in the patient care for individuals, who are more vulnerable to developing pressure injuries. This will help focus on developing more constructive and conceptualized programs, which will help promote patient safety and address to the other multiple factors aligned with the prevention of pressure injuries. It will also help in drawing a conclusive approach for a single component and effective initiatives to prevent the pressure injuries from further spreading and impacting the clinical status of the patient.
The main aim of the research methodology of the study is to define a path for the researcher to conduct the study in an orderly manner (Cecez, 2020). This also formulates the path for developing problems and objectives and presenting them in a schematic result obtained during the period in which the study is conducted. The study design on the other hand provides a directive framework for the study (Bajzik, 2020). There is an imperative need for selecting the best suitable study design, to be synchronized in regards to the research approach. This is also modulated by the interrelated study decisions. This study will be based on a qualitative study design. As the qualitative study design helps in defining the non-numerical data, it will be the best option to analyze the results of perceptions and experiences of the nurses (Moalusi, 2020). It will also help define a newer and advanced approach for generating ideas that can be used for future inferences. It will also help analyze the pattern of perception of the nurses in preventing pressure injuries and thus, helping in formulating future interventions and management techniques. The study will also follow the inductive research paradigm (Huang, 2019). As this will be a new topic to be pondered upon, the indictive method of research paradigm will help obtain sound results. This type of research paradigm will also enable the researcher to develop a new theory, based on collecting the observations and analyzing the pattern of these observations attained from the study.
The main participants for the study will be healthcare nurses aligned inpatient care in aged care facilities. Both male and female nurses will be recruited for the study purpose. The recruitment of these nurses will be based on their years of experience in aged care settings and should be above the age of 30 years. They should also be working in providing care to the patients who are either vulnerable to developing pressure injuries or are currently being provided care and management for pressure injuries. For the study 100 residential care facilities will be targeted. the study will be based on the survey method for data collection. The survey will help collect the nurse's perception as per their ease. The survey method can be best suited both in qualitative as well as quantitative study. However, for this study as the data is to be collected on a primary basis, the survey method will be the best option. It will help reflect upon the attitude of the nurses, which will help set a future purpose for the study. The method of the survey will also enable comfort for the participants, to answer the questions asked as per their perception. This will help collect more dynamic data post collection of reflection of the same (Lowry, 2016). It will also be fruitful in defining a characteristic for the population. It will also enable the researcher to establish a testing hypothesis about the nature of the relationship within the participant population, chosen to be evaluated. The survey will be in a questionnaire format and will be delivered to the nurses by the means of Email. This will help gather vast information, within a shorter duration of timeframe (Zhou, 2018). It will also be cheaper and the data collected on the primary basis through the survey method will be easier to be analyzed. The recruitment of the participants will be carried out through stratified random sampling. This method gives an equal chance of selection to all participants. It also helps in data analysis, with less risk of an error occurring while interpreting the data (Ning, 2020). As for the study purpose, nurses above the age of 40 years will be included, therefore, this type of sampling will be the best possible method to select the participants (Etikan, 2017). Within a subgroup, the researcher will be able to stratify a good sample to collect the data from.
The method for data analysis chosen for this study will be thematic analysis. This is one of the best possible methods as our study is based on qualitative study design (Marshall, 2017). This analysis method can help cover multiple aspects of a study and addressing the multiple questions arising from the same study design. This method is also best suitable to identify a particular pattern to focus upon, from the given dataset. It also provides an access to identify an umbrella of approaches through which various theoretical models proposed for the study can be identified. As our study is based on focusing on nurse's perception of prevention of pressure injuries in aged care facilities, the use of thematic analysis can provide us with a wide range of possible outcomes from the derivatives attained. As the method of thematic analysis goes beyond just counting the phrases and words written across in text, it will help explore both explicit and implicit meanings of the data set (Roberts, 2019). It will also help connect the derivative and how it will impact the overall well-being and transition of care provided to the patients. This analysis will also help define the positive and negative impact of the nurse's perception, deemed as the best possible solution for the prevention of pressure injuries in aged care facilities.
Following ethical consideration will be kept in mind while conducting this research:
The role of nurses can be deemed as pivotal in managing and preventing pressure injuries in aged patients. The nurses possess the required knowledge of the best possible intervention strategies to be used to help patients with pressure injuries. Early identification and management are required in preventing pressure injuries, as it might add to the misery of the patient. pressure injuries can also prolong the stay in the hospital, adding to the medical burden on health as well as on expenses born by the patients. The nurse's perception of managing and preventing pressure injuries also plays a vital role. This is also helpful in defining positive healthcare outcomes from the patients, post-implementation of treatment solutions to the patient.
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