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Final Project Results, Recommendations, and Conclusions Summaries
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Final Project Results, Recommendations, and Conclusions Summaries
Final Project Results Summary
The project depicted that pressure ulcers are a significant threat to the holistic well-being
of nursing homes, and the escalating number of these sores has made massive losses to all
stakeholders of nursing facilities. The project identified that nurses in this skilled nursing
facilities have minimum expertise in handling preventive measures for pressure injuries, and they
need more training and support from diverse stakeholders. The project results identified that
nurses’ attitudes and skills contributed to the intensive cases of bed sores since they needed more
motivation and guidance to ensure that fewer cases were reported in nursing facilities (Cowan et
al., 2019). The results showed that a lack of knowledge contributed to rising PU cases of PUs in
nursing homes. The nursing staff’s work overload increased pressure injuries since they did not
have enough time to take adequate measures to prevent PUs from developing (Anthony, 2019).
Lack of adequate training and experience in preventing and combating PUs is a significant
inhibitor in reducing bed sores development in nursing homes in Miami. The area of scope
illustrated that more nursing staff support was critical in promoting better management and care
administration to the aged population. PUs are caused by the declining quality of care in nursing
facilities, and the homes need more investment in promoting increased quality and patient
experience and outcomes.
The results showed that training nurses in nursing facilities were evident because PUs
prevention interventions that are more accurate and empirically proven are not well-versed and
established in many nursing facilities. More nurses did not have the most critical skills and
interventions essential in promoting better patient outcomes and ensuring that PUs are curbed
significantly. The results illustrated that nursing facilities needed more time and resources to
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reduce the escalating cases of pressure injuries. Current empirical knowledge has better
preventive practices that are more effective and can be used in nursing homes, such as better
assessment and monitoring practices, high-quality skincare routine, improved nutrition, and
better management, effectively combating rising bed sores (Kim, 2019). However, the study’s
results depicted that these aspects were poorly addressed in the area of study. The institution
needs more improvements in all its areas, such as increasing the skills and knowledge of its
nursing staff in preventing PUs, introducing improved equipment and facilities, and empowering
its management team in promoting better healthcare quality to its patients.
Recommendations
Based on the results of the practice change project, the problem of escalated cases of PUs
in nursing homes needed better preventive interventions and additional resources. The project
identified that nursing staff needed more training and empowerment. The project recommended
that more attention be given to monitoring and assessing the aged population because PUs
challenges and menace were related to poor quality of care. The project depicted that more time
should be given to patients because the nursing staff has failed to assess and attend to patients in
nursing homes, and the occurrence has led to increased bed sores cases. Some recommended
interventions were constant repositioning, such as after two or three hours (Anthony, 2019).
Constant repositioning of aged-population people in nursing facilities effectively prevents the
heightened pressure in some of the most vulnerable areas, such as the hips and tail head,
resulting in pressure injuries. The care allotted to patients in nursing facilities should be
increased, and more training for nursing staff was highlighted as a critical intervention that can
promote better patient outcomes and experience.
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The other recommendation identified was improving nurses’ attitudes in dealing with PUs
by generating motivation schemes and initiatives that would enable nurses to be more committed
to embarking on better actions essential in combating bed sores in nursing homes. Increasing the
compensation program for nurses with higher records of reduced PUs cases was depicted as a
critical motivation program that would improve the attitude of nurses in preventing the escalating
development of bed sores in nursing facilities. Also, providing moral support and constant
training sessions to nurses was recommended as a viable intervention that would improve the
attitude of nurses in preventing bed sores (Lavallée, 2019). Nurses owning the responsibility of
preventing PUs were depicted and recommended as a viable strategy for improving their attitude
toward dealing with and managing bed sores in nursing homes. Promoting nurses by
empowering them by bestowing them access to seminars and workshops that address PUs
prevention was recommended to nursing facilities as an effective way of preventing increased
incidents in nursing homes.
Conclusions
The practice change project concluded that PUs result from poor healthcare quality in
nursing homes and could be prevented by creating more effective interventions that would
reduce their occurrence and promote the better health status of patients. The project identified
work overload, long shifts, lack of motivation, and poor compensation as major impediments that
reduced the quality of care and promoted the escalated development of pressure ulcers in nursing
homes. The study concluded that training nurses on better preventive interventions of PUs were
critical in ensuring they had the prerequisite skills and knowledge to promote the quality of care
in their area of duty and care administration (Lee, 2022). The areas emphasized by the study
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included constant repositioning, an effective skincare routine, and a holistic care bundle. The
stated areas were depicted as effective prevention measures for PUs development.
The project depicted that constant training of the nursing staff was critical in improving
their attitude in creating a better environment for preventing PUs development. Equipping nurses
with the right attitudes and motivating them to promote reduced cases of PUs was depicted as an
incredible and effective way of reducing pressure injuries and improving the quality of care in
nursing homes. Improving the working conditions and investing in the staff’s well-being was
depicted as a vocal and effective motivation strategy that would ensure that nurses were
committed to reducing the cases of PUs in nursing facilities. The project concluded that nursing
homes’ management teams had a significant role in reducing PUs occurrence because they had
the means and resources to mobilize nurses to work in improvement terms and commit their
efforts to prevent bed sores. The project depicted that pressure injuries prevention was a holistic
affair and required all stakeholders’ collaboration and the development and adoption of better
interventions (Cowan et al., 2019). Better nurses’ attitudes, skills, knowledge, and improved
equipment and skincare interventions were highly recommended in the project as effective
interventions and strategies for reducing the development of PUs.
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References
Anthony, D., Alosoumi, D., & Safari, R. (2019). Prevalence of pressure ulcers in long-term care:
a global review. Journal of wound care, 28(11), 702-709.
Au, Y., Holbrook, M., Skeens, A., Painter, J., McBurney, J., Cassata, A., & Wang, S. C. (2019).
Improving the quality of pressure ulcer management in a skilled nursing facility.
International Wound Journal, 16(2), 550–555.
Cowan, L. J., Ahn, H., Flores, M., Yarrow, J., Barks, L. S., Garvan, C., & Schiller, J. (2019).
Pressure ulcer prevalence by the level of paralysis in patients with spinal cord injury in
long-term care. Advances in Skin & Wound Care, 32(3), 122–130.
Kim, J. Y., & Lee, Y. J. (2019). A study on the nursing knowledge, attitude, and performance
toward pressure ulcer prevention among nurses in Korean long‐term care facilities.
International wound journal, 16, 29-35.
Lavallée, J. F., Gray, T. A., Dumville, J. C., & Cullum, N. (2019). Preventing pressure injury in
nursing homes: developing a care bundle using the Behaviour Change Wheel. BMJ Open,
9(6), e026639.
Lee, Y. N., Kwon, D. Y., & Chang, S. O. (2022). Bridging the Knowledge Gap for Pressure
Injury Management in Nursing Homes. International journal of environmental research
and public health, 19(3), 1400.
The analysis of the results of evaluating an instrument called the Attitude towards
Pressure Ulcer Prevention (APuP) instrument (Beeckman et al., 2010). The research focuses on a
T-Test using paired pre/posttest data. Here’s a breakdown of the provided information:
1.
Paired Samples Statistics: This table presents descriptive statistics for each
pair of questions (Q1 to Q13) before (Pretest) and after (Posttest) the evaluation. The
statistics include the mean, sample size (N), standard deviation (Std. Deviation), and
standard error of the mean (Std. Error Mean).
2.
Paired Samples Correlations: This table shows the correlation between the
pretest and posttest scores for each pair of questions. It includes the sample size (N),
correlation coefficient, and significance level (Sig.) of the correlation.
3.
Paired Samples Test: This table provides the results of the paired
differences between the pretest and posttest scores. It includes the mean difference, the
standard deviation of the differences, the standard error of the mean difference, and the
95% confidence interval.
From the information, it is possible to observe the following:
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The mean differences (Pretest minus Posttest) for each pair of questions
range from -0.367 to 1.767.
•
The standard deviations of the differences range from 0.504 to 1.022,
indicating variability in the changes observed.
•
The 95% confidence intervals for the differences do not include zero in
most cases, suggesting statistically significant changes in attitudes towards pressure ulcer
prevention.
Appendix A summarizes the main results, including the T-test for pair variables, the
frequency of each test answer, and the Bar graphic for the preferred frequency.
Statistics Conclusion
1. The results indicate significant differences between the pretest and posttest scores
in several pairs. In Pair 2 (Q2), Pair 4 (Q4), Pair 7 (Q7), Pair 8 (Q8), Pair 9 (Q9),
Pair 10 (Q10), Pair 12 (Q12), and Pair 13 (Q13), the mean posttest scores were
higher than the mean pretest scores, suggesting improvement.
2. Conversely, in Pair 1 (Q1), Pair 3 (Q3), Pair 5 (Q5), Pair 6 (Q6), and Pair 11
(Q11), the mean posttest scores were lower than the mean pretest scores,
indicating a decline.
3. The paired samples correlations showed various levels of correlation between the
pretest and posttest scores, ranging from weak positive to weak negative
correlations.
Overall, the T-test results indicate significant changes in the scores between the pretest
and posttest measures in certain positive and negative pairs. The pair that show statistic
signification (p
