Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.

PICOT statement:

People: Adult patients admitted to hospital with restricted mobility who are at higher risk of getting pressure ulcers. Treatment: Implementation of a schedule that allows for every other hour repositioning.

Problem in clinical practice:

For patients in hospital with limited mobility, pressure ulcers pose a serious clinical problem. Pressure ulcers are a frequent complication of hospitalization, despite the existence of preventive measures such as repositioning. Inadequate preventive care for pressure ulcers could lead to higher morbidity and hospital stays, as well as increased healthcare costs. To reduce pressure ulcers, nursing interventions are necessary.

Evidence-based solution:

A turning schedule that allows for positioning changes every 2 hours can be implemented to prevent pressure ulcers for patients in hospitals with restricted mobility. Coyer and colleagues conducted a controlled randomized trial. (2018) showed that the risk of developing pressure ulcers with a changing schedule was 51% lower than standard care. It is possible, cost-effective, and safe.

Interventions in nursing:

Nursing intervention is required in order to implement a schedule that allows for the repositioning of patients every 2 hours. This involves creating a plan of care for every patient who has limited mobility, and then implementing that schedule throughout their stay in hospital. This will be recorded in an electronic medical file and sent to the entire healthcare team.

Care for patients:

A turning schedule that allows for positioning changes every two hours is a great way to improve the patient experience and decrease pressure ulcers. This intervention is patient-centered. It aligns with the principles for safe, efficient, and effective care. The turning timetable will be communicated to patients and they will also learn about the importance of positioning for pressure ulcer prevention.

Healthcare agency:

Implementing a rotating schedule of repositioning at every two hours will help reduce the number of pressure ulcers. The intervention aligns with the agency’s quality improvement goals and enhances patient safety and satisfaction. It can be integrated in existing nursing workflows, and it can be maintained over time.

The practice of nursing

A turning schedule that allows for positioning every 2 hours is a way to improve nursing practice. This will promote evidence-based healthcare and prevent pressure ulcers in patients with limited mobility. It aligns with patient-centered, safe, and quality improvement principles. Nursing staff will receive training on how to turn the patient and be educated about the need for pressure ulcer prevention.

Implementing a rotating schedule to reposition every two hours can help reduce pressure ulcers among patients in hospitals with limited mobility. This intervention will improve the patient’s care and benefit the health agency as well as nursing practice.

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