bariatric patients. There are a number of models to guide healthcare providers when they try to move evidence into practice. One useful framework is the AHRQ Model of Knowledge Transfer. This model includes three major steps of knowledge transfer: (1) knowledge creation and distillation, (2) diffusion and dissemination, and (3) organizational adoption and implementation. • In the first step knowledge creation and distillation, I would conduct a research and find out what are the best practices and specific recommendations in pressure ulcer prevention. Then, I would evaluate each guideline’s quality, currency, and recommendations, in order to assess the efforts needed for the translations in practice. Lastly, I would select the recommendations with the strongest evidence and the recommendation that can easily be implemented into my clinical practice. • In the diffusion and dissemination step I would raise awareness about this guideline on my unit. I would provide specific information about this guideline during morning huddles, staff-meetings, and during practice meetings. To increase the awareness of every nurse and patient care technician, I would also send emails and post posters about the basic guideline recommendations and necessary equipment to prevent pressure ulcers in the bariatric population such as bariatric beds, wheelchairs, cushions, bariatric walkers, overhead trapezes, etc. • In the organizational adoption and implementation step I would persuade and motivate
as well. Evidence-based practice could be used to see what could have been done to prevent pressure ulcers,
* Explain the role of research in developing knowledge for use in health care evidence-based practice situations.
The INTACT trial showed a significant reduction in pressure ulcers (PU) incidence in the intervention group at the hospital (cluster) level, but this difference was not significant at the
Pressure ulcers are a serious problem in the medical world today. They affect millions of people and cost medical facilities billions of dollars annually. In order to help prevent pressure ulcers, it is important to understand how and why they happen, the risk factors involved for patients and what can be done to prevent them. Many studies have been done to assess different techniques for preventing and treating pressure ulcers. In addition to using the best medical products, it has been found that proper education for the nurse and the patient plays an integral role in the prevention and treatment of ulcers. This paper will discuss evidence based practice, the nursing role, and client education in pressure ulcer formation and healing.
The purpose of this paper is to discuss pressure ulcers (PUs) and their prevention. The National Pressure Ulcer Advisory Panel (NPUAP), European Pressure Ulcer Advisory Panel (EPUAP), and Pan Pacific Pressure Injury Alliance (PPPIA) define pressure ulcers as a ‘localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear’ (Brown, 2016, p. S6). Pressure ulcers are a healthcare problem that can have detrimental effects on patients’ quality of life and can be regarded as an indicator of poor nursing practice. Hospital-acquired pressure ulcers (HAPUs) result in costly settlements
Knowledge translation is a significant process in research studies or evidence based practice project implementation. This process relies on effective knowledge exchange and dissemination (Gaynon, 2009). According to Agency for Healthcare Research and Quality [AHRQ] (2012), propagation of evidence-based intervention necessitate overarching framework of communication tactics to guide this process, which include that the message targeting the primary audience segment, such as tailoring messages to individual level. This could be achieved through web-based communication, conferences, or prints to targeted individuals that enhanced behavior
Analyzing facilitating factors is an important step of LAST program implementation. When planning the change, the organization must develop goals that are realistic, attainable and measurable. In order to gain support from staff, it is important to ensure stakeholders to understand the changing process, and how this change can improve patient safety and benefit the organization. The LAST program implementation requires at least one individual or governance group to have primary responsibility for guiding users through the Evidence Based Practice (EBP) process, which requires education to help staff to know each step and process of this model (Rycroft-Malone & Bucknall, 2010).
Figure 1 from Walton-Greer, P. (2009). Prevention of Pressure Ulcers in the Surgical Patient. AORN Journal, 89(3), 538-552.
This academic essay aims to identify psychological factors as well as socioeconomic impacts of the mental well-being of a bariatric patient. Moreover, the process of communication will be highlighted and the possible barriers that may affect the therapeutic relationship. In addition, role of the assistant practitioner will be addressed in relation to psychosocial factors. For confidentiality, all names used in this essay have been changed. (NHS England, 2014). All significant terms will be defined.
The old adage, prevention is worth an ounce of cure, holds true in nursing concerning pressure ulcer prevention. Hospital acquired pressure ulcers are a preventable event that nurses have the unique ability to impact directly. Not only will preventative measures impact the potential cost savings, they have the ability to impact patient care. The purpose of this paper is to summarize the evidence, identify benchmarking, discuss an outcome measurement tool, provide information on ethical, economical, and cultural concerns, and identify methods to disseminate the findings regarding prophylactic sacral dressing application in the intensive care unit (ICU) and a recommendation proposal.
This paper provides a list of references and cites guidelines produced by credible sources such as the National Pressure Ulcer Advisory Panel (NPUAP).
Hello everyone, the members of team C, Helanca Ross, Omekia Murray, Alyssa Del Giudice, Tara Vaughns and Vanessa Smith would like to welcome everyone here today and present this presentation on Bariatric Design in a hospital setting. Designing a bariatric facility has many steps and a lot of planning, so if everyone is ready, lets begin and once this presentation is completed if anyone has any questions or concerns. Please feel free to ask at that time?
Knowledge Translation (KT) is defined as “a dynamic process that includes exchange, synthesis, and application of knowledge to improve patient outcomes, provide more effective services and products and strengthen the healthcare system” [96]. “This process takes place within a complex system of interactions between researchers and knowledge users” [97]. The aim of The KT interventions implementation is to facilitate using the evidence-based practices within the healthcare system [94]. Implementing KT interventions need “unique skills including an understanding of the health care context and how to effect change in addition to the ability to develop relationships with relevant stakeholders in the implementation process” [94].
In order for public health organizations to be successful, they first need to fully understand the definition of knowledge in its multiple dimensions. Understanding various relationships and factors related to knowledge-value chain will facilitate emergence of real changes in health care organizations. The concept of ‘evidence-based medicine’ has been a prevailing method in practicing medicine in the health care industry since its inception in the 1970s (Landry 2006). Four decades later, health care providers now encounter an immense volume of knowledge from research articles, new treatment guidelines, protocols, meta-analysis, or any other types of pertinent information to their specialties. However, providers often fail to
You may have heard of the benefits of bariatric beds and how it can help patients with weight challenges, but what does bariatric mean, really? The term bariatrics came from two Greek words: “baros” meaning weight and “iatrics” meaning treatment. It was first used around 1965 to refer to a branch of medicine that studies and practices ways to prevent and treat obesity. It also looks at the underlying causes of weight gain. Health and fitness fields such as exercise, dieting, and behavioral therapy are also part of bariatrics.