Illustrate Systematic Review As A Method Of Evidence Based Research (Research Paper Sample)

Evidence Based Nursing Research
(Author’s name)
(Institutional Affiliation)

Student Name: Student Number:
Abbreviated PICO Worksheet and Search StrategyBrief description of the problem or topic:
Bedbound patients are at a high risk of developing Pressure Injuries. Research is continuously being undertaken to find the best way of preventing these. Two methods of preventing pressure injuries are performing regular 2hrly repositioning and turning, and the use of alternating air mattresses. A relative of an elderly resident in an aged care facility has asked you which method is better at preventing pressure injuries.
PPopulation/Patient/Problem Relative and the elderly residentIIntervention Regular 2hrly repositioning and turningCControl/ComparisonAlternating air mattressesOOutcomesPrevention of Acquired pressure area Write out your question:
For elderly residents in aged care, is performing regular 2hrly repositioning and turning or the use of alternating air mattresses is more effective in the prevention of acquired pressure area?
Identify
Databases Used
в–Ў Cochrane Library в–Ў PubMed/MEDLINE в–Ў JBI COnNECT+ (Joanna Briggs) в–Ў CINAHL with Full Text
в–Ў CQUniversity Library Discover It! в–Ў Health Collection в–Ў Other (please Specify)
Keywords
Search Terms
Alternative terms/synonyms
P
Relative and the elderly resident
Next to kin, family member, residents family
I
Regular 2hrly repositioning and turning
2hrly turn,2/24 PAC, q2h PAC
C
Alternating air mattresses
Air mattress, hospital air bed
O
Reduction in the number of Acquired pressure area
Bed sores, Pressure ulcer, decubitus ulcers
Search filters or
limits
в–Ў Age The elderly в–Ў Language: English only в–Ў Publication years <5years в–Ў Other peer reviewed

Bergstrom, N., Horn, S., Rapp, M., Stern, A., Barrett, R., & Watkiss, M. (2013). Turning
forUlcer ReductioN: A Multisite Randomized Clinical Trial in Nursing Homes. Journal
Of The American Geriatrics Society, 61(10), 1705-1713.
Level of Evidence: Systematic review
Justification using the 5 components
The study was conducted to determine the required frequency of positioning in nursing homes residents who are at high risk of developing pressure ulcer when they care on high-density foam mattresses. Different repositioning groups were used according to the repositioning intervals which include a two-hour group, three-hour group, and four-hour group. The participants were from the United State of America and Canada who were at the age over 65 years and at risk of developing pressure ulcers. The participants were located randomly using skin stratification method and repositioning schedule for three weeks where blinded assessors assessed the skin integrity weekly. The results showed that there was no significant difference of pressure ulcers incidents in relation to different repositioning groups over the three weeks in participants using high-density mattresses when the repositioning is done consistently and their skin monitored.
Gillespie, B., Chaboyer, W., McInnes, E., Kent, B., Whitty, J., & Thalib, L. (2014).
Repositioning for pressure ulcer prevention in adults. Cochrane Database Of Systematic
Reviews22 (1) 108-109
Level of Evidence: Systematic review
Justification using the 5 components
The study was conducted to review the effects of repositioning to prevent pressure ulcers, to determine the most effective method and ascertain the cost and resources necessary for implementation. The search methods were from an electronic database where two authors independently performed the study selection. Three systematic reviews and a study representing 502 participants from acute and chronic settings were selected. The study found that repositioning was an important component when it comes to pressure ulcer prevention and treatment. The reposition frequency and the positioning for ulcers prevention had great uncertainty in terms of evaluation but did not mean that the intervention was not effective. The evidence showed that there was no difference between the 30-degree tilt and a 90-degree stand in relation to repositioning frequency. The repositioning using 30-degree tilt in three hours frequency was found less costly and more effective than 90-degree tilt in every six hours.
McInnes, E., Jammali-Blasi, A., Bell-Syer, S., Dumville, J., & Cullum, N. (2012). Preventing
pressure ulcers—Are pressure-redistributing support surfaces effective? A Cochrane
systematic review and meta-analysis. International Journal Of Nursing Studies, 49(3),
345-359.
Level of Evidence: Randomized controlled trials (RCTs)
Justification using the 5 components
The study was performed by Cochrane Wound Group where randomized control trials and quasi-randomized trials either published or non-published were assessed to show the effects of support surfaces on pressure ulcers. The Cochrane risk of bias tool was used to compare and summarize each setting and the methodological quality. A group of 16, 285 participants were identified in 53 eligible trials. The analysis showed that about 95 % of participants using hospital air form mattress had a reduce evidence of developing pressure ulcers as compared to other normal hospital mattresses. The study concluded that there is a good evidence that higher specification form mattress in the operative settings are highly effective in preventing pressure ulcers. However, there was no sufficient evidence to conclude the value of the mattresses in terms of cushions, protectors and the materials to use.
Moore, Z., Cowman, S., & Conroy, R. (2015). A randomised controlled clinical trial of
repositioning, using the 30° tilt, for the prevention of pressure ulcers. Journal Of Clinical
Nursing, 20(17-18), 2633-2644.
Level of Evidence: Randomised controlled trial (RCT)
Justification using the 5 components
A cluster randomized controlled trial was conducted to determine the incidence of pressure ulcers among aged patients in nursing homes who were using two different repositioning regimens. Twelve nursing homes were selected with 99 participants who were reposition using three hourly 30-degree tilt of positioning. The second group of 114 participants used the six hourly 90 degrees rotation and normal prevention routines for four weeks. All data analysis was intended for the treatment of all participants. All participants were Irish and white men were about 65% were over 80 years old. The results showed that, repositioning patients who are a higher risk of pressure ulcers at three hourly using 30-degree tilt reduces incidences of pressure ulcers.
Tomova-Simitchieva, T., Lichterfeld-Kottner, A., Blume-Peytavi, U., & Kottner, J. (2017).
Comparing the effects of 3 different pressure ulcer prevention support surfaces on the
structure and fun...