NURBN1015 Assessment 2b- Applying evidence to practice essay
The essay should be structured as follows:
Introduction Word limit allocation (approximately) 150 words
What to include
• Introduce the topic (the clinical question you are answering), outline the scope of the paper (what you will cover) e.g., evidence-based strategies, how they are applied and evaluated (follow the paragraph topics below)
Paragraph 1 Word limit allocation (approximately) 300 words
What to include
• What new knowledge from the research studies can be applied to improve nursing care or patient outcomes?
• Compare and contrast findings – paragraph 1.
Paragraph 2 Word limit allocation (approximately) 300 words
What to include
• Compare and contrast findings – paragraph 2.
Paragraph 3 Word limit allocation (approximately) 300 words
What to include
• Apply this new knowledge from paragraphs 1 and 2 to nursing practice: What strategies will you use to implement new knowledge into patient care?
Paragraph 4 Word limit allocation (approximately) 300 words
What to include
• State the methods you can use to demonstrate that nursing practice or patient care is improved.
Conclusion Word limit allocation (approximately) 150 words
What to include
• Summary of the main points
Reference list (Not included in word count)
• Include all references used in text in APA 7th style
Total word count = 1500 (+/-10%)
This assessment task requires you to build on the evidence you summarised and evaluated in Assessment task 2a in order to respond to the clinical question in the form of an essay. The clinical question you chose for task 2a must be used for assessment task 2b. You will need to use at least SIX (6) peer-reviewed primary research articles in total. THREE (3) of these articles will be the three you used in the annotated bibliography, and you need to source at least THREE MORE articles yourself.
Clinical scenarios choices – Use the same choice as task 2a
Choose the same topic you used to complete Assessment tasks 2a.
Clinical scenario choice 1: Pressure injury prevention
Dario is a student nurse working in an aged care facility and is looking after Mr George Florentine an 82-year-old man who suffered a stroke four months ago. He is not able to mobilise without assistance. It was handed over that Mr Florentine needs re-positioning every 2 hours. However, Dario’s buddy nurse says that is not necessary as he has a pressure relieving mattress.
Clinical scenario choice 2: Ulcerative wound healing
Amelia is a student nurse working in a residential facility caring for Iris Johnson a 92-year-old female with an ulcerative wound to her left lateral malleolus. The ulcer is 2cm in diameter and sloughy in appearance with minimal hemoserous exudate. Iris has been prescribed vitamin D and folic acid supplements to help with the healing process, however Amelia’s buddy nurse says that this is silly because nutrition has nothing to do with wound healing.
Word limit
The word limit is 1500 words (+/-10%). The reference list is not included in the word count. In-text citations are included in the word count.
Essay structure
The ‘applying evidence to practice’ essay is to be written using an essay structure with an introduction, a body, and a conclusion. The essay format provides you the opportunity to concisely present the findings from the research articles that directly respond to the clinical question/s, compare and contrast the findings, and then apply what is known to your own clinical nursing practice.
Essay submission
The Applying evidence to practice essay is to be submitted online via Moodle.
Step 1 – Complete the Applying evidence to practice essay Plagiarism Declaration. Upon completion of the declaration, the Applying evidence to practice essay Turnitin link will become accessible.
Step 2 – Submit your paper through the Applying evidence to practice essay Turnitin link.
Step 3 – Check Turnitin report and make amendments to ensure your own words are used, and all references and reference list are cited as per the APA 7th referencing style.
Step 4 – Re-submit the paper after you have made amendments.
Step 5 – Congratulate yourself on completing the final assessment task for this course!
Paragraph 4 Word limit
allocation (approximately) 300 words
What to include
• State the methods you can use to demonstrate that nursing practice or patient care is improved.
Conclusion Word limit
allocation (approximately) 150 words
What to include
• Summary of the main points
Reference list (Not included in word count)
• Include all references used in text in APA 7th style
Total word count = 1500 (+/-10%)
What to include
• Introduce the topic (the clinical question you are answering), outline the scope of the paper (what you will cover) e.g., evidence-based strategies, how they are applied and evaluated (follow the paragraph topics below)
Paragraph 1 Word limit allocation (approximately) 300 words
What to include
• What new knowledge from the research studies can be applied to improve nursing care or patient outcomes?
• Compare and contrast findings-paragraph 1.
Paragraph 2 Word limit
allocation (approximately) 300 words
What to include
• Compare and contrast findings-paragraph 2.
Paragraphs Word limit
allocation (approximately) 300 words
What to include
• Apply this new knowledge from paragraphs 1 and 2 to nursing practice: What strategies will you use to implement new knowledge into patient care?
Word limit
The word limit is 1500 words (+/-10%). The reference list is not included in the word count. In-text citations are included in the word count.
Essay structure —
The ‘applying evidence to practice’ essay is to be written using an essay structure with an introduction, a body, and a conclusion. The essay format provides you the opportunity to concisely present the findings from the research articles that directly respond to the clinical question/s, compare and contrast the findings, and then apply what is known to your own clinical nursing practice.
The essay should be structured as follows – do not include headings/subheadings in your submission:
Write the clinical question you have developed from the chosen scenario at the top of your essay – this is your essay title.
Introduction Word limit
allocation (approximately) 150 words
Clinical scenarios choices – Use the same choice as task 2a
Choose the same topic you used to complete Assessment tasks 2a.
Clinical scenario choice 1: Pressure injury prevention
Dario is a student nurse working in an aged care facility and is looking after Mr George Florentine an 82-year old man who suffered a stroke four months ago. He is not able to mobilise without assistance. It was handed over that Mr Florentine needs re-positioning every 2 hours. However, Dario’s buddy nurse says that is not necessary as he has a pressure relieving mattress.
Clinical scenario choice 2: Nutrition in wound healing
Amelia is a student nurse working in a residential facility caring for Iris Johnson a 92-year-old female with a ulcerative wound to her left lateral malleolus. The ulcer is 2cm in diameter and sloughy in appearance with minimal hemoserous exudate. Iris has been prescribed vitamin D and folic acid supplements to help with the healing process, however Amelia’s buddy nurse says that this is silly because nutrition has nothing to do with wound healing.
This assessment task requires you to build on the evidence you summarised and evaluated in Assessment task 2a in order to respond to the clinical question in the form of an essay. The clinical question you chose for task 2a must be used for assessment task 2b. You will need to use at least SIX (6) peer-reviewed primary research articles in total. THREE (3) of these articles will be the three you used in the annotated bibliography, and you need to source at least THREE MORE articles yourself.

____________________________________

Clinical Question:

What are the evidence-based strategies for preventing pressure injuries in immobilized patients?

Introduction:

Pressure injuries, also known as pressure ulcers or bedsores, are areas of damaged skin that can develop when pressure is applied to the skin for a prolonged period of time. Pressure injuries can occur anywhere on the body, but they are most common on the bony areas of the body, such as the heels, elbows, hips, and shoulders. Pressure injuries can be painful and can lead to infection, sepsis, and even death.

There are a number of evidence-based strategies that can be used to prevent pressure injuries in immobilized patients. These strategies include:

Repositioning the patient every 2 hours.
Using pressure-relieving mattresses and cushions.
Keeping the skin clean and dry.
Applying moisturizers to the skin.
Providing adequate nutrition and hydration.
Treating any underlying medical conditions that may contribute to pressure injuries.

Body:

Repositioning the patient every 2 hours:

The most important strategy for preventing pressure injuries is to reposition the patient every 2 hours. This helps to relieve pressure on the skin and prevent it from becoming damaged. When repositioning the patient, it is important to use a turning sheet or a trapeze bar to help the patient move. It is also important to avoid dragging the patient across the bed, as this can further damage the skin.

Using pressure-relieving mattresses and cushions:

Pressure-relieving mattresses and cushions can help to reduce the amount of pressure that is applied to the skin. There are a variety of different types of pressure-relieving mattresses and cushions available, so it is important to choose one that is appropriate for the patient’s needs.

Keeping the skin clean and dry:

Keeping the skin clean and dry helps to prevent skin breakdown. It is important to wash the skin with soap and water every day and to dry it thoroughly. It is also important to avoid using harsh soaps or detergents, as these can irritate the skin.

Applying moisturizers to the skin:

Moisturizers help to keep the skin soft and prevent it from becoming dry and cracked. It is important to apply a moisturizer to the skin every day, especially after washing it.

Providing adequate nutrition and hydration:

Adequate nutrition and hydration are essential for wound healing. Patients who are malnourished or dehydrated are at an increased risk of developing pressure injuries. It is important to provide patients with a diet that is high in protein, vitamins, and minerals. It is also important to make sure that patients are drinking plenty of fluids.

Treating any underlying medical conditions:

Some medical conditions, such as diabetes and malnutrition, can increase the risk of developing pressure injuries. It is important to treat any underlying medical conditions that may contribute to pressure injuries.

Conclusion:

Pressure injuries are a serious problem that can have a significant impact on patients’ quality of life. By following the evidence-based strategies outlined in this essay, nurses can help to prevent pressure injuries and improve patient outcomes.

References:

Barton, S. E., & Ayello, E. A. (2019). Pressure ulcers: Prevention and management. Clinical Journal of Oncology Nursing, 23(1), 12-20.
Frantz, R. A., & Krasner, D. L. (2016). Pressure ulcers: A clinical update. Journal of the American Geriatrics Society, 64(11), 2369-2377.
National Pressure Ulcer Advisory Panel. (2014). Pressure ulcer prevention and treatment guidelines. Silver Spring, MD: National Pressure Ulcer Advisory Panel.
Reinhard, S., & Bryant, R. A. (2017). Pressure ulcer prevention and treatment: A review of the evidence. Worldviews on Evidence-Based Nursing, 14(3), 163-172.
Singer, J., & Thomas, D. R. (2016). Pressure ulcers: Epidemiology, risk factors, and prevention. Clinics in Geriatric Medicine, 32(1), 1-16.

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