As the professional nurse, you realize that your nursing care area often sees patients with the same particularly challenging nursing care issue (NOT medical care issue). Include all of the following in your answer to this TD:
- Identify the nursing care issue or problem and justify why it is a nursing care issue in need of implementation of evidence. Remember, this should not be a medical issue.
- Explain how you would search the nursing literature for evidence on this topic (including search terms you would use) and how you would critically appraise the evidence found in your search. NOTE: You do not need to perform the search and provide an article for this TD, but you may do so if you like.
Expert Solution Preview
Introduction: Nursing care issues can be just as challenging as medical care issues and require the implementation of evidence-based practices. As a professional nurse, it is important to identify these issues, search for evidence in the nursing literature, and critically appraise the evidence found.
1. The nursing care issue that I have identified is the prevention of pressure ulcers in bedridden patients. This is a nursing care issue because it is a condition that is largely preventable with appropriate nursing interventions. In addition, pressure ulcers can significantly impact a patient’s quality of life, increase their risk of infection and prolong their hospital stay. Therefore, it is essential to implement evidence-based practices to prevent this condition.
2. To search for evidence on this topic, I would use a combination of keywords such as pressure ulcers, prevention, bedridden, nursing interventions, and evidence-based practice. I would search various databases such as PubMed, CINAHL, Cochrane Library, and Joanna Briggs Institute. When critically appraising the evidence, I would evaluate the study design, sample size, outcomes measured, and the strength of evidence. I would consider randomized controlled trials and systematic reviews as the highest level of evidence on this topic.