NURS FPX 6212 Assessment 2 Executive Summary
Executive Summary
A pressure ulcer is a localized injury caused by pressure, or pressure combined with shear, to the skin and/or underlying tissue, generally over a bony prominence. Pressure ulcers are currently the third most expensive illness, behind cancer and cardiovascular conditions (Suva et al., 2018). With 60,000 deaths each year brought on by this complication, the mortality rates from this disease are 2 to 6 times higher than those from other diseases. In the tissues of the body’s extremities and on bony extensions like the sacrum and heel of inpatients, pressure ulcers occur more frequently (Suva et al., 2018). Low physical activity levels, lowered consciousness, fecal and urine incontinence, malnutrition, and advanced age are the main risk factors for pressure ulcers (Suva et al., 2018). contact with us for NURS FPX 6212 Assessment 2 Executive Summary
“If you can’t measure it, you can’t improve it”, according to a fundamental tenet of quality measurement (Agency for Healthcare Research and Quality, 2022). Therefore, as one element of a quality improvement program, pressure ulcer performance must be measured and tracked. By monitoring performance, you may determine whether care is becoming better, keeping the same, or getting worse in response to practice-changing initiatives. Additionally, ongoing observation will be crucial to know where you are beginning from and maintaining your progress gains (Agency for Healthcare Research and Quality, 2022).
NURS FPX 6212 Assessment 2 Executive Summary
At Augusta University Medical Center, Pressure Injuries have been more prevalent over the last two years. Patients in certain areas such as ICU or any acute care/med surg unit are more likely to receive pressure injuries (Augusta University Medical Center, n.d.). For instance, on average the pressure injuries noted in the last six months have increased by 5% compared to 2% in 2020 (Augusta University Medical Center, n.d.). Some of the factors that have contributed to this increase were the start of the pandemic and the surge in COVID cases leading to staff shortages and overcrowded med-surg units. The organization was aware of the situation arising and suggested to staff that prevention plans be put into place that would ensure safety and decrease the number of pressure injuries. That plan included turn schedules and daily activities that could be completed by all staff when needed (Augusta University Medical Center, n.d.).
Quality and Safety Outcomes of Proposed Change
There are numerous methods for preventing pressure injuries. Make sure patients can move about to relieve pressure on bone prominences as the initial step. Such precautions will stop occurrences like the one in which a patient required many debridement treatments due to a prolonged lack of physical activity. Additionally, health providers will work more efficiently because some pressure injuries, notably skin breakdown, sometimes begin because of misunderstanding.
By putting pressure injury prevention measures in place, it will be less likely that patients and facilities will incur additional costs due to skin breakdown (Gaspar et al., 2019). However, preventing PI is more important than failing to follow guidelines. Patients may be directed to other departments or units with lower nurse-to-patient ratios if they need one-on-one care (Gaspar et al., 2019).
Strategic Value
For the interprofessional team to handle pressure injuries (ulcers) effectively, the health care system, organizational infrastructure, and policies must be in place (Afzali Borojeny et al., 2020). The overall issue has been that healthcare providers lacked information regarding the examination and management of pressure injuries. Nurses and doctors both chose information technology with technical assistance and the use of high-quality wound photos as some of the strategies for pressure injury education (Afzali Borojeny et al., 2020).
As a result, the medical system will be able to quickly recognize and fix any deficiencies in the care of pressure injuries, which will be significant. The interprofessional team should be able to provide an explanation and effectively address any gaps, for example, if the organization is still reporting pressure injuries on acute care units after three months (Afzali Borojeny et al., 2020). By consistently providing statistics on the effectiveness of suggested change, yet another metric will promote a culture of quality and safety and allow the leadership to design it in accordance with the requirements of the company (Afzali Borojeny et al., 2020).
NURS FPX 6212 Assessment 2 Executive Summary
If suggested changes are not corrected after the proposed time frame of three months, the organization could possibly lose funding or incur fines from accreditation entities. This issue not only affects the organization as a whole but it commonly affects the satisfaction of the patient’s care and healing process. The length of stay for a patient with a PI varies but a stage of injury. The average LOS at AUMC (Augusta University Medical Center), is 2-3 days on an acute care unit without a PI. That number increased in the past two years to 5-7 days (Augusta University Medical Center, n.d.). The importance of dissolving this issue is dependent on the level of care given to each patient to prevent pressure injuries before they start.
Relationship Between Systemic Problems and Safety Outcomes
Pressure injuries are serious health problems and one of the major problems that businesses deal with every day (Suva et al., 2018). Pressure injuries have a significant influence on patients’ life as well as the ability of the provider to provide patients with the necessary care, in addition to the high expense of treatment (The Joint Commission, 2022). Because the frequency of pressure injuries varies by clinical context and is a condition that may be avoidable, preventing them has long been difficult, for both caregivers and the healthcare organization (The Joint Commission, 2022).
It may be overwhelming to consider how to put best practices into practice given the difficulty of pressure ulcer prevention and the numerous tasks that must be accomplished. One strategy that has been utilized with success is to consider a care bundle (Agency for Healthcare Research and Quality, 2022). A care bundle includes those best practices that, when used together, are likely to produce better results. It is a method for systematically bringing together the best practices (Agency for Healthcare Research and Quality, 2022). These particular care techniques are among the ones deemed to be most crucial for getting the intended results. The three important parts of the car bundles are comprehensive skin assessments, standardized pressure injury risk assessment, and care plan that addresses and implements the area of risk (Agency for Healthcare Research and Quality, 2022).
Culture of Quality and Safety
Outcome metrics demonstrate a proactive evaluation of the success of suggested adjustments in relation to the risk factors facing the organization. These metrics reflect the end outcome of a shift in healthcare strategy (Agency for Healthcare Research and Quality, 2019). This would help the care bundle’s plan for quality improvement. As I already mentioned, the care bundle is made up of three components that guarantee the security of patient care. The initial is a thorough evaluation of the skin, also called the comprehensive skin assessment. The entire skin area must be examined, with an emphasis on the bony prominences and skin folds (Agency for Healthcare Research and Quality, 2019). The Braden Scale is a part of the standardized pressure ulcer risk assessment, which is thought to be evidence-based (Agency for Healthcare Research and Quality, 2019). The final component of the bundle entails developing a treatment plan that is tailored to each patient’s need and putting that plan into practice. Get NURS FPX 6212 Assessment 2 Executive Summary
Interprofessional Collaboration
With the Care bundle implemented, this outcome metric will ensure a decrease in pressure injuries by more than 50% and increase patient satisfaction. Upon admission to the organization, the patient will receive a thorough comprehensive skin assessment to document any abnormal pressure points on admission. After the initial assessment, the patient will undergo a daily Braeden scale analysis during each shift to ensure compliance. If any pressure injuries are noted during the assessment, the wound care team will be notified, and a care plan will be put into effect.
NURS FPX 6212 Assessment 2 Executive Summary
The results would significantly change if nursing leaders made up the leadership team. These individuals would organize training and make certain that the resources, such as training activities, were distributed properly (Mazzetti & Schaufeli, 2022). Everyone working in the organization who provides direct patient care would gain from this. Furthermore, management would assign tasks to nurses and support workers, such as early warning evaluations, making everyone feel more valued and a part of the larger team. Better patient outcomes will result from this (Mazzetti & Schaufeli, 2022). A leadership team would also enforce individual responsibility among its fellow employees and the workforce by alerting upper management of errors. Most significantly, individuals of the leadership team as well as nurses and support staff will be able to work together collaboratively in teams. leading to greater improvement, total pressure injury prevention, and staff and patient satisfaction (Mazzetti & Schaufeli, 2022).
References
Agency for Healthcare Research and Quality. (2019). What are the best practices in pressure ulcer prevention that we want to use? Reviewed November 2022. https://www.ahrq.gov/patientsafety/settings/hospital/resource/pressureulcer/tool/pu3.html
The Joint Commission. (2022). Quick Safety 25: Preventing pressure injuries. Reviewed November 2022. https://www.jointcommission.org/resources/news-and- multimedia/newsletters/newsletters/quick-safety/quick-safety-issue-25-preventing- pressure-injuries/preventing-pressure-injuries/
Suva, G., Sharma, T., Campbell, K. E., Sibbald, R. G., An, D., & Woo, K. (2018). Strategies to support pressure injury best practices by the inter-professional team: A systematic review. International wound journal, 15(4), 580–589. https://doi.org/10.1111/iwj.12901
Agency for Healthcare Research and Quality. (2022). Research Protocol: Pressure Ulcer Risk Assessment and Prevention: A Comparative Effectiveness Review. Effective Health Care Program https://effectivehealthcare.ahrq.gov/products/pressure-ulcer- prevention/research-protocol
Afzali Borojeny, L., Albatineh, A. N., Hasanpour Dehkordi, A., & Ghanei Gheshlagh, R. (2020). The Incidence of Pressure Ulcers and its Associations in Different Wards of the Hospital: A Systematic Review and Meta-Analysis. International Journal of preventive medicine, 11, 171. https://doi.org/10.4103/ijpvm.IJPVM_182_19
Gaspar, S., Peralta, M., Marques, A., Budri, A., & Gaspar de Matos, M. (2019). Effectiveness on hospital‐acquired pressure ulcer prevention: A systematic review. International Wound Journal, 16(5), 1087-1102. https://doi.org/10.1111/iwj.13147
Mazzetti, G., & Schaufeli, W. B. (2022). The impact of engaging leadership on employee engagement and team effectiveness: A longitudinal, multi-level study on the mediating role of personal- and team resources. PloS One, 17(6), e0269433- e0269433. https://doi.org/10.1371/journal.pone.0269433
Augusta University Medical Center. (n.d). Statistics and Rates. Retrieved November 2022. From https://www.augusta.edu/mcg/fammed/pressureulcers.php
