Pressure Ulcer Prevention and Management: Evidence-Based Approaches

Criteria	Article 1	Article 2	Article 3	Article 4
Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article	Boyko, T. V., Longaker, M. T., & Yang, G. P. Advances in Wound Care. Web.	Moore, Z. E., & Patton, D. Cochrane Database of Systematic Reviews. Web.	Hariri, A., Chen, F., Moore, C. and Jokerst, J.V. Wound Repair and Regeneration. Web.	Jackson, D., Sarki, A., Betteridge, R., & Brooke, J. International Journal of Nursing Studies. Web.
Article Title and Year Published	Review of the Current Management of Pressure Ulcers 2018	Risk assessment tools for the prevention of pressure ulcers. 2018	Noninvasive staging of pressure ulcers using photoacoustic imaging 2019	Medical device-related pressure ulcers: A systematic review and meta-analysis 2019
Research Questions (Qualitative)/Hypothesis (Quantitative)	What are the available treatments for pressure ulcers?	Are the risk assessment tools eligible for treating pressure ulcers?	What are the effects of using photoacoustic imaging while treating pressure ulcers?	Wounds identified with the weight of clinical equipment are one of the key markers of patient safety and the nature of medical care in clinical settings.
Purposes/Aim of Study	Review the accessible intervention for pressure ulcer prevention.	To evaluate if risk assessment tools help reduce pressure ulcer	To explore the efficacy of photoacoustic imaging.	To identify what pressure-related devices are effective for ulcer cure.
Design (Type of Quantitative, or Type of Qualitative)	Qualitative	Quantitative	Quantitative	Primary research
Setting/Sample	Clinical settings, no sample	Hospital settings, 1000 participants	Clinical settings	Clinical settings, 126.150 patients
Methods: Intervention/Instruments	Process of observation	Randomized Controlled Trials Cluster trials	Experiment	Experiment, review, cross-sectional studies
Analysis	Content analysis	Experimental analysis	Quantitative image analysis	Meta-analysis
Key Findings	For large ulcers, ulcers with insufficient wound healing progressive or ulcers with chronic osteomyelitis The possibility of reconstructive surgery can now be considered.	To date, there is no great proof from randomized controlled studies recommending that leading an organized weight sore hazard appraisal influences the frequency of weight ulcers when compared to chance evaluation utilizing a clinical judgment.	This photoacoustic-based approach may have clinical implications for monitoring skin conditions, including pressure ulcers.	These gadget pressure wounds are a significant general medical problem, particularly because these wounds influence patients ‘ prosperity and increment the expense of clinical consideration for the two patients and specialists.
Recommendations	If standard approaches don’t work Adequate complementary therapies can be applied, including biophysical methods.	The material can be further used as a reference and the topic is to be investigated more deeply.	The photoacoustic equipment may be used to identify the ulcer, its depth, and measure the stage.	It is necessary to inform about strategies to increase the number of messages and assess the risk of bedsores associated with medical devices
Explanation of How the Article Supports EBP/Capstone Project	The article explores the theoretical basis of pressure ulcers treatment.	The article helps to understand the risk assessment procedures.	The article carries a purely practical experiment that can be further reproduced and implemented in clinical settings of every hospital.	The study helps to establish which device is to be used

Criteria	Article 5	Article 6	Article 7	Article 8
Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article	Westby, M., et al. Cochrane Database of Systematic Reviews. Web.	Bamba, R., Madden, J. J., Hoffman, A. N., Kim, J. S., Thayer, W. P., Nanney, L. B., & Spear, M. E. Plastic and reconstructive surgery. Global open. Web.	Hommel, A., Gunningberg, L., Idvall, E. and Bååth, C 2017Journal of Clinical Nursing. Web.	Kaewprag, P., et al BMC Medical Informatics and Decision- Making. Web.
Article Title and Year Published	Dressings and topical agents for treating pressure ulcers. 2017	Flap reconstruction for pressure ulcers: an outcomes analysis 2017	Successful factors to prevent pressure ulcers – an interview study	Predictive models for pressure ulcers from intensive care unit electronic health records using Bayesian networks. 2017
Research Questions (Qualitative)/Hypothesis (Quantitative)	What are the effects of dressings of ulcers?	Patients who went through the medical procedure for leg ulcers normally have different hazard factors for the advancement of postoperative intricacies.	What are the primary factors of ulcer prevention?	Distinguishing exact hazard elements of weight ulcers is basic to deciding fitting anticipation procedures
Purposes/Aim of Study	Evaluate the effect of dressing and local treatment on the healing of bedsores in any medical facility.	The investigation of countless investigations of patients in the populace with bedsores uncovered target proof of a connection and results after fold closure.	To investigate effective elements to forestall pressure ulcers in medical clinic settings.	To investigate quiet clinical information alongside hazard factors for pressure ulcers in an emergency unit from electronic wellbeing record information.
Design (Type of Quantitative, or Type of Qualitative)	Quantitative	Qualitative	Qualitative	Qualitative
Setting/Sample	In clinical settings, 2947 participants	Clinical settings	Clinical settings	Clinical settings
Methods: Intervention/Instruments	Clinical trials, reviews	Retrospective chart review of patients	Interview	Three-stage framework
Analysis	Meta-analyses	Outcomes analysis	Content analysis	Predictive analysis
Key Findings	It is difficult to figure out which dressings or neighborhood cures are well on the way to fix bedsores, and it is commonly muddled whether the examined medicines are more viable than a physiological bandage.	The examination uncovered numerous factors associated with a high frequency of genuine postoperative entanglements. In this work, the avoidance of weight wounds is essential.	In this work, the treatment of pressure sores is vital. It seems that it is easier for smaller hospitals to establish and maintain an effective prevention organization.	The bayesian system-based model gives a novel structure to essentially improve the affectability of the expectation model.
Recommendations	More examination is expected to decide whether exceptional dressings with tropical substances improve the odds of weight ulcers mending.	Risk factors need to be considered when providing patchwork, and risk reduction strategies should be applied in patients before repairing pressure ulcers.	Methodologies are proposed to progress clinical authority, information, aptitudes, and capacities for the pivotal execution of weight ulcer avoidance.	The new model can be explored and implemented alongside this model.
Explanation of How the Article Supports EBP/Capstone	The study shows that not a treatment guarantees to provide good results.	Using risk reduction strategies will further help to improve dressing.	It is necessary to find more effective ulcer prevention strategies.	The article demonstrates the usage of a new model and proves its efficacy.

References

Bamba, R., Madden, J. J., Hoffman, A. N., Kim, J. S., Thayer, W. P., Nanney, L. B., & Spear, M. E. (2017). Flap reconstruction for pressure ulcers: an outcomes analysis. Plastic and reconstructive surgery. Global open, 5(1), e1187.

Boyko, T. V., Longaker, M. T., & Yang, G. P. (2018). Review of the current management of pressure ulcers. Advances in Wound Care, 7(2), 57–67.

Hariri, A., Chen, F., Moore, C. and Jokerst, J.V. (2019), Noninvasive staging of pressure ulcers using photoacoustic imaging. Wound Repair and Regeneration, 27, 488-496.

Hommel, A., Gunningberg, L., Idvall, E. and Bååth, C. (2017). Successful factors to prevent pressure ulcers – an interview study. Journal of Clinical Nursing, 26, 182-189.

Jackson, D., Sarki, A., Betteridge, R., & Brooke, J. (2019). Medical device-related pressure ulcers: A systematic review and meta-analysis. International Journal of Nursing Studies, 92, 109-120.

Kaewprag, P., et al. (2017). Predictive models for pressure ulcers from intensive care unit electronic health records using Bayesian networks. BMC Medical Informatics and Decision-Making, 27(65).

Moore, Z. E., & Patton, D. (2019). Risk assessment tools for the prevention of pressure ulcers. Cochrane Database of Systematic Reviews.

Westby, M., et al. (2017). Dressings and topical agents for treating pressure ulcers. Cochrane Database of Systematic Reviews, 6.