Oes continuing education on the Braden Scale improve nursing accuracy in assessing for pressure ulcer risk?”

This research paper is for a research course and the activity is to set up an evidence based research project in APA format. Our chosen topic is: Does continuing education on the Braden Scale improve nursing accuracy in assessing for pressure ulcer risk?

Grading Rubric for EBP Team Project

Introduction clearly identifies the practice problem and rationale for selection (5)

Provide a summary of the practice guideline and costs of the project.(5)

Describes the change process (5)

Describes how the outcome of the change will be monitored/evaluated (5)

Provides a copy of the guideline in the appendix (4)

Follows APA Guidelines (2)

Paper is Graduate level work (4)

Elizabeth A Ayello, Barbara Braden. (2002). How and why to do pressure ulcer risk assessment. Advances in Skin & Wound Care, 15(3), 125. Retrieved October 5, 2007, from Health & Medical Complete database. (Document ID: 128808381).


Elizabeth A Ayello, Barbara Braden. (2001, November). Why is pressure ulcer risk assessment so important? Nursing, 31(11), 74-80. Retrieved October 5, 2007, from Career and Technical Education database. (Document ID: 88794644).

Barbara Braden, Nancy Bergstrom, Joanne Bagel, Marion Phipps. (2000). A conceptual schema for the study of the etiology of pressure sores / Commentary. Rehabilitation Nursing, 25(3), 105. Retrieved October 5, 2007, from Health & Medical Complete database. (Document ID: 69855667).


Joanne Lynn, MD, Jeff West, RN, MPH, Susan Hausmann, MS, David Gifford, MD, MPH, Rachel Nelson, MHA, Paul McGann, SM, MD, Nancy Bergstrom, RN, PhD, Judith A. Ryan, RN, PhD. (2007). Collaborative Clinical Quality Improvement for Pressure Ulcers in Nursing Homes. Journal of the American Geriatrics Society, 55(10), 1663-1669. Retrieved October 5, 2007, from Research Library database. (Document ID: 1348421151).

The National Pressure Ulcer Long-Term Care Study: Outcomes of Pressure Ulcer Treatments in Long-Term Care
Nancy Bergstrom, PhD, RN, Susan D. Horn, PhD, Randall J. Smout, MS, Stacy A. Bender, MS, RD, et al. Journal of the American Geriatrics Society. New York: Oct 2005. Vol. 53, Iss. 10; p. 1721

Description of the National Pressure Ulcer Long-Term Care Study
Susan D Horn, Stacy A Bender, Nancy Bergstrom, Abby S Cook, et al. Journal of the American Geriatrics Society. New York: Nov 2002. Vol. 50, Iss. 11; p. 1816


Multi-site study of incidence of pressure ulcers and the relationship between risk level, demographic characteristics, diagnoses, and prescription of preventive interventions

Bergstrom, Nancy, Braden, Barbara, Kemp, Mildred, Champagne, Mary, Ruby, Elizabeth. Journal of the American Geriatrics Society. New York: Jan 1996. Vol. 44, Iss. 1; p. 22

Bevette Griffin, Hoa Cooper, Cassandra Horack, Melissa Klyber, Deb Schimmelpfenning. (2007). Best-practice protocols: Reducing harm from pressure ulcers. Nursing Management, 38(9), 29-31+. Retrieved October 5, 2007, from ABI/INFORM Global database. (Document ID: 1338579081).


Reliability and validity of pressure ulcer diagnosis and grading: An image-based survey
Jurgen Stausberg, Nils Lehmann, Knut Kroger, Irene Maier, et al. International Journal of Nursing Studies. Oxford: Nov 2007. Vol. 44, Iss. 8; p. 1316

Pressure Ulcer Prevention; Research data from Linkoping University update understanding of pressure ulcer prevention. (2007, October). Managed Care Law Weekly,79. Retrieved October 5, 2007, from Research Library database. (Document ID: 1354078731).

Pressure Ulcer Epidemiology; Data from A. Capon and colleagues advance knowledge in pressure ulcer epidemiology. (2007, October). Biotech Week,3260. Retrieved October 5, 2007, from Research Library database. (Document ID: 1354139411).

George A. Taler, MD (2007). A Clarion Call to Rethink Pressure Ulcers in America. Journal of the American Geriatrics Society, 55(10), 1674-1675. Retrieved October 5, 2007, from Research Library database. (Document ID: 1348421161).

Barbara M Bates-Jensen, Catherine H MacLean. (2007). Quality Indicators for the Care of Pressure Ulcers in Vulnerable Elders. Journal of the American Geriatrics Society, 55(s2), S409-S416. Retrieved October 5, 2007, from Research Library database. (Document ID: 1353545141).

Pressure Ulcer; Research from A. Hardy and co-authors provides new data about pressure ulcer. (2007, September). Medical Devices & Surgical Technology Week,431. Retrieved October 5, 2007, from Research Library database. (Document ID: 1335146841).

Pressure Ulcer; Researchers from University of California publish new studies and findings in the area of pressure ulcer. (2007, September). Drug Week,703. Retrieved October 5, 2007, from Research Library database. (Document ID: 1335125111).

CMS to Stop Reimbursement for Hospital Acquired Pressure Ulcers. (20 September). Business Wire,***[insert pages]***. Retrieved October 5, 2007, from Business Dateline database. (Document ID: 1339082671).


Laura Landro (2007, September 9). Hospitals battling dangerous bedsores. Sunday Gazette Mail,p. 13A. Retrieved October 5, 2007, from ProQuest Newsstand database. (Document ID: 1333518531).


Nurses reasoning process during care planning taking pressure ulcer prevention as an example. A think-aloud study
Kajsa Helena Funkesson, Els-Marie Anbacken, Anna-Christina Ek. International Journal of Nursing Studies. Oxford: Sep 2007. Vol. 44, Iss. 7; p. 1109

Maureen Benbow (2007, September). Healing and wound classification. Journal of Community Nursing, 21(9), 26,28,30,32. Retrieved October 5, 2007, from Research Library database. (Document ID: 1328552791

Here are three nationally recognized web sites for what we are working on.

npuap.org (National Pressure Ulcer Advisory Panel)
htm (Agency for Health Research and Quality)

Burns & Grove (2003): Understanding nursing research, (3rd ed.) W.B. Saunders, an Elsevier Imprint.

French Beverly French Phd, RNMH, RGH, RNT,  Evaluating research for use inpractice: what criteria do specialist nurse (2005), Issues and innovations in nursing practice, Blackwell publishing

Weaver, Kathryn BN, MN,PHD, RN, Olsen Joanne K. Phd., RN,  Understanding paradigms used for nursing research (2006), Integrative literature reviews and meta-analyses.

Valente, Sharon Phd, RN, Critical analysis of research papers”(2003), Journal of Staff development, 19(3), Retrieved 10/31/2006

1. Sensitivity and Specificity of the Braden Scale in the Cardiac Surgical Population.

Journal of Wound, Ostomy & Continence Nursing. 27(1):36-41, January 2000.
Lewicki, Linda J. RN, PhD; Mion, Lorraine C. RN, PhD; Secic, Michelle MS


Conclusion: These results illustrate that optimum prediction of pressure ulcer risk can only be accomplished with reassessments and determination of the Braden cutoff score or scores that are reflective of the patients changing clinical condition throughout the hospitalization.

2. Subscales, Subscores, or Summative Score: Evaluating the Contribution of Braden Scale Items for Predicting Pressure Ulcer Risk in Older Adults Receiving Home Health Care.

WOUND CARE

Journal of Wound, Ostomy & Continence Nursing. 28(6):279-289, November 2001.
Bergquist, Sandra PhD, RN

Conclusions: When the Braden Scale was used, the summative score rather than any subscale or subscore best predicted pressure ulcer risk among the older adults receiving home health care

3.
Reliability and Validity of the Braden Scale for Predicting Pressure Ulcer Risk.
Journal of Wound, Ostomy & Continence Nursing. 34(4):399-406, July/August 2007.
Kring, Daria L. MSN, RN, BC

Introduction:
Definition of Pressure ulcer, how they happen and how often How about definition, and some statistics on prevalence, cost and regulatory issues.

Definition of the Braden scale and how it should be used (Linda can you direct me to the reference) How about I take this part?

Definitio