What are the most effective patient turning and repositioning techniques, including frequency and positioning strategies, for reducing the occurrence of pressure ulcers among patients in specific acute care settings?

Topic: Exploring the Impact of Patient Turning and Repositioning Techniques on Pressure Sore Incidence in Acute Care Settings
Research Question: What are the most effective patient turning and repositioning techniques, including frequency and positioning strategies, for reducing the occurrence of pressure ulcers among patients in specific acute care settings?
Please refer to the “BSc dissertation module handbook September 23″ &”GUIDE TO WRITING YOUR DISSERTATION ”
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ANSWER
Topic: Exploring the Impact of Patient Turning and Repositioning Techniques on Pressure Sore Incidence in Acute Care Settings
Research Question: What are the most effective patient turning and repositioning techniques, including frequency and positioning strategies, for reducing the occurrence of pressure ulcers among patients in specific acute care settings?
Relevance: Pressure ulcers are a common and serious complication among patients in acute care settings. They can lead to pain, infection, and prolonged hospitalization. Patient turning and repositioning are essential for preventing pressure ulcers, but there is no consensus on the most effective techniques or frequency.
Literature Review: A recent (2023) literature review by the Cochrane Collaboration found that there is moderate-quality evidence to support the use of pressure-relieving surfaces and turning and repositioning for preventing pressure ulcers in adults. However, the review also found that there is a lack of evidence on the optimal frequency and positioning strategies for turning and repositioning.
Research Gap: The Cochrane review identified a need for further research on the optimal frequency and positioning strategies for turning and repositioning to prevent pressure ulcers. This dissertation will aim to address this gap by conducting a systematic review of the literature to identify the most effective patient turning and repositioning techniques for reducing pressure sore incidence in acute care settings.
Specific Aims:
To identify the most effective patient turning and repositioning techniques for reducing pressure sore incidence in acute care settings.
To assess the frequency and positioning strategies associated with the most effective patient turning and repositioning techniques.
To develop evidence-based recommendations for patient turning and repositioning practices in acute care settings.
Methodology: The dissertation will conduct a systematic review of the literature to identify the most effective patient turning and repositioning techniques for reducing pressure sore incidence in acute care settings. The review will include studies published in the last 10 years.
The review will search the following electronic databases:
PubMed
CINAHL
MEDLINE
EMBASE
Cochrane Central Register of Controlled Trials (CENTRAL)
The review will also search the reference lists of relevant studies and reviews.
The review will include studies that meet the following criteria:
Study design: Randomized controlled trials, non-randomized controlled trials, and observational studies.
Population: Patients in acute care settings.
Intervention: Patient turning and repositioning.
Outcome: Pressure sore incidence.
The review will exclude studies that do not meet the above criteria.
The review will extract data on the following variables:
Study design
Population
Intervention
Outcome
Risk of bias
The review will assess the risk of bias of each study using the Cochrane Collaboration’s Risk of Bias tool.
The review will synthesize the findings of the included studies using a narrative synthesis approach. The review will also conduct a meta-analysis of the included studies to identify the most effective patient turning and repositioning techniques for reducing pressure sore incidence in acute care settings.
Significance: This dissertation will provide valuable information on the most effective patient turning and repositioning techniques for reducing pressure sore incidence in acute care settings. The findings of the dissertation will be used to develop evidence-based recommendations for patient turning and repositioning practices in acute care settings.