Article: The Effectiveness of Pressure Injury Prevention Education for Patient Care Technicians in an Adult Acute Care Setting
A Quality Improvement Project
Year Published: January 2025
Please click the link below:
If not automatically directed on the PDF file just click Download PDF file on the Headings tab.
For documents located in SharePoint Site (CA SJ Wound and Ostomy) look for the article and click it to open. January 2025 Journal - The Effectiveness of PIP using PCT.
Don't forget to write your name with each posting.
Discuss the sample size used in the study
ReplyDeleteData was collected from 24 PCTs, and 43 patients at an inpatient acute care medical center in the U.S. This was a small number of patients used and may have contributed to the beta-error. A beta-error is a type ll error which confirms an idea that should be rejected.
Discuss the limitations of the article: limited sample size, design flaws, and/or author bias:
The sample size was only 43 patients. This is a small sample size. 24 PCTs participated but only 21 of them completed the skills check off sessions and motivational interviewing. The attitude outcome score was low. It mentioned that this may have been because of the extra work. Also, since 66.7% of the PCTs had gotten prior education on HAPI prevention strategies, there was not an improvement in the knowlegde area. The baseline knowledge area was already 92% at the beginning so there was not much room for growth.
Bethany Sobesto 3/7/25
Discuss the research question or main problem discussed in the study?
ReplyDeleteThe question of this article is to determine if HAPIs are preventable with the implementation of an educational toolkit for patient care technicians in the acute care setting. With increased costs to facilities related to HAPIs, there has become a higher reliance of care onto unlicensed assistive personnel. A review of previous studies showed that there were knowledge and practice deficits in HAPI prevention among these PCTs. This article sought to show the relationship between educational interventions for these caregivers and a reduction in HAPI rates.
How does this research article compare to our practice, policy and/or procedure?
Similar to the interventions seen during this 8-week study, our facility takes great care in auditing for HAPIs. All caregivers here are involved with patient care receive HAPI-related education during orientation, annual competency training, regular wound rounding, and reminder emails. Each unit does their own turn auditing on each shift, and our SWAT team is now meeting monthly to support our efforts in decreased HAPIs here at PSJMC. Similar to this facility, we noticed gaps in our Nursing Sensitive Indicators when compared to the national benchmark, and many units established QI projects/product initiations as well as increased educations for their RNs and CNA/PCTs.
What are the advantages and disadvantages of implementing the article recommendations in your unit and or your hospital?
ReplyDelete-In our unit where most of our patients are mostly elderly with decrease mobilities and lots of co morbidities, nurses play an important role in preventing HAPIs. However, the high workloads and at times less staffing is a challenge for nurses in implementingHAPI prevention strategies. Joint effort of nurses and CNA/PCT would help to decrease HAPIs and improve patient outcomes. By providing knowledge and educational tool kit designed to our CNAs ,it can potentially improve the implementation of HAPI prevention strategies.
Discuss the research question or main problem discussed in the study.
- Aside from nurses, healthcare organizations also rely on PCTs to provide nursing care to prevent HAPIs. According to the article, factors such as lack of knowledge, lack of education and training, staffing insufficiency may contribute to PCT’s decrease practice in HAPI prevention.HAPIs may result to patient’s negative outcomes, increase hospital stays and increase use of resources and hospital use.