Evidence Informed Decision Making Report

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  • Topic: Chronic wound, Wound healing, Wound
  • Pages : 8 (2232 words )
  • Download(s) : 106
  • Published : January 22, 2013
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EIDM Report

Table of Contents

Introduction…................................................................................................................. 3 Background…................................................................................................................. 3 Body…............................................................................................................................ 4 Discussion…................................................................................................................... 8 Conclusion….................................................................................................................. 10 Appendix A…................................................................................................................. 12 Appendix B…................................................................................................................. 14 References...................................................................................................................... 15

Introduction
This paper will discuss wound care, the effectiveness of saline versus water when cleaning wounds, and the experience of patients undergoing long term wound care. The purpose of this report is to demonstrate understanding of evidence informed decision making, researchable questions, searching the available evidence and research designs.

Background
Webster’s Dictionary by Guralnik (1970) defines a wound as “an injury, especially one in which the skin or another external surface is torn, pierced, cut, or otherwise broken.” Wounds can be acquired from accidents or from medical procedures such as operations or surgeries. Anytime a patient acquires a wound, the care given to the person and at the site of injury is an essential part in the healing process. Proper wound care can prevent further complications, infections, and preserve function. It involves cleaning, examining and bandaging. Wound cleansing or “irrigation” the steady flow of a solution across an open wound surface to achieve wound hydration, remove debris, and to assist with the visual assessment. The irrigation solution is meant to remove cellular debris and surface pathogens contained in wound exudates or residue from topically applied products. Cleansing methods may differ between individual health care providers, institutions, or facilities but the irrigation solution chosen can have a significant impact on healing outcomes and therefore should be chosen carefully with supporting evidence.

Body
Research Questions
Quantitative Question
The PICO acronym format is used below to state the components of the quantitative question being explored. P: patients requiring wound care
I: tap water
C: normal saline
O: reduce number of infections
In patients requiring wound care, does tap water compared to normal saline reduce the number of infection incidents?
Qualitative Question
The PS model is used below to state the components of the qualitative question being explored. P: wounded patients
S: undergoing long term wound care
What is the experience for wounded patients under going long term wound care?

Quantitative Study Design
The study design that provides the highest level of evidence to answer the identified quantitative PICO question is a Randomized Control Trial (RCT). According to McMaster School of Nursing (N.D), a RCT involves “individuals who do not have the outcome of interest in mind and are randomly allocated to receive the intervention or standard of care or conventional treatment (comparison group), or no intervention (control group) and followed forward in time to determine whether they experience the outcome of interest.” This design was chosen because its strengths involve “gold standard to test the effectives of a treatment/intervention, and decreased bias through random allocation” according to McMaster University School of Nursing (N.D). Random allocation...
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