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Summary C361 MLM1 Task 1 EBP and Applied Research.docx C361 C361 - MLM1 €“ Performance Assessment 1 RN College of Health Professions, Western Governors University C361: Evidence-Based Practice and Applied Nursing Research C361
C361 MLM1 Task 1 EBP and Applied R C361 C361 - MLM1 €“ Performance Assessment 1 RN College of Health Professions, Western Governors University C361: Evidence-Based Practice and Applied Nursing Research C361 - MLM1 €“ Performance Assessment 1 Impact of ...
c361 mlm1 task 1 ebp and applied researchdocx c361 c361 mlm1 €“ performance assessment 1 rn college of health professions
western governors university c361 evidence
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C361
C361 - MLM1 – Performance Assessment 1
RN College of Health Professions,
Western Governors University
C361: Evidence-Based Practice and Applied
Nursing Research
C361 - MLM1 – Performance Assessment 1
Impact of the Problem on the Patient
Tracheostomy is a common procedure in the pediatric intensive care unit, with advances
in technology chronically ill children are living longer with the support of a tracheostomy tube.
Immediate postoperative tracheostomy care is a complex and critical time for wound healing.
The airway in children is considered most critical for the first five days post-operatively. The
trachea in children is much smaller in size than in adults, therefore, if decannulation of the trach
were to occur the risk for mortality becomes more critical. Children are considered to have
immature and developing skin, healing rates rapidly differ in each developmental stage. Children
have less muscle mass than adults which may also, contribute to their risk of pressure injuries. In
the pediatric population, the most common reason for pressure injury is due to medical devices.
Pediatric tracheostomies have a complication rate as high as 60%, with 30% attributed to wound
complications in children, and 40% in infants. Tracheostomy wound complications are caused by
infection, granulation tissue formation, skin breakdown, and pressure injuries from securement
devices or from the trach itself.
Impact of the Problem on the Organization
Tracheostomy wound complications impact the organization by extending the recovery
time and length of hospital stay, which increases the cost. Pressure ulcers and other wound
, complications related to the tracheostomy cost the healthcare system approximately 11 billion
dollars annually. This preventable clinical problem causes serious consequences to the patient
and the public. Standardized clinical practice guidelines should be considered to reduce the
impact that wound complications have on the organization.
Identify the PICO components
P – Pediatric postoperative tracheostomy patients, are the patient/population/problem I
have identified for the clinical practice problem.
I – Standardized tracheostomy wound care is the intervention identified for the clinical
practice problem.
C – The comparison is not implementing standardized tracheostomy wound care.
O – The outcome identified for the clinical practice problem is, decreased hospital stay
due to tracheostomy wound complications.
Evidence Based Practice Question
Among pediatric patients at risk, does standardizing tracheostomy wound care reduce the
number of wound complications, compared to not implementing standardized wound care, by
decreasing postoperative hospital length of stay.
Research Article
Pediatric Tracheostomy Wound Healing: A Retrospective Cohort Study
Background Introduction
The leading cause of pressure injuries of children in an acute care setting is directly
related to medical devices, medical device-related pressure injury (MDRPI)[CITATION Bri \
l1033 ]. Pressure injuries in pediatrics are a significant problem and have implications on the
length of hospital stay and recovery time. There are currently no treatment algorithms
specifically for pediatric pressure injuries, as most of the data focus on prevention. There is
limited literature on pediatric wound healing times due to the variations in skin growth during
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