Problem solving and decision-making sheet

Increasepressure
Increase rate 40% of pressure
ulcer rate (40%)ulcer

Equipment Personal

Supply

• There is no special equipment to help

• Inadequate sterile gloves and alcohol change the patient's position

swab
• Shortage

• Inadequate of special pillows

• There is no foam cushions,

• There’s no Pressure-Relieving Mattress. • Lack of skills

booties.
• Limited knowledge

• There’s no special dressing to cover the

sore Increase
pressure ulcer
rate 40%

• The location of the procedure

• Police for bed sores is

is not near
not clear.

• Unclear guideline procedure • The location of the police is not

near

Procedure Police

Patient condition:

• Obesity

• Chronic disease ( diabetes, peripheral arterial disease, kidney failure)

• Genetic factors

• Poor nutrition

On Monday the 10th of October 2022, In CCU I noticed that the rate of pressure ulcers was increased by 40%, and there
were some mistakes by the nurse who deals with patients who have pressure ulcers

Identification of the Gaol Alternatives (Two or more) Select the best alternative

problem and why

Increase rate 40% of • Reduce incidences of 1- Conduct education programs for Conduct education programs for
Increase pressure ulcer Prevent incidences of 1. 1-Use Braden Scale to Educate the staff about pressure
sta nurses related to pressure
pressure ulcers up to sta nurses related to pressure
pressure ulcer.
rate (40%) pressure ulcer
10% ulcers (identify if patient on high
Knowledge and skills) and ulcer and how to prevent it.
ulcers ( Knowledge and skills) and
how to risk
prevent it. Based on five Criteria's: Cost
how to prevent it.
2. Reposition the patient every Effective, Practical, Ethical,
• Evaluate the level of Based on ve Criteria's:
2hrs
2- Request cavilon and special Logical and Relastic
Cost E ective, Practical, Ethical,

nursing sta knowledge

and skills. 3. Promotes a good nutrition

pillows, foam cushions, booties, or legal and Realistic

mattress pads to reduce the

for wound healing
pressure and protect vulnerable

skin.4. Educate the staff about Evidence by: Factors determining

• Improve quality of care

and patient satisfaction. pressure ulcer and how to •nurses' knowledge of evidence
It’s the best alternative because it

3- Published and placed posters for evaluate the level of nursing sta

prevent it.
the police and procedures in a place
based pressure ulcer prevention
knowledge because nursing sta

5. Use cavilon and special

that can be seen clearly practices in Finland: a
knowledge is a key factor in

pillows, foam cushions, correlational cross-sectional

successful pressure ulcer prevention.

booties, or mattress pads to study, Jan 2021

reduce the pressure and

protect vulnerable skin.

6. motivate and Commit to

read the policy

How to do the assignment:

- Select a real unit problem exist currently in your unit (The problem can be identified by any nursing student in the group)

- The head nurse is to discuss the problem with your team members and teachers.

- Set a meeting with the group members with the presence of your teacher to make decision.

- This exercise has to be submitted by the end of each week (shadowing and role play) as a head nurse.

Special attention needs to be paid to the knowledge of those nurses working in positions that require lower levels of
education and those who rarely take care of patients with pressure ulcers. Supporting nurses’ positive attitudes towards
pressure ulcer prevention should be an essential part of pressure ulcer prevention training. Nurses’ self-evaluations of their
training needs can be used to target training. The limitations of the study should be considered when generalising the
results.

Evidence by: Factors determining nurses' knowledge of evidence based pressure ulcer prevention practicesin Finland: a
correlational cross-sectional study, Jan 2021

Reference :

• Factors determining nurses’ knowledge of ... - Wiley Online Library. (n.d.), from https://onlinelibrary.wiley.com/doi/10.1111/scs.12972