ANNOTATED BIBLIOGRAPHY WOUND CARE
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Pierpont, Y.N., Dinh, T.P., Salas, R.E., Johnson, E.L., Wright, T.G., Robson, M.C. and Payne, W.G., 2014. Obesity and surgical wound healing: a current review. ISRN Obesity, 2014.
The study explores the relationship between obesity and wound healing, focusing mainly on surgical wounds. The study examines the current information on the various mechanism that is involved in obesity-related perioperative injuries. The article is appropriate to note that obesity is associated with a lot of complications, even sometimes being fatal, thus being to convince the reader of how obesity is known to affect the process of wound healing. The study applied both quantitive and qualitative methods of research to establish the relationship between the two elements.
The literature search of this study was done using both PubMed and Medline in to acquire the most accurate type of data. A manual search of other relevant articles to the research was conducted to find more verified data. This allowed the study to classify the factors that may increase the possibility of having obesity. It was appropriate for the investigation to show the various conditions due to obesity that reduce the rate of wound healing. The study highlighted oxidative stress, cellular and molecular alterations, micronutrient, and micronutrient deficiencies as the main factors that affect the process of wound healing negatively. By referencing other verified scientific researches, the study can show how obesity greatly influences the probability of having injuries and slowing down the process of healing wounds (Collins, 2003, p. 46)
. The architecture of the study made it possible to bring out various nutritional conditions that are related to obesity as the main factors that slow down the process of wound healing. It also makes it possible for the study to provide recommendations to nurses when treating the wounds of patients with obesity. The review was also appropriate to recommend nurses to have the relevant information surrounding obesity to reduce hands-on mistakes that may occur when treating patients with obesity.
In conclusion, the study suggests that patients suffering from obesity should be given nutritional supplements. The study, however, puts forward the need for further studies to investigate the comprehensive mechanism that is involved in the relationship between obesity and wound healing. The review was appropriate to suggest additional studies to explore this topic and how various alterations as a result of obesity can be done away with using the appropriate.
The study followed the appropriate ethical processes when acquiring the information; hence the data provided by this study is considered credible and verified. The article was efficient in delivering its main objective since it provided the relevant information surrounding this relationship. However, the article fails to mention how some of the data presented could be generalized as a result of different factors surrounding obesity, including stigma. The report was also appropriate to source other studies since it only shows how close obesity and wound healing are related.
The article does not mention how surgical injuries of a patient with obesity can have consequences on the wound healing process. The lack of evidence on the effects of surgery on patients with obesity risks the study having biased results or incorrect information. The lack of investigation and the method of sampling used to acquire the information for this study eliminates the possibility of acquiring data fro the primary sources. There may be a question raised on the data provided since it was collected from other secondary sources. However, the information provided by this article would be essential for personal research revolving around the topic since it allows for in-depth biological knowledge regarding wound healing and nutrition.
Khalil, H., Cullen, M., Chambers, H., Carroll, M. and Walker, J., 2015. Elements were affecting wound healing time: an evidence-based analysis. Wound Repair and Regeneration, 23(4), pp.550-556.
The main agenda of the research was to determine the predominant factors and comorbidities that affected the time required for a wound to heal. The study was quite efficient in finding the available data of persons with injuries since it used the Mobile Wound Care database to capture all the required factors in the region of study. The study found 3, 726 wounds from 2350 clients, and the average wound per client was found to be 1.6. The review was not gender-biased since half of the clients were found to be women. The study also found that age was evenly distributed since the average age of the participants was sixty-four years old. The rage by the age of the participants was seven months, and one hundred and three years old. The even distribution of participants by age helped eliminate the doubts of having an age biased study and results (Guo and DiPietro, 2010, p. 225). The study found that majority of the wounds were acute and required a lot of medical attention. The study also classified the elements that affected wound healing as factors affecting healing, medications affecting healing, and comorbidities. Through the classifications of these elements, it eliminated any chances of including a factor that was a result of other body conditions. The study concluded that the main factors included age over sixty-five years, lack of adherence to the treatment plan, and obesity. The study also concluded that there was a need for future researches to consider as many factors as possible since this particular research found a few, but there was evidence of others.
The use of data that was recorded without the intention of studying it was appropriate to the study since it increased its probability of having less biased results. However, the research at the end provides results, and the conclusion that it is against the implementation of this data would have increased the efficiency of the study. Classification of the data found on factors affecting healing was appropriate since it helped the study be precise on the factors that arise as a result of other problems other than the wound.
The study produced no evidence of prior experience or data that could support the competence of the persons conducting the survey. This increases the probability of having the wrong data recorded or data misinterpreted. The study followed the appropriate steps as per its quantitive structure but the methods that were used in the study has a few question marks to it. The methods used to acquire the data of participants focused on the only type of database hence not considering participants that did not report their wounds. The study also failed to differentiate persons with other body conditions before concluding that some of the body conditions of the participants were factors.
The study broke a few ethical rules since the data was used without informing the participants hence their confidentiality was not guaranteed. The research was done to prove various factors affected the duration for a wound to heal, consequently increased probability of biased methodology and results. Due to multiple factors that were breached, it is clear to states that the study delivered a little of the possibilities available data on the research. As a result of this flaw, the study recommends future studies to be done on the factors affecting the time needed for a wound to heal. However, the article provides various types of data that will help me write convincing and precise literature.
Lamb, K.A., Backhouse, M.R., and Adderley, U.J., 2016. A qualitative study of factors impacting upon the recruitment of participants to research reviews in wound care–The community nurses’ perspective—Journal of tissue viability, 25(3), pp.185-188.
The main objective of this study was to identify factors that influenced the recruitment of participants to the various researches conducted in wound care from a healthcare practitioner’s perspective. The study was conducted putting into consideration multiple factors, including the environment of the study. The study involved various stakeholders in healthcare and specifically those in the wound care department. Consultation from other medical staff outside wound care also took place hence increasing the efficiency of the study.
The study was appropriate to use a qualitative approach that implemented a classic grounded theory methodology. This allowed the study to explore data that was personally provided by the participants keeping into consideration their privacy and confidentiality. Semi-structured interviews were conducted, and questionnaires were also offered to collect data and analyze using various qualitative methods. The study’s structure made it possible to receive accurate and precise information on the factors that influence the process of recruiting participants in researches revolving around wound care.
Eight participants took part in the study, and they included registered nursing staff from different levels of seniority. It was appropriate for the article to highlight the four themes that were dominant from the data collected. It recorded that these factors were, knowledge about the impact of the studies, knowledge about the education, learning about the patient, and learning about the research team (Probstfield and Frye, 2011, p. 1799). From the themes, it is clear that the study was convincing enough to the participants for them to highlight the most critical factors.
The article concludes by highlighting the concerns around the eligibility of the criteria that influence the nurses to identify potential participants in wound care trials. The study was efficient to note that these factors limit the recruitment hence increasing the probability of having biased results in the intended population. The article pushed forward a good suggestion that future recruitment programs should take into consideration strategies that eliminate these factors. The report also concluded that there more elements that were not explored beyond eligibility criteria and its effect on the wound trials. The article was appropriate that these additional factors were not listed in the screening logs. Another essential factor that the study highlighted was the probability of generalizability of results because of the effects of the factors highlighted by the s
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The review was efficient when it came to selecting participants since it only included qualified medical nurses in the field of wound care. This helped reduce the probability of having the wrong information. The sourcing from the nurses was collecting data from the primary source hence increasing the credibility of the research. The study only put forward a few factors that could influence this process. However, it suggested that future studies should be conducted to explore this topic since this particular study had few participants. The review was efficient to state that there was a very high probability of having future results provide different results than the one found.
The study was not very efficient in highlighting the various factors that affected the process of recruiting participants for wound trials. The method applied in recruiting participants for this particular study was ineffective since there was a minimal number of participants compared to how broad this specific topic is. Therefore the results produced are not entirely credible, but the data collected still has relevant information that can be applied to increase the number of participants. Hence there is a need to review the information carefully from this article before using it. The section, however, followed various ethical standards; therefore, the data can be used without any fear of having cooked up information.
Rasmussen, B.S.B., Jensen, L.K., Froekjaer, J., Lindholm, K., Kensing, F. and Yderstraede, K.B., 2015. A qualitative study of the critical factors in implementing telemedical monitoring of diabetic foot ulcer patients. International journal of medical informatics, 84(10), pp.799- 807.
The main objective of this study was to explore the different organizational changes as per nurses that would help in the implementation of telemedicine in the field of wound care. The study examined the different departments that are important for telemedicine to gather their different opinions on the topic. The various changes that were suggested by different staff members and patients helped to build on the already known knowledge on the subject. The trial was created as a multidisciplinary assessment of different outcomes using the model of the evaluation of telemedicine (MAST). The study also focused on eight semi-structured interviews that included participants such as leaders and members of the IT department. The focus group interviews conducted on the clinical staff were is essential for the study.
Qualitative data analysis was conducted to analyze the data from the leaders and health care professionals on their perception of the organizational changes that needed to be implemented to ease telemedicine in the department of wound healing. The study found that the current telemedical setup enhanced the skills of the vising nurses hence increasing their wound care skills. The article was appropriate to note that most of the success in securing the implementation as a result of focusing on training the visiting nurses. The report was efficient to note that the interviews showed that participants raised concerns about patient responsibility, patient interaction, and multidisciplinary wound care teams.
The study concludes that there are several influential factors at play, including a focus on management, visiting nurses wound care training, and the economy (Jones et al. 2004, p. 227). The article is also appropriate to suggest that the current technology on this topic provides an extra option that can be offered to patients which presents an individual with the chance to assess their health conditions. The study noted that participants were provided with an opportunity to use telemedical equipment, and this led to increased confidence and enhanced collaboration across all the sectors in the department.
The article fails to conclude whether there were severe concerns whether this technology could reduce the hands-on-skills and the approaches to specialized wound healing centres. In general, the study provides the expected results by showing the importance of implementing the suggested changes to improve care hence reducing the time required for a wound to heal. The study applies a qualitative strategy that provides results that have been observed by various stakeholders in the health department that help enhance telemedicine in the field of wound care. However, the study does not provide the implications that the changes would have on the current system of telemedicine in wound care. This also raises another weakness of not highlighting the possible fatalities due to victims of the changes implemented in the organization. The study also recommends future research on this topic and the possibility of finding more convincing evidence that can be used to implement organizational changes that can increase the efficiency of telemedicine in wound care. The study provides relevant information that would be important for when writing about this topic since it has data that can be used to show how technology can be implemented to reduce the time taken for a wound to heal
Stechmiller, J.K., 2010. Understanding the role of nutrition and wound healing. Nutrition in clinical practice, 25(1), pp.61-68.
This review aims at providing the required information to prove that nutrition plays a significant role in the process of wound healing. It gives a highlight of how various nutrients from food consumed can help increase the rate of wound healing. The article is efficient to note that wound healing is a complex process that requires coordination and internal control of activities such as the removal of broken-down tissues and promotes the growth of new blood vessels. The article also explores the stages of wound healing and how different nutrients are efficient for various scenes.
The article notes other studies that have proven how nutritious diet consumed to promote wound healing should include most of the already known nutrients and needs of the body. The article presents inflammation as the first stage of wound healing where a fibrin clot is formed. In this stage, hemostasis is established followed by vasodilation then increased blood flow which results in the migration of various enzymes to the wound site (Wild et al. 2010, p. 864). After the above processes are done, and there are no factors inhibiting healing. The next phase commences. The article records proliferation as the second phase of wound healing, and all the processes in this stage seek to provide a new base of the wound that is made up of granulation tissue. The article offers precise information on this stage, showing the efficiency of its study on the topic. The next and final step recorded by the section is epithelialization and remodelling, which constitutes the wound contracting and improvement of the injury.
The article applies knowledge from various scientific research to present how different nutrients are vital to every stage. The report presents vitamins, glutamine, lipids, and fatty acids, zinc as the main element required for the initial phase of wound healing. In the second stage, amino acids, vitamin B, zinc, and iron are presented as the critical elements in this stage known as proliferation. In the final stage, the article presents amino acids and vitamin E as an essential element for the wound to fully heal. The primary method used by the report to relate different nutrients to different stages relied on data that has already been collected by qualified persons in the department and is verified using relevant evidence. The article is appropriate to note the progress done on the topic and even advises more researches to be conducted on the topic to find more knowledge.
The report concludes by showing the secure link between nutrition and wound healing and suggest that all patients should always be assessed for the risk of malnutrition. The article is also appropriate to suggest that nurses should have the relevant knowledge to establish the components of a balanced diet required for different stages of wound healing. The article was efficient at driving forward its stand on the topic and has relevant data to convince the reader of its position on the issue. The structure of the research to be precise on every piece of information given throughout the topic. It was appropriate of the article to show that there is a possibility of future research showing a deeper connection between various nutrients and wound healing.
References
Collins, N., 2003. Obesity and wound healing. Advances in skin & wound care, 16(1), pp.45-47.
Guo, S.A. and DiPietro, L.A., 2010. Factors affecting wound healing. Journal of dental research, 89(3), pp.219-229.
Jones, S.M., Banwell, P.E. and Shakespeare, P.G., 2004. Telemedicine in wound healing. International wound journal, 1(4), pp.225-230.
Probstfield, J.L. and Frye, R.L., 2011. Strategies for recruitment and retention of participants in clinical trials. Jama, 306(16), pp.1798-1799.
Wild, T., Rahbarnia, A., Kellner, M., Sobotka, L. and Eberlein, T., 2010. Basics in nutrition and wound healing. Nutrition, 26(9), pp.862-866.