Pressure ulcers or decubitus ulcers are a major problem in field of nursing practice. The effectiveness of the different types of mattresses and cushions in the prevention are very important subject to deal with but is poorly studied.
In this paper, evidence based practice will be the foundation in the management and change process. It is an important in nursing field, nursing action requires updated information which needs to be put into practice in that sense nurses need to question the quality of the studies and credibility of findings so it is important to develop critical skills, critique is often seen as first step in learning research process. Evidence-based practice involves a combination of many disciplines, including aspects of multidisciplinary sciences to promote the restoration and maintenance of health in our clients (Davies, 2005). Much literature has been published on this topic in recent years, an evolving subject and concept for specific practices that promote more effective, safer and more efficient ways of caring (Drenkard & Cohen, 2004). According to Kleinman (2004), health care professionals are striving constantly to improve and develop the standards of care. Meeting the challenges require health care providers to be effective leaders who foster a culture and develop partnerships that embraces innovation (Salsberg, 2008).
In this paper, the author change the research question to pressure relieving mattresses and cushion in the relieving of pressure ulcer to provide more specific views and some practical discussions concerning the cushion and mattresses choice that is best for each patient. The pressure ulcer prevention is essential for both the psychological and physical wellbeing of the patient and it will avoid any delay in the rehabilitation process and programmes. The cutaneous and subcutaneous tissue protection on the bone prominence area is very important for those patients who are bedridden or seated in a wheelchair all day (Biondo & Haber, 2006).
Moreover, quality of life factors are important considerations for patients especially those with pressure ulcer problems because such condition affects important bodily functions. The significant effect of pressure ulcer on the quality of life of the patient serves as the impetus for this paper which seeks to examine changes in quality of care after the care provider, has undergone change (Brancato, 2006).
A clinical study conducted by Mukai et al (2010) entitled Physiological and care monitoring of anti-decubitus mattress patients presented a well designed an ultrasonic physiological and monitoring system for care that has been designed and developed physiological monitoring especially for the parameters of anti-decubitus (anti-bedsore) in the hospital beds used by the patients. Moreover, they discussed that the bed’s mattresses and cushions are intended to prevent the pressure on the patient’s body surface especially those immobilized patients. Quantitative type of research method was utilized in the study and result was statistically presented. The abstract provides general view and captures reader’s attention swiftly. It is concise in wording and the purpose of the study was clearly mentioned. The abstract also reveals strong statistical significance of anti-decubitus mattresses and significantly mentioned the assumptions. Although abstract encompasses the purpose as well as major findings of the study, some features and information like sample size, method of sampling, place of study were missing. A good example of abstract contains brief information of article representing all the essential details like purpose of the study, design setting, sample size, sampling method, major results and conclusion.