The article under analysis is called “Evidence-based skin tear protocol” and is dedicated to the evidence-based practice and unpredictable cases of skin tear. The author describes the negative experience of the patients and analyzes the problem of the nurse care more profoundly to prevent the relevant consequences. In the article, the author gives the case of the skin tear protocol and the characteristics of the types of skin wounds.
At the beginning of the article, the author gives an example of the skin tear experience of a patient having fragile skin that causes wounds while dressing changes. Here the writer touches upon the question concerning the evaluation of the skin tear either as an accident or as nurse negligence while making dressing changes. For a better assessment, he presents the table of different types of skin tears without tissue losses. On the one hand, the skin tear case could be considered as an accident caused by the peculiarities of the skin and the type of traumatism. On the other hand, the reason could be connected with the nurse’s non-observance of the tear skin protocol on the grounds of the lack of awareness concerning the case.
To consider the problem of skin tear treatment more carefully, it is obligatory to pay attention to both the peculiarity of the skin and to such important aspects as age. So, before making the dressing the nurse should consider carefully the type of the skin itself and its characteristics such as tone, pigmentation, smoothness, moisture, and other features that could influence the wound healing. (Sharon Baranovsky & Elithabeth A. Ayello, 2007, p. 55).
Further on, the problem of nurse care is the burning issue on the agenda due to the fact that one could not find the limits of acceptable behavior between the patient and the nurse if to consider the psychological aspect. (Suzanne Gordon, 2006, p.135). To solve the problem faster, the author of the paper calls for the necessity of the strict evaluating of the new protocol to avoid the mistakes in future. Therefore, the writer presents profound research work in reference to the study of 450 facilities where nurses were checked as regards a consistent observance of the updated protocol.
The study was conducted taking into consideration the treatment of non-adherent dressings that meet special requirements indicated in the article and including the skin tear classification. The results of the study show that the treatment protocol ameliorates the treatment by 80% on average. Moreover, the tested patients confirmed the decreased pain. Hence, the review of the protocol indicated the effectiveness of the Payne-Martin classification that made a considerable contribution not only to the improvement of nurse service theory but also to the development of the health care system (Marthy Doval Mezey et al, 2003, p. 177).
Summarizing up the article, it is necessary to admit that this particular study will encourage future researches in the sphere of nurse care and the health system in general. The paper could also serve as an additional guideline for the nurse staff and could help them to avoid such problems in the future. Moreover, the new protocol was provided by 88% out of 72 tested facilities. In addition, the protocol gave the opportunity for the nurse staff to pay diligent attention to the older adults who often suffer from insufficient treatment.
Sharon Baranovsky & Elizabeth A. Ayello. (2007) Wound care essentials: practice principles. US: Lippincott Williams & Wilkins.
Suzanne Gordon (2006) Nursing against the odds: how health care cost cuttimg, media stereotypes. US: Cornell University Press.
Mathy Doval Mezey, Terry Fulmer and, Ivo Abraham. (2003) Geriatic nursing protocols for the best practice. New York: Springer Publishing Company.