Discuss the theoretical framework or model that you intend to use for your capstone project. How does your chosen framework relate to your phenomenon of interest and research? Initial Post: Effectiveness of negative pressure wound therapy in improving the healing of the pressure ulcer in older patients aged above 60 PICOT QUESTIONS
Title: Theoretical Framework for Assessing the Effectiveness of Negative Pressure Wound Therapy in Improving the Healing of Pressure Ulcers in Older Patients Aged Above 60
Introduction:
This paper aims to discuss the theoretical framework that will be used to assess the effectiveness of negative pressure wound therapy (NPWT) in improving the healing of pressure ulcers in older patients aged above 60. The theoretical framework serves as a foundation for the research, providing a conceptual structure to guide the study and provide explanations for observed phenomena. Understanding the chosen theoretical framework and its relationship to the research topic is essential for designing a successful study.
Theoretical Framework:
The chosen theoretical framework for this research is the Transtheoretical Model (TTM), also known as the Stages of Change model. Developed by Prochaska and DiClemente in the late 1970s, the TTM is widely used in the field of health behavior change. It offers a comprehensive approach to understanding the process individuals go through when making behavioral changes.
The TTM suggests that individuals progress through a series of stages when engaging in behavior change. These stages include precontemplation, contemplation, preparation, action, and maintenance. This model recognizes that people are at different stages of readiness for change and that effective interventions should be tailored accordingly.
Relation to the Phenomenon of Interest:
The TTM is particularly relevant to the phenomenon of interest in this research, as it focuses on behavior change related to health and wellness. In the context of pressure ulcer healing, older patients may need to adopt changes in their self-care routines, adherence to treatment, and understanding of the importance of NPWT in order to improve healing outcomes.
By using the TTM, this research aims to assess the current stage of readiness for behavior change in older patients receiving NPWT for pressure ulcer healing. Identifying the stage of change will allow healthcare providers to tailor interventions accordingly, addressing specific barriers and enhancing motivation for change. Understanding patients’ readiness for behavior change can also provide valuable insights into the factors influencing their decision-making processes.
The TTM also emphasizes the importance of self-efficacy, or an individual’s belief in their ability to successfully perform a behavior change. In the context of NPWT, older patients may face challenges such as limited mobility, cognitive impairment, and difficulty with wound care procedures. By incorporating self-efficacy as a determinant of behavior change, the TTM allows for a comprehensive assessment of the factors influencing the effectiveness of NPWT in this population.
Furthermore, the TTM recognizes the importance of social support in behavior change. Older patients may rely on caregivers, family members, or healthcare providers for assistance and reinforcement during the healing process. By considering the social context surrounding NPWT, including the availability and quality of support systems, the TTM provides a holistic view of the factors influencing behavior change and healing outcomes.
Research Approach:
To apply the TTM in this research, a mixed-methods approach will be employed. Quantitative data will be collected through surveys to assess the stages of change, self-efficacy, and social support among the target population. Qualitative interviews will be conducted to gain a deeper understanding of the factors influencing behavior change and explore the experiences and perceptions of older adults undergoing NPWT.
Conclusion:
The Transtheoretical Model (TTM) offers a suitable theoretical framework for investigating the effectiveness of NPWT in improving the healing of pressure ulcers in older patients aged above 60. By identifying the stages of change, assessing self-efficacy, and considering social support, the TTM provides a comprehensive approach to understanding the factors influencing behavior change and healing outcomes. Incorporating the TTM in this research will contribute to a more nuanced understanding of the effectiveness of NPWT in older patients, aiding in the development of tailored interventions to improve healing outcomes and patient satisfaction.