In evaluating what issue to address in my current practice, I had to step back and take a look at what was an issue and how I could research ways to benefit my institution. We all know pressure ulcers are a big deal in the health profession. Prevention in the area of pressure ulcers needs to be stepped up across the board. I was able to look at the various studies regarding the attitudes and knowledge of health professionals toward pressure ulcers. Through these studies, I was able to get a better glimpse of the care and treatments provided. I found that not all studies showed a positive outcome and not all prescribed treatments worked, even though they seem good in theory.
     Quality improvements studies focused on decreasing the incidences of pressure ulcers like in the study Pressure ulcer prevalence and prevention practices: a cross-sectional comparative survey in Norway and Ireland. This piece focused on clinical judgments versus structured protocols. Research focuses on innovative ways to reduce the incidences of pressure ulcers.
     Primary research includes new research conducted to answer specific issues or questions. This type of research would not necessarily address a new issue but would address an old issue in a new way. Secondary  research expands on what is already presented. There are tons of research on prevention of pressure ulcers and many of them build on previous work, providing a better way to prevent or treat pressure ulcers in the future. In the clinical setting, both primary and secondary research are relevant. New and innovative ways to manage care reduce cost and labor. Evaluating older practices can lead the way for possible change and improvement.
     To become an excellent nurse I must learn to dig deeper and look for more. Gone are the days of just being there. Today's nurses are innovators, policy makers, and leaders. With this research piece,  I was able to join the community of nursing in a new way, a researcher. My role as a Bachelors prepared nurse moves me from just doing what is told and into investigating possible change.