Unsafe Injection Practices (Literature Review And Reflective Account) Sample Essay

Executive Summary

Background of the study

Unsafe injection practices are the central concern of healthcare organizations that continuously improve the quality and services to develop a high standard of care for the patient and monitor the entire clinical process and procedure to maintain safety across the organization. The study focuses on global healthcare quality and safety performance and its development to offer protection and healthcare to become the safest and most secure healthcare system globally.

Purpose and scope

The study aims to analyze healthcare governance and the risk management system successfully. There are two sections in this assignment. Where the first section covers the main body, which is the literature review part that successfully analysis the problem of the unsafe injection practices of the health care system and collected information from journals, books, and articles for the policies and framework

The second part of the assignment successfully analyses the evidence-based reflection focus on the Lewisham hospital in the UK Risk management in the dental sector.

Method

For this research study, the researcher has utilized mixed research methods tools ( qualitative and quantitative) data from Google Scholars, journals, social media platforms, and textbooks to analyze the Key points in the health care system successfully.

Conclusion

Finally, the researcher has concluded a topic to analyze the global healthcare system’s patient safety and healthcare development programs. The health care organizations are collecting information and understanding real-time data to make effective decisions for developing healthcare organizations.

Task 1

1. Introduction

Better governance and patient safety are more important and effective strategies in the global healthcare sector. Healthcare organizations seek better financial stability, patient care, and setting and implementing best practices to learn risk management. Healthcare governance and risk mitigation are becoming a significant concern in developing countries because health workers are not adequately aware of using effective methods to prevent disease. As per Lucas et al. (2022), risk governance and the patient safety approach adopt a systematic approach to embrace good strategy and a framework to improve the quality of patient care and mitigate the risk by developing patient safety standards, quality services, and sustainability.’Unsafe injection practices’ Developing the health care personal risk.

2. Main Body (Literature Review)

Existing policy and practice frameworks

Policy and practice frameworks in the healthcare system

Source (Wong et al., 2022)

Policy and practices frameworks are the most important in the healthcare system that monitors the set of ideas and principles to handle the situation and make effective decisions at the advert condition. According to Albano et al. (2022), the group of people, business leaders, are political parties successfully developed the organizational strategies to maintain the healthcare system and the structure to successfully handle the Healthcare Industries to provide patient safety and better treatment. In recent years unsafe injection practices are becoming a primary concern in healthcare organizations. Global Health organizations are trying to prevent unsafe injection practices and developing strategies to boost safe injection practices by taking standard precautions to provide patient safety. As per the World Health Organisation (WHO), safe medical practices. The proper medical system is not to harm the patient because these are part of the medical treatment. Still, safe healthcare practices prevent many diseases and keep patients and personnel safe and secure.

As per Slawomirski & Klazinga (222), the health policy system research framework is the most critical and effective policy cycle at continuously focusing on the health care improvement and mitigating the issues to successfully learn the practical elements in factors to prevent the policies, rules, and regulations for better treatment policies and safety of the patient. The health policy’s main objective is to develop the political process to maintain the health system and make effective decisions. Global Healthcare system developing the policies and framework to manage the business successfully functions to establish the Global Health standard to provide high-quality care.

According to Zahry et al. (2022), the existing policies of the Global Health Care centers are practicing safe clinical strategies and evaluating and enhancing the framework to focus on safer injection practices. The policy and the health care strategy continually develop its framework that is categorized the clinical demand with the better uses of the resources and develops the educational and training programs. Choudhury (2022) states that public instruction is another area where the worldwide epidemic reaction is relevant. While simultaneously minimizing the visibility of news from suspicious origins, digital platforms of soundness departments and national mechanisms leverage the Internet to make it possible for rapid interaction and teaching of several people through the timely communication of delegated and targeted health data about untrustworthy sources.

As per Puaschunder & Gelter (2022), the policy and framework analyze the medical practitioners to get suspended if they got guilty as to the professional standards.

According to Haroon et al. (2022), the policy and framework successfully analyze the equality and diversity policies in healthcare organizations to provide the knowledge and understanding to the managers to analyze racial discrimination. Healthcare organizations have to successfully manage equality as a diversity in the healthcare organization to manage work ethics and mitigate discrimination at the workplace.

Accountability and performance

As per Cousins et al. (2022), the healthcare system becomes accountable for successfully handling the roles and responsibilities in the organization to choices and performance. The laws, regulations, and guidelines are the essential policies and responsibilities that make the healthcare organization accountable for delivering safe injection practices to patients and monitoring their health and security issues.

According to Winter & Davidson (2022), establishing an unambiguous duty through precise targets and goals, assigning these orders to qualified providers or associations, and developing motivations to promote responsibility improvement presents numerous challenges for responsibility controls in healthcare systems. The objectives call for a wide range of competencies and understanding on the part of controlling bodies and providers and the ability to work together to modify care and favors. These objectives are related to the complicated function of presentation (integration of care, treating multi-morbidity chronic diseases, enhancing inhabitants’ fitness). Apart from the challenges, the Global Health Institutions are taking the appropriate action to improve the health system to focus on taking safe actions to the injection practice and complete filling the systemative research to mitigate the issues. The unsafe injection practices need to develop policies to fulfill the safety requirements. For example, the NHS of the UK successfully analyzes healthcare corporate governance to deliver better services. The board of directors, the government, and the policy regulators continuously focus on the strategy.

As per Brazil et al. (2022), healthcare organizations are becoming accountable for practicing safe medical practices to stop transmitting infectious diseases from one person to another. The rules and regulations are creating awareness in the organization, so the medical practices are getting aware of while preparing injections and medicines.

According to Ferorelli et al. (2022), the healthcare department needs to develop a responsive framework and facilitate the treatment procedure to manage the ethical and professional values code of conduct and successfully develop the skills and confidence to provide safe and secure injections to the patients during the treatment. For example, the UK manages the dental health care system effectively and changes the syringe and needle while giving the anesthesia to the patient.

Risk management

Risk management is the most critical and effective strategy of health care organizations to boost medical facilities and must practice safe and secure treatment to benefit the patient during the treatment. That is why professionals guide medical practices to change structure to get maximum benefit. Unsafe medical practices have become a significant concern for healthcare industries. As per De Micco et al. (2022), Risk management in the Healthcare industry is the most critical and effective administrative process to successfully analyze healthcare organizations’ problems and issues and monitor the risk management process.

Ishikawa diagram

Source (Harolds, 2022)

As per Singhania & Saini (2022), risk management in the Healthcare organization effectively focuses on strategies that include risk identification, categorization, risk assessment, and risk control by successfully analyzing the Ishikawa diagram to identify the health hazards. The diagram supports analyzing the potential risk identification process in health consultations to take significant actions to prevent unsafe injection practices to support the people and bring a better governance system to deliver safe medical practices to the patient to prevent disease. The diagram helps the health care institution to develop better risk management procedures to bring positive outcomes and prevent risk by practicing safe Injection.

Risk communication- It supports the health care institution to exchange real-time information, advice, and the opinion of the expert to handle the threat and manage social well-being successfully. Healthcare organizations are developing technical expertise, a better governance system for unsafe practices, and better training and educational programs to guide people and medical practitioners about safe medical practices to prevent diseases and promote health facilities. For example, the NHS of the UK successfully represented the strict guideline for data stewardship and transparency.

As per Lu et al. (2022), the Ishikawa diagram is the fishbone diagram. Each bone and ribs represent the issues and quality control measures to the health and industries to analyze risk management practices successfully.

Workforce- The training, skills of the trained employees, and experience in medical practices are needed to successfully analyze the safe injection practices to prevent disease and health hazards.

Machines- The health and industry must upgrade the system to incorporate better technology to create awareness.

Materials- Medical practitioners must use high-quality products and materials for patient safety and security.

Measurement– The healthcare industries adopt a better measurement and control system that is accurate and correct for patient safety.

Mother nature- The healthy industry must take safety measures while practicing the injections, ensure the patient’s security, and save practices for better treatment.

Method- Finally, the fish one diagram successfully analyses the efficient methods necessary to provide safe and secure injections to the patient to prevent the disease and promote health facilities.

Audit and evaluation

As per Looi et al. (2022), the Global Healthcare industries successfully analyzed the safety measures to provide patients with good treatment and as well as also defined the effectiveness to achieve a positive outcome in the Health Organisation. To fulfill the business objectives of the Health Care industry, the organization is auditing the current practices standard to reduce the gap and promote safe injection practices to achieve the health care objectives. The doctors are advised to take part in the regular and systematic audit system and take regular reviews on individual performance by growing the knowledge skills to offer better treatment to the patient.

According to Duncan et al. (2022), some tools are used to improve performance to achieve success and growth in the Health care market and to benchmark the efficiencies and performance. For example, the NHS of the UK successfully developed quality and performance improvement. The researcher has used the Ishikawa diagram to improve the services.

Information management tools and practices

It is a group of procedures for setting up medical information that can be used to raise the standard of treatment. It strives to provide excellent standards and reliability of the appropriate healthiness information while making it available whenever needed. For example, the NHS strategies that manage data connected to the operations of physicians and healthcare organizations are likewise included in the category of health knowledge systems. These could be used in concert to impact research, enhance forbearing outcomes, and improve policy and decision-making. Security is a top priority since health systems for knowledge frequently access, handle, or keep significant importance of sensitive data. Healthcare establishments always pursue innovative methods to enhance patient outcomes and build production facilities. All patient documents are digitally stored, giving medical personnel rapid access and enhancing doctor-patient exchanges, changing how healthcare facilities operate. Medical industries are dedicated to ensuring that your hospital’s mobile computer carts are reliable and operative so the doctors can meet the patient’s needs. Modern technology is built to bring effective outcomes.

According to the ‘Information Commissioner Office (ICO), which developed strategies to understand the database in the healthcare industry to develop the framework to protect public information and successfully analyze the General data protection regulation (GDPR), the primary concern of information management.

Healthcare organizations are implementing advanced technology as well as evaluating information technology barriers. The significant barrier related to the sector is its implemented cost. The organization must use advanced technology to provide better services and manage privacy. Health Institutions need to develop strong passwords to mitigate fraud and abuse and cyber criminals to stop stealing data. A healthcare facility’s data collection and storage are managed by a ‘health information system’ (HIS). This includes healthcare facilities, discrete and governmental sanitariums, and doctor’s offices. These structures assemble, store, manipulate, and transmit electronic medical records for patients. Using the most recent patient data available, digital health systems enhance patient care. Any employed health notification procedure must guarantee the accuracy of the data congregated and patient confidentiality because patient data is highly confidential. In addition to specific client care, patient data may also be used for medical research, data for forming public policy, earnings cycle examination, and determination-making inside. Health contact systems frequently assess, strategy, or store large the importance of peaceful patient data. Cybersecurity of computing is, therefore, essential. Health Care Organisation is maximizing growth and success by implementing advanced tools and techniques to offer people safe, secure treatment and analyzing the data to successfully manage the information to recognize the better places in the health Marketplace.

‘Paper patient records’ are replaced by ‘EMR and ‘electronic health record (EHR) systems .’Each patient’s medical data is gathered and saved electronically. Records such as these cover a patient’s medical history, test outcomes, visits to physicians and specialists, and medical interventions.

Many medical establishments store personal information in the cloud for excellent protection. Critical Access Hospitals struggle with simple EHR methods because this power is unbelievablesible.

Task 2

A reflective account (Unsafe injection practices Tanzania))

What types of risks are involved in the chosen practice?

The Healthcare industries in Tanzania successfully understand the safe injection practices to create awareness about preventing bloodborne diseases such as Hepatitis B, Hepatitis C, and HIV/AIDS. This type of disease is transmitted by using the same needles or unsafe injection practices and reusing the injection equipment repeatedly. Various risks associated with unsafe injection practices directly generate many issues. The unsafe injection practices differ in various countries because it depends on various factors where the resources are minimal. Mainly developing countries are facing problems and practices.

After analyzing the health issues of the people, I will be analyzing the reflective Account by successfully implementing the PESTEL analysis in the sector to analyze the risk and issues in the safe injection practices in Tanzania as well as discuss its different elements that are recognized as the political, economical, social, technology, and environmental. As per Pachuau et al. (2022), pestle analysis is the most critical infective tool that supports me in analyzing the risk assessment and the support to analyze external events and trends that affect business operations and performance.

Political risk- This successfully evaluates the government policies and methods in preventing unsafe injection practices in the country and supports the health industries to successfully help people recover from diseases and create an awareness program to make people learn practical elements and factors about health-related issues. Apart from these rules and regulations, there are many issues in the sector because the government has failed to properly plan and project its strategies in healthcare development. According to Harvey et al. (2022), rural healthcare organizations fail to recognize the side effect of using the same needles or syringes during the treatment and not practicing the safety protocols. It is the government’s responsibility to successfully change healthcare laws and regulations and analyze the requirements for patient safety to fulfill the people’s demands and create as much awareness by developing health education programs.

Economic risk factor- As per Hrycko et al. (2022), lack of awareness and education is the major problem of the people that influence unsafe injection practices in the healthcare industry and transmit various diseases that put people and personal health at risk. Poverty is another major issue in the sector where the people are not getting the proper education and knowledge to understand this type of practice and putting their lives at risk. Apart from this, Ireland’s health care budget allocations that match the people’s demands and fulfill their needs are inappropriate. Healthcare industries must understand unsafe injection practices and the risk and focus on safe medical practices by using new needles or syringes whenever they treat a patient. The poor people in rural areas are unaware of this problem, so they run to the local health centers when they get any medical treatment or face any medical issues. They get affected with various blood born diseases by these unsafe Injection practices.

Social risk factor- According to Sebastian et al. (2022), due to the lack of education and knowledge about injections, ordinary people are getting trouble suffering various diseases by taking injections from contaminated needles. Healthcare Industries need to focus on this significant problem. People must understand the problem of unsafe injection practices and use new syringes or needles when they need medical treatment or Injection.

Technological risk- The government provides the country’s sectors with better healthcare facilities. Still, there is a considerable gap between the urban and the rural areas in incorporating technology. The poor people are not getting the facilities of the television news or magazines to understand the healthcare strategies and the awareness about the government’s healthcare programs; that is why they are getting significant issues about unsafe injection practices.

As per Beers (2022), the lack of advanced technology in the health industry is becoming a significant concern because they do not understand the advanced treatment procedures and face issues in delivering better treatment facilities to the patient. The poor people in rural areas have not gotten the proper treatment or the advanced technology facilities, so they have to face problems taking the injections.

Legal Risk-  Legal risk is more similar to political risk where the people are not aware of the government rules and policies, and as well as the government also fails to create awareness programs among the people to understand medical practices in the country to generate ethical practices and the better treatment facilities to mitigate the issues.

Environmental Risk- As per Jewell (2022), the disease outbreak or the pandemic has created a significant problem in the country. Poor medical practices or unsafe injection practices created 40% of the medical issues among the patients, and people are getting medical issues.

The harms you are trying to help clients avoid

I would like to avoid significant harms and provide the proper awareness to my patients about unsafe injection practices and their negative consequences in the future. The developing countries’ lack of resources, and a routine surveillance system are the major issues in the sector that create unsafe injection practices in the country. People are getting major health issues by taking the Injection from contaminated syringes or needles.

Hepatitis B virus- 1.69 million people are HBV-infected and facing major health issues because of the unsafe Injection.

Hepatitis C virus- There are thousands of cases of HCV in the country that is directly linked with unsefe injections.

HIV- 35,888 HIV-infected people are there and have significant health issues because of unsafe Injections. These viruses remain on the body for a long time, creating significant health issues, and slowly, the patient learns about the symptoms. The unsefe injection practices create serious issues, and people are getting infected with this virus and face major issues afterward. Still, when they recognize it is already late, people die of a poor immune system.

What is The most severe risk in unsafe injection practices?

The unsafe Injection practices by medical practitioners

As per Xim et al. (2022), Injection is one of the most essential and standard medical procedures where the doctors provide the vaccination for various reasons, including family planning, diabetic injections, or medical injections. A safe injection does not create health issues, harm the recipient, or create a danger to others. However, the unsefe injection practice creates significant health issues because the medical practices use the same syringe or needle for one or more people to create the health issues. The unsefe Injection directly transmitted the bloodborne disease that included the Hepatitis B virus (HBV), Hepatitis C virus (HCV), and human immunodeficiency virus (HIV). The medical practices in rural areas, whether nurses are not atmos educated and providing the injections to the patients and using the same needles or the syringe to the patient, transmit the various disease and health hazards situation. the primary reason behind it that the nurses’ medical professionals are not trained and have the proper knowledge. Apart from this, it has been recorded that sometimes the family friend uses unsafe Injection because they use it to create health hazard issues to ‘transmission of the blood bone pathogens.’

According to Acharya et al. (2022), HIV outbreaks linked to unsafe injection practices in different areas Of the country were recorded because of the unqualified practices of injecting people with the same needle or syringe. The health department has screened the HIV-positive patients, and the situation happened due to unsafe injections. Apart from medical practices, most of the children and women are men identified the different diseases exposure to the dental procedure and visiting the barber shop.

As per Khatavkar et al. (2022), healthcare workers in impoverished countries typically miss out on the latest information on needle safety because of distance. They are taking the medical facilities as an example. In isolated places, there may be less interaction with teaching infirmaries or fewer possibilities to attend conferences and seminars. Emerging nations are also blocked from advanced countries’ modern assistance and information permits. As per Mane et al. (2022), private healthcare providers may unjustifiably administer injections and use unneeded medication before expiration to increase profits. Without a medication, injectable medications are often purchased from unlicensed and over-the-counter dealers in many developing countries. These injections are administered by an unregistered injection provider or by non-medical facilities.

The most severe risk to the patient

According to Seang et al. (2022), it is related to the patient and is very critical because this type of disease directly brings death to the patient. The patient usually knows about the symptoms very late, suffers from many health conditions and issues, and faces ultimate death. Aridoss et al. (2022) said contaminated needles or injections negatively affect health. When evaluating the different journals and social media platforms, I know that low-income countries have significant issues regarding unsafe injection practices. The low-income countries such as Tanzania have unsafe injection issues because of the lack of proper education and poverty. Poor people cannot know the negative impact of using the same syringe or needles during Injection. People are facing various health-related issues and know about the symptoms very late.

Discuss the risk communication strategies in place

As per Fritz et al. (2022), considerably impoverished Tanzania was the site of this investigation. Focus groups and semi-structured interviews with prescribers, patients, and other vital informants served as the basis for its creation. Prescribers included village doctors, staff at township and provincial hospitals, and other members of the local healthcare system. As Rogers-Brown et al. (2022), patients could be found in urban and rural locations. Significant sources of information included village elders, non-governmental association health employees, and others. The Centers for Disease Control and Prevention, neighborhood doctors, and college students participated in focus groups.

Evans et al. (2022) state that Injections are popular because of their speedy action, patient preference, and the considerable amount of fluid available to deliver drugs. The government and the Private Health Institutes are creating awareness about this to make the people aware of the unset injection practices and provide the proper training and educational program to help artificial to provide safe injections to develop patient security. Links with patients are made in the location where families of patients can be reached most efficiently. To empower patients to decide what is best for themselves, their families, and the community, educate patients on the dangers of unsafe injections and safe injection practices. Patients may request alternatives from their medical experts.

As per Thompson & Cook (2022), an injection is often not the best or most efficient treatment.

Patients must be informed that if they receive an injection prescription, they can inquire with their physician whether the medication is also available orally and explain if this is their preferred approach.

The conclusion and Recommendation

The “Safety of Injection Waste” produced by the healthcare sector is distinctive because it poses a severe infection and damage risk. Unsafe injection practices and improper handling of medical waste can significantly impact the environment and the general public’s health.

In particular, regarding injection safety and the waste they produce, hospitals and other healthcare facilities have a “duty of care” to safeguard the environment and advance public health. They are also responsible for protecting the ecosystem and human health. Unfortunately, inadequate safety measures are still taken in many areas of healthcare waste management.

The policy includes the components of this manual’s aspects. By employing this strategy, medical and research abilities might take steps to guarantee that their employees and the local people live in a secure and healthy atmosphere. The primary objective of this booklet is to help facilitators and trainers offer injection safety training during “Working Level Health Workers’ Training” effectively. The guidebook details the many training materials, the various teaching methods, and each internship session’s objectives and subject matter.

It is recommended that the trainer or facilitator use as many local resources and examples as they can, supported by using real-world benchmarks and visuals, during the training.

Reference

Lucas, J., Leggat, S. G., & Taylor, N. F. (2022). Association between use of clinical governance systems at the frontline and patient safety: a pre-post study—International Journal of Health Governance, (ahead-of-print).

https://www.emerald.com/insight/content/doi/10.1108/IJHG-02-2022-0023/full/html

Albano, G. D., Rifiorito, A., Malta, G., Sorrentino, E. S., Falco, V., Firenze, A., … & Zerbo, S. (2022). The Impact on Healthcare Workers of Italian Law n. 24/2017 “Gelli–Bianco” on Patient Safety and Medical Liability: A National Survey. International Journal of Environmental Research and Public Health, 19(14), 8448.

https://www.mdpi.com/1660-4601/19/14/8448

Slawomirski, L., & Klazinga, N. (2022). The economics of patient safety: from analysis to action.

https://www.oecd-ilibrary.org/social-issues-migration-health/the-economics-of-patient-safety_761f2da8-en

Zahry, N. R., McCluskey, M., & Ling, J. (2023). Risk governance during the COVID‐19 pandemic: A quantitative content analysis of governors’ narratives on Twitter. Journal of Contingencies and Crisis Management, 31(1), 77–91.

https://onlinelibrary.wiley.com/doi/abs/10.1111/1468-5973.12412

Choudhury, A. (2022). Toward an ecologically valid conceptual framework for the use of artificial intelligence in clinical settings: need for systems thinking, accountability, decision-making, trust, and patient safety considerations in safeguarding the technology and clinicians. JMIR Human Factors, 9(2), e35421.

https://humanfactors.jmir.org/2022/2/e35421/

Puaschunder, J., & Gelter, M. (2022). The law, economics, and governance of generation COVID-19 long-haul. Ind. Health L. Rev., 19, 47.

https://heinonline.org/HOL/LandingPage?handle=hein.journals/inhealr19&div=7&id=&page=

Haroon, S., Voo, T. C., Chua, H., Tan, G. L., & Lau, T. (2022). Telemedicine and Haemodialysis Care during the COVID-19 Pandemic: An Integrative Review of Patient Safety, Healthcare Quality, Ethics and the Legal Considerations in Singapore Practice. International Journal of Environmental Research and Public Health, 19(9), 5445.

https://www.mdpi.com/1660-4601/19/9/5445

Cousins, S., Richards, H. S., Zahra, J., Robertson, H., Mathews, J. A., Avery, K. N., … & Blazeby, J. (2022). Healthcare organization policy recommendations for the governance of surgical innovation: review of NHS policies. British Journal of Surgery, 109(10), 1004-1012.

https://academic.oup.com/bjs/article/109/10/1004/6651469

Winter, J. S., & Davidson, E. (2022). Harmonizing regulatory regimes for the governance of patient-generated health data. Telecommunications Policy, 46(5), 102285.

https://www.sciencedirect.com/science/article/abs/pii/S0308596121001890

Brazil, V., Scott, C., Matulich, J., & Shanahan, B. (2022). Developing a simulation safety policy for translational simulation programs in healthcare. Advances in Simulation, 7(1), 1-7.

https://advancesinsimulation.biomedcentral.com/articles/10.1186/s41077-022-00200-9

Ferorelli, D., Benevento, M., Vimercati, L., Spagnolo, L., De Maria, L., Caputi, A., … & Solarino, B. (2022). Improving healthcare workers’ adherence to surgical safety checklist: the impact of a short training. Frontiers in Public Health, 9, 2430.

https://www.frontiersin.org/articles/10.3389/fpubh.2021.732707/full

De Micco, F., De Benedictis, A., Fineschi, V., Frati, P., Ciccozzi, M., Pecchia, L., … & Tambone, V. (2022). From syndemic lesson after COVID-19 pandemic to a “systemic clinical risk management” proposal in the perspective of the ethics of job well done. International Journal of Environmental Research and Public Health, 19(1), 15.

https://www.mdpi.com/1660-4601/19/1/15ghania, M., & Saini, N. (2022). Systems approach to environment, social and governance (ESG): Case of Reliance industries. Sustainable Operations and Computers, 3, 103-117.

https://www.sciencedirect.com/science/article/pii/S2666412721000477

Lu, L., Ko, Y. M., Chen, H. Y., Chueh, J. W., Chen, P. Y., & Cooper, C. L. (2022). Patient safety and staff well-being: Organizational culture as a resource. International Journal of Environmental Research and Public Health, 19(6), 3722.

https://www.mdpi.com/1660-4601/19/6/3722

Looi, J. C., Allison, S., Bastiampillai, T., Pring, W., & Kisely, S. R. (2022). Report of the house of representatives select committee on mental health and suicide prevention: commentary on an expanded psychologist role and decreased GP/psychiatrist leadership in private multidisciplinary primary mental healthcare. Australasian psychiatry, 30(4), 523-525.

https://journals.sagepub.com/doi/abs/10.1177/10398562221095488?journalCode=apya

Duncan, R., Eden, R., Woods, L., Wong, I., & Sullivan, C. (2022). Synthesizing dimensions of digital maturity in hospitals: systematic review. Journal of medical Internet research, 24(3), e32994.

https://www.jmir.org/2022/3/e32994/

Pachuau, L. N., Tannous, C., Dhami, M. V., & Agho, K. E. (2022). HIV among people who inject drugs in India: a systematic review. BMC Public Health, 22(1), 1-17.

https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-13922-2

Harvey, L., Boudreau, J., Sliwinski, S. K., Strymish, J., Gifford, A. L., Hyde, J., … & Branch-Elliman, W. (2022, February). Six moments of infection prevention in injection drug use: an educational toolkit for clinicians. In Open Forum Infectious Diseases (Vol. 9, No. 2, p. ofab631). US: Oxford University Press.

https://academic.oup.com/ofid/article/9/2/ofab631/6499355

Hrycko, A., Mateu-Gelabert, P., Ciervo, C., Linn-Walton, R., & Eckhardt, B. (2022). Severe bacterial infections in people who inject drugs: the role of injection-related tissue damage. Harm Reduction Journal, 19(1), 1-13.

https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-022-00624-6

Sebastian, M. P., Sarna, A., Saraswati, L. R., Sharma, V., Madan, I., Tun, W., & Thior, I. (2022). Planning for injecting drug use as a means to prevent risky injection behavior. Journal of Substance Use, 1-5.

https://www.tandfonline.com/doi/full/10.1080/14659891.2022.2077251?casa_token=Q-gJvCYKQcgAAAAA36mbNSb2fu1wrnPLvNBeqT5OvqLNyi0y6QkHfC51KV131nxowPQczkvU4Z2_xH_eHnL8XKYt4NXhQ7I

Beers, R. A. (2022). Safe Injection Practices. ASA Monitor, 86(8), 22-22.

https://pubs.asahq.org/monitor/article-abstract/86/8/22/136602/Safe-Injection-Practices

Jewell, M. L. (2022). Commentary on: Aspiration Before Tissue Filler—An Exercise in Futility and Unsafe Practice. Aesthetic Surgery Journal, 42(1), 102-105.

https://academic.oup.com/asj/article/42/1/102/6153986

Xim, V. T., Khang, P. M., Tu, L. A., & Hai, N. T. T. (2022). FACTORS AFFECTING INJECTION SAFETY OF VIETNAMESE NURSING STUDENTS. Southeast Asian Journal of Sciences, 1(9), 42-57.

http://sajs.ntt.edu.vn/index.php/jst/article/view/253

Acharya, A. S., Priyanka, J. K., & Bachani, D. Research Article Assessment of Knowledge and Practices regarding Injection Safety and Related Biomedical Waste Management amongst Interns in a Tertiary Care Teaching Hospital, Delhi.

https://d1wqtxts1xzle7.cloudfront.net/84654391/670861-libre.pdf?1650599466=&response-content-disposition=inline+filenameAssessment_of_Knowledge_and_Practices_re.pdf&Expires=1680201117&Signature=A8BwRpRdg16SQkJrFdm0hLkXarovlTDQziTyZZd2suf3TH~UOrwkTVcl~xnjpxoW2N~WLbLA~Yw3D31oRWLZfzfIaegoeVBaL~YT2rebpjp56Y4-iFKxonB4rPS182BhRbFXgHfUaQqJ1EQSKq8kuq9i1kEMjPYpfVZ0-HuJKeGxzM0awJ06SNwnvdKiUKVzUSMYP9VBVwW1ZY4Ih66-25RB2IkeF1RclGh~PaWmlje4SiNr8CfHdKn4d8N-Ibxy6wjEZfNSWEbUoDIeHXcmKBJ8lkbn83BaTy95PiRWOj1TaRt1R7RRVWsmaLevNWGrAyig-WtrRaCOFl-qCL2YLA__&Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA

Khatavkar, P. S., Dawane, J. S., Pandit, V. A., & Suryawanshi, S. P. (2022). Assessing the Understanding and Perfection in Performing the Injection Techniques after Exposure to Mannequins. Biomedical & Pharmacology Journal, 15(3), 1407-1413.

https://www.researchgate.net/profile/Jayshree-Dawane/publication/364063388_Assessing_the_Understanding_and_Perfection_in_Performing_the_Injection_Techniques_after_Exposure_to_Mannequins/links/63a0882f024dc52c8a3222aa/Assessing-the-Understanding-and-Perfection-in-Performing-the-Injection-Techniques-after-Exposure-to-Mannequins.pdf

Seang, K., Khim, K., Vyas, K., Khuon, D., Saphonn, V., & Gorbach, P. (2022). Medical injection and infusion practices among HIV-seronegative people and people living with HIV: a behavioural survey of 10 HIV testing and opportunistic infections/antiretroviral therapy sites in Cambodia. BMJ open, 12(9), e065026.

https://bmjopen.bmj.com/content/12/9/e065026.abstract

Fritz, J., Griffin, E., Hammack, R., Herrick, T., & Jarrahian, C. (2022). Syringes must be prioritized globally to ensure equitable access to COVID-19 and other essential vaccines and to sustain safe injection practices. Human Vaccines & Immunotherapeutics, 18(7), 2077580.

https://www.tandfonline.com/doi/full/10.1080/21645515.2022.2077580

Evans, K. N., Vettese, T., Wortley, P. M., Gandhi, A., & Bradley, H. (2023). Missed Opportunities for Prevention: Prevalence and Incidence of HIV and HCV Diagnoses Among a Cohort of Individuals Discharged from an Urban Hospital with Injection Drug Related Diagnoses, 2012-2019. Annals of Epidemiology, S1047-2797.

https://europepmc.org/article/med/36791871

Thompson, B. M., & Cook, C. B. (2022). Unsafe sharps disposal among insulin-using patients with diabetes mellitus: an emerging global crisis. Journal of Diabetes Science and Technology, 16(6), 1376-1380.

https://journals.sagepub.com/doi/abs/10.1177/19322968211059851?journalCode=dsta

Rogers-Brown, J., Sublett, F., Canary, L., Rein, D. B., Bhat, M., Thompson, W. W., … & Asher, A. (2022). High-Risk Injection-Related Practices Associated with anti-HCV Positivity among Young Adults Seeking Services in Three Small Cities in Wisconsin. Substance Use & Misuse, 57(5), 665-673.

https://www.tandfonline.com/doi/full/10.1080/10826084.2022.2026964?casa_token=Ip2DV5uuUmUAAAAAY4mOo7qsXqYSNq-bB6h_BEMPaxjuAbD6q__lSThZ69tkuDjOlqfe1DAtsMMIoQ6yN6mgRMD5l8jeygg

Aridoss, S., David, J. K., Jaganathasamy, N., Mathiyazhakan, M., Balasubramanian, G., Natesan, M., … & Arumugam, E. (2022). Spatial heterogeneity of risk factors associated with HIV prevalence among men who inject drugs in India: An analysis of the data from the integrated bio-behavioral surveillance, India. Medicine, 101(48), e31688.

https://journals.lww.com/md-journal/Fulltext/2022/12020/Spatial_heterogeneity_of_risk_factors_associated.59.aspx

Mane, A., Kasibhatla, S. M., Vidhate, P., Saxena, V., Patil, S., Rao, A., … & Panda, S. (2022). Phylogenetic analysis of spread of hepatitis C virus identified during HIV outbreak investigation, Unnao, India. Emerging Infectious Diseases, 28(4), 725.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8962895/

Wound Healing – Research Paper Sample Essay

The wound is one of the significant clinical burdens that is affecting patients worldwide. To deal with these burdens, it is essential to understand the physiologies in wound care and healing (Velnar, Bailey, & Smrkolj 2009). Wound healing is a complex process that involves a collaboration of various cell types, vascular systems, mediators, and cytokines (Wallace Basehore & Zito, 2017 ). Researching wound healing can provide a clear understanding of the general cellular and molecular processes involved in the healing of wounds. A range of effective therapeutic strategies for wound care and healing can be developed through research on wound healing. Clinical needs for patients with wounds can be identified to improve the outcomes of patients with chronic wounds. At the end of this research, the wound healing mechanisms and the factors that predict the healing process will be identified.

Additionally, a clear understanding of wound healing therapies will be provided. This study will avail research-based interventions for wound complications which will help clinicians optimize the provision of satisfying customized care for patients with wound problems. Healthcare providers can use study findings in drafting new therapies that can effectively improve patients’ outcomes to ensure that wound care programs are inclusive despite the unique needs of various patients. These inclusive personalized, and effective healthcare services will ensure that the healthcare goal of providing effective healthcare to all is attained.

Physiology of wound healing

Wound healing involves regeneration and repair processes as a physiological response to injury. Wound regeneration occurs in tissues with sufficient cell populations that can facilitate mitosis, such as the epithelium (Theoret, 2016). This process involves the replacement of damaged tissues with new tissues structurally and functionally similar to the lost tissues. Wound repair replaces damaged tissues with undifferentiated scar tissues (Theoret, 2016). Wound healing processes triggered by tissue injuries can be explained into four phases: coagulation and hemostasis, inflammation, proliferation, and remodeling (Velnar, Bailey& Smrkolj 2009).

Phases of wound healing

Coagulation and Hemostasis

This Is the first stage of the wound-healing process. It occurs instantly after injury and completes within hours (Theoret, 2016). This mechanism targets to protects the vascular system and ensures that other body tissue’s functionalism is unharmed despite an injury. This mechanism also provides a matrix essential for the invasion of cells needed in the later stages of healing (Velnar, Bailey& Smrkolj 2009).

This phase of wound healing is characterized by a response in which the damaged endothelial cell membrane produces phospholipids which transform into a type of fatty acid known as arachidonic acid and their metabolites that aid in the reduction of blood flow to the injured tissues (Theoret, 2016). This process starves oxygen and nutrients to the surrounding tissues and increases glycolysis, decreasing Ph that contributes to platelet activation. The activated platelets activate the extrinsic and intrinsic pathways, resulting in blood clotting on the injured layer to prevent further bleeding (Grubbs & Manna, 2018).

The clotting forms an extracellular matrix with fibrinous, vitronectins, thrombospondins, and fibronectins, filling the wound and providing a scaffold for migrating cells. The clots and platelets filling the wound site contain α-granules with cytokinin and growth factors, which promote healing by activating and attracting neutrophils, macrophages, fibroblasts, and endothelial cells (Velnar, Bailey& Smrkolj 2009). The platelets contain the vasoactive amines that modify the permeabilities and vascular tones of the injured cells to increase and create an environment that will facilitate the supply and diffusion of nutrients and oxygen to the new arriving cells (Theoret, 2016).

Inflammation

This wound-healing phase aims to create an immune barrier against wound invasion with microorganisms. The first phase, which is the early inflammatory phase, is characterized by neutrophil functionalities that destroy the bacteria or any foreign material within the wound sites through a process known as phagocytosis (Wallace, Basehore, & Zito,2017 ). Neutrophils’ attraction to the wound tissues occurs within 24 hours to 36 hours of injury, and these attractions are aided by attractive chemo agents such as transforming growth factor-β (TGF- β), formyl methionyl peptides, C3a and C5a that are produced by platelets products and bacteria (McCance, & Huether, 2018). Through margination, neutrophils get sticky and begin adhering to endothelial cells of capillary venules surrounding the wound (Velnar, Bailey& Smrkolj 2009). The neutrophils are rolled along the endothelium surface by the blood flow push. The endothelial cells then secrete Chemokines, rapidly activating a stronger adhesion system mediated by integrins on the cell surface. Rolling and migration of the cells are ceased, and they move out of the venules and squeeze between the endothelial cells through a process termed diapedesis (Velnar, Bailey& Smrkolj 2009). The neutrophils within the tissues die and are then phagocytized by wound macrophages or fibroblasts. This is when (Theoret, 2016) suggests we can say the first inflammatory phase is complete.

The late inflammatory phase occurs within 48 to 72 hours after sustained injuries. In this stage, macrophages appear at the wound sites and continue phagocytosis. Macrophages are cells that have undergone phenotypic changes upon arrival to the injured tissue. These macrophages release products for Collagen and elastin breakdown. They also release cytokines like (TGF-β, PDGF, leukotriene B4, ) and platelet factors (Velnar, Bailey& Smrkolj 2009). These products aid them in the proliferation and movement of Fibroblast and endothermal cells that are essential in repairing damaged tissues and forming their blood vessels(Angiogenesis). After 72 hours, lymphocytes are attracted to the injured zone through the action of interleukin-1 (IL-1), immunoglobulin breakdown products, and complement products. interleukin-1 regulates the production and activity of the enzyme collagenase required in modeling and generating the extracellular matrix.

Figure 1: Molecular and cellular components in a wound Day 3. (Source, Theoret, 2016)

Figure 2: Epithelization and angiogenesis. (Source, Theoret, 2016)

Proliferative Phase

This phase of wound healing starts on the third day of wound healing and lasts up to 2 weeks. During this phase, the macrophage is invaded to dissolve the clotting tissue, and Fibroblasts, connective tissue, and epithelial and endothelial cells rapidly occupy the wound, preparing to cover the wound (Theoret, 2016). The macrophages secrete biochemical mediators such as Transforming Growth Factor-beta (TGF-β), angiogenesis factors, and matrix metalloproteins responsible for wound healing. The (TGF-β), stimulates the fibroblasts that enter the wound lesions to synthesize and produce collagen precursor procollagen. Angiogenesis factors stimulate the formation of capillary buds in the endothelial cells that will grow in the lesion. On the other hand, Matrix metalloproteinase helps remodel Collagen and fibrin, which are the extracellular matrix proteins (McCance & Huether, 2018).

Wound surrounding connective tissues rich in invasive cells, new capillaries, and lymphatic vessels facilitate the growth of granulation tissues, making a wound appear reddish. Capillary buds from vascular endothelial cells later grow within the wound zone. The capillaries differentiate to form larger vessels during the wound repairs, and as the process continues influx of nutrients and removal of wastes within the wound zone is promoted. New lymphatic vessels are also formed in the tissues using the mechanism above. For wound protection purposes, the migrating epithelial cells from both sides of the wound start to seal the wound. The migration of epithelial cells under the clot is aided by MMPs that unravel Collagen. Collagen undergoes a series of matrices to assemble a final collagen matrix within months. The fibroblasts help in secreting the Collagen and connective tissue proteins essential in wound healing. After the final collagen matrix of the wound is formed, the wound contracts, and normally an inward movement of the edges of the wound is noticed (McCance & Huether, 2018).

Remodeling phase and maturation

This is the final stage of wound healing, responsible for forming the final scar tissues and their epithelium layer (Velnar, Bailey& Smrkolj 2009). Tissue remodeling begins after several weeks of the injury and can last up to even 2 years (McCance & Huether, 2018). This phase records a series of events like the differentiation of cells and the formation and remodeling of the scar. Tissue regeneration and contraction of the wound continue in this final stage. As the wound heals, densities of macrophages and fibroblasts within the wound reduce, and over time the blood flow and metabolic activities within the injured site decrease. The tensile power of the wound gradually increases with collagen collection on the wound site. Finally, a fully matured scar comprised of fewer cells and blood vessels with an improved tensile strength is formed. Graph 1 below provides a sequential illustration of the stages involved in wound tissue repair.

Graph 1: Stages of wound tissues repair

Pathophysiology

Wound healing leads to the formation of hypertrophic and keloid scars. Hypertrophic scarring usually occurs four to eight weeks after a wound infection and is characterized by wound closure with excess tension or traumatic skin injury; they are normally flat scars. Keloids appear firm. Tender blossomed tumors that are shiny and, at times, telangiectasia. They appear pinkish or purplish, with the borders of these tumors being well-demarcated but with irregular outlines (Grubbs & Manna,2018). Majorly hypertrophic scarring develops on wounds within the tensive anatomic locations like knees, ankles, shoulders, prosternum, and neck (Grubbs & Manna,2018). Keloid scars or lesions develop on tender zones like eyelids, cornea, genitalia, mucous membranes, and palms (Gauglitz et al.,2011). These two lesions are pruritic. However, keloids present with pains and hyperesthesia.

Figure 3: Keloid outlines source vs. hypertrophic scars (Berman,2022).

The formation mechanism of these scars’ formation is not well documented, but the overproduction of fibroblast proteins characterizes both scars. This explains that the normal production sequence of extracellular matrix proteins like collagen and fibronectin that aid in the repair of tissue alterations to cause overproduction of these proteins can cause this scar (Gauglitz et al.,2011). Additionally, this occurrence can be explained by the failures in the effective downregulation of wound-healing cells caused by genetic factors, infections, traumas, or even inflammations (Gauglitz et al.,2011). Graph 2 below shows the pathophysiology of excessive scar formation.

Graph 2: Scar formation. (Source Gauglitz et al.,2011).

The wound healing process follows the normal healing phases: inflammation as the first phase, proliferation as the second phase, and finally, remodeling. Platelet degranulation aids in the activation of s series of cytokines that serve as chemotactic agents that produce neutrophils, macrophages, fibroblasts, and epithelial cells (Gauglitz et al.,2011). Section (A) in the graph above shows the normal functioning of the chemotactic agents to attain a balance of new tissue biosynthesis and degradations mediated by remodeling of the extracellular matrix. Section (B) in the graph above shows situations with excessive scar formation. A challenge in the function of the wound healing regulatory mechanisms that oversee or aid the whole wound healing process leads to the excessive synthesis of collagens or defective remodeling matrix, and the inflammatory period can be prolonged. The wound-healing defective phases in (B) can explain the occurrence of keloids and hypertrophic scars (Gauglitz et al.,2011).

Impact of this research on patients and health care industry

This research on wound healing will have a series of outcomes for patients and the healthcare industry. These effects or outcomes can be of different perspectives, including clinical outcomes, emotional effects, and positive or negative impacts on patients and the health industry. Clinically this research will avail rich literature on the wound healing processes and various body mechanisms involved in wound healing. By reviewing various literature, potential wound healing therapies, technologies, and treatments shall be critically reviewed. Clinicians and patients can access updated information on the advances and innovations in wound healing technologies and treatments. By availing of relevant updated repository information on wound healing, clinicians can readily access repository information on improved research-based wound healing procedures. Adopting the newly availed ideas in their treatments for patients with wound complications can improve patient outcomes.

This research will also have emotional impacts on patients’ well-being. Patients with chronic wounds can be devastated by their condition, and they might fear that they can be culprits of stigmatization; thus, their confidence and self-esteem in social gatherings can deteriorate, and they even prefer to be isolated. These negative impacts that come with wound complications can dictate poor quality lives, and they are likely to be unsatisfied with their lives. By this research promoting improved patient outcomes through providing knowledge and evidence-based practices in wound healing, patients can be relieved of their burdens gradually. Those with chronic wounds can finally have hope of recovering their initial physical status. In the long term, when the penetration of newly researched wound healing practices is fully implemented, the overall; patient outcome can be improved. The clinicians can improve their client’s confidence, and the pains and suffering of patients and their social concerns can be mitigated. The overall result shall be the attainment of a more reliable wound-healing professional task force that will promote patients’ overall well-being and improve their quality of life.

The health sector shall be availed with information to improve their medications strategies to improve their services. By these sectors adopting the discussed strategies on wound care, their services can be reliable, and productivity in healthcare can record positive outcomes. The latest medications in wound healing can be attained at favorable costs and hospital stays that have cost implications through the adoption of recent competent wound healing and care medications. Healthcare care can be reduced. Additionally, healthcare wound care and healing educators can access updated knowledge that can be used in drafting modern wound healing technologies, therapies, and medications.

This research also has some negative impacts that are more affiliated with the health sector. This research can present information that can attract a conflict of interest regarding wound healing and care in the healthcare sector. The wound healing clinical gaps this research shall identify can trigger healthcare debates that likely trigger negative and positive influences.

Latest research in wound healing

The latest research technologies in wound healing use the regenerative wound healing mechanism. These technologies are centered on biomedical research, including bioactive wound dressing, gene therapies, stem cell therapies, targeted drugs, smart wound dressing, and skin bioengineering. Some of the emerging innovative wound healing techniques include;

Nanotherapeutic-based strategies

This technology research involves using various nanomaterials of antimicrobial peptides, antimicrobial agents, interferons, and growth factors directed to the wound to treat wounds. This nanotechnology is suggested to have a huge influence in regulating and controlling hemostasis and microbial infection and promoting the proliferation of cells, and it facilitates the delivery of drugs to deep tissues to ease the healing of chronic wounds (Kolimi et al., (2022)

Stem cell therapy

This strategy of wound healing research has reported that stem cell therapies promote the secretion of pro-regenerative cytokines and growth factors to promote the growth of skin regeneration when treating chronic wounds (Yamanaka, 2020), (Brown et al., 2019) & (Kolimi et al., (2022). This type of therapy is ideal for supporting natural skin healing by its ability to transform into any cell. Among the commonly utilized stem cells include Embryonic Stem Cell, Induced Pluripotent Stem Cells (iPSCs), and Mesenchymal Stem Cells (MSCs) (Kolimi et al., 2022)

Bioprinting-Based Strategies

This technology in wound healing provides the fabrication of compatible artificial skins through layers of deposition of cells, biomaterials, growth factors, and biomolecules. This skin bioprinting technique has been used to heal serious non-healing wounds like burn wounds, venous ulcers, diabetic foot ulcers, and pressure ulcers. Kolimi et al. (2022) further elaborate on the latest research on 3d bioprinting. Per their argument, to date, bioprinter skin equivalent containing all skin elements is still the subject of research.

Extracellular Matrix-Based Strategies

Chronic wounds stall their healing due to reduced ECMs due to high concentrations of fibroblasts, high metalloproteinase matrices, and lengthy inflammatory phases. Restoring these wounds with ECMs can facilitate the closure of these wounds. Researchers suggest that utilizing derived bio-engineered tissues is ideal for promoting wound healing Kalva (et al.,2021) & (Kim et al .,2020).

Platelet-Rich Plasma (PRP)-Based Strategies

This technique stimulates wound healing. The PRPs contain concentrations of platelets higher than those in the bloodstream and thus culture concentrations of growth factors that promote wound healing. The concentrated growth factors in the wound zones regenerate skin tissues; they act as signal molecules that influence cellular metabolisms. Reports suggest that the first PRP performance was clinically reported to be used in treating leg ulcers using collagen-embedded platelets. Later PRP injections and Gels are currently used in healing various wound etiologies (Kolimi et al., 2022).

Cold Atmospheric Plasma Therapies

Cold plasmas utilize biological and physical mechanisms for healing wounds. The biological mechanisms exploit the cellular processes that produce the DNA that damages the cell membranes of bacteria. The physical mechanism of wound healing via cold plasma is attained by the generation of free radicles and reactive oxygen species (ROS) or reactive nitrogen species (RNS) that promote wound healing (Kleineidam et al.,2019). Cold plasma treatments on wound assessments by various clinical research suggest that some outcomes include reduced bacterial concentration, rapid wound healing, and fastened migration of tissues within wound zones (Kolimi et al., 2022).

Application of this research

The vast knowledge of wound healing techniques can equip the researcher with an in-depth understanding of wound healing mechanisms and appropriate treatment plans for various chronic or normal wound types. These understandings will ensure that as a health care provider, I should optimize wound therapies ideas and easily identify wound complications approaching a complicated healing process. I can also identify potential gaps in wound healing that require further research.

Patients can be availed of wound treatment options that are aimed at improving their outcomes. Modern wound healing technologies can ensure patients receive customized wound care that considers all client-centered needs. Furthermore, healthcare professionals can gain insights into the advances in wound healing technologies and structure their healthcare to fit the trending wound healing guidelines, procedures, and options.

Conclusion

Wound is among the clinical burdens that affect a huge population across the globe. The wound healing process can be complicated, but its physiology can be broken down into four phases Coagulation and Hemostasis, inflammatory, proliferative, and remodeling. They can heal normally as wound healing undergoes these four phases or develop excessive scars. With the latest advancements in wound healing techniques, optimizing medications for wound healing can lead to improved patient outcomes and promote the attainment of the healthcare goal of quality health for all.

References

Brian Berman, M.D. (2022). Keloid and hypertrophic scar, Background, Pathophysiology, Etiology. Medscape. Available at: https://emedicine.medscape.com/article/1057599-overview (Accessed: April 2, 2023).

Brown, C., McKee, C., Bakshi, S., Walker, K., Hakman, E., Halassy, S., … & Chaudhry, G. R. (2019). Mesenchymal stem cells: Cell therapy and regeneration potential. Journal of tissue engineering and regenerative medicine, 13(9), 1738-1755.

Gauglitz, G. G., Korting, H. C., Pavicic, T., Ruzicka, T., & Jeschke, M. G. (2011). Hypertrophic scarring and keloids: pathomechanisms and current and emerging treatment strategies. Molecular medicine, 17(1), 113-125.

Grubbs, H., & Manna, B. (2018). Wound physiology.

Grubbs, H., & Manna, B. (2018). Wound physiology.

Kalva, S. N., Augustine, R., Al Mamun, A., Dalvi, Y. B., Vijay, N., & Hasan, A. (2021). Active agents loaded extracellular matrix mimetic electrospun membranes for wound healing applications—Journal of Drug Delivery Science and Technology, 63, 102500.

Kim, B. S., Das, S., Jang, J., & Cho, D. W. (2020). Decellularized extracellular matrix-based bioinks for engineering tissue-and organ-specific microenvironments. Chemical reviews, 120(19), 10608-10661.

Kleineidam, B., Nokhbehsaim, M., Deschner, J., & Wahl, G. (2019). Effect of cold plasma on periodontal wound healing—an in vitro study. Clinical oral investigations, 23, 1941-1950.

Kolimi, P., Narala, S., Nyavanandi, D., Youssef, A. A. A., & Dudhipala, N. (2022). Innovative Treatment Strategies to Accelerate Wound Healing: Trajectory and Recent Advancements. Cells, 11(15), 2439.

McCance, K. L., & Huether, S. E. (2018). Pathophysiology-E-book: the biologic basis for disease in adults and children. Elsevier Health Sciences.

Theoret, C. (2016). Physiology of wound healing. Equine wound management, 1–13.

Velnar, T., Bailey, T., & Smrkolj, V. (2009). The wound healing process: an overview of the cellular and molecular mechanisms. Journal of international medical research, 37(5), 1528-1542.

Velnar, T., Bailey, T., & Smrkolj, V. (2009). The wound healing process: an overview of the cellular and molecular mechanisms. Journal of international medical research, 37(5), 1528-1542.

Wallace, H. A., Basehore, B. M., & Zito, P. M. (2017). Wound healing phases.

Yamanaka, S. (2020). Pluripotent stem cell-based cell therapy—promise and challenges. Cell stem cell, 27(4), 523–531.

Analysis Of The Integrated Marketing Communications Of JD Sports: A Case Study Of An Established Sportswear Brand In The UK Sample Paper

Introduction and general description of the JD Sports brand

JD Sports is a popular retailer in the United Kingdom that caters to sports fans by stocking apparel, footwear, and accessories for males, females, and children. Among the many sports and fitness activities for which the brand is known are running, football, basketball, the gym, and more (ZXhang et al., 2023). John Wardle and David Makin opened the first JD Sports store in Bury, Greater Manchester, in 1981. Since then, the company has expanded to become one of the largest sportswear retailers in the United Kingdom, with more than 800 locations across the country and a growing presence in Europe, the United States, Asia, and Australia.

JD Sports has been largely successful because of its dedication to stocking only the most cutting-edge and stylish athletic apparel. The company has built a name for itself as an industry innovator thanks to its frequent partnerships with leading athletic and fashion labels to release limited-edition collections that appeal to consumers seeking cutting-edge style (ZXhang et al., 2023). The dedication to superior customer service is another integral part of the JD Sports brand. The company has put a lot of resources into building up its online presence so that clients can buy various products from the convenience of their homes (ZXhang et al., 2023). When visiting the brand’s brick-and-mortar stores, customers may expect expert guidance and support from friendly and well-informed staff.

The marketing approach taken by JD Sports has been crucial in the development of the company. To advertise its goods and services to its intended demographic, the company has adopted a multi-pronged strategy of “integrated marketing communications” (ZXhang et al., 2023). This encompasses more conventional forms of advertising like television and print ads and more modern forms of advertising like social media, email, and influencer relationships.

Task 1:

The concept of Integrated Marketing Communications

The strategic method, integrated marketing communications (IMC), aims to ensure that the brand’s message is consistent and compelling across all distribution channels. Advertising, public relations, sales promotion, direct marketing, and digital marketing are tools and approaches that can be integrated into an overarching marketing strategy (Fill & Turnbull, 2019). Regardless of the channel or touchpoint via which a customer engages with a brand, a unified and positive experience should be the end result. A brand’s image and core values are likelier to stick with consumers if they receive a consistent and coherent message across all marketing channels.

In contrast to depending on separate marketing initiatives that may be less effective when evaluated in isolation, IMC enables brands to take a more integrated approach to the market. This means that all of your marketing and communication initiatives are working in tandem to maximize their influence on your target audience. Many marketers believe integrated marketing communications (IMC) is superior to traditional marketing strategies emphasizing separate channels (Khan et al. 2022). Brands can save money by combining their marketing efforts and focusing on the areas where they can have the greatest impact.

The ability for companies to provide a more specific and individualized experience for their customers is another significant benefit of IMC. Brands may better meet the demands of their target audiences by leveraging data and insights to understand better what those audiences want from their marketing communications. The result may be increased brand loyalty and improved consumer interactions. The success of an IMC strategy depends on several interrelated factors. To begin, brands need a unified message spread through several mediums (Khan et al. 2022). Every marketing should represent the brand’s values, mission, and USPs; thus, learning about them is important. Companies may reassert their identity and core values to their target audience by maintaining a unified brand voice.

Audience segmentation is also an important part of IMC. Marketers need to identify the people they hope to reach and divide them into several groups, each with its own set of wants, needs, and habits (Fill & Turnbull, 2019). Because of this, businesses can make their advertising more relevant and interesting to each consumer. Marketing initiatives are more likely to succeed in engaging and converting customers if firms take the time to learn about their target demographic.

Another crucial part of integrated marketing communications is the selection of appropriate distribution channels. TV, print, social media, email marketing, and other digital platforms should all be part of a brand’s marketing strategy. A brand’s marketing efforts will be more successful if they choose channels that allow them to communicate with its ideal customers. Another crucial part of IMC is the actualization of ideas (Fill & Turnbull, 2019). To connect with their consumers, brands need to launch original and interesting campaigns. Creating eye-catching images, catchy copy, and engaging CTAs are all part of this. Brands have a better chance of converting new customers into loyal customers if their experience is unique and interesting.

Last but not least, IMC relies heavily on information and understanding. To maximize their future strategies, brands need to analyze the efficacy of their current marketing initiatives using data and insights (Khan et al., 2022). Brands can stay ahead of the competition by constantly refining their marketing strategies based on data and client feedback.

The extent to which JD brand has adopted an Integrated Marketing Communications approach and why they might have done so

JD Sports, a popular UK sportswear retailer, uses an Integrated Marketing Communications strategy to advertise its products and services. The brand’s marketing efforts reflect the brand’s clear and consistent message, which is communicated across all media (Mak & Max Shen, 2021). The marketing for JD Sports is consistent with the company’s brand identity and principles, reflected in the campaigns’ memorable catchphrases, eye-catching images, active social media profiles, and high-profile sponsorships.

JD Sports has also shown that it knows its market and can divide its customers into groups based on demographic and psychographic characteristics. The company’s marketing strategies are specifically designed to appeal to certain demographic subsets, such as those with specific age ranges or interest areas (Egan, 2022). For instance, JD Sports has partnered with well-known influencers and celebrities to cater to a younger demographic and provide a more tailored service. JD Sports uses various methods to reach its target audience online and offline. They include television, print, social media, email marketing, and more (Egan, 2022). Millions of people follow the company on social media sites like Instagram, Twitter, and Facebook, where the company regularly shares interesting posts and engages with its audience. In addition, JD Sports offers a convenient online store and detailed product descriptions through its user-friendly website.

JD Sports has also produced effective marketing campaigns that have struck a chord with its demographic. The company has sponsored a professional sports team in England’s Premier League to raise awareness of its products. It has also run successful marketing campaigns to get people talking about its products and services, such as the “Finish Line” promotion, in which participants can win a year’s worth of sneakers (Blakeman, 2018). The marketing team at JD Sports has proven their dedication to utilizing data and analytics to their advantage. The company has implemented analytics software to gauge the success of its advertising campaigns and fine-tune their targeting (Blakeman, 2018). JD Sports also uses consumer surveys and comments on social media to learn how they may better serve their clients.

Task 2:

The current UK Marketing Communications strategies of the brand in question

As a top sportswear retailer in the UK, JD Sports has made a name for itself among fitness buffs and trend-conscious shoppers. The organization has earned a reputation as a reliable source of long-lasting products with on-trend designs for men, women, and children throughout a wide selection of sportswear and footwear categories (Percy, 2023). This article will examine JD Sports’ current UK marketing communications methods and assess their effectiveness in promoting the brand.

Brand Message and Positioning

Providing customers with the most advanced and fashionable options in sportswear and footwear is essential to JD Sports’ brand positioning and messaging. The company markets itself as an all-in-one solution for sportswear-related, stocking popular names like Nike, Adidas, and Puma alongside its designs. The JD Sports brand statement is consistent and crystal clear across all platforms, accurately expressing the company’s ethos, goals, and competitive advantages.

The advertising campaigns, social media, and in-store atmosphere of JD Sports all convey the same brand message. Brand advertising campaigns use memorable phrases and eye-catching imagery to highlight the company’s wares’ reliability, diversity, and affordability (Percy, 2023). Sportswear fans are familiar with JD Sports’ “Undisputed King of Trainers” slogan. The “JD X” commercials featuring famous sportsmen and models demonstrate the company’s dedication to fashion and function. The social media accounts run by JD Sports are fun and innovative ways to promote the company’s wares to a younger demographic. The company’s social media accounts serve as launchpads for popular campaigns, partnerships with celebrities and athletes, and exclusive information from behind the scenes (Egan, 2022). Customers can interact with JD Sports through its social media pages, and the company is quick to respond to any questions or suggestions posted there.

Store design, merchandise presentation, and customer service at JD Sports all convey the company’s brand values to shoppers. The stores carry a wide variety of the brand’s sporting items, such as apparel, footwear, and accessories, and are laid out to make shopping as easy as possible (Egan, 2022). The business makes it simple for clients to identify the items they need by using visual merchandising to display them appealingly and straightforwardly. The helpful and experienced personnel at JD Sports is another reason to shop there. They can advise you on what apparel will best suit your needs.

JD Sports’ Audience Segmentation

JD Sports caters to various customers, from die-hard sportswear fans to trendy comfort-wear seekers. The company has successfully broken down its target demographic into distinct groups defined by shared characteristics such as interests, demographics, and purchasing habits. This has allowed them to target specific audiences with more relevant and interesting content. JD Sports aims to appeal to a wide range of customers, especially those between the ages of 13 and 35 who are interested in sportswear and streetwear (Eid et al., 2020). With memorable slogans, eye-catching imagery, and partnerships with well-known athletes and celebrities, the brand’s advertising campaigns and social media channels are geared toward this demographic. JD Sports’ social media posts, which feature cutting-edge sportswear and streetwear designs, are aimed squarely at this demographic.

JD Sports also caters to health and fitness buffs on the hunt for high-quality athletic apparel. The company sells various products optimized for physical activities like jogging, weightlifting, and sports practice. Advertising campaigns for these products by JD Sports target clients who value performance over fashion by emphasizing the products’ utility, durability, and comfort (Shen & Sun, 2021). JD Sports segments its audience based on shopping behavior and targets specialized audiences based on interests and preferences. For example, the business provides its most loyal clients with loyalty programs and individualized promotions to encourage even more purchases and continued patronage. Self-checkout lanes and a separate team of employees for in-store pickups of online orders make the in-store experience at JD Sports convenient for consumers who value efficiency and speed.

Channel Selection

When choosing the best channels to reach its customers, JD Sports takes a multifaceted strategy, incorporating both traditional and digital methods. The brand’s channel selection strategy optimizes exposure and consumer interaction while guaranteeing that all channels’ performance can be tracked and evaluated (Eid et al., 2020). JD Sports’ physical locations in the United Kingdom and Ireland are important distribution hubs. Modern and attractive decor, interactive displays, and helpful sales associates contribute to the brand’s stores’ goal of providing clients with an enjoyable and memorable shopping experience. Customers who like to try on clothes and shoes before buying them will find great success shopping at JD Sports’ brick-and-mortar locations.

JD Sports is well-known for its brick-and-mortar locations and its robust and feature-rich online store. The website for this company is mobile-friendly and has been developed with the user experience in mind (Shen & Sun, 2021). Customers who enjoy purchasing online and who place a premium on convenience and customization are the ones that JD Sports’ website is most suited to serve.

JD Sports also uses social media to connect with its customers, particularly the younger demographic that frequents sites like Instagram, Twitter, and Facebook. Visually appealing lifestyle content, new product releases, and partnerships with sports and celebrities are the mainstays of the brand’s social media channels (Eid et al., 2020). Customers interested in sportswear and streetwear fashion and looking for inspiration and tips on how to style today’s hottest looks are the ones whom JD Sports’ social media presence is most likely to attract. JD Sports also promotes its products through more conventional media like newspapers, television, and mail-in promotions (Mustaphi, 2020). The brand’s traditional channels are meant to reach a wider audience, including clients who aren’t particularly interested in or active on social media.

Creative Execution

Creative execution is integral to JD Sports’ marketing communications strategy, which aims to inspire and motivate the brand’s core customer base. The brand’s creative strategy centers on producing eye-catching advertisements, persuasive copy, and clear calls to action that encourage consumers to interact with the company. JD Sports’ partnerships with famous athletes and personalities are integral to its marketing strategy (Shen & Sun, 2021). Limited edition items and advertisements featuring athletes and celebrities, including footballer Cristiano Ronaldo, rapper Stormzy, and boxer Anthony Joshua have been successful for the company. These partnerships have been extremely fruitful in elevating consumer interest in the brand and giving it a feel of rarity and desirability.

JD Sports’ creative execution also includes the creation of eye-catching campaigns and product launches, many of which have had celebrity endorsements. Advertising for the company aims to make a strong visual and auditory impression that will stay with consumers long after they’ve seen or heard the message (Mustaphi, 2020). For instance, the most recent “JDX Limitless” campaign featured high-quality imagery and content that highlighted the brand’s dedication to innovation and excellence to promote the brand’s newest goods and collections.

JD Sports’ use of narrative to connect with its clients on an emotional level is another important aspect of its creative execution. Advertising for the company typically centers around the triumphant backstories of athletes and regular people who overcame tremendous odds to attain their goals (Mustaphi, 2020). For instance, the current “We Are JD” campaign showcased the brand’s dedication to supporting and inspiring its customers by having a variety of athletes and individuals share their stories of endurance and tenacity.

Creatively, JD Sports also provides innovative customer experiences that are both interesting and fun to use. Stores for this brand frequently offer creative forms of customer engagement, such as interactive displays and installations (Shen & Sun, 2021). The London flagship store, for instance, provides a virtual reality experience for shoppers to get a feel for the brand’s wares and collections.

Data and Insights

To evaluate the efficacy of its marketing communications tactics and to make informed judgments about how to maximize its efforts moving forward, JD Sports places a premium on data and analytics. The brand uses several data analytics technologies to monitor KPIs, including website traffic, social media engagement, and sales results (Shen & Sun, 2021). With this information, JD Sports can better understand its clientele and their tastes and craft marketing communications that are more relevant and interesting to each individual. JD Sports doesn’t rely on its own data analysis to uncover possibilities and remain ahead of the curve; it also keeps an eye on industry trends and rival behavior (Mustaphi, 2020). This involves keeping an eye on things like new technological developments and social media trends and keeping tabs on what its rivals are up to spot any openings in the market.

Task 3

The current ways the brand builds and maintains customer relationships and makes recommendations on how they might develop this to improve their brand equity

JD Sports has established a solid reputation among its clientele by implementing several strategies that raise the company’s profile and win over devoted customers. The brand has successfully adopted several components of Kevin Keller’s Customer-Based Brand Equity (CBBE) model (Khan et al., 2022). To begin, the marketing efforts of JD Sports have resulted in a distinct and consistent brand image and messaging. This includes a dedication to offering first-rate customer service and an emphasis on providing fashionable and functional sportswear. The brand has established a powerful and distinctive identity by regularly reinforcing this message across all touchpoints.

JD Sports has also successfully divided its consumer base into subgroups defined by shared interests and demands. The company’s success may be traced back to its market segmentation efforts and targeting them with relevant messaging. The result has been increased customer loyalty and greater emotional relationships. In addition, JD Sports has wisely chosen channels to reach its intended demographic (Khan et al., 2022). Television, newspapers, magazines, the web, and electronic mail comprise this category. The brand increased its reach and customer engagement by using the most efficient channels for each demographic.

The company’s marketing efforts have been well-conceived and implemented, reaching and captivating its intended consumers. Creating eye-catching ads and messages that motivate customers to take action is important, as is forming strategic alliances with influential people in the target market (Khan et al., 2022). JD Sports has done an excellent job of using data and insights to evaluate the performance of its marketing initiatives and to influence strategic decisions regarding future improvements. Email campaigns, social media, and help desks are all great places to collect client data and insights. The brand’s marketing and the quality of the service provided to customers have benefited from this data mining.

Despite the brand’s achievements, there is still room for development. JD Sports may introduce new programs to foster deeper emotional ties with customers and increase customer loyalty to boost brand equity further. One example is experiential marketing campaigns that create unique and unforgettable experiences for clients. Another is individualized loyalty programs that reward customers for repeat purchases or referrals. JD Sports’ brand equity and dominance as a leader in the UK’s sportswear market could benefit from a greater emphasis on these projects.

References

Blakeman, R. (2018). Integrated marketing communication: creative strategy from idea to implementation. Rowman & Littlefield.

Egan, J. (2022). Marketing communications. Marketing Communications, 1-100.

Eid, R., Abdelmoety, Z., & Agag, G. (2020). Antecedents and consequences of social media marketing use: an empirical study of the UK exporting B2B SMEs. Journal of Business & Industrial Marketing, 35(2), 284-305.

Fill, C., & Turnbull, S. (2019). Marketing Communications. Pearson UK.

Khan, R. U., Salamzadeh, Y., Iqbal, Q., & Yang, S. (2022). The impact of customer relationship management and company reputation on customer loyalty: The mediating role of customer satisfaction. Journal of Relationship Marketing, 21(1), 1-26.

Mak, H. Y., & Max Shen, Z. J. (2021). When triple‐A supply chains meet digitalization: The case of JD. Com’s C2M model. Production and Operations Management, 30(3), 656-665.

Mustaphi, B. M. (2020). Marketing Communications Strategy through Social Media. Journal of Modern Accounting and Auditing, 16(12), 555-564.

Percy, L. (2023). Strategic integrated marketing communications. Taylor & Francis.

Shen, Z. M., & Sun, Y. (2021). Strengthening supply chain resilience during COVID‐19: A case study of JD. com. Journal of Operations Management.

Van Reeth, D. (2023). The Complexities of Understanding Reported TV Audiences for Live Sports Broadcasts. International Journal of Sport Finance, 18(1), 19-34.

ZXhang, Y. X., Haxo, Y. M., & Mat, Y. X. (2023). LON: JD. JD SPORTS FASHION PLC (No. Stock Analysis). AC Investment Research.