Pico Analysis In Nursing The Management Essay


What Is The Effectiveness Of Silver Dressings Compare To Manuka Honey In Young Men?



The effectiveness of traumatic wound care is an important factor in preventing the interference of the proper wound healing process- hemostasis, inflammation, proliferation and remodeling. Using evidence-based practice, we will seek to conduct a comparative research on the Manuka honey (Intervention) as more effective wound dressing agent compared to Silver dressing (comparison) in traumatic wounds among young men(problem). The study will include a strategic search on PubMedCentral medical online databases and … to evaluate the issue.

Essentially, healthcare research requires evidence based research. In nursing, PICO analysis methods provides and inclusive study of the problem in question by presenting the problem, intervention, comparative study and the ourcome of the research. In our current research the question posed is - What is the effectiveness of silver dressings compare to manuka honey in young men?

PICO analysis Table 1 1

Search words

Alternative search words


Young men with traumatic wounds

-chronic wounds


manuka honey wound dressing agent

Manuka, antiseptic, prophylaxis


Silver dressing


compare effectiveness of wound dressing treatment

- manuka honey versus silver dressing

Using online medical databases, a strategic search was conducted to include all the relevant keywords pertaining to the question, putting into account the PICO analysis format. Additionally, we also included search filters that would ensure relevant information was attained such as article searches, limit to the age of the article and a variety of sentence truncations to expand the search. Relevance of research was determined by evaluation of case studies, systematic reviews and journal articles that could shed light on the comparison of Manuka honey to silver dressing and its effect on young adult males.


Search mode



Manuka honey in chronic wounds

PubMed db – find all my search terms


Honey dressing versus silver…

PubMed db- written in the last 10 years


Written within the last 10 years

Honey dressing versus silver… in wounds

PubMed db- written in the last 10 years, full text


Last ten years

Full text articles

Comparison of Manuka honey and Silver dressing in chronic wound care

In traumatic wounds, interference of wound process may cause the deceleration of the process to present chronic complications. Systemic factors such as sex and age of patients are considered with reference to a comparison between silver dressing and Manuka honey as effective wound therapies (Adderley and Smith, 2007). Young adults have a tendency to quick healing owing the health of their cell that are fast to aggregate and form collagen. Additionally, sex hormones also affect the healing process where a study suggests that wound healing is regulated by estrogen hormones thus increasing the likelihood of women’s ability to heal faster than men.


Recent research finding indicate that Manuka honey contain large variety elements that help accelerate the healing process; antioxidant properties, anti-inflammatory, antibacterial as well as antimicrobial properties(Jull et al., 2008). All the properties make manuka honey more effective in wound care by providing complimentary agents within each process of healing. This becomes more beneficial in traumatic wounds who’s like hood of turning from acute to chronic increases with length in period of healing.


In comparison to Silver dressing studies show that Manuka dressing offer significantly faster heal rate. Several studies ascertain the superiority of honey as better wound care agent compare to silver dressing (Singh et al.,2011:Guthrie et al. 2014). They indicate that the diversity of antimicrobial, and antibacterial agents high sugar found in honey helps in sterilization and faster healing of chronic wounds. In a clinical comparative study between effects of Manuka honey and Silver zulfadiazene dressing on patients with burns, revealed Manuka honey’s highly accelerated sterilization, inflammation and better healing outcomes. Male and female patient ranging from age 10 – 50 who suffered from first and second degree burns in atleast 50 percent of their body were divided into Manuka honey therapy group and silver dressing group. Notably results show period of healing taken by patient treated with Manuka was 18 days 100 percent of the patients within the group compared to 32-day average recovery in patients treated with silver dressing (Gupta, 2011). Additionally, within a 2-month follow-up, 81 percent and 37 percent of complete outcomes was noted in Manuka honey treated patient and Silver sterilized dressing patients, respectively. One notes that in chronic burns as well as acute wounds Manuka honey may work to reduce infection, inflammation and accelerate healing (Norman, et al., 2015).


Manuka honey is more effective over silver dressing wound care as it provides a variety accelerant in the healing process. While it is notable that estrogen play a role in regulating wound healing, the systematic healing process may be relatively slower in males, where as in young males healing process is faster. Therefore, Manuka honey can be deduced to be highly effective in comparison to silver dressing among young men with traumatic injuries.


Adderley, U., & Smith, R. (2007). Topical agents and dressings for fungating wounds. Cochrane Database Syst Rev, 2(2).

Gupta, S. S., Singh, O., Bhagel, P. S., Moses, S., Shukla, S., & Mathur, R. K. (2011). Honey dressing versus silver sulfadiazene dressing for wound healing in burn patients: a retrospective study. Journal of cutaneous and aesthetic surgery, 4(3), 183.

Guthrie, H. C., Martin, K. R., Taylor, C., Spear, A. M., Whiting, R., Macildowie, S., ... & Watts, S. A. (2014). A pre-clinical evaluation of silver, iodine and Manuka honey based dressings in a model of traumatic extremity wounds managementwith Staphylococcus aureus. Injury, 45(8), 1171-1178.

Jull, A. B., Rodgers, A., & Walker, N. (2008). Honey as a topical treatment for wounds. Cochrane Database Syst Rev, 4.

Norman, G., Christie, J., Liu, Z., Westby, M. J., Jefferies, J. M., Hudson, T., ... & Dumville, J. C. (2015). Antiseptics for burns. The Cochrane Library.

Singh, O., Gupta, S. S., Soni, M., Moses, S., Shukla, S., & Mathur, R. K. (2011). Collagen dressing versus conventional dressings in burn and chronic wounds: a retrospective study. Journal of cutaneous and aesthetic surgery, 4(1), 12

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