In This Assignment Students Will Pull Together The Ca 665153 ✓ Solved

In This Assignment Students Will Pull Together The Capstone Project C

In this assignment, students will compile the components of their capstone project change proposal developed throughout the course into a comprehensive proposal. This proposal should include sections covering each content focus area, integrating evidence-based research steps and processes essential for addressing a clinically oriented problem or issue in future practice. The project must be a written submission of 1,250 to 1,500 words, incorporating the following elements:

  • Background of the clinical problem
  • Clinical problem statement
  • Purpose of the change proposal in relation to patient care amidst the evolving healthcare system
  • PICOT question
  • Literature search strategy employed
  • Evaluation of the literature
  • Applicable change or nursing theory utilized
  • Proposed implementation plan with outcome measures
  • Discussion of how evidence-based practice was used in creating the intervention plan
  • Plan for evaluating the proposed nursing intervention
  • Identification of potential barriers and strategies to overcome them
  • Appendix section, if applicable (tables, graphs, surveys, educational materials, etc.)

Students should review instructor feedback on previous assignments, such as the Topic 3 PICOT Question Paper and Topic 6 Literature Review, and incorporate revisions to enhance clarity and accuracy. The final submission must adhere to APA Style guidelines as specified in the Student Success Center. An abstract is not required for this assignment. Familiarity with the grading rubric is recommended to ensure all criteria are met for successful completion.

Sample Paper For Above instruction

Introduction

The importance of evidence-based practice (EBP) in nursing is critical for improving patient outcomes and delivering high-quality care. As healthcare continuously transforms, nurses must adapt by integrating research findings into clinical decision-making. This paper presents a comprehensive change proposal aimed at addressing a clinical problem within the healthcare setting, emphasizing the use of EBP, theoretical frameworks, and strategic implementation planning.

Background of the Clinical Problem

The rising prevalence of pressure ulcers among hospitalized elderly patients has become a significant concern, impacting patient morbidity, length of hospital stay, and healthcare costs. Evidence suggests that inadequate skin assessments and delayed interventions contribute to the development and worsening of pressure ulcers (Berry et al., 2019). Additionally, staffing shortages and limited staff training compound this issue, emphasizing the need for a systematic approach to prevention.

Clinical Problem Statement

Despite established guidelines, the incidence of hospital-acquired pressure ulcers remains high, indicating a gap between evidence and practice. This project aims to implement a structured skin assessment and repositioning protocol to decrease pressure ulcer prevalence among elderly inpatients by 20% over six months.

Purpose of the Change Proposal

The purpose of this change proposal is to improve patient safety and quality of care by establishing an evidence-based intervention that enhances skin assessment procedures, staff training, and patient repositioning schedules in acute care settings. This initiative aligns with the healthcare system's goals of reducing preventable complications and promoting patient-centered care.

PICOT Question

In hospitalized elderly patients (P), how does the implementation of a standardized skin assessment and repositioning protocol (I) compared to current practices (C) affect the incidence of pressure ulcers (O) over a six-month period (T)?

Literature Search Strategy

A comprehensive search was conducted using databases such as CINAHL, PubMed, and Cochrane Library, employing keywords including "pressure ulcer prevention," "skin assessment protocols," "repositioning strategies," and "elderly patients." Inclusion criteria comprised peer-reviewed studies published within the last five years, focusing on adult inpatient populations and interventions aimed at pressure ulcer reduction.

Evaluation of the Literature

The literature consistently supports the effectiveness of structured skin assessments and repositioning schedules in reducing pressure ulcer incidence (Lyder et al., 2018). Studies also highlight the importance of staff education and patient engagement in prevention efforts (Real et al., 2020). Limitations noted include variability in protocol adherence and resource availability across settings, underscoring the need for tailored implementation strategies.

Applicable Change or Nursing Theory

The Health Belief Model (HBM) was selected to guide this project, emphasizing patients' perceptions of susceptibility and benefits related to pressure ulcer prevention. This theory aids in designing interventions that address staff and patient beliefs to promote adherence to prevention protocols (Janz & Becker, 1984).

Implementation Plan and Outcome Measures

The plan involves staff training sessions, disseminating standardized assessment tools, and establishing scheduled repositioning intervals. Outcome measures include reduction in pressure ulcer incidence, staff compliance rates, and patient satisfaction scores, monitored through audits and surveys over six months.

Use of Evidence-Based Practice

This project integrates EBP by synthesizing current research findings into a practical protocol. Staff are trained on validated assessment tools, and interventions are customized based on literature recommendations to ensure effectiveness and sustainability.

Evaluation Plan

The evaluation involves pre- and post-implementation comparisons of pressure ulcer rates, staff compliance documentation, and patient feedback. Data analysis will determine the protocol's impact and inform necessary modifications.

Potential Barriers and Strategies to Overcome

Potential barriers include staff resistance, limited resources, and inconsistent adherence. Strategies such as ongoing education, leadership support, and resource allocation are planned to address these challenges. Regular feedback sessions will reinforce protocol compliance.

Conclusion

Implementing an evidence-based skin assessment and repositioning protocol has the potential to substantially decrease pressure ulcers among hospitalized elderly patients. Incorporating theoretical frameworks and strategic planning supports effective adoption and sustainability of the intervention, ultimately enhancing patient safety and care quality.

References

  • Berry, L. J., McInnes, E., & Schwartz, C. (2019). Pressure ulcers in hospitals: Impact of prevention strategies. Journal of Wound Care, 28(2), 76-83.
  • Janz, N. K., & Becker, M. H. (1984). The Health Belief Model: A decade later. Health Education Quarterly, 11(1), 1-47.
  • Lyder, C. H., et al. (2018). Prevention of pressure ulcers: An integrative review. American Journal of Nursing, 118(4), 24-35.
  • Real, T., et al. (2020). Staff training and pressure ulcer prevention. Advances in Skin & Wound Care, 33(9), 420-427.
  • Additional references as appropriate for supporting evidence and frameworks.

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