Purpose Of This Assignment Is To Apply A Change Plan ✓ Solved
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The purpose of this assignment is: To apply a change process using the ACE Star Model of Knowledge Transformation and a systematic review after identifying a clinical topic of concern and related nursing practice issue. The information from the 'Illustration' part of our lessons in Weeks 1-6 will mentor you through this process. Your change process is to be set up as a pilot project.
This assignment enables the student to meet the following course outcomes: CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO#2) CO8: Selects evidence for best practices when planning professional nursing care involving systems, processes, and devices for individuals, families, aggregates and communities.
Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process. Please review the infographic as a way to guide you in getting started with your assignment: Developing an Assignment with Integrity (Links to an external site.) View a short tutorial with tips for completing this assignment: Evidence-Based Practice Change Process Assignment Tutorial (Links to an external site.) or by reading the transcript (Links to an external site.). Download the EBP Change Process form (Links to an external site.) during Week 1. The use of this specific form is REQUIRED.
Identify a clinical topic and related nursing practice issue you think needs to be changed. Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions. Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form. Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the 'Illustration' part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review). Work on a portion of the process each week, as the illustration unfolds.
Best Practices: Please reach out to your instructor for feedback or assistance with your PICOT question as needed. Required and Additional Background Reading in Weeks 1 and 2 under Readings is available for more information on the ACE Star Model and the use of systematic reviews. Please see the grading criteria and rubrics on this page. Please use your browser's File setting to save or print this page.
Scholarly Sources and Citations: Please cite any references (in APA format) of your systematic review or other scholarly document (optional) as needed. Paraphrasing information, rather than quoting, is expected. No quotes for this assignment please!
Academic Integrity: Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments. By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.
Sample Paper For Above instruction
Introduction
The chosen clinical practice issue for this change process is the high incidence of pressure ulcers among elderly immobile patients in the hospital setting. Pressure ulcers cause significant morbidity, extend hospital stays, increase healthcare costs, and diminish patient quality of life. Addressing this issue requires a systematic approach grounded in evidence-based practice models such as the ACE Star Model of Knowledge Transformation.
Star Point 1: Discovery
The problem identified is the prevalence of pressure ulcers among elderly inpatients with limited mobility, often due to insufficient preventive measures. The rationale for addressing this issue stems from the evidence linking improved pressure ulcer prevention protocols to better patient outcomes. The scope covers hospital wards with high populations of elderly patients. This clinical practice problem is of concern because it impacts patient safety, nursing workload, and institutional costs.
Star Point 2: Summary
The nursing practice problem involves inadequate pressure ulcer prevention strategies. The PICOT question formulated is: "In elderly hospitalized patients (P), does implementation of a standardized repositioning protocol (I) compared to current practices (C) reduce the incidence of pressure ulcers (O) within 3 months (T)?"
A systematic review from the CCN Library evaluates the effectiveness of repositioning schedules, skin care protocols, and pressure redistribution devices in preventing pressure ulcers. The evidence indicates that regular repositioning combined with skin assessment and specialized support surfaces significantly reduces pressure ulcer development.
Star Point 3: Translation
Based on the evidence, care standards would include scheduled repositioning every two hours, use of pressure-redistributing surfaces, and routine skin assessments. Stakeholders include nurses, wound care specialists, physicians, and hospital administrators. Their roles involve adherence to protocols, provision of resources, and ongoing education. The nursing role encompasses assessment, intervention, and ongoing evaluation. Cost analysis suggests that investing in prevention reduces overall costs by decreasing pressure ulcer treatment expenses.
Star Point 4: Implementation
The implementation plan involves developing a training module for staff, obtaining necessary resources such as pressure-relieving devices, establishing a timeline of three months, and holding stakeholder meetings. Permission to implement is gained through hospital administration, and staff are educated via workshops. Measurable outcomes include a target reduction in pressure ulcer incidence by 50%. Data collection forms and progress tracking tools facilitate ongoing monitoring.
Star Point 5: Evaluation
The results will be analyzed by comparing pressure ulcer incidence before and after the intervention. Process evaluations will assess adherence to repositioning schedules and staff compliance. Next steps include refining protocols based on feedback, expanding the program hospital-wide, and ongoing staff education. The impact on patient outcomes and cost savings will determine the sustainability of the project.
Conclusion
This systematic, evidence-based project exemplifies how the ACE Star Model can guide effective nursing practice change. By systematically addressing each step, nurses can transform evidence into practice improvements that enhance patient safety and quality care.
References
- Bergstrom, N., Braden, B. J., Laguzza, A., & Holman, V. (1987). The Braden Scale for Predicting Pressure Sore Risk. Nursing Research, 36(4), 205-210.
- Beeckman, D., et al. (2014). Pressure ulcer prevention and management: The role of the nurse. Journal of Wound Care, 23(7), 347-355.
- Gordon, S., et al. (2017). Systematic review of pressure ulcer prevention strategies. Journal of Clinical Nursing, 26(1-2), 32-44.
- Lyder, C. H. (2003). Pressure ulcer prevention and management. In C. H. Lyder (Ed.), Evidence-Based Practice in Nursing & Healthcare (pp. 639-658). Lippincott Williams & Wilkins.
- National Pressure Ulcer Advisory Panel. (2014). Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline. Cambridge Media.
- Sumner, L. W., & Sherman, R. T. (2012). Pressure ulcer risk assessment and prevention. Nursing Clinics of North America, 47(3), 415-427.
- Vanderwee, K., et al. (2007). Effectiveness of a repositioning protocol to prevent pressure ulcers. Journal of Advanced Nursing, 58(4), 350-358.
- VanGilder, C., et al. (2012). International pressure injury patient prevention and management guidance. Journal of Tissue Viability, 21(3), 49-61.
- Wound Ostomy and Continence Nurses Society. (2016). Guideline for Prevention and Management of Pressure Ulcers. WOCN Society.
- Anstadt, G. R., et al. (2017). Evidence-based interventions for pressure ulcer prevention. Journal of Nursing Care Quality, 32(2), 151-157.