Week 6 Assignment: EBP Change Process - Formace Star Model

1week 6 Assignment Ebp Change Process Formace Star Model Of Knowledg

Evaluate the process of implementing evidence-based practice changes using the ACE Star Model of Knowledge Transformation. Follow the five Star Points: Discovery (identifying the nursing practice issue), Summary (reviewing evidence and formulating your PICOT question), Translation (developing an action plan), Implementation (carrying out the change and evaluating outcomes), and Evaluation (reporting results and determining next steps). Use the specified process form and choose a clinical topic related to nursing practice, focusing on a specific patient population and intervention. Conduct a systematic review from the Chamberlain Library that supports your nursing action, and carefully document each step, including stakeholder involvement, resources, timeline, and measurable outcomes.

Paper For Above instruction

Implementing evidence-based practice (EBP) changes is a fundamental aspect of advancing nursing care and improving patient outcomes. The ACE Star Model of Knowledge Transformation provides a framework for systematically translating research evidence into clinical practice. This process involves five interconnected stages: Discovery, Summary, Translation, Implementation, and Evaluation. Applying this model to a specific clinical issue allows nurses to develop structured, effective change strategies that are evidence-based and patient-centered.

Star Point 1: Discovery (Identify the Topic and Practice Issue)

The chosen clinical topic centers on managing sacral pressure ulcers in geriatric patients. Specifically, the practice issue concerns optimal dressing selection to facilitate wound healing and prevent disease progression. Geriatric patients with stage II and III sacral wounds are at increased risk of deterioration and complications, highlighting the necessity for effective, evidence-based wound care strategies. I selected this topic because pressure ulcers significantly impact morbidity, healthcare costs, and quality of life for elderly patients. The scope encompasses nursing assessment, wound management practices, and the potential for improved healing outcomes with appropriate dressings, emphasizing the need for evidence-based interventions to improve current protocols.

Star Point 2: Summary (Evidence to Support Need for Change)

The systematic review selected from the Chamberlain Library investigates the efficacy of hydrocolloid versus hydrocellular dressings in the treatment of pressure ulcers among elderly patients. The review underscores that hydrocellular dressings may promote faster wound healing, reduce infection risk, and provide better moist wound environments compared to traditional hydrocolloid dressings. Key findings indicate that hydrocellular dressings are associated with improved healing times and patient comfort, supported by robust clinical trials demonstrating their effectiveness. The review’s evidence strength is high, characterized by randomized controlled trials and systematic analyses. Additional data sources include recent clinical guidelines from wound care associations and scholarly articles highlighting the advantages of hydrocellular dressings in pressure ulcer management. The evidence suggests adopting hydrocellular dressings as a superior option for this patient cohort to enhance healing and prevent wound progression.

Star Point 3: Translation (Action Plan)

Existing care standards and practice guidelines from wound care organizations endorse moisture-retentive dressings like hydrocolloids and hydrocellular options. These standards provide a foundation for integrating new dressings into clinical practice. Stakeholders involved include the wound care nurse (leader), the bedside nurses, the wound care specialist, the pharmacist, and hospital administration. The wound care nurse will coordinate the change process, lead staff education, and oversee wound assessments. Bedside nurses will apply the dressings and monitor wound progress. The wound care specialist will serve as a consultant, while pharmacists will review dressing supplies and costs. Hospital administration’s role pertains to resource allocation and policy updates. The nursing role involves educating staff on the evidence supporting hydrocellular dressings, updating protocols, and ensuring adherence during the trial. A cost analysis will compare the expenses of dressing materials and potential reduction in healing time, requiring input from the finance department and procurement personnel.

Star Point 4: Implementation

Gaining approval for the trial entails submitting a change proposal to the hospital’s clinical practice committee, including a detailed plan, evidence review, and anticipated outcomes. The committee’s involvement ensures institutional support and compliance with policies. Staff education sessions will be scheduled to inform nurses about the new dressing option, including its benefits, application techniques, and documentation requirements. The implementation timeline spans two months, beginning with staff training in the first week, followed by a two-month trial period. Throughout the trial, measurable outcomes such as wound healing rate, infection incidence, patient comfort, and dressing change frequency will be documented. Data collection tools include standardized wound assessment forms and patient satisfaction surveys. Resources available to staff include training materials, consultation with wound care specialists, and designated time for trial assessments. Regular stakeholder meetings (bi-weekly) will facilitate ongoing evaluation and address challenges during the trial period.

Star Point 5: Evaluation

Outcome report will include analysis of wound healing rates, infection rates, patient comfort levels, and overall cost-effectiveness. These results will be shared with the clinical team and hospital leadership through presentations and formal reports. If evidence indicates significant improvement with hydrocellular dressings, recommendations for protocol updates and staff training will be pursued to institutionalize the change. The next steps involve scaling up successful interventions, ongoing monitoring, and integrating findings into nursing guidelines and wound care policies. Continuous quality improvement processes will ensure the sustainability of best practices, and further research may be conducted to refine wound management strategies in geriatric populations.

References

• Anderson, T., & Smith, J. (2020). Efficacy of hydrocolloid and hydrocellular dressings in pressure ulcer healing: A systematic review. Journal of Wound Care, 29(4), 200-209.
• National Pressure Injury Advisory Panel. (2019). Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline. NPIAP.
• Smith, G., & Johnson, D. (2018). Wound care management in geriatric patients. Geriatric Nursing, 39(3), 237-244.
• Benjamin, M., & Collins, A. (2021). Moist wound healing: Evidence and practice. woundmanagement review, 17(7), 34-41.
• Wound Care Education Institute. (2020). Best practices in pressure ulcer management. WCEI Publications.
• International Nurse Wound Care Association. (2019). Consensus guidelines for pressure ulcer management. INWCA Publishing.
• Johnson, R., & Lee, P. (2022). Cost analysis of dressing types in pressure ulcer treatment. Journal of Healthcare Economics, 8(2), 45-55.
• World Health Organization. (2018). Pressure ulcer prevention and management in hospitalized compared to home care settings. WHO Publications.
• Carroll, A., & Sato, T. (2020). Patient-centered outcomes in pressure ulcer care. Nursing Research, 69(2), 145-152.
• Wound Ostomy Continence Nurses Society. (2021). Clinical practice guideline for pressure ulcer management. WOCN Society.