Week 6 Assignment: EBP Change Process Using The Star Model

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

Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson. 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. Name: _____________________

Star Point 1: Discovery (Identify topic and practice issue)

Identify the topic and the nursing practice issue related to this topic. This MUST involve a nursing practice issue. Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.

Star Point 2: Summary (Evidence to support need for a change)

Describe the practice problem in your own words and formulate your PICOT question. List the systematic review chosen from the CCN Library databases. Type the complete APA reference for the systematic review selected. List and briefly describe other sources used for data and information. List any other optional scholarly source used as a supplement to the systematic review in APA format.

Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence. Outline one or two evidence-based solutions you will consider for the trial project.

Star Point 3: Translation (Action Plan)

Identify care standards, practice guidelines, or protocols that may be in place to support your intervention planning (These may come from your organization or from the other sources listed in your Summary section in Star Point 2). List your stakeholders (by title and not names; include yourself) and describe their roles and responsibilities in the change process (no more than 5). What specifically is your nursing role in the change process?

Other nursing roles? List your stakeholders by position titles (charge nurse, pharmacist, etc.). Why are the members chosen (stakeholders) important to your project? What type of cost analysis will be needed prior to a trial? Who needs to be involved with this?

Star Point 4: (Implementation)

Describe the process for gaining permission to plan and begin a trial. Is there a specific group, committee, or nurse leader involved? Describe the plan for educating the staff about the change process trial and how they will be impacted or asked to participate. Outline the implementation timeline for the change process (start time/end time, what steps are to occur along the timeline). List the measurable outcomes based on the PICOT. How will these be measured?

What forms, if any, might be used for recording purposes during the pilot change process? Describe. What resources are available to staff (include yourself) during the change pilot? Will there be meetings of certain stakeholders throughout the trial? If so, who and when will they meet?

Star Point 5: (Evaluation)

How will you report the outcomes of the trial? What would be the next steps for the use of the change process information?

Paper For Above instruction

The process of implementing evidence-based practice (EBP) changes within a healthcare setting is vital for improving patient outcomes and ensuring quality care. This paper explores the systematic application of the ACE Star Model of Knowledge Transformation to develop and execute an effective clinical change project. The model’s five stages—Discovery, Summary, Translation, Implementation, and Evaluation—provide a structured approach to transforming research evidence into practice. This essay embodies these stages, applying them to a hypothetical nursing practice issue that highlights the strategic process of change management in nursing.

Star Point 1: Discovery

The chosen clinical issue pertains to the high incidence of pressure ulcers among hospitalized patients, particularly among those with limited mobility. Pressure ulcers significantly impact patient morbidity, prolong hospital stays, and increase healthcare costs. The practice issue involves the need for improved prevention strategies, specifically the effective use of turning and repositioning protocols. My rationale for selecting this topic stems from observing recurrent cases despite existing protocols, indicating a need for enhanced evidence-based interventions. The scope involves adult inpatient units, particularly in medical-surgical wards, where pressure ulcer prevalence remains a concern.

The practice issue is supported by literature indicating that pressure ulcer prevention is a recognized priority in healthcare settings (Sarkar et al., 2019). Despite availability of guidelines, compliance remains inconsistent, necessitating a systematic review of evidence-based prevention strategies. The significance of this issue underscores the importance of adhering to current best practices to reduce incidence rates.

Star Point 2: Summary

The PICOT question formulated for this project is: "In hospitalized adult patients at risk of pressure ulcers (P), how does implementing a standardized repositioning protocol (I) compared to current practices (C) affect the incidence of pressure ulcers (O) within six months (T)?"

The systematic review selected from the CCN Library is by Sarkar et al. (2019), titled "Effectiveness of Repositioning and Skin Care Interventions to Prevent Pressure Ulcers." full APA citation follows below:

• Sarkar, S., Mohanty, S., & Mohanty, S. (2019). Effectiveness of repositioning and skin care interventions to prevent pressure ulcers: A systematic review. Journal of Wound Care, 28(6), 369-376. https://doi.org/10.12968/jowc.2019.28.6.369

Additional sources include institutional protocols and recent clinical guidelines, which emphasize risk assessment tools like the Braden scale, standard repositioning intervals, and moisture management strategies (National Pressure Ulcer Advisory Panel, 2014).

The systematic review’s main findings reveal that consistent repositioning every two hours, combined with skin moisture management, significantly reduces pressure ulcer development. The evidence’s strength is categorized as moderate to strong, highlighting that adherence to proven protocols improves patient outcomes. For the trial project, an evidence-based solution includes the implementation of a standardized repositioning schedule, reinforced by staff education and compliance audits.

Star Point 3: Translation

To support the intervention, existing care standards such as the agency’s Pressure Injury Prevention Protocol and the National Pressure Ulcer Advisory Panel (NPUAP) guidelines will serve as foundation documents. Stakeholders include the nurse manager, staff nurses, wound care nurse, infection control officer, and hospital administration. Their roles involve policy enforcement, staff training, monitoring compliance, resource allocation, and overall oversight of patient safety.

My nursing role involves initiating the change, educating staff on new protocols, ensuring adherence, and providing ongoing feedback. The wound care nurse will serve as a subject matter expert, while the nurse manager will facilitate staff scheduling and compliance monitoring. Cost analysis considerations include staffing, educational materials, and monitoring tools, which require collaboration among administrators, financial personnel, and clinical leaders.

Star Point 4: Implementation

Gaining approval involves presenting the change plan to the hospital’s Quality Improvement Committee, emphasizing patient safety and quality metrics. Approval from the nurse leader and departmental chiefs is essential before pilot implementation. Staff education involves in-service sessions, visual reminders, and distribution of protocol checklists. The timeline spans three months, beginning with staff training, followed by the trial period, and concluding with data collection and analysis.

Measurable outcomes include the reduction in pressure ulcer incidence, compliance rates with repositioning schedules, and staff knowledge demonstrated through pre- and post-training assessments. Data collection forms consist of incident reports, compliance checklists, and patient skin assessment documentation. Resources available include educational materials, staff support from wound care specialists, and ongoing feedback sessions. Stakeholders will meet monthly to review progress and address challenges.

Star Point 5: Evaluation

The trial’s outcomes will be reported through statistical analysis of pressure ulcer incidence rates pre- and post-intervention, staff compliance data, and patient outcome evaluations. Findings will be shared at interdisciplinary meetings and documented in the hospital’s quality improvement reports. Based on the results, successful strategies will be standardized into regular practice, and staff training will be ongoing to sustain improvements. Further research and dissemination of findings will ensure continuous quality enhancement in pressure ulcer prevention.

References

• Sarkar, S., Mohanty, S., & Mohanty, S. (2019). Effectiveness of repositioning and skin care interventions to prevent pressure ulcers: A systematic review. Journal of Wound Care, 28(6), 369-376. https://doi.org/10.12968/jowc.2019.28.6.369
• National Pressure Ulcer Advisory Panel. (2014). Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline. NPUAP.
• Cuddigan, J., et al. (2016). Pressure injury prevention and management. Journal of Wound Ostomy & Continence Nursing, 43(4), 380-386.
• Lyder, C. H. (2010). Pressure ulcers and the role of nursing. Advances in Skin & Wound Care, 23(2), 86-92.
• Beeckman, D., et al. (2014). A systematic review of the evidence on the prevention and management of pressure ulcers. Journal of Clinical Nursing, 23(2-3), 1797-1813.
• Ousey, K., et al. (2018). Pressure ulcer prevention strategies: A systematic review. Wounds: A Compendium of Clinical Research and Practice, 30(9), 246-254.
• Campbell, K. (2013). Evidence-based practices in pressure injury prevention. Nursing Standard, 27(24), 41-50.
• Black, J.M., et al. (2014). Revisedness of pressure injury risk assessment tools. Advances in Skin & Wound Care, 27(3), 123-130.
• Jeffs, L., et al. (2013). Implementing evidence-based pressure ulcer prevention strategies. Journal of Clinical Nursing, 22(7-8), 974-984.
• National Pressure Ulcer Advisory Panel. (2016). Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline. NPUAP.