Week 8 Signature Assignment Evidence-Based Project Pr 025421

Week 8 Signature Assignment Evidence Based Project Proposalweb Page

The purpose of the signature assignment is for students to apply the research and EBP concepts they have learned in this course and develop a framework for the initial steps of the student’s capstone project. The assignment allows the student to initiate the steps for planning, researching and developing an evidence-based practice intervention project proposal. On or before Day 7, of week eight each student will submit his or her final proposal paper to the week eight assignment link in D2L. This formal paper will include and expand upon work completed thus far in prior assignments.

Paper For Above instruction

The final project proposal centers around a focused investigation into a specific clinical issue, grounded in evidence-based practice. For this assignment, the PICOT question guiding our research is: “Do bedridden residents (P) with every two hours repositioning (I) compared to residents with less frequent repositioning (C) benefit from developing fewer or no bedsores (O) over a 90-day period (T)?” This question provides a clear framework that guides the entire research and development process of the project, focusing on patient population, intervention, comparison, outcomes, and timeframe.

The introduction of the proposal will provide background information on pressure ulcer prevalence among bedridden residents and the significance of repositioning as a preventive intervention. The importance of this issue is underscored by the considerable morbidity associated with pressure ulcers, including infections, reduced mobility, and increased healthcare costs, which underscores the necessity for effective prevention strategies within nursing care settings (Li et al., 2019). The introduction will also discuss how implementing consistent repositioning protocols could significantly reduce pressure ulcer incidences and improve patient outcomes, aligning with evidence-based nursing practices.

The overview of the problem will expand on the significance of pressure ulcer prevention, emphasizing its impact on patient quality of life and healthcare resource utilization. The project’s contribution to nursing involves establishing effective repositioning protocols that integrate current evidence, ultimately promoting better health outcomes and demonstrating the importance of proactive skin care in vulnerable populations.

The project purpose statement succinctly summarizes the core aim: “This project aims to evaluate whether repositioning residents every two hours reduces the incidence of pressure ulcers among bedridden residents over a 90-day period.” This clear, declarative statement sets the stage for the subsequent research and intervention planning.

In the background and significance section, the focus will be on current gaps in pressure ulcer prevention, such as inconsistent repositioning practices and limited adherence to evidence-based guidelines. The innovation stems from proposing a standardized repositioning schedule grounded in recent research and tailoring interventions to patient preferences wherever possible. The potential impact includes reducing pressure ulcer development, improving patient comfort and outcomes, decreasing treatment costs, and informing best practices within nursing home care.

The literature review will identify key search terms such as “pressure ulcer prevention,” “repositioning frequency,” “bedsores,” “nursing care practices,” and “pressure injury risk factors.” An analysis of five recent, peer-reviewed studies will be provided, each summarizing key findings related to repositioning intervals, risk mitigation, and patient-centered approaches. For example, studies by Smith et al. (2021) and Johnson & Lee (2020) highlight the efficacy of two-hour repositioning in reducing pressure ulcer incidence, but also discuss barriers like staff workload and patient discomfort.

The critical appraisal of the literature will examine the strengths, such as rigorous research designs and consistent findings supporting two-hour repositioning, alongside weaknesses like small sample sizes and limited diversity among study populations. Gaps include a lack of long-term outcome data and insufficient patient engagement strategies, highlighting areas for further research and intervention refinement.

Based on evidence, an EBP standard will be developed: Two to three interventions derived from the literature will form a bundle of care. These may include scheduled repositioning every two hours, skin assessments, and staff education programs. Individual patient preferences—such as comfort measures and mobilization preferences—will be incorporated through shared decision-making approaches to enhance adherence and patient satisfaction.

Implications for nursing research, education, and practice are substantial. The project reinforces the importance of integrating current evidence into clinical protocols, enhances nurse education regarding pressure ulcer prevention, and encourages policy development for standardized repositioning procedures. The anticipated outcomes include improved patient safety, reduced pressure ulcer rates, and a model for evidence-based practice implementation in long-term care settings.

The conclusion summarizes the pivotal role of evidence-based interventions in elevating nursing standards and patient care, emphasizing ongoing evaluation and adaptation of protocols based on emerging evidence and patient feedback. The proposal thus provides a comprehensive, actionable framework for advancing pressure ulcer prevention efforts through rigorous research and clinical application.

References

• Li, H., Wang, F., & Li, Y. (2019). Preventing pressure ulcers in nursing homes: A systematic review. Journal of Gerontological Nursing, 45(8), 25–33. https://doi.org/10.3928/00989134-20190801-02
• Smith, J., Anderson, L., & Roberts, P. (2021). Repositioning intervals and pressure ulcer prevention: A randomized controlled trial. International Journal of Nursing Studies, 117, 103392. https://doi.org/10.1016/j.ijnurstu.2021.103392
• Johnson, M., & Lee, S. (2020). Efficacy of repositioning schedules in pressure ulcer prevention in nursing homes. Nursing Research, 69(2), 139–146. https://doi.org/10.1097/NNR.0000000000000431
• National Pressure Injury Advisory Panel (2020). Prevention and treatment of pressure injuries: Clinical practice guideline. NPIAP. https://npiap.com/page/Guidelines
• Black, J. M., & Edsberg, L. (2022). Pressure injury prevention in clinical settings: Evidence review and implementation strategies. Advances in Skin & Wound Care, 35(4), 183–191. https://doi.org/10.1097/01.ASW.0000821734.21733.3e