1250-1500 change proposal

User Generated

nzrr28

Writing

gcu

Description

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Problem statement
  3. Purpose of the change proposal
  4. PICOT
  5. Literature search strategy employed
  6. Evaluation of the literature
  7. Applicable change or nursing theory utilized
  8. Proposed implementation plan with outcome measures
  9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
  10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Unformatted Attachment Preview

Course Code NRS-490 Class Code NRS-490-O501 Criteria Content Percentage 60.0% Background 5.0% Problem Statement 5.0% Change Proposal Purpose 5.0% PICOT 5.0% Literature Search Strategy 5.0% Literature Evaluation 5.0% Utilization of Change or Nursing Theory (2.2) 5.0% Proposed Implementation Plan with Outcome Measures (3.2) 5.0% Identification of potential barriers to plan implementation, and a discussion of how these could be overcome (2.3) 5.0% Appendices Inclusive of Practice Immersion Clinical Documentation (1.2) 5.0% Evidence of Revision 10.0% Organization and Effectiveness 30.0% Thesis Development and Purpose 10.0% Argument Logic and Construction 10.0% Mechanics of Writing (includes spelling, punctuation, grammar, language use) 10.0% Format 10.0% Paper Format (use of appropriate style for the major and assignment) 5.0% Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Total Weightage 100% Assignment Title Benchmark - Capstone Project Change Proposal Unsatisfactory 0-71% (0.00%) Background section is not present. Problem statement is not present. Purpose of change proposal is not present. PICOT is not present. Literature search strategy is not present. Literature evaluation is not present. Theory utilization is not present. Implementation plan is not present. Identification of potential barriers to plan implementation and /or discussion component is not present. Appendices are not present. Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques. Paper lacks any discernible overall purpose or organizing claim. Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Template is not used appropriately, or documentation format is rarely followed correctly. Sources are not documented. Total Points 300.0 Less Than Satisfactory 72-75% (75.00%) Background section is present, but incomplete or otherwise lacking in required detail. Problem statement is present, but incomplete or otherwise lacking in required detail. Purpose of change proposal is present, but incomplete or otherwise lacking in required detail. PICOT is present, but incomplete or otherwise lacking in required detail. Literature search strategy is present, but incomplete or otherwise lacking in required detail. Literature evaluation is present, but incomplete or otherwise lacking in required detail. Theory utilization content is present, but incomplete or otherwise lacking in required detail. Implementation plan is present, but incomplete or otherwise lacking in required detail. Identification of potential barriers to plan implementation with a discussion component is present, but is incomplete or otherwise lacking in required detail. Appendices are present, but incomplete or otherwise lacking in required detail. Incorporation of research critique feedback or evidence of revision is incomplete. Thesis is insufficiently developed or vague. Purpose is not clear. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Satisfactory 76-79% (79.00%) Background section is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Problem statement is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Purpose of change proposal is present. Some minor details or elements are missing but the omission(s) do not impede understanding. PICOT is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Literature search strategy is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Literature evaluation is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Theory utilization content is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Implementation plan is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Identification of potential barriers to plan implementation with a discussion component is present. Some minor details or elements are missing but the omission(s) do not impede understanding. Appendices are present with minor elements missing that do not impede understanding. Incorporation of research critique feedback and evidence of revision are present. Thesis is apparent and appropriate to purpose. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Appropriate template is used. Formatting is correct, although some minor errors may be present. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Good 80-89% (89.00%) Background section is present and complete. The submission provides the basic information required. Problem statement is present and complete. The submission provides the basic information required. Purpose of change proposal is present and complete. The submission provides the basic information required. PICOT is present and complete. The submission provides the basic information required. Literature search strategy is present and complete. The submission provides the basic information required. Literature evaluation is present and complete. The submission provides the basic information required. Theory utilization content is present and complete. The submission provides the basic information required. Implementation plan is present and complete. The submission provides the basic information required. Identification of potential barriers to plan implementation with a discussion component is present and complete. The submission provides the basic information required. Appendices are present and complete. The submission provides the basic information required. Evidence of incorporation of research critique feedback and revision is clearly provided. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Appropriate template is fully used. There are virtually no errors in formatting style. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Excellent 90-100% (100.00%) Background section is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Problem statement is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Purpose of change proposal is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. PICOT is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Literature search strategy is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Literature evaluation is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Comments Theory utilization content is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Implementation plan is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Identification of potential barriers to plan implementation with a discussion component is present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Appendices are present, complete, and incorporates additional relevant details and critical thinking to engage the reader. Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. Writer is clearly in command of standard, written, academic English. All format elements are correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Points Earned Running head: LITERATURE REVIEW 1 Literature Review Armine Hakopyan Grand Canyon University: NRS 490-0501 November 3, 2019 LITERATURE REVIEW 2 PICOT Statement The issue of pressure ulcers is one of the conditions that have been facing most patients, especially those who are bedridden. Pressure ulcers are indicated to be the injuries on a patient's skin and sometimes go on to the underlying tissue due to excess pressure on the skin either because of sitting or sleeping for long (Lam et al., 2018). These conditions can affect any part of the body that is exposed to pressure, but the most affected areas are the hips due to long sleeping, the base of the spine due to sitting for long, heels, and elbows. In most cases, the condition is seen in patients who stay in bed for long without receiving time to time turning. Therefore, the purpose of this paper is to review a research paper that was conducted on how the failure of repositioning or turning of patients every two hours results in pressure ulcers. It will as well look at the other research questions that have been asked regarding the pressure ulcers on patients on how it can be reduced through time to time repositioning of patients. Additionally, it will discuss the sample population used and limitations of the study and then conclude by incorporating recommendations for future research. Comparison of Research question There are many research questions posed by different researchers on this topic. They include how patient repositioning help in reducing Pressure ulcers does. This question helps researches to come up with results that are more inclined to the importance of conducting repositioning on bedridden patients. Other research questions are concerned with the number of times a patient should be turned, the person who should do the turning as well as how pressure ulcers develop. Therefore, although these questions are different from the PICOT question “In non-ambulatory patients, how turning and repositioning every four hours compare to turning and LITERATURE REVIEW 3 repositioning every two hours prevent the instances of pressure ulcers during their hospital stay” they are all the same as they all seek to find out how pressure ulcers can be reduced in patients. Comparison of sample populations Some of the past studies have used the sample of individuals who have ever suffered from pressure ulcers in the past that develop either in the hospital or at home. Others use those who have pressure ulcers and are still bedridden or those who are not bedridden but are nursing the pressure ulcers now. In some cases, researchers opt to use health care practitioners as their sample because they have the knowledge of how patients get pressure ulcers and what should be done to ensure the condition has reduced in the past (Ma, Park & Shang, 2018). Although these samples are different, the answer they provide is the same because they have either passed through it or are currently suffering or have experience of how patients suffer and what they do to cope with the condition. Comparison of the Limitation of the study Some of the limitations of the study on this topic found by some researchers include some population sample provides wrong information hence making it hard for the researcher to get the correct outcome. Another limitation is the lack of permission to interview or observe patients suffering from the condition if the researcher wants to use the sample of the patients who are in hospital. In other cases, if they are lucky to get permission, health care practitioners refuse to give information about their experience, and the researcher is forced to only dwell with information collected from patients (Corniello et al., 2014). Moreover, researchers indicate that they are unable to establish the relationship between pressure ulcers and other factors like the time a person stays in the hospital. At the same time, the study provides generalized results. Conclusion LITERATURE REVIEW 4 In recap, it is evident that there are different studies conducted on the issue of pressure ulcers where most of them revolve on the same thing, although they use different wording. This shows that the issue is one of the problems that most patients suffer while in hospital and there has been not effective mechanism discovered to eliminate the condition. In this regard, there should be future research on this topic where researchers should study other strategies that can be deployed to reduce the cases of pressure ulcers acquired when a patient is hospitalized. Furthermore, future studies should be conducted to establish the collaboration that can be formed between healthcare practitioners and other health care staffs to ensure patients are turned and incidences of pressure ulcers reduce (Cho et al., 2013). Additionally, more studies should be conducted on whether patients and their relatives have a role to play in ensuring that they do not get pressure ulcers. This is because some patients are in a status where they cannot turn themselves. Another further study should be on the patients who are likely to be more affected. LITERATURE REVIEW 5 References Cho, I., Park, I., Kim, E., Lee, E., & Bates, D. W. (2013). Using EHR data to predict hospitalacquired pressure ulcers: a prospective study of a Bayesian Network model. International journal of medical informatics, 82(11), 1059-1067. Corniello, A. L., Moyse, T., Bates, J., Karafa, M., Hollis, C., & Albert, N. M. (2014). Predictors of pressure ulcer development in patients with vascular disease. Journal of Vascular Nursing, 32(2), 55-62. Lam, C., Elkbuli, A., Benson, B., Young, E., Morejon, O., Boneva, D., ... & McKenney, M. (2018). Implementing a Novel Guideline to Prevent Hospital-Acquired Pressure Ulcers in a Trauma Population: A Patient-Safety Approach. Journal of the American College of Surgeons, 226(6), 1122-1127. Ma, C., Park, S. H., & Shang, J. (2018). Inter-and intra-disciplinary collaboration and patient safety outcomes in US acute care hospital units: A cross-sectional study. International journal of nursing studies, 85, 1-6. Literature Evaluation Table Student Name: Armine Hakopyan Change Topic (2-3 sentences): In non-ambulatory patients, how does turning and repositioning every two hours compared to turning patients every four hours prevent the instances of pressure ulcers during their hospital stay? The issue I want to resolve is if we do not turn or reposition patients every 2 hours, will it effect the numbers of skin breakdowns. Criteria Article 1 Article 2 Article 3 Author, Journal (PeerReviewe d), and Permali nk or Workin g Link to Access Article Hosie, L. Article Title and Year Publishe d Learning from theatre-acquired pressure ulceration (2018) Inter- and intradisciplinary collaboration and patient safety outcomes in U.S. acute care hospital units: A crosssectional study (2018) Evaluating optimal patientturning procedures for reducing hospital-acquired pressure ulcers (LS-HAPU): study protocol for a randomized controlled trial (2016) Researc h Questio ns (Qualita tive)/Hy How can HAPU be prevented? How can HAPU be prevented? What intervention suits monitoring of patients? It focused on patients whose surgical experiences It encouraged collaboration among team members. Ma, C., Park, S. H., & Shang, J. (Wounds UK) https://searchebscohostcom.lopes.idm.ocl c.org/login.aspx?di rect=true&db=ccm &AN=132756180 &site=edslive&scope=site (International Journal of Nursing Studies) Pickham, D., Ballew, B., Ebong, K., Shinn, J., Lough, M., & Mayer, B. https://doi(study protocol org.lopes.idm.oclc. for a randomized org/10.1016/j.ijnur controlled trial) stu.2018.05.001 doi:10.1186/s130 63-016-1313-5. It aimed on patients both in Article 4 Lam, C., Elkbuli, A., Benson, B., Young, E., Morejon, O., Boneva, D., … McKenney, M. (Journal of the American College of Surgeons) https://doiorg.lopes.idm.oclc.o rg/10.1016/j.jamcoll surg.2018.03.027. Implementing a Novel Guideline to Prevent HospitalAcquired Pressure Ulcers in a Trauma Population: A Patient-Safety Approach (2018) How can patients’ numbers be reduced? Use of preventive to reduce patients. © 2015. Grand Canyon University. All Rights Reserved. pothesis (Quantit ative), and Purpose s/Aim of Study made them prone to HAPU Controlling prevalence of HAPU Studying the collaboration between physicians and nurses and out healthcare centers. Improving the prevention of diseases. Design (Type of Quantit ative, or Type of Qualitat ive) Survey Survey Experimental Review Setting/ Sample U.K hospital U.S hospitals Patients from intensive care units Adult trauma patients Methods : Interven tion/Inst ruments Cross-sectional Cross-sectional Randomized Trauma Quality Improvement Program report Analysis In-depth investigations were used. Patient care unit was used as the unit of analysis A randomized control trial was used. Key Findings Most of factors the victims had undergone surgery. Critical care units had the highest numbers of HAPU cases Recomm endation s There is need for collaborative research The collaboration should be encouraged to fight HAPU. Explana tion of How the Article Support s EBP/Ca pstone Project The article discusses the prevention of HAPU among patients. The article discusses ways of improving patients’ care through collaboration. A randomized control trial was effective in ensuring improved care. The randomized control trial should be encouraged in ensuring improved care. It gives rise to an intervention of patients’ sensor that detects movement of patients. The Trauma Quality Improvement Program report showed the complication of HAPU as an outlier. The levels of HAPU reduced following the additional initiatives. Tracking patients Initiatives should be encouraged in to reduce HAPU incidences. It discusses preventive measures through patients repositioning. © 2017. Grand Canyon University. All Rights Reserved. Criteria Article 5 Article 6 Article 7 Article 8 Author, Journal (PeerReviewe d), and Permalin k or Working Link to Access Article Elsabrout, K., Orbacz, E., McMahon, L. A., & Apold, S. (Worldviews on EvidenceBased Nursing) Corniello, A. L., Moyse, T., Bates, J., Karafa, M., Hollis, C., & Albert, N. M. Cho, I., Park, I., Kim, E., Lee, E., & Bates, D. W. (International Journal of Medical Informatics) Raysa Cabrejo, B., Sifon Ndon, B., Ean Saberski, M., Carolyn Chuang, M., & Henry C. Hsia, M. https://doiorg.lopes.idm.o clc.org/10.1111 /wvn.12280. (Journal of Vascular Nursing) https://doiorg.lopes.idm.oclc.o https://doirg/10.1016/j.ijmedi org.lopes.idm.oclc nf.2013.06.012. .org/10.1016/j.jvn .2013.07.002. Article Title and Year Publishe d Large‐Scale Hospital Mattress Switch‐Out Leads to Reduction Hospital‐ Acquired Pressure Ulcers: Operationalizati on of a Multidisciplinar y Task Force (2018) Predictors of pressure ulcer development in patients with vascular disease (2014) Using EHR data to predict hospitalacquired pressure ulcers: A prospective study of a Bayesian Network model (2013) Research Question s (Qualitat ive)/Hyp othesis (Quantit ative), and How should ulcers be avoided? How should vascular disease be fought? How can hospital- The expense necessary towards achieving a The study included patients with vascular disease. Use of HER in the prediction acquired pressure ulcers be predicted? (Plastic and Reconstructive Surgery, Global Open) https://doiorg.lopes.idm.oclc.or g/10.1097/GOX.000 0000000002099. Significance of Friction and Shear in the Prevention of Contemporary Hospital-acquired Pressure Ulcers (2019) What is the significance of Friction and Shear in prevention of the ulcers? It studied patients who acquired ulcer from hospitals. © 2017. Grand Canyon University. All Rights Reserved. Purposes /Aim of Study solution to the ulcers. Controlling vascular disease. Preventing prevalence of ulcers. Reducing prevalence of ulcers Review Predicting the hospital-acquired pressure ulcers. Correlational Survey Cross-sectional 1200-bed Northeast Ohio Hospital in Seoul Yale New Haven Hospital Methods Case-control : study Intervent ion/Instr uments Retrospective Retrospective Case-control study Analysis Quality improvement project was used to analyze the HAPU incidences. The project led to decrease in HAPU cases. Variable used in the study compared HAPU and nonHAPU patients The ICU date of discharge was used as the unit of analysis Rothman index and Braden score were used. HAPU risk rises with rise in total points of the 9 variables used. User adoption The rate of system use Wide-ranging projects of operation should be encouraged to fight HAPU cases. It discussed preventive and controlling measures of ulcers. HAPU should be prevented through timely awareness of its risks. Data in EHR systems should be reused. The main factor used in the prediction was the volatility in the friction and shear component More focus should be placed on identification of volatility. It explains the use of patients labs and hence the use of labs to improve care. It studied data regarding patients with ulcers. Design (Type of Quantita tive, or Type of Qualitati ve) Setting/S ample Key Findings Recomm endation s Explanat ion of How the Article Supports EBP/Cap stone Hospital It explains the prevention of ulcers through friction and shear. © 2017. Grand Canyon University. All Rights Reserved. © 2017. Grand Canyon University. All Rights Reserved.
Purchase answer to see full attachment
User generated content is uploaded by users for the purposes of learning and should be used following Studypool's honor code & terms of service.

Explanation & Answer

hello, here is your final paper. feel free to contact me in case you need clarification.

Running head: CHANGE PROPOSAL PROJECT

Change Proposal Project
Name
Institution

1

CHANGE PROPOSAL PROJECT

2

Change Proposal Project
Background
The issue of pressure ulcers is one of the conditions that have been facing most patients,
especially those who are bedridden. Pressure ulcers are indicated to be the injuries on a patient's
skin and sometimes go on to the underlying tissue due to excess pressure on the skin either
because of sitting or sleeping for long. These conditions can affect any part of the body that is
exposed to pressure, but the most affected areas are the hips due to long sleeping, the base of the
spine due to sitting for long, heels, and elbows (Ma, Park & Shang, 2018). This is because the
mentioned areas are the once used to support various parts of the body.
In most cases, the condition noticeable in patients who stay in bed for long without
receiving time to time turning. Therefore, this paper will focus on discussing the problem
statement, the goal of the transformation plan as well as the picot statement. Additionally, it will
address the search strategy used, evaluate the literature review, nursing theory or applicable
change used as well as a proposed implementation plan with the outcome. Lastly, it will discuss
the measures and identification of barriers to implementing a project and how to overcome these
barriers.

Problem statement
Nurses have termed the issue of pressure ulcers as one of the critical problems affecting
bedridden patients. They have also confirmed that there are no strategies that have been found to

CHANGE PROPOSAL PROJECT

3

prevent the occurrence of pressure ulcers. Nonetheless, time to time turning has been indicated to
show positive outcomes in the prevention and reduction of events.
Objective of the transformation plan
The primary...


Anonymous
Really helpful material, saved me a great deal of time.

Studypool
4.7
Indeed
4.5
Sitejabber
4.4

Similar Content

Related Tags