Pressure ulcers, caused by prolonged immobility, are increasing among hospital patients. They can cause patient discomfort and infection, may increase treatment time, length of hospital admission, medical bills, and can potentially cause death (AHRQ, 2009). Current guidelines recommended by the AHRQ aid nursing staff in pressure ulcer prevention; however, the combination of specialty skin products, silicone dressings, and a 4-hour turning schedule may prevent pressure ulcers entirely.
Table of Contents
1. Introduction
2. PICOT Question
3. Infrastructure to Support Change
4. Summary of Synthesized Literature Review of Current Recommended Practice
4.1 Literature Search
4.2 Synthesis
5. Proposed Practice Change
6. Change Strategy
6.1 Promoting Engagement
6.2 The Model for Evidence-Based Practice Change
7. Roll Out Plan
8. Project Evaluation
9. Dissemination of EBP
Project Objectives and Focus
This project aims to improve patient care outcomes by implementing an evidence-based practice change designed to reduce the incidence of pressure ulcers in the adult cardiac patient population through a combination of specialized skin care, advanced dressing applications, and an optimized turning schedule.
- Evidence-based prevention of hospital-acquired pressure ulcers
- Implementation of standardized care bundles including silicone dressings
- Application of the Kotter and Cohen model for organizational change
- Systematic evaluation of clinical data and prevalence studies
- Strategies for interdisciplinary engagement and knowledge dissemination
Excerpt from the Book
Introduction
Pressure ulcers, caused by prolonged immobility, are increasing among hospital patients. They can cause patient discomfort and infection, may increase treatment time, length of hospital admission, medical bills, and can potentially cause death (AHRQ, 2009). Current guidelines recommended by the AHRQ aid nursing staff in pressure ulcer prevention; however, the combination of specialty skin products, silicone dressings, and a 4-hour turning schedule may prevent pressure ulcers entirely.
Summary of Chapters
Introduction: Outlines the clinical challenge of pressure ulcers and the necessity for enhanced preventative strategies in hospital settings.
PICOT Question: Defines the specific clinical inquiry comparing new evidence-based protocols against standard care within the cardiac patient population.
Infrastructure to Support Change: Describes the organizational environment at Sarasota Memorial Healthcare System that facilitates evidence-based practice and interdisciplinary collaboration.
Summary of Synthesized Literature Review of Current Recommended Practice: Reviews existing research and clinical guidelines to justify the shift toward specialized skin products and adjusted turning schedules.
Proposed Practice Change: Details the specific clinical interventions suggested for adoption based on the synthesized evidence.
Change Strategy: Explains the organizational methodology used to engage staff and implement the new protocols effectively.
Roll Out Plan: Provides a structured timeline and step-by-step checklist for the clinical implementation and integration of the project.
Project Evaluation: Describes the methods for measuring project success through comparing prevalence data before and after the practice change.
Dissemination of EBP: Discusses the channels for sharing findings and lessons learned, including online modules and inter-facility meetings.
Keywords
Pressure ulcer, evidence-based practice, nursing care, patient safety, cardiac patient, wound prevention, silicone dressings, turning schedule, clinical guidelines, quality improvement, interdisciplinary collaboration, healthcare outcomes, skin care, practice change, hospital-acquired conditions.
Frequently Asked Questions
What is the core focus of this project?
The project focuses on reducing the incidence of pressure ulcers among adult cardiac patients by implementing a new, evidence-based protocol involving specialized skin products, silicone dressings, and a 4-hour turning schedule.
What are the central themes of the work?
The central themes include evidence-based clinical practice, organizational change management, patient safety, interdisciplinary collaboration, and continuous quality improvement.
What is the primary research question?
The PICOT question examines how the preventative use of natural cleansers, nutrient emollients, foam dressings, and a 4-hour turning schedule compares to current practices in affecting pressure ulcer development rates over three months.
Which scientific methodology is applied?
The project employs an evidence-based practice (EBP) methodology, incorporating literature synthesis, stakeholder engagement, and the Kotter and Cohen model for organizational change.
What topics are covered in the main body?
The main body covers the identification of the problem, the synthesis of relevant research, the strategy for organizational change, the project rollout plan, and the methods for evaluation and dissemination.
Which keywords define this project?
Key terms include pressure ulcer prevention, evidence-based practice, clinical guidelines, silicone foam dressings, and organizational change models.
How does the project utilize the Magnet designation of the hospital?
The project leverages the hospital's Magnet recognition to support a culture committed to high-quality care, utilizing established structures like Unit Practice Councils to systematically implement the change.
What specific implementation model is used to drive the change?
The project adheres to the Kotter and Cohen Model of Change to create a sense of urgency, guide staff engagement, and maintain the new standards of practice.
How will the efficacy of the new protocol be measured?
Efficacy will be determined through quarterly prevalence studies that compare pressure ulcer rates specifically among open-heart surgery patients before and after the intervention.
How are the results shared with other facilities?
Dissemination occurs through various channels including PowerPoint presentations, online learning modules, and participation in regional partnership meetings hosted by organizations such as the Suncoast Organization of Nurse Executives.
- Citar trabajo
- Antje Dangel (Autor), 2014, Implementation of an Evidence-Based Practice to Prevent Pressure Ulcers, Múnich, GRIN Verlag, https://www.grin.com/document/303837
