course material

1. Capstone Project Topic Selection And Approval Essay.
Capstone Project Topic Selection And Approval Essay. In collaboration with your approved
course mentor, you will identify a specific evidence-based practice proposal topic for the
capstone project. Consider the clinical environment in which you are currently working or
have recently worked. The capstone project topic can be a clinical practice problem, an
organizational issue, a quality improvement suggestion, a leadership initiative, or an
educational need appropriate to your area of interest as well as your practice immersion
(practicum) setting. Examples of the integration of community health, leadership, and an
EBP can be found on the "Educational and Community-Based Programs" page of the Healthy
People 2020 website.Capstone Project Topic Selection And Approval Essay.ORDER A
PLAGIARISM-FREE PAPER HEREWrite a 500-750 word description of your proposed
capstone project topic. Make sure to include the following:The problem, issue, suggestion,
initiative, or educational need that will be the focus of the projectThe setting or context in
which the problem, issue, suggestion, initiative, or educational need can be observed.A
description providing a high level of detail regarding the problem, issue, suggestion,
initiative, or educational need.Impact of the problem, issue, suggestion, initiative, or
educational need on the work environment, the quality of care provided by staff, and
patient outcomes.Significance of the problem, issue, suggestion, initiative, or educational
need and its implications to nursing.A proposed solution to the identified project topicYou
are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time
accordingly to complete this assignment.Capstone Project Topic Selection And Approval
Essay.· Explains setting and/or context in which nursing problem, issue, suggestion,
initiative, or educational need is observed.· Explains the problem, issue, suggestion,
initiative, or educational need.· Describes the impact of the project topic on a) the work
environment, b) the quality of care provision, and c) patient outcomes.· Discusses the
significance of and the implications to the nursing profession.· Proposes a solution to the
identified project topic.l· Identified components of PICOT:P - Population of FocusI -
InterventionC - ComparisonO - Outcome(T - Time)The paper addresses the outcomes of
unprecedented amalgamation of care and research in pediatric oncology from the nurses
and parents point of view. A substantial number of children living with cancer register in
treatment trials as a significant number of ecologist pediatrics carry out investigations in
clinical research.Capstone Project Topic Selection And Approval Essay.Patient/ population
problem: The research analysis explained that both integrations of care and research have
substantial consequences for consent process that is informed. Additionally, the

2. incorporation as well impacts nurse’s duties and the interest of the children. However, the
influence brings out the conflict between scientists and nurses. Parents have a strong
dependency on the physicians of their children. The research hence turns hectic to achieve
owing to stress emotions and research protocols complexity hence making it difficult to
achieve the intended consent of the work. Parents have a duty of providing parental care to
their children where they have to register them in trials. Parents to the kids are to some
extent never in equipoise in taking part in trials. The situations leave them in an agony of
yearning to do the best for their kids. However, parents fear wrong choices with regards to
the health situations of their kids. Satisfying misapprehension jeopardizes collect
participation assessment which makes parents attribute inaccurate intent to research
procedures. Nurses have a strong preference to therapists than a researcher. However,
nurses may believe that the investigation praises the interest of the children thus
maintaining a calming misconception amongst them and the parents (Kieft, Francke &
Delnoij, 2014).Capstone Project Topic Selection And Approval Essay.Intervention: The
integration of the research and care brings out intertwining of distinctive ethical
perceptions in pediatric oncology daily practice. The increase in awareness of the meaning
of the communication for nurses and parents is essential. Possibilities of future research
should look into efforts of overcoming problems owing to care and research
synchronicity.Capstone Project Topic Selection And Approval Essay.Comparison: Children
involved in the question are under the age of six years. Parents to the kids are motivated by
the duty of attention and protection of their children. Parents find it hard to think of
research as distinct from the best of the children. However, parents support research that
may improve future patients’ chances. To parents, the participation of other kids before
their cases has grown their current treatment services to their children, and hence they feel
it worth giving back. However, parents have the key duty of protecting their kids, which
define their attitudes towards trials. However, nurses will only make tests that are of better
quality and seem to have a high chance of high-quality outcome. Nurses play a significant
role in allowing the involvement of children to take part in research works. However, the
nurses must first be convinced that the research work will pose no harm to the kids.
Moreover, the nurses must be satisfied that the investigation will improve the health of the
children (Yang, 2012).Outcome: The results of integrated health services have prompted
health facility parties to consider their choices carefully with regards to the interest of the
parties involved. Nurses and parents put the interest of the children most forward while
research teams ensure continued improvement of their services. Currently, the sector has
recorded a constant improvement of the services and the level of research works. The
teams make decisions based on what is best for the entire health status of the
patients.Capstone Project Topic Selection And Approval Essay.Time: The data collection
was done in 2015 where the information is qualitative. The data collection involved
interviews of the stakeholders including the parents and the nurses in some public health
centers.PRESSURE ULCER (PU) PREVENTION DURING HOSPITAL
STAYIntroductionDevelopment of Pressure ulcer (PU) has been a serious and the topic of
concern in health care setting today. PU is defined as any breakdown of skin lesion that is
caused by constant pressure, cutting blood flow and oxygen supply in the that

3. area.ProblemDo the implementation of pressure relieving mattress and protective heel
protector in elderly patient with limited mobility reduces the risk of developing pressure
ulcer during hospitalization? Several evidences -based studies have suggested the use of
pressure relieving mattress along with heel protective devices have reduced the prevalence
of hospital acquired PU (Beal, M. E., & Smith, K. (2016). Early skin assessment and
identifying the risk factors in older adults decrease the length of hospital stay as well as
speed up recovery.SettingThe clinical setting for this project will be an acute care facility
where surgical orthopedic patients, such as hip fracture is admitted in a higher ratio. The
majority of the population admitted for surgical procedures are older adults between age
60-100 years old. The risk factor for PU on these age groups are age, fragile skin, bed bound,
urinary or bowel incontinent, mobility issues, disease condition and mental
disability.Capstone Project Topic Selection And Approval Essay.Description of
problemPressure ulcer compromises the quality of life in the older patient specially after
hospitalization or any other surgical procedure. Not all the hospital beds meet the patient`s
need and shoots their skin, therefore, health care providers should be educated on the
identifying the patient that are at risk for developing pressure ulcer and early risk
assessment is vital. When body tissue is compromised pressure ulcer can be developed any
time. The use of appropriate bed after identifying the problem for skin breakdown and early
prevention is the essential component in maintaining the health status of the
patient.Capstone Project Topic Selection And Approval Essay.Impact of the problemMore
than 2.5 million people in the United States (US) develop pressure ulcers every year
(WALTON-GEER, P. S. (2009). Even though evidence -based guidelines is present for PU
prevention, there has always been a problem of pressure ulcer in healthcare. PU prevention
is lacking in hospitalized patient for various reasons. “The cost of caring for these
preventable pressure ulcers may now be as high as 60,000 dollars per patient (McInnes E et
al., 2011). If appropriate action is not taken on time the quality of the patient`s life will be
hampered as well as the cost for a hospital will be higher after pressure development
during hospital stay.Capstone Project Topic Selection And Approval Essay.Significance of
the problemLack of nursing knowledge, workload and staffing issues, inadequate supplies
can be some of the contributing factors associated with early identification and prevention
of PU. All health care team providing direct patient care should be aware and educated on
skin assessment, its prevention and management. Reporting skin breakdown or abnormal
on time is crucial for PU prevention. Research Studies have also revealed that after
implementing the preventive guidelines, the prevalence of PU has decreased Beal, M. E., &
Smith, K. (2016). Therefore, to prevent PU collaborative team work, practicing Evidence -
based practices (EBP), use of assessment tool, staff training can save hospital cost and
quality of patient`s life.Capstone Project Topic Selection And Approval Essay.Proposed
solutionTo decrease the incidence pressure ulcer in hospitalized older patient, health care
workers must follow the EBP, be aware of the consequences of not following the guidelines
of skin assessment. PU usually associated with lack of staff knowledge, workload, staffing
issues and inadequate supplies associated in early identification and prevention of PU. Skills
lab, in- services education to all staff on a pressure reducing bed types and its use, education
and early identification of risk population will be done. A PUP team will be created who

4. rounds on each patient twice a week in the unit and also audit on skin assessments
documentation. A poster will be created to remind staff on skin assessment and its
prevention into care board, break room and sink. A monthly audit will also be performed for
the effectiveness, as well as rapid feedback from staff members will be accepted for
improvement. In order to prevent PU, direct care provider will be accountable in
maintaining repositioning patient every 2 hours, use pressure reducing pillow/mattresses,
protective heel protector, maintain adequate fluid and nutrition, increase activity, daily
exercise, keep dry and clean. The implementation of this proposal will be will be started
immediately following the approval.Capstone Project Topic Selection And Approval Essay.