This document outlines a presentation on implementing negative pressure wound therapy (NPWT) to improve wound care outcomes. It discusses the clinical problem of slow wound healing with standard care and proposes NPWT as an evidence-based solution. An implementation plan is proposed which includes staff training. Evaluation methods include reviewing patient records and surveys to assess outcomes like length of stay, infection rates, and patient satisfaction. Potential barriers like cost and training needs are also addressed.

1. Negative Pressure Wound Therapy Presentation
Negative Pressure Wound Therapy PresentationORDER HERE FOR ORIGINAL,
PLAGIARISM-FREE PAPERS ON Negative Pressure Wound Therapy PresentationCreate a
professional presentation of your evidence-based intervention and change proposal to be
disseminated to an interprofessional audience of leaders and stakeholders. Include the
intervention, evidence-based literature, objectives, resources needed, anticipated
measurable outcomes, and how the intervention would be evaluated. Submit the
presentation in LoudCloud for feedback from the instructor.Negative Pressure Wound
Therapy
Presentationattachment_1attachment_2attachment_3attachment_4attachment_5Unformatt
ed Attachment PreviewCapstone Project Change Proposal Presentation for Faculty Review
and Feedback Create a professional presentation of your evidence-based intervention and
change proposal to be disseminated to an interprofessional audience of leaders and
stakeholders. Include the intervention, evidence-based literature, objectives, resources
needed, anticipated measurable outcomes, and how the intervention would be evaluated.
Submit the presentation in LoudCloud for feedback from the instructor. While APA style is
not required for the body of this assignment, solid academic writing is expected, and
documentation of sources should be presented using APA formatting guidelines, which can
be found in the APA Style Guide, located in the Student Success Center. You are not required
to submit this assignment to LopesWrite. OBJECTIVES In this topic, students will design a
professional presentation in order to disseminate their capstone project change proposal.
While creating the final presentation, students will continue to reflect on their clinical
practice experience. Objectives: 1. Design a professional presentation for dissemination of
the capstone project change proposal. 2. Integrate reflective practice into the practicum
reflective journal. 3. Demonstrate interprofessional collaboration during the creation of the
capstone project change proposal. SOURCES Explore the resources provided on the
Presenter’s Corner page of the Western Institute of Nursing website. URL:
https://www.winursing.org/ Read “Integrated Comprehensive Care – A Case Study in
Nursing Leadership and System Transformation,” by Wheatley, Doyle, Evans, Gosse, and
Smith, from Nursing Leadership (2017). URL:
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true
&db=ed sbl&AN=RN614966127&site=eds-live&scope=site Explore the Cochrane
Collaboration website. URL: http://www.cochrane.org/ Running head: CAPSTONE CHANGE
PROPOSAL Benchmark Capstone Change Proposal: Negative Pressure Wound Therapy

2. Aynur Kabota Grand Canyon University NRS-493 11/16/2020 1 CAPSTONE CHANGE
PROPOSAL 2 Negative Pressure Wound Therapy PresentationBackground The evidence-
based practice topic selected for this project is wound care. Therefore, the main objective of
the project will be to find the best practice in improving wound care through facilitating
healing. This topic is essential because the majority of injuries receiving treatment in
hospitals include open wounds. According to Sen (2019), approximately 3% of older adults
65 years and older have wounds that require attention from health care. Therefore, wound
care is an essential aspect of nursing practice and requires evidence-based practice. The
topic can be categorized as a community research topic because it involves direct care
dealing with patients. The focus of this proposal is to improve wound care outcomes
through negative pressure wound therapy. Clinical Problem Statement Wounds are a
common health condition in the health care setting. According to Sen (2019), 8.2 million
Americans have wounds during discharge from hospitals. Wounds cause discomfort for the
patient and are a significant source of pain. They also present the risk of infection and sepsis
in patients. Care for wounds should, therefore, optimize health outcomes for the patients.
The problem of wound care is that standard care for chronic wounds often produces low
satisfaction and poor prognosis in many incidences. This project aims to improve care
outcomes for wounds through additional interventions. Purpose of the Change Proposal
Standard wound care often includes disinfection of the wound area and dressing the wound
to keep it dry and clean. To enhance healing, research has suggested that more than
CAPSTONE CHANGE PROPOSAL 3 standard care should be implemented. One of the
proposed approaches is negative pressure wound therapy (NPWT), a suction method that
removes exudate from the wound, creating conditions for potentially better outcomes. The
proposed change is to utilize NPWT to enhance wound healing. The proposed change aims
to improve wound healing through enhanced care for wounds, hence improving care
outcomes. PICOT Question Among hospitalized patients with wounds, how effective is
negative pressure wound therapy (NPWT) compared to standard practice in enhancing
wound healing within one week of admission? Population- hospitalized patients with
wounds Intervention- negative pressure wound therapy (NPWT) Comparison- standard
practice Outcomes- wound healing Time- one week Literature Review In this review,
literature was accessed through credible nursing databases. The author searched Google
Scholar, EMBASE, PubMed, and CINAHL databases. The search was limited to articles within
five years except for seminal works. The sources also had to be peer-reviewed and
scholarly. Articles were limited to those discussing wound care therapy. The research came
up with numerous articles, and a few deemed the most credible was selected for this
literature review. The study of NPWT has generally revolved around the effectiveness of the
approach to enhancing health outcomes in the care setting. Most researchers focusing on
this topic seek to CAPSTONE CHANGE PROPOSAL 4 establish the effectiveness of NPWT in
enhancing the quality of life, length of stay, and healing of the wound (Janssen et al., 2016).
These research questions are based on the standard measures of health outcomes, including
the progress of the illness, length of hospital stay, and quality of care. On the other hand,
some researchers have also focused on wound therapy as a whole and the cost-effectiveness
of approaches to wound therapy (Newton, 2017). Similar to the research questions, the

3. samples used in the various studies also vary widely. The samples align with the area of
focus expressed in the research question. For instance, the researchers who focused on
conflict-related injuries sampled patients who presented extremity wounds from conflicts
in Jordan and Iraq (Alga et al., 2020). The researchers focusing on the knee and hip
arthroplasties sampled 220 patients undergoing elective primary total hip and knee
arthroplasties for a randomized controlled trial (Karlakki et al., 2016). Nordmeyer et al.
(2016) sampled 20 patients who presented for internal fixation of spinal fractures.
Therefore, the samples used in the majority of the studies focused on specialty samples.
Several categories of limitations have been highlighted in the current literature hence
necessitating further studies on the topic. One of the typical limitations is that the available
randomized controlled trials did not blind their research participants (Alga et al., 2020;
Karlakki et al., 2016). This could introduce biases in patient-reported quality of life and
satisfaction. Negative Pressure Wound Therapy PresentationFurther studies with blinding
should be conducted. Similarly, the use of NPWT could depend on nurse competence and
implementation of the intervention. In the current literature, nurses implementing the
intervention and control were not monitored to control competence and implementation
efficacy (Karlakki et al., 2016). Differences and inconsistencies could thus be introduced by
the nurses’ different levels of experience and competence in using NPWT. CAPSTONE
CHANGE PROPOSAL 5 Theory Utilized The theory utilized in developing the NPWT
intervention for wound care is Jean Watson’s human caring theory. According to Watson,
nursing should include assessing the whole person (Norman, Rossillo, & Skelton, 2016).
This theory presents a holistic approach to care to enhance physiological healing and
psychosocial support for the patients. In connection with NPWT, a crucial result that will be
achieved is the reduction of patient suffering. Enhancing wound healing will achieve
positive care outcomes and reduce pain and length of stay in the hospital. Therefore,
Watson’s theory of human caring is reflected in the project’s focus on improving patients’
experiences. Implementation Plan The change project to implement negative pressure
wound therapy (NPWT) in the healthcare organization will be conducted through training
and awareness to reduce change resistance. One of the main challenges expected with the
change project is nurses’ resistance to change and standard care preference. This is mainly
because a change in procedures will interrupt the normal care processes. To reduce
resistance to change, it is crucial to involve the staff in planning and training to gain buy-in
(Goksoy, 2017). In this case, nurses who will be required to use NPWT will be consulted on
the necessary changes and adjustments to the care processes. They will also be trained in a
seminar that will emphasize the importance of the change and implement it. Moreover,
NPWT equipment is FDA Class II devices, which means that they may cause a significant risk
or discomfort for the patient (Purnama & Drago, 2019). The suction pump and equipment
may be uncomfortable and produce anxiety in the patient. Therefore, during the CAPSTONE
CHANGE PROPOSAL 6 implementation, patients will be educated on the equipment and
procedure to ensure they feel safe. Evidence-Based Practice Evidence-based practice was
used to prepare this proposal through the use of evidence to describe the problem and to
use credible sources to outline the solution. The evidence-based solution will be used when
research is conducted and articles assessed. Negative Pressure Wound Therapy

4. PresentationFor instance, in a study by Bellot et al. (2019), patients who received NPWT
experienced enhanced healing compared to standard care. Moreover, nursing interventions
are meant to be treatment activities that nurses implement to reach a patient’s treatment
goals (Butcher et al., 2018). Viewing the current problem from a nursing intervention point
of view shows that NPWT is meant as a treatment approach that challenges the status quo
on wound care by advancing the standard practice. Current evidence discussed in the
literature review shows the importance of NPWT in reducing infections and length of stay.
The use of this evidence to justify the project amounts to evidencebased practice (EBP).
Evaluation Plan The first method of evaluation is using patient records. When using patient
records to evaluate change, outcomes at baseline are noted and then changes since
intervention assessed at some point in the future (Mykkänen, Miettinen, & Saranto, 2016).
The records focus on align with the project objectives. Precisely, the hospital’s average
length of stay, rates of wound infections, and patient satisfaction feedback will be
monitored. Satisfaction is a qualitative measure, and the Hospital Consumer Assessment of
Healthcare Providers and Systems (HCAHPS) survey will be used. In addition to evaluating
patient records, pre-and postintervention surveys will be conducted with both patients and
staff. The rationale for conducting CAPSTONE CHANGE PROPOSAL 7 pre-intervention
surveys is to establish baseline patient- and nurse-reported quality aspects (Creswell &
Creswell, 2017). The post-intervention surveys will then serve to determine whether there
were any significant changes in their experiences. The pre-and post-intervention surveys
will help evaluate patient satisfaction with the change. Potential Barriers The project is
faced with several potential barriers that should be addressed. A crucial barrier is the lack
of financial support to purchase the required equipment. The proposal will provide
justification and cost-effectiveness analysis to acquire buy-in from sponsors and leaders
and hence gain the funds required for the project to address this problem. Secondly, nurse
knowledge on the use of NPWT equipment may be limited. To address this barrier, training
will be conducted with all nurses to equip them with the relevant skills to implement the
project. Lastly, the use of new care processes may not be welcome to patients who may
develop anxiety due to the suction process of NPWT. The nurses will ensure the patients’
autonomy is respected and will only implement the procedure with patients who consent to
it. Patient briefing on the intervention will be crucial in assuring them of the procedure’s
safety and reducing resistance. CAPSTONE CHANGE PROPOSAL 8 References Älgå, A.,
Hawley, R., Bashaireh, K., Wong, S., Lundgren, K. C., von Schreeb, J., & Malmstedt, J. (2020).
Negative pressure wound therapy versus standard treatment in patients with acute conflict-
related extremity wounds: a pragmatic, multi-site, randomized controlled trial. Negative
Pressure Wound Therapy PresentationThe Lancet Global Health, 8(3), e423-e429.
https://doi.org/10.1016/S2214109X(19)30547-9 Bellot, G. L., Dong, X., Lahiri, A., Sebastin,
S. J., Batinic-Haberle, I., Pervaiz, S., & Puhaindran, M. E. (2019). MnSOD is implicated in
accelerated wound healing upon Negative Pressure Wound Therapy (NPWT): A case in
point for MnSOD mimetics as adjuvants for wound management. Redox Biology, 20, 307-
320. https://doi.org/10.1016/j.redox.2018.10.014 Butcher, H. K., Bulechek, G. M.,
Dochterman, J. M. M., & Wagner, C. M. (2018). Nursing Interventions Classification (NIC)-E-
Book. Elsevier Health Sciences. Creswell, J. W., & Creswell, J. D. (2017). Research design:

5. Qualitative, quantitative, and mixed methods approach. Sage publications. Goksoy, A.
(2017). The Role of Psychological Empowerment and Organizational Citizenship Behaviors
on Employee Resistance to Change. European Journal of Interdisciplinary Studies, 3(2), 85-
93. http://journals.euser.org/files/articles/ejis_jan_apr_17_nr_2/Asli.pdf Janssen, A. H. J.,
Mommers, E. H. H., Notter, J., de Vries Reilingh, T. S., & Wegdam, J. A. (2016). Negative
pressure wound therapy versus standard wound care on quality of life: a systematic review.
Journal of Wound Care, 25(3), 154-159.
https://www.magonlinelibrary.com/doi/pdf/10.12968/jowc.2016.25.3.154 CAPSTONE
CHANGE PROPOSAL 9 Karlakki, S. L., Hamad, A. K., Whittall, C., Graham, N. M., Banerjee, R.
D., & Kuiper, J. H. (2016). Incisional negative pressure wound therapy dressings (iNPWTd)
in routine primary hip and knee arthroplasties: a randomised controlled trial. Bone & Joint
Research, 5(8), 328-337. https://online.boneandjoint.or
g.uk/doc/pdf/10.1302/20463758.58.bjr-2016-0022.r1 Mykkänen, M., Miettinen, M., &
Saranto, K. (2016). Standardized Nursing Documentation Supports Evidence-Based Nursing
Management. In Nursing Informatics (Vol. 225, pp. 466-470). https://doi.org/10.3233/978-
1-61499-658-3-466 Newton, H. (2017). Cost-effective wound management: a survey of
1717 nurses. British Journal of Nursing, 26(12), S44-S49.
https://www.magonlinelibrary.com/doi/pdfplus/10.12968/bjon.2017.26.12.S44
Nordmeyer, M., Pauser, J., Biber, R., Jantsch, J., Lehr, S., Kopschina, C., … & Brem, M. H.
(2016). Negative pressure wound therapy for seroma prevention and surgical incision
treatment in spinal fracture care. International Wound Journal, 13(6), 1176-1179.
https://onlinelibrary.wiley.com/doi/pdf/10.1111/iwj.12436 Norman, V., Rossillo, K., &
Skelton, K. (2016). Creating healing environments through the theory of caring. AORN
Journal, 104(5), 401-409. http://dx.doi.org/10.1016/j.aorn.2016.09.006 Purnama, A., &
Drago, D. (2019). FDA regulatory pathways for medical devices. The Organization for
Professionals in Regulatory Affairs.
https://www.topra.org/topra/topra_member/pdfs/CPD-May-2019-Medical-Devices-
andFDA.pdf CAPSTONE CHANGE PROPOSAL Sen, C. K. (2019). Human Wounds and Its
Burden: An Updated Compendium of Estimates. Negative Pressure Wound Therapy
PresentationAdvances in Wound Care, 8(2), 39. https://doi.org/10.1089/wound.2019.0946
10 Running head: PROJECT EVALUATION 1 Project Evaluation Aynur Kabota Grand Canyon
University NRS-493 11/08/2020 PROJECT EVALUATION 2 The EBP project to implement
negative pressure wound therapy (NPWT) in the healthcare organization can be evaluated
using several approaches. The first method of evaluation is using patient records. When
using patient records to evaluate change, outcomes at baseline are noted and then changes
since intervention assessed at some point in the future (Mykkänen, Miettinen, & Saranto,
2016). The records focus on align with the project objectives. Precisely, the hospital’s
average length of stay, rates of wound infections, and patient satisfaction feedback will be
monitored. Satisfaction is a qualitative measure, and the Hospital Consumer Assessment of
Healthcare Providers and Systems (HCAHPS) survey will be used. Although the survey
assesses the general satisfaction with the hospital stay, focusing on aspects relevant to
wound care will allow an adequate evaluation. In addition to evaluating patient records,
pre- and post-intervention surveys will be conducted with both patients and staff. The

6. rationale for conducting pre-intervention surveys is to establish the baseline on patient-
and nurse-reported quality aspects (Creswell & Creswell, 2017). The post-intervention
surveys will then serve to determine whether there were any significant changes in their
experiences. This project aims to improve patient experiences and also increase nurse job
satisfaction. The pre- and post-intervention surveys will help evaluate the experiences and
feelings of staff and patients towards the project. After three months of intervention, the
evaluation will be carried out to determine whether the project is significant and whether it
should be continued. PROJECT EVALUATION 3 References Creswell, J. W., & Creswell, J. D.
(2017). Research design: Qualitative, quantitative, and mixed methods approach. Sage
publications. Mykkänen, M., Miettinen, M., & Saranto, K. (2016). Standardized Nursing
Documentation Supports Evidence-Based Nursing Management. In Nursing Informatics
(Vol. 225, pp. 466-470). https://doi.org/10.3233/978-1-61499-658-3-466 Running head:
CHANGE PROJECT RESOURCES Change Project Resources Aynur Kabota Grand Canyon
University NRS-493 11/01/2020 1 CHANGE PROJECT RESOURCES 2 Organizational support
is essential for an effective change project to enhance care outcomes. The proposed change
project is implementing negative pressure wound therapy (NPWT) in the organization for
better wound care than standard practice. This proposed project requires organizational
resources for effective implementation and efficacy in achieving the desired objectives.
Some of the objectives include reducing the length of stay and infection; hence the
intervention needs to implement specific procedures for these objectives. The highlighted
objectives can be achieved by significant organizational support for the project. This paper
lists and discusses the primary organizational resources required for implementing NPWT
in the organization. I. NPWT portable device The preferred technology for this intervention
is an NPWT portable device. Negative Pressure Wound Therapy PresentationThis portable
device is relatively new compared to the traditional NPWT devices. This resource’s
importance is its convenience in attending many patients, and it is also more effective than
traditional NPWT devices (Foglia et al., 2017). The resource is central to the intervention
implementation because it will be required by nurses to conduct new practice processes.
The supply for these devices will depend on the scope of the intervention in the
organization. II. Foam dressings NPWT devices are used with a foam dressing, which is
changed every time NPWT processes are carried out on the wound. This resource is
different from standard care dressing due to the use of NPWT. Therefore, access to an
adequate supply of foam dressing to use with the NPWT devices will be required from the
organization. The supply of this resource will depend on the number of patients included in
the intervention group. III. Training and supervision CHANGE PROJECT RESOURCES 3
Another essential resource for effective NPWT implementation is training and supervising
the nurses to carry out the intervention. Since this is a new approach, nurses in wound care
will need to be trained on the relevant practice approaches and implement the approach
effectively. A …Negative Pressure Wound Therapy Presentation