The document discusses implementing an evidence-based protocol for preventing pressure ulcers in end-of-life hospital patients. It outlines the problem of pressure ulcers in palliative care patients and inadequate national guidelines. The purpose is to describe a nurse-led quality improvement project to adopt a standardized risk assessment tool and standing orders. An evaluation will assess the intervention's effectiveness through survey data and compare outcomes to previous practice.
Reducing Stroke Readmissions in Acute Care Setting.docxdanas19
Reducing Stroke Readmissions in Acute Care Setting
Contents
Introduction: 2
Objective of the study: 3
Readmission Factors: 3
Statins: 3
Long term care: 4
Demographics: 4
Personal Reflections: 4
Events: 4
Empirical Evidence: 6
Interventions for discharged patients: 6
TRACS: 7
COMPASS: 7
MISTT: 8
Clinical requirement: 8
Timeline: 8
Collaboration with the preceptor: 8
Proposed evaluative criteria: 9
Evaluative criteria discussed: 9
Conclusion: 9
Bibliography 10
Introduction:
Stroke refers to a cardiovascular disease which has been one of the leading reasons for deaths and long term disability. A stroke is an abrupt onset of a neurological deficit led by a vascular rupture or blockage that reduces the blood flow to brain. Subsequently, causing death to the tissue in the brain region if interruption of the blood flow persists. The indications of stroke vary, but may include the loss of function to one side of the body, the inability to speak or talk, and reduced vision or severe headache (Poston, 2018).
Issue: Discovery Research
Over time, the financial penalties on readmissions to the hospital have been taking place, which is promoting hospitals to take measures to reduce the instance of readmissions. A variety of interventions are taking place on different levels to ensure that pre and post discharge care is in place to avoid readmissions. The efficacy of interventions is dependent on the variety of components. Single component interventions are least effective and tend to have no effect on readmissions to the hospitals. Patients that are discharged to post-acute care accommodations are subjected to multi-component interventions and readmissions have dropped drastically. These interventions work through communication, advanced planning of care, and training to tackle simple medical issues that might cause readmissions. The availability of risk stratification methods have made it easier for the hospitals to give more care and attention to the patients that are more likely to get readmitted. Home based services are provided to ensure proper medical care for the patients.
This capstone project attempts to discuss the factors causing the readmissions of stroke patients to the hospitals. The past 20 years have proven to be important in acute and inpatient stroke care however, quality of post-acute care varies specially for the patients that are discharged to home. (Condon, Lycan, & Duncan, 2016). Different reasons for stroke readmissions are to be examined in this capstone project. Expected Outcomes: Discovery Research
This project aims to take into account the reasons of stroke and readmissions after being treated for stroke. Stroke is the second primary reason of readmissions in the hospital. Major readmissions comprise of elderly people. 20-70% people who survive stroke are readmitted in the first year of their treatment (Bravata, Ho, Meehan, & Brass, 2006). Poor health conditions and high treatment costs both account for the l.
Running head PICOT STATEMENT 1PICOT STATEMENT 2.docxjeanettehully
Running head: PICOT STATEMENT 1
PICOT STATEMENT 2
PICOT Statement
Anna Uka
Grand Canyon University- NRS490
December 1st , 2019
P: Adults on an Acute Care floor
I: Required education on the Braden Scale
C: Standard Practice
O: Decrease in Hospital-Acquired Pressure Ulcers
PICOT QUESTION: Does the required education on the Braden scale increase nursing interventions for Adult patients on an acute care floor at risk of developing pressure ulcers during hospitalization?
Currently, most hospitals are faced with a clinical problem of acquired pressure ulcers. According to Pittman et al (2015), hospital-acquired pressure ulcers remain one of the persistent and relevant issues that need to be addressed in long-term hospital stay patients. Health care is attempting to implement evidence-based protocols, though patients continue to suffer from this prevalent and preventable injury. Health care institutions are facing a big challenge for the patients with this acquired condition because hospital bills continue to balloon and at the same time insurance companies stopped paying for this condition. Research shows that pressure ulcer is preventable; though, in spite of hospitals striving to integrate evidence-based approaches to curb the issue, it continues to remain a serious issue for long-term hospital stay patients. This PICOT statement this research paper is proposing to use is a Braden Scale which can be used by nurses in their practice to reduce hospital-acquired pressure injuries which will reduce the patient stay in the hospital as well as the bills burden in the hospital.
Evidence-Based
Solution
According to Engels et al (2016), “the importance of using evidence-based practice in long-term care hospitals to reduce prevalent pressure ulcers is to promote a safe cost-effective outcome for our patients, families, and the healthcare group. Research needs to be conducted and qualitative data collected when designing an evidence-based solution to hospital-acquired injuries”. Despite a lot of research being conducted from the past years concerning acquired pressure ulcers, many patients continue to get the disease. Evidence-based practice allows the nurse to get pooled in a team of experts where interdisciplinary collaboration becomes the ultimate objective for nurses to practice autonomy that enhances change in the nursing field based on data. “The nursing research utilizes qualitative and quantitative logical methods and an EBP approach aimed at around the study and change of patient consideration, understanding consideration frameworks, and patient results” (Mervis & Phillips, 2019). This PICOT question will effectively apply the Braden Scale to see how it can positively impact long-term hospital in reducing pressure ulcers injuries.
Nursing Intervention
When starting a nursing research project, ...
Nursing Evidence Based Practice PPT for BSN Nurses.
This ppt assess effectiveness of using NPWT for DFUs with providing highest level of evidence. DFUs are a prevalent issue in many countries and is treated via dressings which take a long time to heal but utilizing this method will certainly make the recovery faster.
Reflection Journal 10Assessment DescriptionStudents are requir.docxcargillfilberto
Reflection Journal 10
Assessment Description
Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:
Please focus on the topic: Fall Prevention in Outpatient Radiology Clinic
New practice approaches
Intra-professional collaboration
Healthcare delivery and clinical systems
Ethical considerations in health care
Population health concerns
The role of technology in improving health care outcomes
Health policy
Leadership and economic models
Health disparities
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
RN to BSN
1.3: Understand and value the processes of critical thinking, ethical reasoning, and decision making.
2.6: Promote interprofessional collaborative communication with health care teams to provide safe and effective care.
3.2: Utilize patient care technology and information management systems.
4.2: Preserve the integrity and human dignity in the care of all patients.
5.5: Provide culturally sensitive care.
20XXKRONA HOSPITAL OPERATING BUDGET FOR 20XXRevenuesInpatient $ 25,000,000Outpatient15,000,000Emergency Room10,000,000Laboratory5,000,000Pharmacy1,500,000Home Health and Hospice1,500,000Ambulance Services950,000Substance Abuse250,000Other850,000Subtotal$ 60,050,000Less Chartiy Care18,000,000Net Revenues$ 42,050,000ExpensesPayroll (including nursing salaries)$ 12,500,000Benefits3,000,000Contract Labor100,000Insurance300,000General Services (laundary, security, etc)3,000,000Depreciation 1,500,000Interest Expense300,000Professional Services10,000,000Total Operating Expenses$ 30,700,000Net Income$ 11,350,000
Sheet2
Sheet3
Benchmark - Capstone Project Change Proposal
Mananita Gerochi-Caparas
Grand Canyon University
NRS-493-O503 Professional Capstone and Practicum
Davida Murphy Smith
October 23, 2022
Benchmark - Capstone Project Change Proposal
Background
Falling incidences are prevalent among older patients. In so.
CHD Secondary Prevention Clinics in Primary Care; a critical assessmentJosep Vidal-Alaball
There is a need for CHD secondary prevention in primary care. This need has been addressed providing specialized clinics run by nurses or GPs. Whether with this clinics we are meeting this need is a question to be answered.
Reducing Stroke Readmissions in Acute Care Setting.docxdanas19
Reducing Stroke Readmissions in Acute Care Setting
Contents
Introduction: 2
Objective of the study: 3
Readmission Factors: 3
Statins: 3
Long term care: 4
Demographics: 4
Personal Reflections: 4
Events: 4
Empirical Evidence: 6
Interventions for discharged patients: 6
TRACS: 7
COMPASS: 7
MISTT: 8
Clinical requirement: 8
Timeline: 8
Collaboration with the preceptor: 8
Proposed evaluative criteria: 9
Evaluative criteria discussed: 9
Conclusion: 9
Bibliography 10
Introduction:
Stroke refers to a cardiovascular disease which has been one of the leading reasons for deaths and long term disability. A stroke is an abrupt onset of a neurological deficit led by a vascular rupture or blockage that reduces the blood flow to brain. Subsequently, causing death to the tissue in the brain region if interruption of the blood flow persists. The indications of stroke vary, but may include the loss of function to one side of the body, the inability to speak or talk, and reduced vision or severe headache (Poston, 2018).
Issue: Discovery Research
Over time, the financial penalties on readmissions to the hospital have been taking place, which is promoting hospitals to take measures to reduce the instance of readmissions. A variety of interventions are taking place on different levels to ensure that pre and post discharge care is in place to avoid readmissions. The efficacy of interventions is dependent on the variety of components. Single component interventions are least effective and tend to have no effect on readmissions to the hospitals. Patients that are discharged to post-acute care accommodations are subjected to multi-component interventions and readmissions have dropped drastically. These interventions work through communication, advanced planning of care, and training to tackle simple medical issues that might cause readmissions. The availability of risk stratification methods have made it easier for the hospitals to give more care and attention to the patients that are more likely to get readmitted. Home based services are provided to ensure proper medical care for the patients.
This capstone project attempts to discuss the factors causing the readmissions of stroke patients to the hospitals. The past 20 years have proven to be important in acute and inpatient stroke care however, quality of post-acute care varies specially for the patients that are discharged to home. (Condon, Lycan, & Duncan, 2016). Different reasons for stroke readmissions are to be examined in this capstone project. Expected Outcomes: Discovery Research
This project aims to take into account the reasons of stroke and readmissions after being treated for stroke. Stroke is the second primary reason of readmissions in the hospital. Major readmissions comprise of elderly people. 20-70% people who survive stroke are readmitted in the first year of their treatment (Bravata, Ho, Meehan, & Brass, 2006). Poor health conditions and high treatment costs both account for the l.
Running head PICOT STATEMENT 1PICOT STATEMENT 2.docxjeanettehully
Running head: PICOT STATEMENT 1
PICOT STATEMENT 2
PICOT Statement
Anna Uka
Grand Canyon University- NRS490
December 1st , 2019
P: Adults on an Acute Care floor
I: Required education on the Braden Scale
C: Standard Practice
O: Decrease in Hospital-Acquired Pressure Ulcers
PICOT QUESTION: Does the required education on the Braden scale increase nursing interventions for Adult patients on an acute care floor at risk of developing pressure ulcers during hospitalization?
Currently, most hospitals are faced with a clinical problem of acquired pressure ulcers. According to Pittman et al (2015), hospital-acquired pressure ulcers remain one of the persistent and relevant issues that need to be addressed in long-term hospital stay patients. Health care is attempting to implement evidence-based protocols, though patients continue to suffer from this prevalent and preventable injury. Health care institutions are facing a big challenge for the patients with this acquired condition because hospital bills continue to balloon and at the same time insurance companies stopped paying for this condition. Research shows that pressure ulcer is preventable; though, in spite of hospitals striving to integrate evidence-based approaches to curb the issue, it continues to remain a serious issue for long-term hospital stay patients. This PICOT statement this research paper is proposing to use is a Braden Scale which can be used by nurses in their practice to reduce hospital-acquired pressure injuries which will reduce the patient stay in the hospital as well as the bills burden in the hospital.
Evidence-Based
Solution
According to Engels et al (2016), “the importance of using evidence-based practice in long-term care hospitals to reduce prevalent pressure ulcers is to promote a safe cost-effective outcome for our patients, families, and the healthcare group. Research needs to be conducted and qualitative data collected when designing an evidence-based solution to hospital-acquired injuries”. Despite a lot of research being conducted from the past years concerning acquired pressure ulcers, many patients continue to get the disease. Evidence-based practice allows the nurse to get pooled in a team of experts where interdisciplinary collaboration becomes the ultimate objective for nurses to practice autonomy that enhances change in the nursing field based on data. “The nursing research utilizes qualitative and quantitative logical methods and an EBP approach aimed at around the study and change of patient consideration, understanding consideration frameworks, and patient results” (Mervis & Phillips, 2019). This PICOT question will effectively apply the Braden Scale to see how it can positively impact long-term hospital in reducing pressure ulcers injuries.
Nursing Intervention
When starting a nursing research project, ...
Nursing Evidence Based Practice PPT for BSN Nurses.
This ppt assess effectiveness of using NPWT for DFUs with providing highest level of evidence. DFUs are a prevalent issue in many countries and is treated via dressings which take a long time to heal but utilizing this method will certainly make the recovery faster.
Reflection Journal 10Assessment DescriptionStudents are requir.docxcargillfilberto
Reflection Journal 10
Assessment Description
Students are required to maintain weekly reflective narratives throughout the course to combine into one course-long reflective journal that integrates leadership and inquiry into current practice as it applies to the Professional Capstone and Practicum course.
In your journal, you will reflect on the personal knowledge and skills gained throughout this course. The journal should address a variable combination of the following, depending on your specific practice immersion clinical experiences:
Please focus on the topic: Fall Prevention in Outpatient Radiology Clinic
New practice approaches
Intra-professional collaboration
Healthcare delivery and clinical systems
Ethical considerations in health care
Population health concerns
The role of technology in improving health care outcomes
Health policy
Leadership and economic models
Health disparities
Students will outline what they have discovered about their professional practice, personal strengths and weaknesses that surfaced, additional resources and abilities that could be introduced to a given situation to influence optimal outcomes, and finally, how the student met the competencies aligned to this course.
While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
Benchmark Information
This benchmark assignment assesses the following programmatic competencies:
RN to BSN
1.3: Understand and value the processes of critical thinking, ethical reasoning, and decision making.
2.6: Promote interprofessional collaborative communication with health care teams to provide safe and effective care.
3.2: Utilize patient care technology and information management systems.
4.2: Preserve the integrity and human dignity in the care of all patients.
5.5: Provide culturally sensitive care.
20XXKRONA HOSPITAL OPERATING BUDGET FOR 20XXRevenuesInpatient $ 25,000,000Outpatient15,000,000Emergency Room10,000,000Laboratory5,000,000Pharmacy1,500,000Home Health and Hospice1,500,000Ambulance Services950,000Substance Abuse250,000Other850,000Subtotal$ 60,050,000Less Chartiy Care18,000,000Net Revenues$ 42,050,000ExpensesPayroll (including nursing salaries)$ 12,500,000Benefits3,000,000Contract Labor100,000Insurance300,000General Services (laundary, security, etc)3,000,000Depreciation 1,500,000Interest Expense300,000Professional Services10,000,000Total Operating Expenses$ 30,700,000Net Income$ 11,350,000
Sheet2
Sheet3
Benchmark - Capstone Project Change Proposal
Mananita Gerochi-Caparas
Grand Canyon University
NRS-493-O503 Professional Capstone and Practicum
Davida Murphy Smith
October 23, 2022
Benchmark - Capstone Project Change Proposal
Background
Falling incidences are prevalent among older patients. In so.
CHD Secondary Prevention Clinics in Primary Care; a critical assessmentJosep Vidal-Alaball
There is a need for CHD secondary prevention in primary care. This need has been addressed providing specialized clinics run by nurses or GPs. Whether with this clinics we are meeting this need is a question to be answered.
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Troducing A Care bundle To prevent pressure injury
TACT) in at-risk patients: A protocol for a cluster
ndomised trial
endy Chaboyer a,b,c, Tracey Bucknall d,f, Joan Webster a,g,
zabeth McInnes e,h, Merrilyn Banks g, Marianne Wallis b,i,
gid M. Gillespie a,b,c, Jennifer A. Whitty a,c,j, Lukman Thalib k,l,
elley Roberts a,b,c,*, Nicky Cullum m
MRC Centre of Research Excellence in Nursing, Griffith University, Australia
tre for Health Practice Innovation, Griffith University, Australia
nzies Health Institute Queensland, Griffith University, Australia
red Health, Australia
ool of Nursing, Midwifery and Paramedicine, Australian Catholic University, Australia
ool of Nursing and Midwifery, Deakin University, Australia
yal Brisbane and Women’s Hospital, Australia
rsing Research Institute, St Vincent’s Health Australia (Sydney), Australia
versity of the Sunshine Coast, Australia
versity of Queensland, Australia
ulty of Medicine, University of Kuwait, Kuwait
ffith University, Australia
iversity of Manchester, United Kingdom
T I C L E I N F O
le history:
ived 19 September 2014
ived in revised form 16 April 2015
pted 28 April 2015
ords:
bundle
ent centred care
ent participation
sure injury prevention
sure ulcer prevention
A B S T R A C T
Background: Pressure injuries are a significant clinical and economic issue, affecting both
patients and the health care system. Many pressure injuries in hospitals are facility
acquired, and are largely preventable. Despite growing evidence and directives for
pressure injury prevention, implementation of preventative strategies is suboptimal, and
pressure injuries remain a serious problem in hospitals.
Objectives: This study will test the effectiveness and cost-effectiveness of a patient-
centred pressure injury prevention care bundle on the development of hospital acquired
pressure injury in at-risk patients.
Design: This is a multi-site, parallel group cluster randomised trial. The hospital is the unit
of randomisation.
Methods: Adult medical and surgical patients admitted to the study wards of eight
hospitals who are (a) deemed to be at risk of pressure injury (i.e. have reduced mobility),
(b) expected to stay in hospital for �48 h, (c) admitted to hospital in the past 36 h; and (d)
able to provide informed consent will be eligible to participate. Consenting patients will
receive either the pressure injury prevention care bundle or standard care. The care bundle
contains three main messages: (1) keep moving; (2) look after your skin; and (3) eat a
healthy diet. Nurses will receive education about the intervention. Patients will exit the
study upon development of a pressure injury, hospital discharge or 28 days, whichever
Corresponding .
MARKETING PRINCIPLES
MKTG 305
SWOT Assignment – CSUSB
Purpose:
In this assignment you will apply what you have learned from Chapters 2 and 3 by conducting a SWOT analysis of CSUSB.
Instructions
1. Use the layout template provided in the assignment details. Save it as a Word document and submit it to Blackboard.
2. Begin by populating the Strengths section of your chart. Identify what you perceive to be the strengths of CSUSB as compared to other universities. For example, answering the following questions should provide you with a start, but this list is not meant to be exhaustive:
a. What advantages does CSUSB have that others don’t have?
b. What does CSUSB do better than anyone else?
c. What resources can CSUSB access?
d. What do other people see as the strengths of CSUSB?
e. What accomplishments should CSUSB be most proud of?
f. What are the values of CSUSB and are they a strength or a weakness?
g. What is the reputation/brand of CSUSB and is it a strength or a weakness?
3. Continue to fill in the other three sections in your chart by:
a. Identifying the weaknesses of CSUSB compared to other universities.
b. Identifying opportunities that exist or will exist in the future (think environmental scan from Chapter 3) that CSUSB might be well positioned to take advantage of.
c. Identifying threats that exist or will exist in the future (again, think environmental scan from Chapter 3) that CSUSB will need to take steps to address in order to avoid.
4. Follow the layout example below. Use well written, bulleted sentences and make sure that you provide clear support for each of your bullet points. For example, you cannot simply state that the school has a good/bad reputation without providing a sentence or two to support your position.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the .
CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS2CENTRAL LINE-ASS.docxsleeperharwell
CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS2
CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS2
Central Line-Associated Bloodstream Infections Literature Review
Kerry S. Murphy
Grand Canyon University
Translational Research and Evidence-Based Practice
DNP-820-O501
Dr. Kari Lane
September 26, 2018
Running head: CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS2
Central Line-Associated Bloodstream Infections Literature ReviewComment by Microsoft Office User: The heading of introduction is inferred in APA format
I. Introduction
Central Line-Associated Bloodstream Infection (CLABSIs) in a fatal infection that results from bacteria or viruses entering the bloodstream through the central line. A central line, also known as a central venous catheter, refers to a tube used by doctors to administer medication, fluids or to collect blood from the body of a patient (Deason & Gray, 2018). Central Line-Associated Bloodstream Infection is one of the leading causes of deaths each year in different countries across the globe. Central Line-Associated Bloodstream Infection has been an area of interest for many healthcare researchers representing a diverse body of knowledge about the infection while still expanding on what is already known. The paper is an analysis of articles related to CLABSIs with the major themes of concern to the authors including risk factors, interventions, CLABSIs and Hospital Acquired Infections (HAIs), benefits of the preventive measures and the common symptoms of CLABSIs. Comment by Microsoft Office User: Add a description of how the literature search was completed. Tell the reader how you did your literature search, which databases you searched, how many articles were found, and how you eliminated articles to come to the ones you included here.
II. Questions Posed in the Studies
a. Afonso, Blot, & Blot (2016) seeks to establish how hospital-acquired bloodstream infections can be prevented through the use of chlorhexidine gluconate-impregnated washcloth bathing in intensive care units. In the study by Chidambaram (2015), the question raised is, what associations dental procedure and CVCs have.
b. Kadium, M. (2015) inquired into how the education program for 1 month, based on the
evidence-based guidelines recommended by CDC, will improve registered dialysis nurses’ knowledge regarding CVC maintenance care?
c. CDC and NCBI (2011) raise the research question, how many people have been affected in the USA from 2001-2009?
d. Srinivasan, Wise, Bell, Cardo,Edwards, Fridkin, Jernigan, Kallen, McDonald, & Patel (2011) considers questioning the perception of central line-associated bloodstream infection.
e. Dougherty (2012) questions the potential solutions in reducing incidences of central-line associated bloodstream infections have to be created in line with the clinical setting and careful consideration of the patients and the organizational culture.
f. Lin, Apisarnthanarak, Jaggi, Harrington, Morikane, Thu, Ching, Villanueva.
Running head Literature Review and PICOT Statement1NURSI.docxjeanettehully
Running head: Literature Review and PICOT Statement 1
NURSING
3
Literature Review and PICOT Statement
Ihuoma Agada
Grand Canyon University- NRS 490
December 22nd , 2019
An Analysis of Hourly Rounds and Prevalence of Pressure Ulcer in Hospital
The issue of fall-related injuries among elderly individuals is becoming a major concern in the effort of improving quality healthcare services to elderly individuals. There is an increase in trend towards aging demographic; therefore, it is the responsibility of the healthcare to ensure that there is creation or development of the effective strategies aimed at preventing falls among elderly individuals. One of the key strategies that have been recommended is the use of the hourly rounding proposal in the hospital. This strategy is supported by the literature as being a successful approach used for the purposes of preventing the falls and the improvement of patient safety (Dyck, Thiele, Kebicz, Klassen, & Erenberg, 2013). This paper is therefore aimed at comparing the research questions, a sample of the population, limitations of the studies, and making a conclusion and proposing the recommendation for further research.
Many healthcare facilities are facing clinical issues related to the acquired pressure ulcers. Acquired pressure ulcers still remains one of the persistent and relevant issue that requires agent response especially in the long-term care facilities. Hospitals are making attempts to implement the evidence based procedures even though there is still an increase in the incidence. Efforts are being made to integrate evidence-based strategies to help in curbing acquired pressure ulcers.
Comparing The Research Questions
While doing comparison of the research questions as used by the authors of the selected articles, the article by Mchem et al,. (2019) focuses on the teamwork as well as the good leadership as an effective approach towards reduction of the fall rates (MChem, Meredith, Mascioli, & Cunningham, 2019). The same leadership role is talked about in the article by the author Leone and Adams (2016). According to Leone and Adams (2016), nurse leaders, especially in the rehabilitation centers, have the crucial role in influencing the reduction of the fall rates through ensuring that there is successful execution of the fall prevention strategies and the sustenance of the outcome through promoting the stronger culture (Leone & Adams, 2016). In the article by King et al (2018), the concern is on how the communication process among the healthcare providers is helping in the reduction of the fall rates among the elderly individuals (King, Pecanac, Krupp, Liebzeit, & Mahoney, 2018). The research question used in the article by Brown (2016), the target of the question used is to establish the impact of adopting the hourly rounding on the rates of the patient falls. This is done on basis of looking at how successful the adoption of hourly rounding can be when it comes to the ...
BPS DCP SIGOPAC Good Practice Guidance in Demonstrating Quality and Outcomes ...Alex King
This report outlines a rigorous, multidimensional framework for evaluating quality and outcomes in psycho-oncology services, which can be flexibly adapted to local needs and priorities.
It aims to challenge psycho-oncology services to develop and standardise procedures that address the clinical and operational aspects of quality, while maintaining a firm focus on the experiential.
The proposed framework focuses on six key domains of service quality:
- Is this service safe?
- Is this service equitable, while also focused on those most in need?
- Is this service timely and responsive?
- Is this service respectful, collaborative and patient-centred?
- Is this service offering effective interventions?
- Is this service contributing to efficient multidisciplinary care?
To address these domains, psycho-oncology services need to draw on multiple, convergent sources of data, including key performance indicators, activity levels, patient self-report measures, feedback from professional colleagues, etc.
Central Line-associated Bloodstream Infections.Walden UniversiMaximaSheffield592
Central Line-associated Bloodstream Infections.
Walden University
Dr. Linda Johanson
Francis Mercado
1
Identification and description of the clinical issue.
The clinical issue or problem identified for my study is the central line bloodstream infections (CLABSI)
Central line bloodstream infections(CLABSI) is a health condition that affects many people.
It occurs when pathogens such as bacteria and other germs invade the patients central line after which they get into the bloodstream.
CLABSI related infections are often serious but they can be successfully managed through appropriate treatment approaches.
Femoral central venous catheters and internal jugular along with subclavian central lines have high risk of getting infected.
As per the survey conducted in 2019 about the central line bloodstream infections, it was found that the infection ratio for the said infections was 0.8 per 1000 central line days. This means that over 250000 people across the world bloodstream infections occur yearly and most of them are associated with the presence of intravascular devices.
2
Identification and description of the clinical issue.
Cont.………
Risk factors for Central Line-associated Bloodstream Infections (CLABSI)
presence of gastrostomy tube.
ICU placement of central venous catheter.
Immunosuppression.
Antibiotic therapy(Steffens et al., 2019,).
Poor nutrition;
Multiple invasive procedures.
nonoperative cardiovascular disease.
Central line bloodstream infection is associated with numerous predisposing risk factors. From healthcare stats, it can be said that central line catheters are the common causes of health callings linked to CLABSI. However there are many other risk factors that predispose patients to contracting or developing central line bloodstream infections. Contamination may occur within the central line and this may cause central line related illness. Such contamination include; non interact dressing, contaminated infusion, central venous access devices as well as patient's skin flora.
3
How to develop PICOT question for CLABSI
By analyzing the major components of PICOT, that is P-population, patients, or problem at hand, I-interventions required to solve the issue, C- control or alternative interventions to be compared, O-outcome or the objective to be achieved and T-time framework required to achieve desired outcome(Steffens et al., 2019).
This will help formulate questions such as;
Who and what is the issues that need to be addressed?
What is the proposed intervention and actions to remedy the issue?
What is desired outcome?
How much time is required to realized anticipated results?
To come up with PICOT statement of question on the clinical issues that I had chosen I had to analyze all the components of PICOT to identify their meanings so as to develop a questions that meets PICOT guidelines. The analysis of the PICOT components will help develop questions about the what are kind of population or patients affec ...
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International Journal of Nursing Studies 52 (2015) 1659–1668
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Troducing A Care bundle To prevent pressure injury
TACT) in at-risk patients: A protocol for a cluster
ndomised trial
endy Chaboyer a,b,c, Tracey Bucknall d,f, Joan Webster a,g,
zabeth McInnes e,h, Merrilyn Banks g, Marianne Wallis b,i,
gid M. Gillespie a,b,c, Jennifer A. Whitty a,c,j, Lukman Thalib k,l,
elley Roberts a,b,c,*, Nicky Cullum m
MRC Centre of Research Excellence in Nursing, Griffith University, Australia
tre for Health Practice Innovation, Griffith University, Australia
nzies Health Institute Queensland, Griffith University, Australia
red Health, Australia
ool of Nursing, Midwifery and Paramedicine, Australian Catholic University, Australia
ool of Nursing and Midwifery, Deakin University, Australia
yal Brisbane and Women’s Hospital, Australia
rsing Research Institute, St Vincent’s Health Australia (Sydney), Australia
versity of the Sunshine Coast, Australia
versity of Queensland, Australia
ulty of Medicine, University of Kuwait, Kuwait
ffith University, Australia
iversity of Manchester, United Kingdom
T I C L E I N F O
le history:
ived 19 September 2014
ived in revised form 16 April 2015
pted 28 April 2015
ords:
bundle
ent centred care
ent participation
sure injury prevention
sure ulcer prevention
A B S T R A C T
Background: Pressure injuries are a significant clinical and economic issue, affecting both
patients and the health care system. Many pressure injuries in hospitals are facility
acquired, and are largely preventable. Despite growing evidence and directives for
pressure injury prevention, implementation of preventative strategies is suboptimal, and
pressure injuries remain a serious problem in hospitals.
Objectives: This study will test the effectiveness and cost-effectiveness of a patient-
centred pressure injury prevention care bundle on the development of hospital acquired
pressure injury in at-risk patients.
Design: This is a multi-site, parallel group cluster randomised trial. The hospital is the unit
of randomisation.
Methods: Adult medical and surgical patients admitted to the study wards of eight
hospitals who are (a) deemed to be at risk of pressure injury (i.e. have reduced mobility),
(b) expected to stay in hospital for �48 h, (c) admitted to hospital in the past 36 h; and (d)
able to provide informed consent will be eligible to participate. Consenting patients will
receive either the pressure injury prevention care bundle or standard care. The care bundle
contains three main messages: (1) keep moving; (2) look after your skin; and (3) eat a
healthy diet. Nurses will receive education about the intervention. Patients will exit the
study upon development of a pressure injury, hospital discharge or 28 days, whichever
Corresponding .
MARKETING PRINCIPLES
MKTG 305
SWOT Assignment – CSUSB
Purpose:
In this assignment you will apply what you have learned from Chapters 2 and 3 by conducting a SWOT analysis of CSUSB.
Instructions
1. Use the layout template provided in the assignment details. Save it as a Word document and submit it to Blackboard.
2. Begin by populating the Strengths section of your chart. Identify what you perceive to be the strengths of CSUSB as compared to other universities. For example, answering the following questions should provide you with a start, but this list is not meant to be exhaustive:
a. What advantages does CSUSB have that others don’t have?
b. What does CSUSB do better than anyone else?
c. What resources can CSUSB access?
d. What do other people see as the strengths of CSUSB?
e. What accomplishments should CSUSB be most proud of?
f. What are the values of CSUSB and are they a strength or a weakness?
g. What is the reputation/brand of CSUSB and is it a strength or a weakness?
3. Continue to fill in the other three sections in your chart by:
a. Identifying the weaknesses of CSUSB compared to other universities.
b. Identifying opportunities that exist or will exist in the future (think environmental scan from Chapter 3) that CSUSB might be well positioned to take advantage of.
c. Identifying threats that exist or will exist in the future (again, think environmental scan from Chapter 3) that CSUSB will need to take steps to address in order to avoid.
4. Follow the layout example below. Use well written, bulleted sentences and make sure that you provide clear support for each of your bullet points. For example, you cannot simply state that the school has a good/bad reputation without providing a sentence or two to support your position.
RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE
WALDEN UNIVERSITY
JULY 28, 2019
Recommending an Evidence-Based Practice Change
My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.
The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.
However, since our hospital is a community-based health service facility, there are some of things that need to be changed.
The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.
Recommending an Evidence-Based Practice Change
The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.
Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.
Cancer is one of the top diseases causing high mortality rates around the world presently.
The federal and national government are the .
CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS2CENTRAL LINE-ASS.docxsleeperharwell
CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS2
CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS2
Central Line-Associated Bloodstream Infections Literature Review
Kerry S. Murphy
Grand Canyon University
Translational Research and Evidence-Based Practice
DNP-820-O501
Dr. Kari Lane
September 26, 2018
Running head: CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS2
Central Line-Associated Bloodstream Infections Literature ReviewComment by Microsoft Office User: The heading of introduction is inferred in APA format
I. Introduction
Central Line-Associated Bloodstream Infection (CLABSIs) in a fatal infection that results from bacteria or viruses entering the bloodstream through the central line. A central line, also known as a central venous catheter, refers to a tube used by doctors to administer medication, fluids or to collect blood from the body of a patient (Deason & Gray, 2018). Central Line-Associated Bloodstream Infection is one of the leading causes of deaths each year in different countries across the globe. Central Line-Associated Bloodstream Infection has been an area of interest for many healthcare researchers representing a diverse body of knowledge about the infection while still expanding on what is already known. The paper is an analysis of articles related to CLABSIs with the major themes of concern to the authors including risk factors, interventions, CLABSIs and Hospital Acquired Infections (HAIs), benefits of the preventive measures and the common symptoms of CLABSIs. Comment by Microsoft Office User: Add a description of how the literature search was completed. Tell the reader how you did your literature search, which databases you searched, how many articles were found, and how you eliminated articles to come to the ones you included here.
II. Questions Posed in the Studies
a. Afonso, Blot, & Blot (2016) seeks to establish how hospital-acquired bloodstream infections can be prevented through the use of chlorhexidine gluconate-impregnated washcloth bathing in intensive care units. In the study by Chidambaram (2015), the question raised is, what associations dental procedure and CVCs have.
b. Kadium, M. (2015) inquired into how the education program for 1 month, based on the
evidence-based guidelines recommended by CDC, will improve registered dialysis nurses’ knowledge regarding CVC maintenance care?
c. CDC and NCBI (2011) raise the research question, how many people have been affected in the USA from 2001-2009?
d. Srinivasan, Wise, Bell, Cardo,Edwards, Fridkin, Jernigan, Kallen, McDonald, & Patel (2011) considers questioning the perception of central line-associated bloodstream infection.
e. Dougherty (2012) questions the potential solutions in reducing incidences of central-line associated bloodstream infections have to be created in line with the clinical setting and careful consideration of the patients and the organizational culture.
f. Lin, Apisarnthanarak, Jaggi, Harrington, Morikane, Thu, Ching, Villanueva.
Running head Literature Review and PICOT Statement1NURSI.docxjeanettehully
Running head: Literature Review and PICOT Statement 1
NURSING
3
Literature Review and PICOT Statement
Ihuoma Agada
Grand Canyon University- NRS 490
December 22nd , 2019
An Analysis of Hourly Rounds and Prevalence of Pressure Ulcer in Hospital
The issue of fall-related injuries among elderly individuals is becoming a major concern in the effort of improving quality healthcare services to elderly individuals. There is an increase in trend towards aging demographic; therefore, it is the responsibility of the healthcare to ensure that there is creation or development of the effective strategies aimed at preventing falls among elderly individuals. One of the key strategies that have been recommended is the use of the hourly rounding proposal in the hospital. This strategy is supported by the literature as being a successful approach used for the purposes of preventing the falls and the improvement of patient safety (Dyck, Thiele, Kebicz, Klassen, & Erenberg, 2013). This paper is therefore aimed at comparing the research questions, a sample of the population, limitations of the studies, and making a conclusion and proposing the recommendation for further research.
Many healthcare facilities are facing clinical issues related to the acquired pressure ulcers. Acquired pressure ulcers still remains one of the persistent and relevant issue that requires agent response especially in the long-term care facilities. Hospitals are making attempts to implement the evidence based procedures even though there is still an increase in the incidence. Efforts are being made to integrate evidence-based strategies to help in curbing acquired pressure ulcers.
Comparing The Research Questions
While doing comparison of the research questions as used by the authors of the selected articles, the article by Mchem et al,. (2019) focuses on the teamwork as well as the good leadership as an effective approach towards reduction of the fall rates (MChem, Meredith, Mascioli, & Cunningham, 2019). The same leadership role is talked about in the article by the author Leone and Adams (2016). According to Leone and Adams (2016), nurse leaders, especially in the rehabilitation centers, have the crucial role in influencing the reduction of the fall rates through ensuring that there is successful execution of the fall prevention strategies and the sustenance of the outcome through promoting the stronger culture (Leone & Adams, 2016). In the article by King et al (2018), the concern is on how the communication process among the healthcare providers is helping in the reduction of the fall rates among the elderly individuals (King, Pecanac, Krupp, Liebzeit, & Mahoney, 2018). The research question used in the article by Brown (2016), the target of the question used is to establish the impact of adopting the hourly rounding on the rates of the patient falls. This is done on basis of looking at how successful the adoption of hourly rounding can be when it comes to the ...
BPS DCP SIGOPAC Good Practice Guidance in Demonstrating Quality and Outcomes ...Alex King
This report outlines a rigorous, multidimensional framework for evaluating quality and outcomes in psycho-oncology services, which can be flexibly adapted to local needs and priorities.
It aims to challenge psycho-oncology services to develop and standardise procedures that address the clinical and operational aspects of quality, while maintaining a firm focus on the experiential.
The proposed framework focuses on six key domains of service quality:
- Is this service safe?
- Is this service equitable, while also focused on those most in need?
- Is this service timely and responsive?
- Is this service respectful, collaborative and patient-centred?
- Is this service offering effective interventions?
- Is this service contributing to efficient multidisciplinary care?
To address these domains, psycho-oncology services need to draw on multiple, convergent sources of data, including key performance indicators, activity levels, patient self-report measures, feedback from professional colleagues, etc.
Central Line-associated Bloodstream Infections.Walden UniversiMaximaSheffield592
Central Line-associated Bloodstream Infections.
Walden University
Dr. Linda Johanson
Francis Mercado
1
Identification and description of the clinical issue.
The clinical issue or problem identified for my study is the central line bloodstream infections (CLABSI)
Central line bloodstream infections(CLABSI) is a health condition that affects many people.
It occurs when pathogens such as bacteria and other germs invade the patients central line after which they get into the bloodstream.
CLABSI related infections are often serious but they can be successfully managed through appropriate treatment approaches.
Femoral central venous catheters and internal jugular along with subclavian central lines have high risk of getting infected.
As per the survey conducted in 2019 about the central line bloodstream infections, it was found that the infection ratio for the said infections was 0.8 per 1000 central line days. This means that over 250000 people across the world bloodstream infections occur yearly and most of them are associated with the presence of intravascular devices.
2
Identification and description of the clinical issue.
Cont.………
Risk factors for Central Line-associated Bloodstream Infections (CLABSI)
presence of gastrostomy tube.
ICU placement of central venous catheter.
Immunosuppression.
Antibiotic therapy(Steffens et al., 2019,).
Poor nutrition;
Multiple invasive procedures.
nonoperative cardiovascular disease.
Central line bloodstream infection is associated with numerous predisposing risk factors. From healthcare stats, it can be said that central line catheters are the common causes of health callings linked to CLABSI. However there are many other risk factors that predispose patients to contracting or developing central line bloodstream infections. Contamination may occur within the central line and this may cause central line related illness. Such contamination include; non interact dressing, contaminated infusion, central venous access devices as well as patient's skin flora.
3
How to develop PICOT question for CLABSI
By analyzing the major components of PICOT, that is P-population, patients, or problem at hand, I-interventions required to solve the issue, C- control or alternative interventions to be compared, O-outcome or the objective to be achieved and T-time framework required to achieve desired outcome(Steffens et al., 2019).
This will help formulate questions such as;
Who and what is the issues that need to be addressed?
What is the proposed intervention and actions to remedy the issue?
What is desired outcome?
How much time is required to realized anticipated results?
To come up with PICOT statement of question on the clinical issues that I had chosen I had to analyze all the components of PICOT to identify their meanings so as to develop a questions that meets PICOT guidelines. The analysis of the PICOT components will help develop questions about the what are kind of population or patients affec ...
1. Prevention of Pressure Ulcers Discussion
Prevention of Pressure Ulcers DiscussionPrevention of Pressure Ulcers
DiscussionPrevention of Pressure Ulcers for End of Life Patients in Hospitals: Adoption of
an Evidence-Based Pressure Ulcers Risk Assessment Protocol for Standing Orders 1.0
Background The philosophical literature on good death ed the early framework of
achieving a natural death free from medical intervention at home surrounded by friends
and family (Campbell, 2020). This traditional way of conceptualising good death,
particularly outside the hospital setting, places palliative care in opposition to mainstream
healthcare services (Robinson et al.,2016). However, Palliative care, to help provide relief
from symptoms and offer to patients and their family members at the end of their lives, is
expected to be offered in all care settings (4th edition of the National Consensus Project’s
Clinical Practice Guidelines for Quality Palliative Care). Similarly, palliative care policy in
England emphasizes that high-quality care should be available wherever the person may be:
at a hospital, in home, in a care home, in a hospice, or elsewhere (Leadership Alliance for the
Care of Dying People, 2014 and NHS, 2008). This focuses on solving the problem associated
with the hospital as a place of palliative care and end-of-life. Also, in 2012, the NHS
identified pressure ulcer prevention as a quality improvement target, which was in
furtherance of the Department of Health set a target of an annual reduction of at least 5-
10% in the incidence of pressure ulcers in 1994 (Department of Health (DH), 2012.
However, as there was no requirement for trusts to provide data relating to this target,
there is no evidence to suggest this has been addressed. Likewise, there is no requirement
for data to be collected about the needs or outcomes of services used by patients of acute
hospitals, resulting in a significant lack of such literature in the United Kingdom (Kerrison
and Pollock, 2001). Therefore, despite the attention given to the area of pressure ulcer
prevention, what remains uncertain is what constrains hospitals from implementing
national guidelines on pressure ulcer prevention ((National Institute for Clinical Excellence
(NICE), 2001; 2003; DH, 2001; 2003)) and the evidence-based recommendations of the
International Pressure Ulcer Prevention and Treatment Guidelines (National Pressure Ulcer
Advisory Panel (NPUAP) et al, 2019) in terms of improving the outcomes for patients. This
study aims at addressing some of these gaps. Particularly, the researcher would be working
closely with the staff in one of the placement hospitals to identify the barriers to change and
then to work with the healthcare professionals and management to implement best
practices in pressure ulcer prevention. Prevention of Pressure Ulcers DiscussionORDER
NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERSIn addition, considering the increasing
2. population of patients requiring palliative care in acute hospital (Cruz-Oliver, 2017; Etkind,
S.N., Bone, A.E., Gomes, B. et al. 2017; Healthtalk.org., 2014) amid established evidence that:
i) end-of-life patients are susceptible to pressure ulcer (Ferris, Price & Harding, 2019;
Carville, 2018), ii) Some 80 to 95% of pressure ulcers are preventable (Institute for
Healthcare Improvement, 2021; Ebi, Hirko & Mijena, 2019; NHS, 2015), and iii) hospital
settings are inadequate in providing palliative care (the Mid Staffordshire NHS Foundation
Trust, 2013; Gardiner et al., 2011), this area requires systematic application of evidence-
based practice research. The existing end-of-life and palliative care in hospitals in England
fit a proposed practice change given its inadequacy in terms of coverage, variation in
practices, and sustainability (Ó Coimín et al., 2019). For instance, dying in hospital in the UK
is characterised by a deficit of vital end-of-life care because of the lack of specialist
available out of hours and at weekends. Those who die overnight or at the weekend may be
denied the right care because only some (11%, 2016 End of Life Care Audit – Dying in
Hospital) of hospital trusts in England provide face-to-face specialist palliative services
round the clock 1 Monday to Sunday, as the majority of trusts offer a specialist telephone
helpline. Though most healthcare professionals giving end-of-life care do it to a very good
standard when things start to go wrong out-ofhours in the middle of the night and at
weekends, then the nurses that need access to specialists in palliative care are without it,
patients with complex problems like pressure ulcers may not get the care they need. Which
is a problem. Consequently, practice research toward improving the prevention of pressure
ulcers among end-of-life patients in an acute hospital is needed to ensure improved patient
outcomes, including symptom control and quality of life, and family outcomes, such as
decreased anxiety. Prevention of Pressure Ulcers DiscussionThe purpose of this study is,
therefore, to describe the process of a nurse-led practice improvement project to implement
an evidence-based standing order set for risk management of pressure ulcers in a hospital-
based palliative care setting using patients’ experience data as an evaluative component.
Considering the progressive end-stage deterioration of the skin usually experienced by
patients receiving palliative care, ongoing regular assessment of pressure ulcer risk is
required (NPUAP et al, 2019). The Marie Curie Centre Hunters Hill Risk Assessment Tool
(Chaplin, 2000), is identified in literature as a recommended tool that can be used in
conjunction with clinical judgment to conduct a broad pressure ulcer risk assessment in
patients under the end of life and palliative care (NPUAP et al, 2019). In this light, the
underlying elements of the PICO model: Patient / Problem, Intervention, Comparison and
Outcome being considered will be as follows: Table 1: PICO Process
Population/Patient/Problem Intervention Comparison Outcome In end-of-life patients and
Prevention of Comparison between Make a difference in among family members of pressure
ulcers in old and new standing meeting the care patients individuals receiving orders need
of patients and palliative care significantly reduce in-hospital using pressure ulcer evidence-
based risk incidence in hospital assessment management 2.0 Methods: The steps of the
Iowa Model for Evidence-Based Practice Change will be utilised for this practice
implementation project. Survey data will be conducted as a proxy for assessing the
intervention effectiveness. The Iowa Model of Evidence-Based Practice The Iowa Model of
Evidence-Based Practice for organizational scientific evidence as described by Spellman
3. (2016) provides the framework for identification of a relevant topic for clinical inquiry,
team formation appraisal and synthesis of the relevant best evidence, application of
changes, evaluation and dissemination. It involves identifying practical issue of concern and
formulation of research questions; determining how much of a problem the priority issue is
for the organization; determine if the evidence is sufficient – otherwise, search; but if the
evidence is sufficient and the changes are appropriate, conduct 2 a pilot study to change the
practice; evaluate pilot results, disseminate results and implement change (Camargo et
al.,2017). Reference Campbell, S.M. (2020) Well-Being and the Good Death. Ethic Theory
Moral Prac 23, 607–623. https://doi.org/10.1007/s10677-020-10101-3 Robinson, J., Gott,
M., Gardiner, C. & Ingleton, C. (2016) The ‘problematisation’ of palliative care in hospital: an
exploratory review of international palliative care policy in five countries. BMC Palliative
Care 15:64. doi 10.1186/s12904-016-0137-0 Department of Health (2012) Using the
Commissioning for Quality and Innovation (CQUIN) Payment Framework: Guidance on New
National Goals for 2012–13 London: Prevention of Pressure Ulcers DiscussionDepartment
of Health, London. NHS (2008), High Quality Care for All. NHS Next Stage Review Final
Report No. CM 7432, Presented to Parliament by the Secretary of State for Health by
Command of Her Majesty. Leadership Alliance for the Care of Dying People (2014). One
chance to get it right, Reference 01509. Kerrison S, Pollock A (2001) Caring for older people
in the private sector in England. BMJ 323(7312): 566 National Institute for Clinical
Excellence (2001) Pressure ulcer risk assessment and prevention. NICE, London National
Institute for Clinical Excellence (2003) Pressure Ulcer Prevention. Clinical Guideline 7. NICE,
London Department of Health (2001) The Essence of Care – patient-focused benchmarking
for health care practitioners. DH, London Department of Health (2003) Essence of Care
Patient-focused benchmarks for clinical governance. NHS Modernisation Agency.
Department of Health, London National Pressure Ulcer Advisory Panel and European
Pressure Ulcer Advisory Panel (2019) Prevention and treatment of Pressure
Ulcers/injuries: Clinical Practice Guideline. The International Guideline, 3rd Edition (2019),
NPUAP, Washington DC Cruz-Oliver, D. M. (2017). Palliative Care: An Update. Missouri
medicine, 114(2), 110–115. Healthtalk.org. (2014) Living with Dying: Where people want to
die. University of Oxford; UK. [Accessed: 2/2/21]. Available from:
http://www.healthtalk.org/peoples-experiences/dying-bereavement/livingdying/where-
people-want-die. Etkind, S.N., Bone, A.E., Gomes, B. et al. (2017) How many people will need
palliative care in 2040? Past trends, future projections and implications for services. BMC
Med 15, 102. https://doi.org/10.1186/s12916-017-0860-2 Ferris A, Price A, Harding K.
(2019) Pressure ulcers in patients receiving palliative care: A systematic review. Palliative
Medicine 33(7):770-782. doi:10.1177/0269216319846023 3 Carville K. (2018) Pressure
Injury Prevention and Management in Palliative Care. In: MacLeod R., Van den Block L. (eds)
Textbook of Palliative Care. Springer, Cham. https://doi.org/10.1007/978-3-31931738-
0_116-1 Institute for Healthcare Improvement (2021). Pressure Ulcers. [Accessed: 2/2/21].
Available from: http://www.ihi.org/Topics/PressureUlcers/Pages/default.aspx NHS (2015)
Stop the Pressure. [Accessed: 2/2/21]. Available from: www.nhs.stopthepressure.co.uk Ebi,
W.E., Hirko, G.F. & Mijena, D.A. (2019) Nurses’ knowledge to pressure ulcer prevention in
public hospitals in Wollega: a cross-sectional study design. BMC Nurs 18, 20.
4. https://doi.org/10.1186/s12912019-0346-y Gardiner, C., Cobb, M., Gott, M. & Ingleton, C.
(2011) Barriers to providing palliative care for older people in acute hospitals, Age and
Ageing, Volume 40, Issue 2, March, pp.233–238, https://doi.org/10.1093/ageing/afq172
The Mid Staffordshire NHS Foundation Trust (2013). Public inquiry. [Accessed: 2/2/21].
Available from
http://webarchive.nationalarchives.gov.uk/20150407084231/http://www.midstaffspublic
inquiry.com/r eport. Ó Coimín, D., Prizeman, G., Korn, B. et al. (2019). Prevention of
Pressure Ulcers DiscussionDying in acute hospitals: voices of bereaved relatives. BMC
Palliative Care 18, 91. https://doi.org/10.1186/s12904-019-0464-z Spellman, C.F. (2016) A
Practice Improvement Project to Improve Knowledge and Perceptions of Palliative Care
among Patients with Heart Failure and Cancer in the Acute Setting Using Video Enhanced
Education. DNP Projects submitted to College of Nursing, University of Kentucky Camargo,
F.C., Iwamoto, H.H., Galvão, C.M., et al (2017). Models for the Implementation of
EvidenceBased Practice in Hospital Based Nursing: A Narrative Review. Texto Contexto
Enferm 26(4):e2070017. doi.org/10.1590/0104-07072017002070017 Chaplin J. (2000)
Pressure sore risk assessment in palliative care. Journal of Tissue Viability, 10(1):27-31 4
Part 1: Literature review Introduction and background • Put the innovation in context of
local and National policy • Give a rationale for the focus of your project and say why it is
important • State the aims and outcomes of the proposed innovation Literature review •
State the purpose of the literature review and identify the different types of literature
included in the review • Describe how you searched, selected and appraised the literature •
Discuss and summarise your findings. Give a picture of the overall body of knowledge in this
field – point out its strengths and weaknesses and highlight any gaps • Make a critical
analysis of the evidence informing the need for your innovation. Critically analyse the
evidence that informs your innovation. • You should demonstrate your ability to
systematically search for research, select and appraise research, analyse several studies and
form conclusions linked to your innovation plan. Part 2: The implementation plan
Introduction and background Introduce your choice of change model and briefly explain
why you have made that choice. Change management plan Move on to look at ing theories
for preparing for change – such as SWOT analysis, stakeholder analysis (these are
suggestions not requirements) You need to describe the step by step process of your plan.
There should also be a discussion with evaluative commentary. You should highlight any
strengths and acknowledge any limitations of your plan. Evaluating the success of the
innovation You need to return to the aims and outcomes of the innovation plan and discuss
how you will know if they have been achieved. Your discussion should be informed by
theory related to evaluation methods as well as give practical examples of measure or data
collection tools that could be used. Chapter 2. Literature Review 2.1. Introduction
Prevention of Pressure Ulcers DiscussionThis paper planning to explores a proposed
Innovation and expliontes on a strategy. wpich may optimally contribute to resolving the
problem of falls in the inpatient settings: The use of a yellow wristband to identify the
inpatients at high risk of folls. The purpose of this literature review is to critically analyse
and synthesise the relevant literature on this topic and the consequent review will underpin
the construct of project proposal The Problem.Intervention-Comparison-Outcome (PICO)
5. framework, as recommended by Gerrish and Lacey (2010) forms the basis of the current
literature review Gerrish and Lacoy (2010) explain that the PICO framework) works well
for questions about healthcare Interventions”. PICO is particularly useful in formulating
questions about the offectiveness of a particular intervention (Moule & Goodman, 2013). It
is also useful for collating quantitative questions, answered with numerical data (Houset.
2012). This project has utilized both these tools in the review, The problem (P) explored in
this review is falls in the inpatient settings. The intervention (1) and comparison (C) refer to
the foll’s prevention strategios generally, and colour coded wristbands for high-risk patients
specifically – versus no fail’s prevention THARAMA in in the center les into the LIELM D
Rare Man ** A. EA ===== ?? Ph ABDOBID. NRC Make moci Aabct Aa AaB i osoain Audio
MOBBODI med en gang handige le Sublime effectiveness of a particular intervention (Moule
& Goodman, 2013). It is also useful for collating quantitative questions, answered with
numerical data (Houset, 2012). This project has utilized both these tools in the review. The
problem (P) explored in this review is falls in the inpatient settings. The intervention (1)
and comparison (C) refer to the tall’s prevention strategies – generally, and colour- coded
wristbands for high-risk patients specifically – versus no fall’s prevention strategies. The
outcome (o) is the number/rate of falls, and also indicates the consequences of falls (for
example, injury to the patient or extended hospitalization). Some of the studies selected also
consider nurses’ awareness of fallsrisk as an outcome. 22. Aims and Objectives for the
literature review • Prevention of Pressure Ulcers Discussion