Preventing and Promoting Healing of Pressure Ulcers (Essay Sample)
7064.1.1 : Leadership Skills and Approaches
The graduate determines the effective leadership skills and approaches required to navigate a diverse staff in a changing healthcare environment.
7064.1.2 : Culture of Innovation
The graduate creates communication and change management plans to foster a culture of innovation.
7064.1.3 : Essential Business Practices for Nurse Leaders
The graduate analyzes data to measure progress in meeting organizational performance indicators in complex healthcare systems.
7064.1.4 : Effective Teams
The graduate determines system-level factors necessary to support and empower interprofessional teams.
7064.1.5 : Performance Measures
The graduate validates key performance indicators to measure the impact of nursing care on patient and population outcomes.
7064.1.6 : Strategic Planning
The graduate proposes a strategic business plan to start a nurse-managed practice.
During your previous Core Courses, you completed assessments that prepared you for many different types of Advanced Professional Nurse leadership roles. For this assessment you will assume one of the most important roles in nursing, which is that of a Nurse Innovator. Innovation in healthcare can take many forms, ranging from enhancing the patient experience to improving the overall health of populations. This may involve new forms of health professional training, patient education, care coordination, financial management, service delivery models or population health improvement initiatives.
While completing your Clinical/Practice Experiences (CPE) for D031 Advancing Evidence-Based Innovation in Nursing Practice, you met with key stakeholders from the Academic or Healthcare setting you selected, to explore innovative ideas for change. During these discussions, you selected one innovative idea that will become the basis for writing your Evidence-Based Innovation Plan for this assessment.
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Create an innovation plan proposal using the attached “Evidence-Based Innovation Plan Template.”
A. Introduce your innovation proposal by doing the following:
1. Explain the role of an innovative nurse leader.
2. Summarize the community of practice (CoP) established during your CPE, including the following points:
a. organizational characteristics, services provided, and size of the service area
b. demographic characteristics of the population served
c. team member roles—formal and informal
d. shared team values
3. Focusing on the organization identified in your CPE, discuss the internal and external factors that prompted this proposal.
4. Assess how your proposed innovation aligns to other professional, regulatory, and/or governmental strategic initiatives.
5. Construct a purpose statement for your proposed innovation.
6. Create a goal of the proposed innovation in SMART+C format (i.e., Specific, Measurable, Achievable, Relevant, Timed, and Challenging).
B. Complete a “Relevant Sources Review” by doing the following:
1. Identify five scholarly peer-reviewed sources published within the last five years that are relevant to your innovation proposal.
2. Summarize your findings from each source, using the Relevant Sources Summary Table in the attached “Evidence-Based Innovation Plan Template.”
3. Identify the evidence strength and the hierarchy of each source, using the WGU levels of evidence hierarchy outlined in the attached “WGU Levels of Evidence” document.
4. Synthesize your findings by identifying patterns, trends, and gaps in the literature as they relate to the proposed innovation.
5. Develop recommendations for the proposed innovation based on the literature.
C. Discuss the data-collection methods and technology used to identify and support the proposed innovation by doing the following:
1. Explain the process you used to generate ideas for an innovation from the CoP.
2. Provide examples of big and small data within your current healthcare setting.
3. Discuss how big data could be used to support the proposed innovation.
4. Describe technology enhancements required for the proposed innovation.
D. Discuss how to support interprofessional collaboration in the midst of disruptive innovation by doing the following:
1. Analyze how disruption from the proposed innovation could impact individuals, processes, and organizations.
2. Develop strategies to mitigate the challenges of disruption for individuals, processes, and organizations.
3. Discuss how the proposed innovation can leverage benefits of disruptive innovation for cost-effective, quality healthcare outcomes.
E. Discuss your pre-implementation plan by doing the following:
1. Discuss diffusion of innovation as it relates to the implementation of your plan.
2. Identify the roles and responsibilities of five team members needed to implement your proposal using the Innovation Action Plan table in the attached “Evidence-Based Innovation Plan Template.”
3. Discuss the financial implications of implementing the proposed innovation.
4. Develop an interprofessional communication plan accounting for the logistics (i.e., the who, what, when, and where) of facilitating the innovation and its usability.
5. Discuss how you will evaluate the effectiveness of your proposed innovation.
F. Conclude your innovation proposal by doing the following:
1. Reiterate the purpose and rationale for your proposed innovation.
2. Reflect on your experience identifying an innovation for your setting.
3. Discuss the strengths and challenges of the process used for developing this innovation plan.
4. Discuss how you will apply what you have learned for future initiatives.
G. Submit your formal narrative paper in APA style, including but not limited to title page, headers, in-text citations, tables, figures, appendices, and references.
H. Demonstrate professional communication in the content and presentation of your submission.
NOTE: The Performance Assessment should be uploaded as a separate attachment(s) and should not be included in the E-portfolio or submitted as a link.
File name may contain only letters, numbers, spaces, and these symbols: ! - _ . * ' ( )
File size limit: 200 MB
File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg, avi, mp3, wav, mp4, wma, flv, asf, mpeg, wmv, m4v, svg, tif, tiff, jpeg, jpg, gif, png, zip, rar, tar, 7z
A1:EXPLANATION OF ROLE
An explanation of an innovative nurse leader role is not provided.
The explanation of the innovative nurse leader role omits key characteristics of the nurse innovator or behaviors of innovation leadership, or it contains inaccuracies. Or the explanation is poorly supported or missing relevant examples.
The explanation of the innovative nurse leader role contains accurate characteristics of the nurse innovator and behaviors of innovation leadership. The explanation is well-supported by a scholarly reference and includes examples relevant to the role.
A summary of the CoP’s organizational characteristics, services provided, and service area size is not provided.
The summary omits key organizational characteristics of the CoP, including type, setting, or structure. Or the summary inaccurately describes services provided or the size of the service area. Or the summary of the services provided is limited in detail.
The summary includes an accurate description of organizational characteristics of the CoP, including type, setting, and structure. The summary accurately describes the services provided and size of the service area and offers in-depth details about the services provided.
A summary of the demographic characteristics of the population served is not provided.
The summary of the demographic characteristics of the population served is incomplete or not effectively supported by quantitative and qualitative data. Or the characteristics described are not plausible or appropriate to the population served.
The summary of the demographic characteristics of the population served is effectively supported with quantitative and qualitative data. The characteristics described are plausible and appropriate to the population served.
A2C:TEAM MEMBER ROLES
Team members and their roles are not identified.
The team members are not correctly identified with their respective roles. Or the summary of the roles of team members is incomplete or irrelevant to the proposed change or does not encompass formal or informal roles.
The team members are accurately identified and their respective roles are relevant to the proposed change. The summary encompass informal and formal roles.
A2D:SHARED TEAM VALUES
A summary of the shared team values is not provided.
The summary of the shared team values within the organization is incomplete or not supported by real examples. Or the summary does not address the significance of the values to the team.
A summary is provided of the shared goals of the organization and the team. The discussion is supported by real examples.
A3:DISCUSSION OF INTERNAL AND EXTERNAL FACTORS
The submission does not discuss factors that prompted the innovation proposal.
The submission discusses factors that prompted the innovation proposal but is missing internal or external factors. Or the factors discussed are not plausible. Or the discussion does not clearly connect the listed factors to the proposal.
The submission discusses internal and external factors that prompted the innovation proposal, and the factors discussed are plausible.
A4:ALIGNMENT TO STRATEGIC INITIATIVES
An assessment of the alignment of the proposed innovation with other professional, regulatory, or governmental strategic initiatives is not provided.
The assessment of the alignment of the proposed innovation with other professional, regulatory, or governmental strategic initiatives is not accurate or relevant to the proposed innovation.
The assessment of the alignment of the proposed innovation with other professional, regulatory, or governmental strategic initiatives is accurate and relevant to the proposed innovation.
A purpose statement is not provided.
The purpose statement is not clear, relevant to the proposal, meaningful, applicable, realistic, or specific. Or it is not clear how the purpose statement supports the success of the proposed innovation.
The purpose statement is clear, relevant to the proposal, meaningful, applicable, realistic, and specific. It is clear how the purpose statement supports the success of the proposed innovation.
A goal statement is not provided.
The goal statement is not based on the SMART-C format or is irrelevant to the proposed innovation.
The goal statement for the innovation uses the SMART+C format and is relevant to the proposed innovation.
Fewer than 5 sources are provided from scholarly peer-reviewed journals that were published within the past 5 years.
5 sources from scholarly peer-reviewed journals are accurately identified and were published within the past 5 years, but 1 or more are irrelevant to the proposed innovation.
5 sources from scholarly peer-reviewed journals are accurately identified and were published within the past 5 years. All of them are relevant to the proposed innovation.
B2:PRESENTATIONS OF FINDINGS
A Relevant Sources Summary Table is not provided.
The Relevant Sources Summary Table is incomplete or does not include a detailed summary of each source from part B1. Or 1 or more of the summaries presented is not related to the proposed innovation.
The Relevant Sources Summary Table is complete and includes a detailed summary of each source identified in part B1. Each summary is appropriately related to the proposed innovation.
B3:EVIDENCE STRENGTH AND HIERARCHY
The evidence strength and evidence hierarchy of any of the chosen sources in the evidence critique table is inaccurately identified, using the Strength of Evidence information in the study plan.
The evidence strength and evidence hierarchy of each chosen source in the evidence critique table is accurately identified, using the Strength of Evidence information in the study plan.
B4:SYNTHESIS OF LITERATURE
A synthesis of the findings from the sources identified in part B1 is not provided.
The synthesis of the findings from the sources identified in part B1 is not specific to the proposed innovation or is not logically presented. Or it does not accurately identify and synthesize key patterns, trends, or gaps in the literature.
The synthesis of the findings from the sources in part B1 is specific to the proposed innovation and logically presented. It accurately identifies and synthesizes patterns, trends, and gaps in the literature.
Developed recommendations for the proposed innovation are not provided.
The recommendations are not fully developed or do not incorporate findings from the literature. Or they are not appropriate to the proposed innovation. Or the recommendations are unclear, not specific, or illogical.
The developed recommendations incorporate the summary findings from the literature, and are appropriate for the proposed innovation. The recommendations are clear, specific, and logical.
C1:IDEA GENERATION PROCESS
An explanation of the process used to generate ideas for an innovation is not provided.
The explanation is missing information about the process used to generate ideas from the CoP, or the explanation is not relevant to the proposed innovation.
The explanation is comprehensive and includes specific details about the process used to generate ideas from the CoP. The explanation is relevant to the proposed innovation.
Examples of big and small data within the current healthcare setting are not provided.
The examples of big and small data provided are not practical or relevant to the current healthcare setting. Or key examples of big or small data are missing without reasonable justification.
The examples of big and small data provided are practical and relevant to the current healthcare setting. Key examples are provided, or their absence is reasonably justified.
C3:BIG DATA SUPPORT
A discussion of how big data can be used to support the proposed innovation is not provided.
The discussion contains inaccuracies or demonstrates a limited understanding of how big data can be used to support the proposed innovation.
The discussion demonstrates an accurate understanding of how big data can be used to support the proposed innovation.
A description of technology enhancements required for the proposed innovation is not provided.
The described technology enhancements are not specific, appropriate, or feasible for the proposed innovation, or the description lacks details and a plausible justification of why the identified enhancements are required.
The described technology enhancements are specific, appropriate, and feasible for the proposed innovation. The description includes details about the proposed innovation and a plausible justification for the identified enhancements.
An analysis of disruption from the proposed innovation is not provided.
The analysis demonstrates an inaccurate or limited understanding of disruption relevant to the proposed innovation. Or the analysis is missing the potential impact of disruption on individuals, processes, or organizations.
The analysis demonstrates an accurate and in-depth understanding of disruption relevant to the proposed innovation and clearly identifies its potential impact on individuals, processes, and organizations.
D2:STRATEGIES TO MITIGATE CHALLENGES
Strategies to mitigate the challenges of disruption is not provided.
The developed strategies lack specificity or are not feasible to mitigate the challenges of disruption. Or strategies relevant to individuals, processes, or organizations are missing.
The developed strategies are specific and feasible to mitigate the challenges of disruption for individuals, processes, and organizations.
D3:LEVERAGE BENEFITS OF DISRUPTIVE INNOVATION
A discussion of how the proposed innovation can leverage benefits of disruptive innovation for healthcare outcomes is not provided.
The discussion does not practically or plausibly explain how the proposed innovation can leverage benefits of disruptive innovation for cost-effective or quality healthcare outcomes. Or the cost-effective, quality healthcare outcomes are not identified or are irrelevant to the proposed innovation.
The discussion includes a practical and plausible explanation of how the proposed innovation can leverage benefits of disruptive innovation relevant to identified cost-effective, quality healthcare outcomes.
E1:DIFFUSION OF INNOVATION
A discussion about diffusion of innovation is not provided.
The discussion demonstrates a limited or inaccurate understanding of diffusion of innovation. Or the discussion does not appropriately relate relevant information to the proposed innovation implementation plan.
The discussion demonstrates a comprehensive and accurate understanding of diffusion of innovation and appropriately relates relevant information to the proposed innovation implementation plan.
E2:INNOVATION ACTION PLAN TABLE
The Innovation Action Plan table is incomplete or not provided.
The Innovation Action Plan table is submitted in a format other than the format provided in the task directions. Or the information presented in the table is not practical, is inaccurate, or is irrelevant to the proposed innovation.
The Innovation Action Plan is submitted using the template provided in the task directions. The information in the table is practical, accurate, and relevant to the proposed innovation.
A discussion is not provided or is irrelevant to the planning process.
The discussion considers the financial implications of some but not all stages of the implementation plan for the proposed innovation. Details are limited, irrelevant, or inaccurate, or the discussion does not inform the plan in a meaningful way.
The discussion includes thorough consideration of the financial implications for all stages of the implementation for the proposed innovation. The discussion is supported by specific, relevant, and accurate details, and it is meaningful to the planning process.
E4:INTERPROFESSIONAL COMMUNICATION PLAN
A communication plan for facilitating the innovation is not provided.
The communication plan addresses some but not all of the key logistical components of facilitating the innovation and its usability. The discussion lacks specificity and relevancy to the proposed innovation.
The communication plan considers all logistical components of facilitating the innovation and its usability including but not limited to who will give and receive communication, what will be communicated, and when and where the message will be communicated. The discussion is specific and relevant to the proposed innovation.
A discussion of how the proposed innovation will be evaluated is not provided.
The discussion includes a plan for evaluation but lacks specificity or measurability. Or the connection to the purpose statement and innovation goal is not clear.
The discussion details a specific, measurable, and clear plan for evaluation. The connection to the purpose statement and innovation goal is clear.
F1:PURPOSE AND RATIONALE
The submission does not reiterate the purpose and rationale for the proposed innovation.
The submission reiterates the purpose statement and rationale, but it is unclear. Or the purpose statement or rationale are inaccurate or irrelevant to the proposed innovation.
The submission reiterates the purpose statement and rationale, and both are clear, accurate, and relevant to the proposed innovation.
A reflection on the candidate’s experiences related to innovation is not provided.
The reflection is limited in scope and insight. There are few or insignificant references to personal experience with the process of innovation.
The reflection is insightful as it relates to the key tenets of the process of innovation. Significant personal experiences with the process of innovation are referenced.
F3:STRENGTHS AND CHALLENGES
A discussion of strengths and challenges is not provided.
The discussion is missing specific examples of strengths or challenges, or the identified strengths and challenges are not relevant to the process used for developing the proposed innovation plan.
The discussion includes specific and relevant examples of strengths and challenges relating to the process of developing the proposed innovation plan.
A discussion of how lessons learned will be applied to future initiatives is not provided.
The discussion of how lessons learned from this experience can be applied to future initiatives is not clear, includes limited insights, or is not logical.
The discussion of how lessons learned from this experience can be applied to future initiatives is clear, insightful, and logical.
The submission is not in APA style.
The submission does not demonstrate a consistent application of APA style.
The submission demonstrates a consistent application of APA style.
Content is unstructured, is disjointed, or contains pervasive errors in mechanics, usage, or grammar. Vocabulary or tone is unprofessional or distracts from the topic.
Content is poorly organized, is difficult to follow, or contains errors in mechanics, usage, or grammar that cause confusion. Terminology is misused or ineffective.
Content reflects attention to detail, is organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate. Terminology is pertinent, is used correctly, and effectively conveys the intended meaning. Mechanics, usage, and grammar promote accurate interpretation and understanding.
Preventing and Promoting Healing of Pressure ulcers
Author Name (First, Middle Initial, Last)
College of Health Professions, Western Governors University
D031: Advancing Evidence-Based Innovation in Nursing Practice
Course Instructor Name
Preventing and Promoting Healing of Pressure Ulcers
The elderly and other patients with mobility factors often suffer from pressure ulcers/bedsores after prolonged hospital stays. Pressure ulcers often occur at the pressure areas such as the back of the head, buttocks, lateral side of the thighs, shoulder blades, and elbows. They result from prolonged pressure on these areas without turning, which cuts off blood supply leading to easy abrasion and tissue death (Mervis & Phillips, 2019). Pressure ulcers are relatively common in nursing homes and palliative care centers. Nurses reposition patients, but due to nurses’ workload, size of the patients, and nursing staff shortage, nurses may at times fail to turn these patients regularly, thus causing pressure ulcers. Several interventions help prevent pressure ulcers. This essay explores the use of automatic repositioning systems as an innovative technology in reducing pressure ulcers.
Role of Innovative Nurse Leader
Innovative nurse leaders work to recognize workable ideas, participate in decision-making and resolution refinement, and introduce successful ideas to others. Innovative nursing leadership must create opportunities for other nurses’ innovation and career development. Nurse leaders formally cultivate and promote processes that lead to better healthcare. Innovative leaders have transformational roles through psychological empowerment and knowledge sharing (Masood & Afsar, 2017). Knowledge sharing and innovative work behavior have a positive correlation. Nurse leaders thus have a role to play in fostering a culture of good communication and professional collaboration at the workplace (Masood & Afsar, 2017). Innovative nurse leaders give room for failures in innovation and offer assistance to other nurses. Innovative Leaders also involve their workers in decision-making, which helps them be creative and participate in activities beyond the daily routine.
Innovative nurse leaders are also integral in change management. Nurse innovators quickly denote positive changes and influence others to change management (Udod & Wagner, 2018). They should show others the need for change and facilitate change through training nurses to utilize change and using incentives such as rewards. They should also help nurses understand change because hesitance is associated with a lack of knowledge regarding the change intervention.
Summary of Community of Practice
Chastain Memorial Nursing Home is a nursing home offering services majorly to palliative care patients and geriatrics. It is located in a suburban area in Camden, New Jersey, has 150 beds, and includes inpatient and outpatient departments. The outpatient department is integral in treating acute asthma, burns, snake bites, and minor trauma. The facility offers services to these vulnerable groups often neglected in society. These include the elderly, ethnic minorities, and drug and substance abuse patients.
The facility serves a catchment population of above 300,000 people. The majority of the patients are older adults over 75 years with severe immobility or terminal diseases. They have severely diminished functional capacities, and thus the prevalence of pressure ulcers is relatively high. Most of these patients are poor and elderly, and Medicaid insurance accounts for about 70% of hospital funds. The female population accounts for about sixty-five percent of the total patients. Over seventy percent of the population are not well-educated with a high school education. The African Americans constitute 30%, Hispanic whites 15%, and non-Hispanic whites 55% of the total inpatients. In addition, the hospital is located in a suburban region and is easily accessible to patients from urban and rural settings.
Nurses, doctors, patients, and nutritionists are the team members of the organization. Patients’ collaboration in care and providing accurate information regarding their health state is integral. The nurses provide bedside and consultative roles in inpatient care. They also act as patient educators and advocates. The nutritionists are involved in advising clients on nutrition dependent on their health conditions. The doctors provide consultation services and are integral in determining the care given to a patient. The hospital administration ensures that all team members play their role in patient care and patients receive quality and safe care.
The professionals’ shared values include effective communication, upholding quality patient care, interprofessional collaboration, and patient-centered care. Each patient is treated as a different entity and is given special care depending on their personal needs. The team also values well-written records with reliable data and no missing links. The values align with the organizational values, including transparent and honest care and quality, culturally diverse, and patient-centered care.
Internal and External Factors
Over the past few years, the nurses have raised complaints of injuries during raising patients and backaches at an early age in the nursing home. The result was high nurses’ turnover, low productivity, and lack of job satisfaction. The nursing staff is also facing a severe shortage. The prevalence of bedsores was high and exponentially rising. Patient satisfaction is also low, and there were several complaints of poor quality care from patients’ families.
Insurance agencies such as Medicaid and Medicare have decreased the amount they pay the hospital due to poor patient outcomes. Bedsores contribute significantly to poor patient outcomes, negatively impacting the institution’s reputation (Sukul et al., 2019). The institution’s available funds limit other options, such as employing more nurses and nurses’ aid. The proposed innovation will ensure the all these issues are well mitigated and that the organization’s performance is impeccable.
The Healthy People 2020 initiative aims to attain high-quality, longer lives free of preventable disease, disability, injury, and premature deaths (Healthy People 2020, n.d.). In addition, the facility’s primary goal is to provide quality and safe patient care at all times. Bedsores are a typical complication n palliative patients, older adults, and patients with severe immobility problems. They are also among the most common preventable complications during care. Bedsores hardly heal, complicate recuperation, and are a source of secondary infection. Automatic repositioning prevents the development of bedsores, promotes healing of existing sores, and enhances patient mobility. The intervention aims to prevent complications, promote quality longer lives in line with the goals of the healthy people 2020 initiative.
Purpose of the Innovation
The intervention aims to reduce hospital bedsores incidences and improve patient outcomes and patient satisfaction. Pressure ulcers are an undesirable consequence of inadequate patient turning. They complicate the treatment and recuperation of patients. They are also a portal for pathogen entry leading to nosocomial infections, leading to increased healthcare costs for individuals and healthcare institutions.
The goal for the Innovation
The main goal is to reduce the prevalence of bedsores among ’at risk’ patients in the hospital by 90% compared to the previous year using automatic repositioning systems using bedsore burden statistics in the next year. Other goals include reducing healthcare costs and patient satisfaction. By earning a good reputation, the hospital aims to improve its funding by the healthcare agencies and thus boost the healthcare finances. In addition, the injuries’ cost related to raising patients and manually turning them shall decrease by 100% in the next year.
Relevant Sources Review
Relevant Sources Summary Table
Knibbe, N. E., Zwaenepoel, E., Knibbe, H. J., & Beeckman, D. (2018). An automatic repositioning system to prevent pressure ulcers: a case series. British Journal of Nursing, 27(6), S16-S22. https://doi.org/10.12968/bjon.2018.27.6.S16
The researchers utilized a single case series to determine the effects of repositioning systems on improving pressure ulcer development and healing and nurses’ reports on musculoskeletal injuries. The study showed a positive impact of automatic repositioning systems in preventing pressures ulcers and provider musculoskeletal injuries related to turning patients.
Non-experimental; case series
Lahmann, N. (2021). Psychometric testing and evaluation of user acceptance of an automatic lateral turning device for the prevention of pressure ulcers. Journal of Tissue Viability, 30(2), 216-221. https://doi.org/10.1016/j.jtv.2021.02.007
The researchers utilized a single qualitative design in this study. They interviewed patients and nurses to determine their perception and attitude towards repositioning systems. Results showed a high level of acceptance of repositioning systems among nurses and patients.
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