Nurses play a valuable role in ensuring patients receive high-quality care in safe environments. Achieving this goal requires an in-depth understanding of patient needs and a commitment to address practice issues hampering health outcomes. Patient problems inhibiting care quality and safety significantly impede patient satisfaction and trust in healthcare providers. In response, nurses should use their skills and experience to implement evidence-based interventions. These interventions are informed by scientific evidence and seek to improve care safety, quality, and effectiveness. The purpose of this paper is to describe the implementation plan of the evidence-based practice (EBP) project on advanced wound dressing and care protocols for adults with hospital-acquired pressure ulcers.
Setting and Access to Potential Subjects
Pressure ulcers are a considerable risk to patients, increasing the danger of extended hospital stays and high healthcare costs. They are characterized by local skin or underlying tissue damage because of unreleased pressure or pressure stemming from shear or friction (Geng et al., 2020). Adults requiring extended care and under long treatment cycles in the inpatient setting are highly vulnerable to pressure ulcers, and preventing the resultant skin damage should be a priority for every nurse. Advanced wound dressing and related protocols promote healing, reduce bacterial load, and prevent further pain and trauma (Geng et al., 2020; Chadwick & Ousey, 2019). Since the project involves human subjects, informed consent is necessary to ensure they understand the intervention’s risks, benefits, and procedures (Appendix A).
Implementation Timeline
Evidence-based projects are resource-intensive and consume much time. Consequently, a clear timeline is crucial to ensure critical activities are executed within the specified period. A timeline also allows the project leader to make appropriate adjustments based on the activity levels and emergencies as situations oblige. As stated in the PICOT, positive outcomes should be realized in four months. Project-related activities include planning and approval, pre-implementation education to participants, looking for essential materials and human support, implementation, and outcome evaluation. The time for each activity varies, as specified in Appendix B.
Budget and Resource List
The effectiveness of change implementation depends on the availability of financial, human, and material resources. Human resources include the project leader and nurses and will play a supportive role in the wound dressing process and documentation of critical processes and changes in the patients’ health. The budget estimated for these functions is $120 throughout the implementation period. Supplies and equipment include wound dressing materials depending on the patient’s risk of pressure ulcers. Wound dressing practices include wet dressings, foam dressings, silver ion dressings, and hydrocolloid dressings (Geng et al., 2020). Other supplies include protective clothing for the implementation team and supervisors. The supplies and equipment budget is $720. Computer-related costs include an internet connection for continuous communication, electronic devices to record progress, and electronic risk assessment forms. Since the devices are available at the facility, these costs have been adjusted to $150 as outlined in Appendix C (draft of the budget and resource list).
Data Collection and Evaluation
Data is crucial for informed decision-making in nursing. Evaluating the effectiveness of an EBP project helps to determine whether the targeted goals were achieved (Schuler et al., 2021). I would select a quantitative design to collect data and evaluate the effectiveness of the EBO project proposal. In change implementation and research, a quantitative design focuses on the quantity of responses. Therefore, the project leader uses numerical data to gain insights into the project’s appropriateness in addressing the problem (Leavy, 2022). Such an approach enhances accuracy since results are quantified. It also takes less time compared to the qualitative design.
Methods and Instruments
Continuous monitoring is crucial for the project leader to determine whether critical project’s phases are being implemented as expected and whether the expected goals would be achieved. An appropriate tool for monitoring the implementation process is the pressure ulcers (PU) instrument. In diverse healthcare settings, nursing professionals use the pressure ulcer prevention (PUPreP) instrument for assessing skin care, risk of pressure ulcers, nutrition, and repositioning (Parisod et al., 2022). The PU instrument will monitor risk, skin condition, and repositioning and rate them appropriat
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