Unit 4 Assignment: An Educational Intervention Approach to Improve Wound Care in Home Health Setting: A DNP Project Proposal
Unit 4 Assignment: An Educational Intervention Approach to Improve Wound Care in Home Health Setting: A DNP Project Proposal
Unit 4: The DNP project Proposal (written) –
Purpose:
This week, you will develop a written draft paper of your DNP project proposal.
Struggling to meet your deadline ?
Get assistance on
Unit 4 Assignment: An Educational Intervention Approach to Improve Wound Care in Home Health Setting: A DNP Project Proposal
done on time by medical experts. Don’t wait – ORDER NOW!
Assignment Directions:
For this assignment, you will create a draft of your written DNP project proposal. You will submit the draft in the Unit 4 Dropbox and it will be reviewed by your DNP faculty consultant prior to submission. All major headings should be level 1, which is centered, bold, upper and lower case. This paper should be written in third person using future tense. Please use paper template provided.
The content for the written DNP project proposal must be organized as shown below:
Entire paper must be written in narrative format*
Project Title (only on title page)
As this is a professional paper, please add running head
ORDER A CUSTOMIZED, PLAGIARISM-FREE PAPER HERE
Good News For Our New customers . We can write this assignment for you and pay after Delivery. Our Top -rated medical writers will comprehensively review instructions , synthesis external evidence sources(Scholarly) and customize a quality assignment for you. We will also attach a copy of plagiarism report alongside an AI report. Feel free to chat Us
DNP project Overview
(Introduction should be included and provide an overview of the project)
Project Description (Why is this project important to the practice site? This is different from why it is significant to healthcare. Include project purpose and specific interventions)
Expected Project Outcomes
Background and Significance (How and why is the project significant to healthcare; Discuss from a general perspective and progress to the specific)
Relationship of Project to DNP Essentials (Identify the specific essentials evident in your project and discuss how each one is related. Explain how you will meet each Essential)
Practice Setting and Target Population/Community, and Key Stakeholders
(Describe the practice setting and target population. Discussion of how identified practice setting will support project’s development, project alignment with practice site mission and goals.)
Home health nurses (LPN/RN) I home health setting
Needs Assessment
(Data specific from the practice site that supports the need for the project)
Review of Literature and Literature Synthesis
Relevant evidence including databases and key words; Summarize the relevance of the research to the project.
Theoretical Framework for the Project
(Description and explanation of the nursing theory that supports the project; explain how you will use this theory to develop and implement your project. Identify change theory applicable to project-not a project management model, like PDSA). (add a figure in appendix)
Project Implementation
Implementation Plan (How will you implement the project in the practice setting? What steps will you take to make sure implementation takes place?) Discuss implementation steps (this must be narrative, not a bullet list) or identify project management model used in the project. Include the project interventions that are part of the implementation plan.
Project Timeline (Discuss in Detail) (8 weeks to implement )
Week – pre survey (please add a wound care knowledge test)
Week 2 – 7 will be education on wound care which will include Attachment 1(see attached 1)
Week 8 – post survey
Project Budget (Justification and cost/benefit analysis) – The estimated budget for this project is approximately $500.00) –
Instruments for Data Collection (discuss where the instruments came from, if you developed, explain how you developed and what the questions mean? What are you hoping to find out?)
Human Subject Protection and IRB Approval (Narrative paragraph summarizing how project participants will be protected, i.e., anonymity, privacy or confidentiality). Informed consent will be attached as an appendix. Use PG Informed Consent template.
Data Protection — include the following information in a narrative format:
- How will you store the data, and who will have access?
- How long will the data be retained before being destroyed?
Include a recruitment plan description in your proposal (or submit one separately) for surveys or interviews. (An email with a flyer offering wound care training and a possibility to get a certification of completion if all training requirements are met timely)
You will need agency approval (e.g., Dean’s approval) to use faculty or students in his/her school in your project, or website approval to post for recruitment (this can be a standard template from the website), or outside agency’s approval to use their site/personnel/data (attach as an appendix).
Have you secured appropriate permission in writing from the project site? Such permissions should be on agency letterhead and signed by an official, and it should come from an official agency e-mail address. (permission secured)
Plan for data analysis (How do you plan to review the data to get results? What do the data mean? Will it be quantitative? Will you collect demographic information, etc.?)
Explain in detail how the project will be sustainable.
(Ongoing quarterly education will sustain the knowledge learned and increase confidence)
This project proposal paper will be used later for IRB submission, so all documents related to the project must be complete and included in the proposal paper. Appendices are mandatory and must be included at the end of proposal paper. When mentioned in the paper, put in parentheses (Appendix A), (Appendix B), et cetera:
- Letter of facility approval (please mention and leave a place holder for these)
- CITI training certificate (please mention and leave a place holder for these)
- Informed consent (please mention and leave a place holder for these)
- Educational agenda, if applicable (please mention and leave a place holder for these)
- Education materials, handouts, if applicable (please mention and leave a place holder for these)
- Participant recruitment email or flyer (please mention and leave a place holder for these)
- All surveys and instruments for data collection. (please mention and leave a place holder for these)
- Algorithm, protocol, or policy developed for practice change
Your proposal must:
- be a minimum of 10 pages in length (excluding title page and references)
- be supported with a minimum of 15 scholarly, peer-reviewed sources (external to those assigned for this unit)
- follow the conventions of Standard English (correct grammar, punctuation, etc.)
- be well ordered, logical, and unified, as well as original and insightful
- display superior content, organization, style, and mechanics; and
- use APA 7th edition style and format.
|
A Sample Of This Assignment Written By One Of Our Top-rated Writers
An Educational Intervention Approach to Improve Wound Care in Home Health Setting: A DNP Project Proposal
DNP Project Overview
DNP projects identify gaps in care delivery and plan and implement interventions to address them. These projects prepare learners for the real-life world and their advanced roles in the nursing profession. DNP projects are purpose-driven and undergo the rigorous preparation, implementation, and evaluation of research projects. This project aims to enhance wound care practices among home health nurses through staff education, focusing on improving patient outcomes by equipping nurses with the necessary knowledge and skills.
Project Description
The project is important to the practice site as it addresses the gap in wound care knowledge among home health nurses. The project is a quality improvement initiative that aims to improve patient care and reduce complications. The project aims to provide home health nurses (LPNs and RNs) with comprehensive wound care education to enhance wound management in home settings. The specific interventions include weekly education sessions on wound care with pre- and post-surveys to evaluate baseline knowledge and knowledge change.
Expected Project Outcomes
The project aims to improve wound care knowledge among home health nurses. Al Mutair et al. (2021) evaluated the impact of staff education programs on pressure ulcer prevention in hospitals. According to the study, nurses’ education enhances their knowledge and confidence. The education interventions will enhance their knowledge and thus enhance their confidence and competence in wound care practices. Knowledge, competence, and confidence in wound care practices will enhance patient outcomes and reduce wound-related complications.
Background and Significance
Staff education enhances staff knowledge and competence, improving their practices, and promoting better patient outcomes. Wound care is an important aspect of healthcare, considering that chronic wounds affect about 10.5 million Medicare beneficiaries and impact the quality of lives of about 2.5% of the United States population, with a higher burden on older adults (Sen, 2021). Chronic wounds affect about 6.5 million individuals and negatively impact the quality of life of about 2.5% of the US population (Sen, 2022). In 2023, there were about 36164 injury hospitalizations, with a majority having wounds (Virginia Department of Health, n.d.). Each year, about 12 million Americans receive homecare services, showing the increased utilization of homecare services (Sun et al., 2023). Wounds are common and can result from falls, surgeries, peripheral vascular diseases, skin diseases, or pressure sores. The home care environment is not optimized for sterile procedures, and more care is necessary to reduce infections and ensure optimal patient health outcomes. Hale and Marshal (2024) note that clinician/nurses’ knowledge is a critical factor influencing wound management outcomes in home health settings. Nurses often encounter complex wounds in healthcare settings that require specialized care to promote healing and prevent hospitalizations. Poor wound care leads to deteriorating health outcomes, hospitalization, mortalities and morbidity, and higher healthcare costs (Sen, 2021). Thus, given the current burden of wounds and their significance, staff education to enhance wound care outcomes is paramount.
Relationship of Project to DNP Essentials
The DNP essentials outline the goals and competencies of the DNP programs. These essentials help track a learner’s progress and their essential achievement through the various practices and course contents. The essentials relevant to the project are Essential I (Scientific underpinnings for practice), Essential III (Clinical scholarship and analytical methods for evidence-based practice), Essential VII (clinical prevention and population health for improving the nation’s health), and Essential VIII (advanced nursing practice). The project integrates evidence-based practice to improve wound care outcomes, helping meet Essential I. The project involves data collection utilizing current technology, SurveyMonkey, for data collection, analysis, and dissemination. In addition, the project relies on data showing the burden of wounds, especially in home health. It will collect data to determine the impact of staff education on improving wound care outcomes, thus helping meet Essential III. The project also focuses on preventive care and health promotion by preventing wound complications and enhancing wound care outcomes. Wound complications can lead to morbidities such as amputation and mortalities (from sepsis), and education will enhance wound care practices, promoting complications prevention, thus meeting Essential VII. The project will enhance advanced nursing practice (Essential VIII) through rigorous wound care education for home health nurses, enhancing their knowledge, competence, and practices. The project will focus on advanced nursing practice in wound care to enhance infection prevention and better outcomes (such as decreased length of healing). Thus, the project will help achieve each of the outlined DNP essentials.
Practice Setting and Target Population/Community, and Key Stakeholders
The practice setting is home health. Home health entails the care of patients outside the facilities, including a network of care providers, including home health nurses. Patients receive care, including wound care, physical assessment, medication administration, and referral in their homes. The target population is home health nurses (LPNs and RNs) who provide the needed care to these patients. The practice site’s home mission focuses on ensuring a good quality of life for patients receiving care in home environments. The goals include population health promotion, decreased morbidity and mortality rates, and enhanced patient experiences. Home health is an important aspect of care facilities. According to Guerrero et al. (2022), home health services are vital in the prevention of preventable hospitalizations, reduction in healthcare costs, and improving care outcomes.
Home health ensures care continuity in homes, promoting integration into the community, health optimization, and improvement of care outcomes. The setting will thus be crucial to achieving the practice site’s mission and goals. The key stakeholders for this project are home health nurses, patients, healthcare administrators, and educators. Educators will include experts in the field of home care and advanced practice nurses in the facility. The administrators will ensure the integration of the project into the organizational practices, availing resources necessary for the project’s success. The practice setting will enhance the project’s success by enhancing access to nurses and providing a platform for project implementation and data collection.
Needs Assessment
Data from the practice site indicates a need for improved wound care knowledge among home health nurses. A survey done shows a knowledge gap in aseptic practices in wound care and practices to promote wound healing. In addition, there is a rise in wound complications, including amputations, mortalities, and hospital readmissions/ hospitalizations, necessitating a staff education program. The overall wound care burden is high, and a significant number of patients in the home health program have wounds. Thus, a staff education program focusing on improving the knowledge and practice of aseptic wound care is crucial to enhance outcomes and meet the practice site goals and mission.
Review of Literature and Literature Synthesis
The literature review utilizes databases such as PubMed, CINAHL, Google Scholar, and Wiley Library, using keywords such as wound care, home health, and nurses’ education. The first goal was to understand the burden of wounds in healthcare. Gupta et al. (2021) evaluated chronic wounds’ prevalence, socioeconomic burden, and complications. The study notes that wounds cost the US economy $25 billion annually, and the cost has been rising steadily, considering it a silent epidemic. The high costs are experienced in other countries, such as the United Kingdom and Australia, where wound care costs are estimated at £8.3 billion and AU$3 million, respectively (Gupta et al., 2021).
In the United States, about 2.5% of the population (and 10.5 million Medicare beneficiaries) is affected by wounds, making wounds an issue of health concern (Sen, 2021). Guest et al. (2020) support the data and show the significant burden of wounds globally, from high care costs, stress, negative mood, loss of income, sleep disturbances, and social isolation to poor health outcomes and quality of life. Poor wound management leads to other complications such as amputations, paralysis, lost functionality, change in productivity, hospitalization, and decreased productivity (Guest et al., 2020; Gupta et al., 2021; Sharma et al., 2024). Klein et al. (2021) evaluated the impact of wounds on social participation. The study notes that the direct impact of wounds, such as exudate, odor pain, physical limitation, and psychological problems, such as stress, affect an individual’s ability to socialize with others, impacting their overall health. Thus, chronic wounds are a significant healthcare problem affecting populations globally, and management is thus significant in enhancing population health.
Home care services are marginally utilized to manage wounds, especially chronic wounds with no underlying problems or stable chronic health issues. However, home care settings may not be optimized for wound care; hence, there is a need for enhanced knowledge in wound care to help alleviate the risks and promote better health outcomes for patients. Home care plays a significant role in promoting population health, including promoting care continuity, preventing hospitalizations, and reducing care costs, and its role became apparent during the COVID-19 era (Quinn et al., 2021; Bakshi et al., 2021).
In wound management, home care has been utilized in various regions for various types of wounds, including diabetic, peripheral neuropathies, and orthopedic wounds. Alvarez-Irusta et al. (2022) note that home health programs integrate physical, psychological, and cost considerations in care delivery for patients who do not require hospitalization. Sun et al. (2023) support the data and show that home care is crucial to patients with chronic wounds by combining family support and care professionals in wound management and overall patient health. Lei et al. (2023) evaluated home healthcare in orthopedic wound management and showed that home-care programs are crucial to a patient’s recovery, enhancing recovery outcomes and healing periods. Thus, optimizing wound care efforts in home health through practice such as patient education and providing vital support resources is vital to enhance care quality and improve patient outcomes.
Ogrin et al. (2021) compared clinic wound care versus home health care. The study showed that patients at home are at more risk for reduced likelihood of healing their wounds in 24 weeks than participants attending wound clinics, and there are less significant differences in the proportion of healed wounds (71% in clinic versus 66% in home health nursing) (Ogrin et al., 2021). The data is supported by Téot et al. (2020), who showed that patients attending wound clinics have a shorter healing time than patients in home care and telemedicine settings (telemedicine group 66.8 ± 32.8 days, wound care professionals at the clinic home group 69.3 ± 26.7 days, and wound care clinic group 55.8 ± 25.0 days). Vera et al. (2024) evaluated the impact of comprehensive nursing education on enhancing nurses’ knowledge and skills in chronic wound care. The study involved a two-hour education session on treating and preventing chronic wounds. The study results indicated a significant improvement in the knowledge and confidence of the home health nurses post-intervention, and nurses demonstrated an understanding of wound assessment techniques, appropriate dressings, and preventative measures (Vera et al., 2024).
Huang et al. (2023) evaluated studies on the effectiveness of home-based chronic wounds training for patients and caregivers. The study showed that patient and caregiver education improved patient outcomes and wound care behavior (Huang et al., 2023). Educated home health nurses can provide adequate education to patients and their family caregivers to promote collaboration in care and social support efforts and improve self-care and self-management. Other studies, such as Saniapon et al. (2024), evaluated factors influencing clinical nurses’ self-efficacy after wound care training. They noted that staff education improved their knowledge, and translation to practice requires support, including providing the necessary tools for quality wound care delivery.
Literature analysis shows that wounds are a global silent epidemic affecting various regions, affecting health outcomes and care costs to individuals, communities, and the healthcare system. The literature also showed that home care services are widely utilized in-home care, but some gaps prevent clinic care-level outcomes. Home environments are not optimal for wound management (especially sepsis prevention) but provide a crucial alternative to patients, allowing their families and care providers to care for them in their homes. Staff education has been instrumental in improving care outcomes. Staff education enhances nurses’ knowledge of wound care and prevention. More so, support measures such as staff support and patient and caregiver education can help ensure seamless knowledge translation into practice, which is crucial to ensure quality health outcomes. Thus, the literature review supports the projects and presents home health nurses’ education as a promising intervention to enhance wound care management and improve population health.
Theoretical Framework for the Project
Patricia Benner’s Novice to Expert theory is the nursing theory that supports the project. The theory describes nursing skills and knowledge acquisition progression. The theory emphasizes experience. The theory explains the five stages of clinical competence that nurses undergo as they gain knowledge and expertise. These stages are novice– beginners with no experience and who follow rules and guidelines strictly; advanced beginners-nurses with some experience who can recognize recurring meaningful components; competent- nurses with 2-3 years of experience who can plan and prioritize care; proficient- nurses who perceive situations as wholes rather than parts and can anticipate outcomes, and expert– nurses with extensive experience who have an intuitive grasp of clinical situations (Landers et al., 2020). The theory will guide the educational program’s development to ensure it caters to the different nurses’ experience levels by providing content appropriate for each stage. A pre-study knowledge and competence assessment intervention will be implemented to determine their level of knowledge and inform the education program content. The theory also emphasizes the significance of hands-on experience and mentorship, ensuring a transition to higher levels of competence among large nurses. The theory will also help develop assessment and evaluation techniques that are appropriate to the progress level of learners (Landers et al., 2020). The theory will thus be crucial to the development and implementation of the project.
The change theory applicable to the project’s implementation is Kurt Lewin’s theory. The theory has three stages: unfreezing, moving, and refreezing, which describe the change process that begins with identifying the change need and proceeds to support the changes proposed and anchor the change into the organizational culture (Amina et al., 2022). Given its flexibility, Lewin’s change theory has been utilized greatly in care facilities. The first stage, unfreezing, will entail discussing the current trends and practices and the need for change, including gathering stakeholders and support for the stage. The second stage, moving, will entail providing educational resources and educating and evaluating education interventions. The third stage, refreezing, will entail creating support policies to ensure the practices and procedures taught are supported and sustainable in the facility. Diagrammatic representation is available in Appendix A.
Project Implementation
The project will be implemented over 8 weeks after undergoing all preliminary checks, including the internal review board and the organization’s management approval and project improvement based on feedback from these organizations. The first step will be informing the target population, recruiting participants, and collecting data to determine staff knowledge gaps. The second step will entail developing a relevant education curriculum for the nurses for the six sessions in the six weeks. The third step will entail the implementation of the education intervention. The fourth step will entail evaluating the knowledge change impacted by the project.
Project Timeline
The first week of the intervention will entail a pre-survey and a wound care knowledge test. The knowledge test is attached in the appendix section as Appendix B. Week 2 – 7 will be education on wound care, which will include factors affecting wound healing, challenges in wound care, the diverse nature of wounds, the significance of wound debridement in the health process, evolving nature and future trends of wound care, the role of healthcare professionals in wound care, and the types of wound healing and their phase. The last week, week 8, will entail the post-survey and data dissemination.
Project Budget
The estimated budget for this project is $500. It covers educational materials, a SurveyMonkey subscription, and other project-related expenses. Costs benefit analysis in healthcare is often based on prevented care costs. Poor wound management leads to poor health outcomes and the need for hospitalization. The program will eliminate the high costs of care associated with poor wound care management. Thus, the benefits of improved wound care practices outweigh the project costs, leading to better patient outcomes and reduced healthcare costs.
Instruments for Data Collection
The data collection tool is an electronic questionnaire, SurveyMonkey. The instrument will be developed to assess basic, intermediate, and expertise-level knowledge in wound care and management. The questions are designed to assess wound care knowledge and determine improvement compared to the baseline knowledge level. The expected results are changes in levels of wound care knowledge among home health nurses, depicted by improvement in their average test scores.
Human Subject Protection and IRB Approval
The data collected from the patients will be de-identified, and access to the data will be limited to the researchers. The tests will not collect personal data, and personal data collected during the recruitment will only be used to contact the study participants. Surveys will be anonymous, and data will be stored securely on a computer with a secured login and password. Informed consent will be obtained using the PG Informed Consent template. The informed consent form is available in Appendix C.
Data Protection
The data collected in the project will be stored on a secured computer, accessible only to authorized personnel. Each authorized personnel will have a login and password that are unavailable to other care professionals or outsiders to enhance data access further. Only the researcher and healthcare administrators will have access to the data. Data will be retained for six months during the project evaluation and then destroyed.
Recruitment Plan
The survey’s recruitment plan will entail sending an email with a flyer offering wound care training and the possibility of getting a certification of completion if all training requirements are met promptly. The offer will be sent to the emails of all the home health nurses in the facility. The recruitment plan is thus voluntary, and participants will receive an induction session explaining the project and its significance. A voluntary informed consent form to participate in the project will be provided to the nurse.
Agency Approval
Agency approval is crucial to ensure the project’s legality and prevent data collection and utilization hurdles. Appropriate permission has been secured in writing from the project site, on agency letterhead, and signed by an official. The appropriate permission outlines approval for participant recruitment and the agency’s approval to use their site and data for the proposed project.
Plan for data analysis
Data will be analyzed quantitatively to assess knowledge improvement. Quantitative data analysis will consider the home health nurses’ test scores, comparing them pre- and post-survey to determine their effectiveness. The changes in the scores will be analyzed statistically to determine any statistically significant deviations. Higher scores post-implementation will imply better performance and positive knowledge change, which is the project’s main aim. Demographic information will also be collected to understand the participant profile.
Project Sustainability
Project sustainability ensures continued success and prevents the recurrence of the problem in the future. The goal is to ensure better wound care through enhanced nurses’ knowledge of wound care. The proposed sustainability intervention is quarterly education sessions to sustain the knowledge learned and increase confidence among nurses. Quarterly education sessions will help refresh the nurses’ knowledge, skills, and competencies and ensure sustained results in wound care management.
References
Al Mutair, A., Al Mutairi, A., & Schwebius, D. (2021). The retention effect of staff education program: Sustaining a decrease in hospital‐acquired pressure ulcers via culture of care integration. International Wound Journal, 18(6), 843-849. https://doi.org/10.1111/iwj.13586
Alvarez-Irusta, L., Van Durme, T., Lambert, A. S., & Macq, J. (2022). People with chronic wounds cared for at home in Belgium: Prevalence and exploration of care integration needs using health care trajectory analysis. International Journal of Nursing Studies, 135, 104349. https://doi.org/10.1016/j.ijnurstu.2022.104349
Amina, A., Kassem, A., & Sleem, W. (2022). Applying Lewin’s change management theory to improve patient’s discharge plan. Mansoura Nursing Journal, 9(2), 335-348. https://dx.doi.org/10.21608/mnj.2022.295591
Bakshi, S., Schiavoni, K. H., Carlson, L. C., Chang, T. E., Flaster, A. O., Forester, B. P., Kronenberg, F. R., Pu, C. T., Rowe, J. S., Terry, D. F., Wasfy, J. H., Bartels, S. J., Sequist, T. D., Meyer, G. S., & Mendu, M. L. (2021). The essential role of population health during and beyond COVID-19. American Journal of Managed Care, 27(3). https://doi.org/10.37765/ajmc.2021.88511
Guerrero, L. R., Avgar, A. C., Phillips, E., & Sterling, M. R. (2020). They are essential workers now and should continue to be: Social workers and home health care workers during COVID-19 and beyond. Journal of Gerontological Social Work, 63(6-7), 574-576. https://doi.org/10.1080/01634372.2020.1779162
Guest, J. F., Fuller, G. W., & Vowden, P. (2020). Cohort study evaluating the burden of wounds to the UK’s National Health Service in 2017/2018: Update from 2012/2013. BMJ Open, 10(12), e045253. https://doi.org/10.1136/bmjopen-2020-045253
Gupta, S., Sagar, S., Maheshwari, G., Kisaka, T., & Tripathi, S. (2021). Chronic wounds: Magnitude, socioeconomic burden, and consequences. Wounds Asia, 4(1), 8-14.
Hale, D., & Marshall, K. (2024). Wound Management in the Older Adult. Home Healthcare Now, 42(5), 308-309. https://doi.org/10.1097/NHH.0000000000001291
Huang, Y., Hu, J., Xie, T., Jiang, Z., Ding, W., Mao, B., & Hou, L. (2023). Effects of home‐based chronic wound care training for patients and caregivers: A systematic review. International Wound Journal, 20(9), 3802-3820. https://doi.org/10.1111/iwj.14219
Klein, T. M., Andrees, V., Kirsten, N., Protz, K., Augustin, M., & Blome, C. (2021). Social participation of people with chronic wounds: A systematic review. International Wound Journal, 18(3), 287-311. https://doi.org/10.1111/iwj.13533
Landers, M. G., O’Mahony, M., & McCarthy, B. (2020). A theoretical framework to underpin clinical learning for undergraduate nursing students. Nursing Science Quarterly, 33(2), 159-164. https://doi.org/10.1177/0894318419898167
Lei, X., Xiang, J., Chen, X., & Pan, W. (2023). Effect of the home care model in orthopedic wounds management. Journal of Family Medicine and Primary Care, 12(12), 3285-3290. https://doi.org/10.4103/jfmpc.jfmpc_876_23
Ogrin, R., Parker, C. N., Finlayson, K. J., Anderson, J., & Edwards, H. E. (2021). Characteristics of people receiving wound care at home versus in a clinic. Collegian, 28(4), 385-392. https://doi.org/10.1016/j.colegn.2020.11.006
Quinn, M. M., Markkanen, P. K., Galligan, C. J., Sama, S. R., Lindberg, J. E., & Edwards, M. F. (2021). Healthy aging requires a healthy home care workforce: The occupational safety and health of home care aides. Current Environmental Health Reports, 8(3), 235-244. https://doi.org/10.1007/s40572-021-00315-7
Saniapon, R., Putra, K. R., Ismail, D. D. S. L., & Lestari, R. (2024). What factors influence clinical nurses’ self-efficacy after wound care training? A scoping review. Healthcare in Low-resource Settings. https://doi.org/10.4081/hls.2024.13040
Sen, C. K. (2021). Human wound and its burden: updated 2020 compendium of estimates. Advances in Wound Care, 10(5), 281-292. https://doi.org/10.1089/wound.2021.0026
Sen, C. K. (2023). Human wound and its burden: updated 2022 compendium of estimates. Advances in Wound Care, 12(12), 657-670. https://doi.org/10.1089/wound.2023.0150
Sharma, A., Shankar, R., Yadav, A. K., Pratap, A., Ansari, M. A., & Srivastava, V. (2024). Burden of chronic nonhealing wounds: An overview of the worldwide humanistic and economic burden to the healthcare system. The International Journal of Lower Extremity Wounds, 15347346241246339. https://doi.org/10.1177/15347346241246339
Sun, Y., Ge, Y., Ruan, S., & Luo, H. (2023). Prospects for the application of home care in chronic wound management. Journal of Family Medicine and Primary Care, 12(3), 422-425. https://dx.doi.org/10.4103/jfmpc.jfmpc_1896_22
Téot, L., Geri, C., Lano, J., Cabrol, M., Linet, C., & Mercier, G. (2020). Complex wound healing outcomes for outpatients receiving care via telemedicine, home health, or wound clinic: a randomized controlled trial. The International Journal of Lower Extremity Wounds, 19(2), 197-204. https://doi.org/10.1177/1534734619894485
Vera, A., Sherman, D., & Bravo, J. O. (2024). A comprehensive educational intervention to improve home health nurses’ knowledge and skills related to chronic wound care. IFIU Digital Commons. https://digitalcommons.fiu.edu/cgi/viewcontent.cgi?article=1262&context=cnhs-studentprojects
Virginia Department of Health (n.d.). Injury and Violence Data Hospitalizations and Death. Accessed 30th December 2024, from https://www.vdh.virginia.gov/data/injury-violence/
Appendix A
Lewins Change Theory
Figure 1 Lewin’s Change Theory
Appendix B
Wound Care Knowledge Test
- Which of the following is the primary goal of wound care?
- A. To prevent infection
- B. To promote healing
- C. To reduce pain
- D. All of the above
- What is the most important factor in preventing wound infections?
- A. Using antibiotics
- B. Keeping the wound dry
- C. Maintaining a clean and moist wound environment
- D. Applying antiseptic solutions
- Which type of wound is characterized by partial-thickness skin loss involving the epidermis and/or dermis?
- A. stage I pressure ulcer
- B. Stage II pressure ulcer
- C. Stage III pressure ulcer
- D. Stage IV pressure ulcer
- What is the recommended frequency for changing a wound dressing?
- A. Every 12 hours
- B. Every 24 hours
- C. Every 48 hours
- D. As per the wound care plan and dressing type
- Which of the following is a sign of wound infection?
- A. Redness and swelling around the wound
- B. Increased pain at the wound site
- C. Purulent discharge
- D. All of the above
- What is the purpose of debridement in wound care?
- A. To remove dead or infected tissue
- B. To apply medication
- C. To close the wound
- D. To reduce pain
- Which of the following dressings is best suited for a heavily exuding wound?
- A. Hydrocolloid dressing
- B. Foam dressing
- C. Transparent film dressing
- D. Gauze dressing
- What is the primary benefit of using negative pressure wound therapy (NPWT)?
- A. Reduces wound size
- B. Increases blood flow to the wound
- C. Removes excess exudate and promotes healing
- D. Provides a barrier to infection
- Which of the following factors can delay wound healing?
- A. Poor nutrition
- B. Smoking
- C. Diabetes
- D. All of the above
- What is the best practice for cleaning a wound?
- A. Using hydrogen peroxide
- B. Using sterile saline solution
- C. Using alcohol wipes
- D. Using tap water
Appendix C- PG Informed Consent
Appendix D Letter of Facility Approval
Appendix E CITI Training Certificate
Appendix F Informed Consent
Appendix G Educational Agenda
Appendix H Education Materials and Handouts
Appendix I Participant Recruitment Email/Flyer
Appendix J All surveys and instruments for data collection
Appendix K Algorithm, protocol, or policy developed for practice change
Struggling to meet your deadline ?
Get assistance on
Unit 4 Assignment: An Educational Intervention Approach to Improve Wound Care in Home Health Setting: A DNP Project Proposal
done on time by medical experts. Don’t wait – ORDER NOW!