NRS 493 Assignment: Benchmark-Capstone Change Project Objectives

NRS 493 Assignment: Benchmark-Capstone Change Project Objectives

NRS 493 Assignment: Benchmark-Capstone Change Project Objectives

Assessment Description

Review your problem or issue and the cultural assessment. Consider how the findings connect to your topic and intervention for your capstone change project. Write a list of three to five objectives for your proposed intervention. Below each objective, provide a one or two sentence rationale.

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After writing your objectives, provide a rationale for how your proposed project and objectives advocate for autonomy and social justice for individuals and diverse populations.

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Capstone Change Project Objectives

Hospital acquired pressure injuries are among the core challenges that compromise patient care quality and safety. As such, hospital acquired pressure injuries (HAPIs) require nurses and other healthcare providers to implement evidence-based practice interventions through the capstone change project to reduce their prevalence and negative effects on patient care (Alderden et al., 2021). The PICOT question addresses the selected issue through the use of care bundle as the intervention; “Among hospitalized with hospital acquired pressure injuries (HAPIs), does the use of care bundle compared to normal practices reduce HAPIs by 50% within six months? The purpose of this paper is to discuss the objectives of the change project through the proposed intervention, the rationale and interaction of the findings, and how the project objectives support autonomy and social justice for individuals and diverse populations.

Objectives for the Proposed Intervention

Objective 1: To increase awareness among critical care unit nurses about hospital acquired pressure injuries

Hospital acquired pressure injuries (HAPIs) are a core patient safety concern because of their adverse effects that include fatalities and increased cost of care. As such, the rationale for this objective is to help nurses understand that these injuries are dangerous and can lead to fatalities (Rivera et al., 2020). Giving them sufficient information will help them implement better interventions in their practice settings to reduce the prevalence of HAPIs.

Objective 2: To prevent and reduce the prevalence of HAPIs in critical care units

The prevalence of pressure injuries in hospitals, especially critical care units, is high and this intervention focuses on reducing this rate for healthcare facilities. Reducing the prevalence will lower the overall cost burden to individuals and health population vulnerable to these injuries (Coyer et al., 2022). The objective relates to the topic and intervention since the high rates of the condition are a concern to healthcare providers and system across the country.

Objective 3: To improve patient’s and provider’s safety through quality care delivery

The third goal of the proposed intervention is to enhance patient’s and provider’s safety to attain quality care delivery. This goal is critical as it regulatory agencies and professional organizations like the American Nurses Association (ANA) implore nurses to deliver quality care by integrating best practices and models in their settings (Gaspar et al., 2019). Patients in critical care areas are delicate and require safety measures to improve their conditions and situations. As such, this objective is critical to attaining better patient outcomes and satisfaction despite their delicate nature.

Objective 4: Implement evidence-based practice (EBP) interventions in managing HAPIs

This Capstone change project also provides nurses and all other health professionals the opportunity to implement EBP interventions in managing HAPIs among patients. The change project will focus on effective implementation of the proposed intervention to reduce and prevent the occurrence of these injuries by 50% using care bundle components tailored to meet patient needs.

Proposed Project and Objectives Support for Autonomy and Social Justice

The project and its objectives focus on reducing the prevalence of HAPIs among critical care patients. The intervention is to use care bundle that can be customized to patient’s needs. The care bundle includes different components that will be implemented by evaluating individual patient’s level of acuity and severity and other needs (Varkey, 2021). These objective support autonomy as they imply that patients will select components of the intervention based on their choices and preferences. Social justice is about offering equal rights and opportunities for individuals regardless of their social status. The topic and its objectives support social justice by ensuring that these individuals get access to resources that will help them reduce and prevent HAPIs (Pittman et al., 2019). All patients with HAPIs in critical care units will get interventions based on their status thus demonstrating social justice principle.

Conclusion

The proposed change project aims at improving patient safety and quality care by implementing care bundle to reduce HAPI prevalence. As such, the objectives align with the overall topic as they seek better outcomes through sufficient allocation of resources and respect for choices and preferences that patients make and possess. As such, the topic is well outlined with core objectives meeting patient needs.

References

Alderden, J., Drake, K. P., Wilson, A., Dimas, J., Cummins, M. R., & Yap, T. L. (2021).

Hospital acquired pressure injury prediction in surgical critical care patients. BMC Medical Informatics and Decision Making, 21, 1-11. DOI: https://doi.org/10.1186/s12911-020-01371-z

Coyer, F., Cook, J. L., Doubrovsky, A., Campbell, J., Vann, A., McNamara, G., … & Fulbrook,

152. (2022). Implementation and evaluation of multilayered pressure injury prevention strategies in an Australian intensive care unit setting. Australian Critical Care, 35(2), 143-152. https://doi.org/10.1016/j.aucc.2021.03.005

Gaspar, S., Peralta, M., Marques, A., Budri, A., & Gaspar de Matos, M. (2019). Effectiveness on

hospital‐acquired pressure ulcers prevention: a systematic review. International wound journal, 16(5), 1087-1102. https://doi.org/10.1111/iwj.13147

Pittman, J., Beeson, T., Dillon, J., Yang, Z., & Cuddigan, J. (2019). Hospital-acquired pressure

injuries in critical and progressive care: avoidable versus unavoidable. American journal of critical care, 28(5), 338-350. DOI: 10.4037/ajcc2019264.

Rivera, J., Donohoe, E., Deady-Rooney, M., Douglas, M., & Samaniego, N. (2020).

Implementing a Pressure Injury Prevention Bundle to Decrease Hospital-Acquired Pressure Injuries in an Adult Critical Care Unit: An Evidence-Based, Pilot Initiative. Wound Management & Prevention, 66(10), 20-28. DOI: 10.25270/wmp.2020.10.2229

Varkey, B. (2021). Principles of clinical ethics and their application to practice. Medical

            Principles and Practice, 30(1), 17-28. https://doi.org/10.1159/000509119