Grand Canyon University NRS 493 Negative Pressure Wound Therapy Presentation

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Grand Canyon University NRS 493 Negative Pressure Wound Therapy PresentationORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON  Grand Canyon University NRS 493 Negative Pressure Wound Therapy PresentationCapstone Project Change Proposal Presentation for Faculty Review and Feedback, please see attached for details. There is no specific word count but I have included instructions below. Create the presentation with basic design and some graphics I will compelte design and present it. Thanks. Grand Canyon University NRS 493 Negative Pressure Wound Therapy PresentationCreate a professional presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. Submit the presentation in LoudCloud for feedback from the instructor. assignment_capstone_project_change_proposal_presentation_for_faculty_review_and_feedback.docxsources_and_objectives_.docxcapstone_change_proposal_final.edited.docxchange_project_evaluation_final.edited.docxcapstone_change_project_resources_final.edited.docxCapstone Project Change Proposal Presentation for Faculty Review and Feedback Create a professional presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. Submit the presentation in LoudCloud for feedback from the instructor. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. You are not required to submit this assignment to LopesWrite. OBJECTIVES In this topic, students will design a professional presentation in order to disseminate their capstone project change proposal. While creating the final presentation, students will continue to reflect on their clinical practice experience. Objectives: 1. Design a professional presentation for dissemination of the capstone project change proposal. Grand Canyon University NRS 493 Negative Pressure Wound Therapy Presentation2. Integrate reflective practice into the practicum reflective journal. 3. Demonstrate interprofessional collaboration during the creation of the capstone project change proposal. SOURCES Explore the resources provided on the Presenter’s Corner page of the Western Institute of Nursing website. URL: https://www.winursing.org/ Read “Integrated Comprehensive Care – A Case Study in Nursing Leadership and System Transformation,” by Wheatley, Doyle, Evans, Gosse, and Smith, from Nursing Leadership (2017). URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ed sbl&AN=RN614966127&site=eds-live&scope=site Explore the Cochrane Collaboration website. URL: http://www.cochrane.org/ Running head: CAPSTONE CHANGE PROPOSAL Benchmark Capstone Change Proposal: Negative Pressure Wound Therapy Aynur Kabota Grand Canyon University NRS-493 11/16/2020 1 CAPSTONE CHANGE PROPOSAL 2 Background The evidence-based practice topic selected for this project is wound care. Therefore, the main objective of the project will be to find the best practice in improving wound care through facilitating healing. This topic is essential because the majority of injuries receiving treatment in hospitals include open wounds. According to Sen (2019), approximately 3% of older adults 65 years and older have wounds that require attention from health care. Therefore, wound care is an essential aspect of nursing practice and requires evidence-based practice. The topic can be categorized as a community research topic because it involves direct care dealing with patients. The focus of this proposal is to improve wound care outcomes through negative pressure wound therapy. Clinical Problem Statement Wounds are a common health condition in the health care setting. According to Sen (2019), 8.2 million Americans have wounds during discharge from hospitals. Wounds cause discomfort for the patient and are a significant source of pain. They also present the risk of infection and sepsis in patients. Grand Canyon University NRS 493 Negative Pressure Wound Therapy PresentationCare for wounds should, therefore, optimize health outcomes for the patients. The problem of wound care is that standard care for chronic wounds often produces low satisfaction and poor prognosis in many incidences. This project aims to improve care outcomes for wounds through additional interventions. Purpose of the Change Proposal Standard wound care often includes disinfection of the wound area and dressing the wound to keep it dry and clean. To enhance healing, research has suggested that more than CAPSTONE CHANGE PROPOSAL 3 standard care should be implemented. One of the proposed approaches is negative pressure wound therapy (NPWT), a suction method that removes exudate from the wound, creating conditions for potentially better outcomes. The proposed change is to utilize NPWT to enhance wound healing. The proposed change aims to improve wound healing through enhanced care for wounds, hence improving care outcomes. PICOT Question Among hospitalized patients with wounds, how effective is negative pressure wound therapy (NPWT) compared to standard practice in enhancing wound healing within one week of admission? Population- hospitalized patients with wounds Intervention- negative pressure wound therapy (NPWT) Comparison- standard practice Outcomes- wound healing Time- one week Literature Review In this review, literature was accessed through credible nursing databases. The author searched Google Scholar, EMBASE, PubMed, and CINAHL databases. The search was limited to articles within five years except for seminal works. The sources also had to be peer-reviewed and scholarly. Articles were limited to those discussing wound care therapy. The research came up with numerous articles, and a few deemed the most credible was selected for this literature review.Grand Canyon University NRS 493 Negative Pressure Wound Therapy PresentationThe study of NPWT has generally revolved around the effectiveness of the approach to enhancing health outcomes in the care setting. Most researchers focusing on this topic seek to CAPSTONE CHANGE PROPOSAL 4 establish the effectiveness of NPWT in enhancing the quality of life, length of stay, and healing of the wound (Janssen et al., 2016). These research questions are based on the standard measures of health outcomes, including the progress of the illness, length of hospital stay, and quality of care. On the other hand, some researchers have also focused on wound therapy as a whole and the cost-effectiveness of approaches to wound therapy (Newton, 2017). Similar to the research questions, the samples used in the various studies also vary widely. The samples align with the area of focus expressed in the research question. For instance, the researchers who focused on conflict-related injuries sampled patients who presented extremity wounds from conflicts in Jordan and Iraq (Alga et al., 2020). The researchers focusing on the knee and hip arthroplasties sampled 220 patients undergoing elective primary total hip and knee arthroplasties for a randomized controlled trial (Karlakki et al., 2016). Nordmeyer et al. (2016) sampled 20 patients who presented for internal fixation of spinal fractures. Therefore, the samples used in the majority of the studies focused on specialty samples. Several categories of limitations have been highlighted in the current literature hence necessitating further studies on the topic. One of the typical limitations is that the available randomized controlled trials did not blind their research participants (Alga et al., 2020; Karlakki et al., 2016). This could introduce biases in patient-reported quality of life and satisfaction. Further studies with blinding should be conducted. Similarly, the use of NPWT could depend on nurse competence and implementation of the intervention. In the current literature, nurses implementing the intervention and control were not monitored to control competence and implementation efficacy (Karlakki et al., 2016). Grand Canyon University NRS 493 Negative Pressure Wound Therapy PresentationDifferences and inconsistencies could thus be introduced by the nurses’ different levels of experience and competence in using NPWT. CAPSTONE CHANGE PROPOSAL 5 Theory Utilized The theory utilized in developing the NPWT intervention for wound care is Jean Watson’s human caring theory. According to Watson, nursing should include assessing the whole person (Norman, Rossillo, & Skelton, 2016). This theory presents a holistic approach to care to enhance physiological healing and psychosocial support for the patients. In connection with NPWT, a crucial result that will be achieved is the reduction of patient suffering. Enhancing wound healing will achieve positive care outcomes and reduce pain and length of stay in the hospital. Therefore, Watson’s theory of human caring is reflected in the project’s focus on improving patients’ experiences. Implementation Plan The change project to implement negative pressure wound therapy (NPWT) in the healthcare organization will be conducted through training and awareness to reduce change resistance. One of the main challenges expected with the change project is nurses’ resistance to change and standard care preference. This is mainly because a change in procedures will interrupt the normal care processes. To reduce resistance to change, it is crucial to involve the staff in planning and training to gain buy-in (Goksoy, 2017). In this case, nurses who will be required to use NPWT will be consulted on the necessary changes and adjustments to the care processes. They will also be trained in a seminar that will emphasize the importance of the change and implement it. Moreover, NPWT equipment is FDA Class II devices, which means that they may cause a significant risk or discomfort for the patient (Purnama & Drago, 2019). Grand Canyon University NRS 493 Negative Pressure Wound Therapy PresentationThe suction pump and equipment may be uncomfortable and produce anxiety in the patient. Therefore, during the CAPSTONE CHANGE PROPOSAL 6 implementation, patients will be educated on the equipment and procedure to ensure they feel safe. Evidence-Based Practice Evidence-based practice was used to prepare this proposal through the use of evidence to describe the problem and to use credible sources to outline the solution. The evidence-based solution will be used when research is conducted and articles assessed. For instance, in a study by Bellot et al. (2019), patients who received NPWT experienced enhanced healing compared to standard care. Moreover, nursing interventions are meant to be treatment activities that nurses implement to reach a patient’s treatment goals (Butcher et al., 2018). Viewing the current problem from a nursing intervention point of view shows that NPWT is meant as a treatment approach that challenges the status quo on wound care by advancing the standard practice. Current evidence discussed in the literature review shows the importance of NPWT in reducing infections and length of stay. The use of this evidence to justify the project amounts to evidencebased practice (EBP). Evaluation Plan The first method of evaluation is using patient records. When using patient records to evaluate change, outcomes at baseline are noted and then changes since intervention assessed at some point in the future (Mykkänen, Miettinen, & Saranto, 2016). The records focus on align with the project objectives. Precisely, the hospital’s average length of stay, rates of wound infections, and patient satisfaction feedback will be monitored. Satisfaction is a qualitative measure, and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey will be used. Grand Canyon University NRS 493 Negative Pressure Wound Therapy PresentationIn addition to evaluating patient records, pre-and postintervention surveys will be conducted with both patients and staff. The rationale for conducting CAPSTONE CHANGE PROPOSAL 7 pre-intervention surveys is to establish baseline patient- and nurse-reported quality aspects (Creswell & Creswell, 2017). The post-intervention surveys will then serve to determine whether there were any significant changes in their experiences. The pre-and post-intervention surveys will help evaluate patient satisfaction with the change. Potential Barriers The project is faced with several potential barriers that should be addressed. A crucial barrier is the lack of financial support to purchase the required equipment. The proposal will provide justification and cost-effectiveness analysis to acquire buy-in from sponsors and leaders and hence gain the funds required for the project to address this problem. Secondly, nurse knowledge on the use of NPWT equipment may be limited. To address this barrier, training will be conducted with all nurses to equip them with the relevant skills to implement the project. Lastly, the use of new care processes may not be welcome to patients who may develop anxiety due to the suction process of NPWT. The nurses will ensure the patients’ autonomy is respected and will only implement the procedure with patients who consent to it. Patient briefing on the intervention will be crucial in assuring them of the procedure’s safety and reducing resistance. CAPSTONE CHANGE PROPOSAL 8 References Älgå, A., Hawley, R., Bashaireh, K., Wong, S., Lundgren, K. C., von Schreeb, J., & Malmstedt, J. (2020). Negative pressure wound therapy versus standard treatment in patients with acute conflict-related extremity wounds: a pragmatic, multi-site, randomized controlled trial. Grand Canyon University NRS 493 Negative Pressure Wound Therapy PresentationThe Lancet Global Health, 8(3), e423-e429. https://doi.org/10.1016/S2214109X(19)30547-9 Bellot, G. L., Dong, X., Lahiri, A., Sebastin, S. J., Batinic-Haberle, I., Pervaiz, S., & Puhaindran, M. E. (2019). MnSOD is implicated in accelerated wound healing upon Negative Pressure Wound Therapy (NPWT): A case in point for MnSOD mimetics as adjuvants for wound management. Redox Biology, 20, 307-320. https://doi.org/10.1016/j.redox.2018.10.014 Butcher, H. K., Bulechek, G. M., Dochterman, J. M. M., & Wagner, C. M. (2018). Nursing Interventions Classification (NIC)-E-Book. Elsevier Health Sciences. Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approach. Sage publications. Goksoy, A. (2017). The Role of Psychological Empowerment and Organizational Citizenship Behaviors on Employee Resistance to Change. European Journal of Interdisciplinary Studies, 3(2), 85-93. http://journals.euser.org/files/articles/ejis_jan_apr_17_nr_2/Asli.pdf Janssen, A. H. J., Mommers, E. H. H., Notter, J., de Vries Reilingh, T. S., & Wegdam, J. A. (2016). Negative pressure wound therapy versus standard wound care on quality of life: a systematic review. Journal of Wound Care, 25(3), 154-159. https://www.magonlinelibrary.com/doi/pdf/10.12968/jowc.2016.25.3.154 CAPSTONE CHANGE PROPOSAL 9 Karlakki, S. L., Hamad, A. K., Whittall, C., Graham, N. M., Banerjee, R. D., & Kuiper, J. H. (2016). Incisional negative pressure wound therapy dressings (iNPWTd) in routine primary hip and knee arthroplasties: a randomised controlled trial. Bone & Joint Research, 5(8), 328-337. https://online.boneandjoint.or g.uk/doc/pdf/10.1302/20463758.58.bjr-2016-0022.r1 Mykkänen, M., Miettinen, M., & Saranto, K. (2016). Standardized Nursing Documentation Supports Evidence-Based Nursing Management. In Nursing Informatics (Vol. 225, pp. 466-470). https://doi.org/10.3233/978-1-61499-658-3-466 Newton, H. (2017). Cost-effective wound management: a survey of 1717 nurses. British Journal of Nursing, 26(12), S44-S49. https://www.magonlinelibrary.com/doi/pdfplus/10.12968/bjon.2017.26.12.S44 Nordmeyer, M., Pauser, J., Biber, R., Jantsch, J., Lehr, S., Kopschina, C., … & Brem, M. H. (2016). Negative pressure wound therapy for seroma prevention and surgical incision treatment in spinal fracture care. International Wound Journal, 13(6), 1176-1179.Grand Canyon University NRS 493 Negative Pressure Wound Therapy Presentationhttps://onlinelibrary.wiley.com/doi/pdf/10.1111/iwj.12436 Norman, V., Rossillo, K., & Skelton, K. (2016). Creating healing environments through the theory of caring. AORN Journal, 104(5), 401-409. http://dx.doi.org/10.1016/j.aorn.2016.09.006 Purnama, A., & Drago, D. (2019). FDA regulatory pathways for medical devices. The Organization for Professionals in Regulatory Affairs. https://www.topra.org/topra/topra_member/pdfs/CPD-May-2019-Medical-Devices-andFDA.pdf CAPSTONE CHANGE PROPOSAL Sen, C. K. (2019). Human Wounds and Its Burden: An Updated Compendium of Estimates. Advances in Wound Care, 8(2), 39. https://doi.org/10.1089/wound.2019.0946 10 Running head: PROJECT EVALUATION 1 Project Evaluation Aynur Kabota Grand Canyon University NRS-493 11/08/2020 PROJECT EVALUATION 2 The EBP project to implement negative pressure wound therapy (NPWT) in the healthcare organization can be evaluated using several approaches. The first method of evaluation is using patient records. When using patient records to evaluate change, outcomes at baseline are noted and then changes since intervention assessed at some point in the future (Mykkänen, Miettinen, & Saranto, 2016). The records focus on align with the project objectives. Precisely, the hospital’s average length of stay, rates of wound infections, and patient satisfaction feedback will be monitored. Satisfaction is a qualitative measure, and the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey will be used. Although the survey assesses the general satisfaction with the hospital stay, focusing on aspects relevant to wound care will allow an adequate evaluation. In addition to evaluating patient records, pre- and post-intervention surveys will be conducted with both patients and staff. Grand Canyon University NRS 493 Negative Pressure Wound Therapy PresentationThe rationale for conducting pre-intervention surveys is to establish the baseline on patient- and nurse-reported quality aspects (Creswell & Creswell, 2017). The post-intervention surveys will then serve to determine whether there were any significant changes in their experiences. This project aims to improve patient experiences and also increase nurse job satisfaction. The pre- and post-intervention surveys will help evaluate the experiences and feelings of staff and patients towards the project. After three months of intervention, the evaluation will be carried out to determine whether the project is significant and whether it should be continued. PROJECT EVALUATION 3 References Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approach. Sage publications. Mykkänen, M., Miettinen, M., & Saranto, K. (2016). Standardized Nursing Documentation Supports Evidence-Based Nursing Management. In Nursing Informatics (Vol. 225, pp. 466-470). https://doi.org/10.3233/978-1-61499-658-3-466 Running head: CHANGE PROJECT RESOURCES Change Project Resources Aynur Kabota Grand Canyon University NRS-493 11/01/2020 1 CHANGE PROJECT RESOURCES 2 Organizational support is essential for an effective change project to enhance care outcomes. The proposed change project is implementing negative pressure wound therapy (NPWT) in the organization for better wound care than standard practice. This proposed project requires organizational resources for effective implementation and efficacy in achieving the desired objectives. Some of the objectives include reducing the length of stay and infection; hence the intervention needs to implement specific procedures for these objectives. Grand Canyon University NRS 493 Negative Pressure Wound Therapy PresentationThe highlighted objectives can be achieved by significant organizational support for the project. This paper lists and discusses the primary organizational resources required for implementing NPWT in the organization. I. NPWT portable device The preferred technology for this intervention is an NPWT portable device. This portable device is relatively new compared to the traditional NPWT devices. This resource’s importance is its convenience in attending many patients, and it is also more effective than traditional NPWT devices (Foglia et al., 2017). The resource is central to the intervention implementation because it will be required by nurses to conduct new practice processes. The supply for these devices will depend on the scope of the intervention in the organization. II. Foam dressings NPWT devices are used with a foam dressing, which is changed every time NPWT processes are carried out on the wound. This resource is different from standard care dressing due to the use of NPWT. Therefore, access to an adequate supply of foam dressing to use with the NPWT devices will be required from the organization. The supply of this resource will depend on the number of patients included in the intervention group. III. Training and supervision CHANGE PROJECT RESOURCES 3 Another essential resource for effective NPWT implementation is training and supervising the nurses to carry out the intervention. Since this is a new approach, nurses in wound care will need to be trained on the relevant practice approaches and implement the approach effectively. A …ce. Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10 Order NowjQuery(document).ready(function($) { $.post(‘https://nursingpaperessays.com/wp-admin/admin-ajax.php’, {action: ‘wpt_view_count’, id: ‘19880’});});jQuery(document).ready(function($) { $.post(‘https://nursingpaperessays.com/wp-admin/admin-ajax.php’, {action: ‘mts_view_count’, id: ‘19880’});});

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