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NUR 590 Evidence-Based Practice Proposal – Section C: Solution Description Evidence-Based Practice Proposal: Solution Description Proposed Solution The PICOT question in this research is; In non-ambulatory patients, will the use of turning and repositioning compared to pressure redistributing support surfaces lead to the prevention of pressure ulcers in six months? Consequently, a retrospective study will inform the proposed solution in this research. Patients with pressure ulcers will be categorized under turning and repositioning intervention and pressure redistributing support surfaces intervention. A follow up will then be conducted for six months to assess the clinical results. The focus of the results will be the effectiveness of the interventions in both categories. This proposed solution is in line with earlier studies done on the topic. Powers (2016) examined a patient positioning system (PPS), standard of care, and effectiveness of turning in relation to the management of pressure ulcers. The findings showed that using assistive tools such as turning and PPS is effective in ensuring efficient patient positioning to prevent development of pressure ulcers. On the other hand, Gillespie et al., (2014) affirms that repositioning is a fundamental component of preventing and treating pressure ulcers. Besides, repositioning has a sophisticated theoretical rationale and is extensively recommended and utilized in managing pressure ulcers. However, Sharp, Moore & McLaws (2019) claim that using repositioning in aged care facility residents does not development of pressure ulcers. The authors concluded that the use of two-hourly repositioning does not prevent pressure ulcers. Instead, alternating pressure mattress should be used. Nonetheless, these researches indicate that turning and repositioning can be effective in understanding managing the pressure ulcers. Essentially, the turning and repositioning intervention is practical in my present organization. The organization often receives many patients with pressure ulcers who need turning and reposition care and pressure redistributing support surfaces care. Hopefully, therefore, the present research will attract adequate number of participants. Better yet, the findings in this research will provide essential support for evidence-based practice in the management of pressure ulcers. Organizational Culture According to Driskill (2018), organizational culture refers to shared values, beliefs, assumptions, and interactions that contribute uniqueness in the organization. Therefore, the proposed solution is in harmony with culture and resources in the organization since the organization acknowledges the vital role played by evidence-based practice in improving quality of care. Consequently, significant resources have been allocated to foster evidence-based practice in various aspects such as training of health care providers, supporting different researches on various treatment modalities in case management, and consistent evaluation of evidence on clinical interventions to enhance positive patient outcomes. In short, the apparent supportive culture witnessed in the organization is a good gesture that the proposed intervention would be adopted. Expected Outcomes Hopefully, this proposed intervention would provide critical perspectives on the value of pressure redistributing support surfaces and turning and repositioning in managing pressure ulcers. In turn, clinicians will be better placed to ascertain the effective treatment approach to use. Method to Achieve the Outcomes Fundamentally, the expected outcomes will mostly be achieved through effective patient follow-ups. After closing the study, the statistics on the turning and repositioning, and pressure redistributing support surfaces care interventions will be gathered and calculated to show the most effective intervention in managing pressure ulcers. On the other hand, potential barriers include unwillingness to comply with treatment interventions. However, the barriers addressed through thorough patient follow-ups to ensure compliance with treatment interventions. Outcome Impact The most probable impact of the outcome of the this study is influencing the clinical practice in areas such as informing decisions to use turning and repositioning or pressure redistributing support surfaces interventions in pressure ulcers. Besides, findings from this study will be used to further research in this topic since health care providers will be interested in exploring other ways of improving care management in pressure ulcers. Most importantly, the outcome of this study will foster realization of safe and quality care to patient with pressure ulcers since only the best intervention will be used to treat the pressure ulcers. NUR 590 Assignment Section C Solution Description Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria: Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise. Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS:NUR 590 Assignment Section C Solution Description You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.   Order Now