Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.

PICOT Statement:

Population: Hospitalized adult patients with limited mobility and at risk for pressure ulcers Intervention: Implementation of a turning schedule for repositioning every two hours Comparison: Standard care without a turning schedule or repositioning every two hours Outcome: Reduction in the incidence of pressure ulcers Timeframe: 6 months

Clinical problem:

Pressure ulcers are a significant clinical problem for hospitalized patients with limited mobility. Despite the availability of preventive interventions, such as repositioning, pressure ulcers remain a common complication of hospitalization. Failure to implement preventive interventions for pressure ulcers can result in increased morbidity, length of hospital stay, and healthcare costs. Therefore, a nursing intervention is required to reduce the incidence of pressure ulcers in this patient population.

Evidence-based solution:

The implementation of a turning schedule for repositioning every two hours is an evidence-based solution for preventing pressure ulcers in hospitalized patients with limited mobility. A randomized controlled trial by Coyer et al. (2018) demonstrated that a turning schedule reduced the incidence of pressure ulcers by 51% compared to standard care. The intervention is feasible, safe, and cost-effective.

Nursing intervention:

The nursing intervention in this project is the implementation of a turning schedule for repositioning every two hours. The intervention involves developing a care plan for each patient with limited mobility and implementing the turning schedule for the duration of their hospital stay. The turning schedule will be documented in the electronic medical record and communicated to all members of the healthcare team.

Patient care:

The implementation of a turning schedule for repositioning every two hours will improve patient care by reducing the incidence of pressure ulcers in hospitalized patients with limited mobility. The intervention is patient-centered and aligns with the principles of safe, effective, and efficient care. Patients will be informed of the turning schedule and educated on the importance of repositioning to prevent pressure ulcers.

Healthcare agency:

The healthcare agency will benefit from the implementation of a turning schedule for repositioning every two hours by reducing the incidence of pressure ulcers and associated costs. The intervention aligns with the agency’s quality improvement goals and enhances patient safety and satisfaction. The intervention can be integrated into existing nursing workflows and can be sustained over time.

Nursing practice:

The implementation of a turning schedule for repositioning every two hours will improve nursing practice by promoting evidence-based care and preventing pressure ulcers in hospitalized patients with limited mobility. The intervention aligns with the principles of patient-centered care, safety, and quality improvement. Nurses will be trained on the turning schedule and educated on the importance of preventing pressure ulcers in this patient population.

In conclusion, the implementation of a turning schedule for repositioning every two hours is an evidence-based nursing intervention that can reduce the incidence of pressure ulcers in hospitalized patients with limited mobility. The intervention can improve patient care, benefit the healthcare agency, and enhance nursing practice.