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1. Describe a healthcare problem.

Assignment Brief

  1. Write a brief summary (suggested length of 2–3 pages) of the significance and background of a healthcare problem by doing the following:

    1. Describe a healthcare problem.

Note: A healthcare problem can be broad in nature or focused.

    1. Explain the significance of the problem.

    2. Describe the current practice related to the problem.

    3. Discuss how the problem impacts the organization and/or patient’s cultural background (i.e., values, health behavior, and preferences).

  2. Complete the attached “PICO Table Template” by identifying all the elements of the PICO.

    1. Develop the PICO question.

  3. Describe the search strategy (suggested length of 1–2 pages) you used to conduct the literature review by doing the following:

    1. Identify the keywords used for the search.

    2. Describe the number and types of articles that were available for consideration.

    3. a. Discuss two research evidence and two non-research evidence sources that were considered (levels I–V).

    4. Note: Be sure to upload a copy of the full text of the aritcles with your submission

  4. Complete the attached “Evidence Matrix” to list five research evidence sources (levels I–III) from scholarly journal sources you locate in major medical databases.

    • Note: Four different authors should be used for research evidence. Research evidence must not be more than five years old.

    • Note: You may submit your completed matrix as a separate attachment to the task or you may include the matrix within your paper, aligned to APA standards.

    • Note: Be sure to upload a copy of the full text of the articles with your submission.

  5. Explain a recommended practice change (suggested length of 1–3 pages) that addresses the PICO question within the framework of the evidence collected and used in the attached “Evidence Matrix.”

  6. Describe a process for implementing the recommendation from part E (suggested length of 2–3 pages) in which you do the following:

    1. Explain how you would involve three key stakeholders in the decision to implement the recommendation.

    2. Describe the specific barriers you may encounter in applying evidence to practice changes in the nursing practice setting.

    3. Identify two strategies that could be used to overcome the barriers discussed in F2.

    4. Identify one indicator to measure the outcome related to the recommendation.

  7. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

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Sample Answer

Reducing Hospital-Acquired Pressure Injuries Through Evidence-Based Nursing Interventions

Introduction

Hospital-acquired pressure injuries (HAPIs) remain a major healthcare problem worldwide and continue to affect patient safety, quality of care, and healthcare costs. Pressure injuries develop when prolonged pressure reduces blood flow to the skin and underlying tissue, particularly in patients with limited mobility. These injuries are largely preventable when evidence-based nursing interventions are consistently implemented.

This paper examines the significance of hospital-acquired pressure injuries, current nursing practices related to prevention, and the impact of this problem on both healthcare organisations and patient cultural backgrounds. It also develops a PICO question, reviews evidence-based literature, and recommends a practice change supported by current research.

Description of the Healthcare Problem

Hospital-acquired pressure injuries occur when patients develop skin and tissue damage during hospitalisation due to prolonged pressure, friction, or shear forces. These injuries commonly appear on areas such as the heels, hips, sacrum, and elbows.

Patients most at risk include older adults, critically ill patients, individuals with spinal cord injuries, and patients with limited mobility. Pressure injuries can range from mild skin redness to severe wounds involving muscle and bone exposure.

Pressure injuries are considered a major patient safety issue because they increase pain, infection risk, length of hospital stay, and healthcare costs. In severe cases, pressure injuries can lead to sepsis and mortality.

Significance of the Problem

The significance of hospital-acquired pressure injuries extends beyond physical harm. They place a major financial burden on healthcare systems due to longer hospital stays, increased treatment costs, and additional nursing care requirements.

Healthcare organisations are increasingly evaluated based on patient safety indicators, including pressure injury rates. High rates of HAPIs can negatively affect organisational reputation, quality ratings, and reimbursement outcomes.

Pressure injuries also affect patient quality of life. Patients may experience pain, emotional distress, reduced mobility, and social isolation. Preventing these injuries is therefore an essential nursing responsibility and a key measure of quality care.

Current Practice Related to the Problem

Current nursing practice for pressure injury prevention includes regular skin assessments, repositioning schedules, use of pressure-relieving mattresses, nutritional assessments, and patient education.

Most healthcare facilities use risk assessment tools such as the Braden Scale to identify high-risk patients. Nurses are expected to assess skin integrity regularly and implement prevention protocols early.

Despite existing guidelines, inconsistent implementation remains a major issue. Staffing shortages, high patient workloads, and limited resources can reduce compliance with prevention practices.

Many organisations continue to report preventable pressure injuries despite having prevention policies in place, suggesting that stronger evidence-based implementation strategies are needed.

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Recent Papers

Pressure injuries are a good choice because there is a lot of recent nursing research available.

It helps focus the research and makes the evidence search more organised and specific.

Clinical guidelines, expert opinions, hospital policies, and quality improvement reports are common examples.

Staffing shortages, workload pressure, and inconsistent protocol use are major reasons.