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Pages:
7 pages/β‰ˆ1925 words
Sources:
Check Instructions
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Research Paper
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 36.29
Topic:

Reducing ventilator infection rate

Research Paper Instructions:

Hello,
I am wrapping up grading the change draft papers and topic selection . I spent hours on some of your drafts to help you along- this is a courtesy I offer because change projects are not easy. Some students need to change to a more narrow topic for this leadership assignment . The goal is focus on a small change you would like to see (where you work is easiest) and you must lead the change and tell me what part you are leading and describe what you are doing. I would not create a whole program or training unless it is something simple. Instead, focus on creating a policy or checklist or a one training module, or a position posting that you can justify. The change needs to include reference to current standards of care like Joint Commission or Agency for Healthcare Research and Quality here in the US.
You cannot write on a change that is a standard already unless you give me specific evidence why, such as my workplace was cited for not doing this, or our infections rates are 3% above the allotted level for the state. I can justify why you are doing that project.
I do look up to see if there are more current references and if there are standards of care not addressed. Project changes cannot be something already implemented, but it can be a new part of the process that has to yet be implemented. Please look at the feedback and make corrections and use the examples in the course content how the paper should be set up. Contact me if you need more direction.
Here is some additional feedback :
APA needs to be correct in referencing in the text and on the reference page and cover page- I have seen referencing of all the authors in the text or copying and pasting with incorrect APA format- both are not acceptable for a final course program paper - for a draft I just point it out
TurnItIn is now switched on for the final paper submission and needs to be 10% or less
Follow the rubrics- pull out the final rubrics and write to the rubrics - some missed areas- there is always a social justice issue, legal implication, community stakeholder - there is a standard for everything. Write only about one or two paragraphs for some of the rubric areas that have four or five short subtopics in that specific area.
You have to write as if you are leading the change - this is what the assignment is asking for you to take ownership.

Research Paper Sample Content Preview:

Capstone Change Project: Reducing Ventilator Infection Rate
Student's Name
Institutional Affiliation
Course Name and Number
Professor's Name
Date
Reducing Ventilator Infection Rate
The proposed change to aid in lowering ventilator-assisted pneumonia (VAP) will include increasing the audit rates for the ventilator patients and closely monitoring the nurses and their skills to gather evidence regarding the gaps in the care of these nurses. While there are presently guidelines that influence the nurses' care practices for the vent patients, the institution currently appears to be inadequately prepared to closely audit patients on ventilators and empower the nurses to practice a combination of evidence-based practice and empathy for these patients (Darawad et al., 2018). In addition, nurses are presently allocated to these patients indiscriminately and not based on experience and qualifications. This change project shall aim to match nurses' skills and experience with the patients' ventilator needs and significantly reduce the likelihood of patients contracting VAP and infections. Audit rates need to increase for the high-risk patients on mechanical ventilation in the hospital's intensive care unit (CU) to identify quickly identify the probable infection mechanisms and correct them proactively.
Nosocomial pneumonia (NP) accounts for up to 18% of the total hospital-acquired infections (Darawad et al., 2018). This condition is highly prevalent in patients in the ICU who are receiving mechanical ventilation (MV). Studies thereby reveal that VAP is the most common mechanically-induced infection among ICU-hospitalized patients (Álvarez-Lerma et al., 2018). In effecting this change, the intent is to alter the present training models and nurse allocation processes within the organization (highly structured and bureaucratic) towards more humanistic care models that engage and empower the staffers to reassess and improve their practice in both their healthcare delivery and change leadership. To effect such a change towards a people-centered model of care in the ICU that encourages employee engagement and highly personalized patient care, we shall use Kurt Lewin's Change Theory (the three-stage – Unfreezing, Changing and Refreezing – model of change).
Justification for the Change
Ventilator-associated Pneumonia (VAP) remains the major cause of death in ICUs. Empirical studies have revealed that VAP-related mortalities stand between 20% and 75% (Darawad et al., 2018). Studies revealed that nurses' adherence to VAP guidelines is positively associated with their knowledge of VAP care (Álvarez-Lerma et al., 2018). An increase in nurses' awareness of VAP care and matching experienced nurses with high-risk vent patients will likely increase the adherence of these nurses to the guidelines. The intent is for nurses to collaborate with experienced nurses to increase competence and skills. Economically, the change will improve patients' quality of care and reduce the costs of treating pneumonia and infections.
Also, we intend to reduce the FTE of the nursing staffers by 260 hours annually per worker from the 2080 hours currently worked by each staffer. Further, the increased skills and collaboration a...
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