Implementing Change Guidelines Presentation

Worsened health condition.
Pain.
Discomfort.
Additional time and resources.
Creation of a special team.
Increased repositioning of the patient.
Diet improvement.
Moisturizing.
People who come to healthcare facilities and seek professional consultation have , as a rule, and want to overcome them. However, with movement, they become likely to acquire complications during the hospital stay. Because of surgical interventions, for example, many of them deal with pressure ulcers after three weeks of hospitalization because of inability to change their position without assistance. Even though professionals do their best to reduce such cases, this goal is not reached. This that existing guidelines are not good enough for positive change. In this way, it is significant to pay more attention to the methods used to prevent the occurrence of this issue. New approaches should be used to deal with pressure ulcers because they cause discomfort for patients. They worsen the overall health condition of consumers, and their treatment is rather painful. Moreover, it is time- and resource-consuming.

Fortunately, advantageous changes can be experienced if a special team of professionals is created (Moore, Webster, & Samuriwo, 2015). It should focus on the increased repositioning of the patient, diet improvement, and moisturizing.

The Ace Star Change Model
Performance of the research study: topic and key focuses;
Evidence-based advantages of the intervention;
Development of guidelines on the basis of the obtained information;
Adoption and utilization of guidelines;
Assessment of guidelines.
The ACE Star model provides leaders with an opportunity to implement a change in everyday operations successfully. It focuses on the collection of evidence-based knowledge and its further implementation in practice. The ACE Star model allows making this transformation rather mild so that it does not cause misunderstanding or associated issues. Moreover, it ensures that no significant data gathered in the framework of the research study will be overlooked.

The Ace Star Change Model
Practice Issue
Health issues caused by treatment;
Painful recovery process;
Time- and resource-consuming procedures.
Inability to move often leads to the development of pressure ulcers in patients. In many cases, they are hospital-acquired, which means that professionals overlook some signs that lead to their occurrence and fail to provide those services that ensure positive health outcomes. Still, the development of additional health complications does not make patients refuse treatment because they have no other options to reach improvement. Nurses and physicians should think of the ways they can prevent the development of pressure ulcers because they are not easily treated (Webster et al., 2017). In particular, this process requires much time and specific procedures that are painful and complicated (Ackroyd-Stolarz, 2014). This issue is tightly associated with practice because it can be overcome if professionals use additional approaches to deal with it and ensure that patients do not acquire it while receiving other healthcare services.

Practice Issue
Research Questions
What are the main adverse influences of pressure ulcers treatment?
What exactly affects patients organs?
How can these influences be prevented?
What are the most common results of pressure ulcers treatment?
What benefits can be observed due to the creating of a specialized team?
To implement a change project, researchers should let their sample that includes healthcare employees acknowledge what they want to achieve with the help of change. For them to formulate a range of main objectives, researchers should develop a set of questions they want to answer due to their study. In this very case, the focus should be on the following:

What are the main adverse influences of pressure ulcers treatment?
What exactly affects patients organs?
How can these influences be prevented?
What are the most common results of pressure ulcers treatment?
What benefits can be observed due to the creating of a specialized team?
Research Questions
Scope of the Problem
91% of patients with pressure ulcers the elderly.
30-85% of consumers face this issue within 4 weeks after hospitalization.
Pressure ulcers are usually observed in those patients who have issues with movement. As a rule, these are the representatives of the elderly population (more than 90%). While it is normal for healthcare facilities to have less than 2% of patients who develop pressure ulcers during a hospital stay, these rates are much higher. 30-85% of consumers face this issue within 4 weeks after hospitalization (Agrawal & Chauhan, 2012). These rates are critical because they lead to the increased morbidity and mortality as well. Suffering from pressure ulcers in addition to the main health issue, patients become more exhausted and have no strength to fight the disease. Realizing the significance of this healthcare issue, governmental bodies allocate additional resources targeted at dealing with the increased prevalence of pressure ulcers. Millions of dollars are allocated annually to deal with this problem, but it is not resolved yet. It is also significant to consider the fact that healthcare professionals are not able to focus on the patients disease because they are to address additional complications at the same time.

Scope of the Problem
Team/Stakeholders
In order to reduce the prevalence of pressure ulcers, healthcare leaders should consider the necessity to create specialized teams. In this way, they are to consider the representatives of different departments. In this way, new teams will be able to develop the most advantageous decisions, considering opinions of different professionals (Samuriwo & Dowding, 2014). They should consist of at least three members, such as a nurse, a physician, and a chief nurse executive.

Team/Stakeholders
Evidence to Support the Need for Change
In order to develop a new approach to reduce the number of patients who suffer from pressure ulcers, several credible sources were assessed. It was revealed that the creation of a specific team that consists of diverse healthcare professionals is the most advantageous intervention that has not yet been used. This team should focus on the treatment of open wounds that is why its members should have enough experience associated with the required interventions. Researchers believe that the participants should include not only nurses but also physicians. Moreover, the creation of a team can be managed in two ways: professionals can start operating after additional education or can already be ready to perform their duties due to the previous experience.

Evidence to Support the Need for Change
Action Plan
Data collection and analysis;
Development of guidelines and recommendations;
Allocation of roles;
Training;
Change implementation;
Monitoring;
Evaluation and spread of findings.
For the initiation of the pilot study, researchers should create a training program for the professionals (Li, 2016). It should include education associated with the teamwork, patient repositioning and moisturizing, diet peculiarities, etc. It would also be advantageous to provide nurses and physicians with reimbursement for them to be more motivated to follow the plan and ensure that their initiativity is not overlooked. In general, an action plan will consist of those steps that ensure the analysis of evidence-based data and evaluation of the intervention developed on its basis.

Action Plan
Timeline for the Plan
Week 1-2: data collection;
Week 3: data evaluation;
Week 4: development of recommendations;
Week 5: allocation of roles;
Week 6-10: training and education;
Weeks 11-21: implementation and supervision;
Week 22-23: evaluation of outcomes;
Week 24: conclusions.
To implement change within a healthcare system, it is vital to develop a timeline that can be used to guide the project and ensure that it will be accomplished before the deadline. Considering the fact that pressure ulcers occur after 3-4 weeks of hospital stay, the implementation of the pilot program can last for about 4-6 months, depending on the circumstances (Quaeem et al., 2014). In particular, there is a possibility that the leadership of the setting and its employees will be unwilling to accept the discussed change.

Timeline for the Plan
The Nurses Role and Responsibility in the Pilot Program
As it was previously mentioned, a specialized group should consist of various healthcare professionals. In this way, a possibility to develop the most advantageous treatment decisions can be developed. Nevertheless, nurses are expected to be involved in the pilot program more than physicians are because they are the ones who provide the majority of care and associated services to patients. A nurse involved in the project is expected to provide direct care to patients with pressure ulcers, ensuring that they are appropriately treated. A chief nurse executive, in his/her turn, should lead a team and monitor the way it worked to provide patients with high-quality services. Moreover, he/she should focus on the creation of a positive environment within the team because it improves cooperation and makes it easier to implement required changes.