Task 1 – Clinical issue & question 

Identify an issue you have encountered in clinical practice that a Registered Nurse could reasonably review and improve, and which would lead to an improvement in nursing care of health consumers. (Here please talk about a patient that was admitted post-surgery could not reposition herself. The issue is pressure ulcers.)

Identify current practice related to this issue. (Alternating Pressure Air Mattress [APAM] to minimize pressure ulcer)

Construct a PICO question related to your identified issue, to assist you to search for relevant research.

A comprehensive rationale for selected clinical issues & linked to health outcomes/significance for nursing. The focused clinical question in PICO format reflecting clinical issues. A robust range of health prof literature support.

Task 2 – Evidence selection 

Review two research-based articles related to your selected issue.

Use the following two articles to support the pico

Sauvage, P., Touflet, M., Pradere, C., Portalier, F., Michel, J.-M., Charru, P., Passadori, Y., Fevrier, R., Hallet-Lezy, A.-M., Beauchêne, F. & Scherrer, B. (2017). Pressure ulcer prevention efficacy of an alternating pressure air mattress in elderly patients: E²MAO a randomized study. Journal of Wound Care, 26(6),  Meaume, S., & Marty, M. (2015). Pressure ulcer prevention and healing using alternating pressure mattresses at home: The PASTRY project.

Include discussion relating to the methodology, rigor, validity, and generalisability of the research you have selected.

Task 3 – Recommendations

Make two (2) nursing recommendations based on your selected research,  related to the issue you have identified from your practice setting that, if implemented, would reflect current best practice and improved nursing care of health consumers

The first nursing recommendation for PU prevention is the use of a risk assessment tool. There are many types of tools such as the Braden Scale [BS], Norton, Cubbin and Jackson, Waterlow scales, and Ramstadius (Qaseem, Mir, Starkey &Denberg, 2015) for PU prevention.

A second recommendation is that nurses use APAM with proper repositioning.

Task 4 – Leadership, management & workplace culture

Evaluate the effect of leadership and management and the workplace culture on the process of introducing these recommendations to nursing practice related to your identified issue. (What is leadership in nursing- Types of leadership and What is management in nursing- Types or roles of a manager. How to implement new recommendations to the organization and among the staff and stakeholders with a well-planned idea.)

Task 5  – Importance of EBP 

Discuss why it is important in nursing practice for RN’s to actively engage with nursing research to ensure they are demonstrating competent and evidence-based practice. Use the dimensions of professional, ethical, legal nursing practice to frame your discussion.

How EBP helps the nurses.

The barriers associated with EBP