Population
This evidence-based practice (EBP) project is represented by adult patients who have been hospitalized in medical-surgical departments and are vulnerable to developing hospital-acquired pressure injuries. This group includes mostly patients who are 18 years and above and have restricted mobility, a long stay in hospital care, or those who have a health-related problem like diabetes, heart disease, or neurological disability. All bedridden, post-operative, or those patients who require assistance to be repositioned are especially vulnerable, as they place prolonged pressure on sensitive body parts. Their features render them a good target of preventive programs that can be utilized to reduce cases of pressure injuries.
Inclusion criteria for this project will include patients with a risk of pressure injuries, which will be determined using a standardized assessment tool, such as the Braden Scale, at the time of admission and during the hospital stay. The patients should not be discharged before 48 hours to ensure there is enough time to implement and evaluate the preventive measures. Exclusion will involve patients who present at an advanced stage (Stage III or IV) of pressure injury when they are admitted to the hospital, people who get palliative or end-of-life care, and people with severe cognitive impairments that hamper their participation in care intervention (Roderman et al., 2024). The evidence based on the choice of this population revolves around the idea that immobility and urgently extended hospitalization are key contributing factors towards the development of pressure injuries. Targeting such a high-risk population, the project will introduce early, specific interventions that can substantially improve patient outcomes, decrease complications, and improve the quality of care in general.
Setting
The EBP project will be proposed to be conducted in a big, urban, acute care hospital in a metropolitan area. The project will be applied within a particular set of two to three adult medical-surgical units that can work with patients of diverse acute and chronic health conditions. This has a high occupancy of about 25 to 30 patients per unit, and inpatient care has a very high demand and dynamic nature. The registered nurses, nursing assistants, and interdisciplinary healthcare professionals staff these departments and work together to provide holistic patient care. The project implementation will be performed mostly at the patient’s bedside, where the use of pressure-relieving devices, skin assessment, and repositioning are conducted as part of the routine nursing interventions. We will conduct pressure injury prevention training, including educational sessions and employee training, in specific staff meeting rooms within the units. The choice of this setting is justified by the high density of vulnerable patients and direct work of nursing staff components in the preventive care of patients (Przybek-Mita et al., 2025). Furthermore, the established framework of medical-surgical units allows combining the standardized, evidence-based measures with providing confidentiality and the privacy of patients. The chosen environment thus offers an ideal environment to assess how well the strategies designed to improve patient safety outcomes and reduce hospital-acquired pressure injuries work.
References
Przybek-Mita, J., Bazaliński, D., Małek, E., Kachaniuk, J., Kozieł, D., Kózka, M., & Szewczyk, M. T. (2025). Knowledge in the Area of Prevention and Treatment of Pressure Injuries Among Nurses: Report from the Study. Healthcare, 13(1), 65. https://doi.org/10.3390/healthcare13010065
Roderman, N., Wilcox, S., & Beal, A. (2024). Effectively Addressing Hospital-Acquired Pressure Injuries With a Multidisciplinary Approach. HCA Healthcare Journal of Medicine, 5(5). https://doi.org/10.36518/2689-0216.1922
CLICK HERE TO ORDER A PLAGIARISM – FREE PAPER
Participant/Setting Section Assignment
For this assignment, write the section of your Evidence-Based Practice (EBP) proposal that identifies the population and setting. This section should be approximately 2–3 pages (350–500 words) and written in paragraph (narrative) form using appropriate subheadings.
In this section, address the following:
Population
Describe the population that will experience the planned EBP change. Include who the participants are, relevant characteristics (such as age, condition, or experience), inclusion criteria, and any exclusion criteria if applicable. Provide a clear rationale for selecting this population.
Setting
Describe the proposed setting where the project will take place. Do not include the actual name of the institution. Instead, describe the type of healthcare setting, the specific unit(s), and relevant details such as patient capacity and environment. Indicate where the project activities will occur within the setting.