please use the attached filled document to answer the questions or make a power point and paster using the the below attached templete . thank you, please don't hesistate to reached out to if you hav

Project Lead:

Evbodaghe Fatima and Idemudia Rachael

Role:

Project Lead

Home Unit/Population:

Jones 9

Additional Project Member(s):

None

Role(s):

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Home Unit/Population:

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Manager/Director:

Meron Melles

Role:

Manager

Home Unit/Population:

Jones 9

Has the manager/director listed above approved this project? ☒ ​Yes ​ ☐ No* 

*If no, please explain: ​ Click or tap here to enter text.

Has your entity council or Project Mentor approved this project? ​ ☒ Yes ☐ No* 

*If no, please explain: ​ Click or tap here to enter text.

Council/Mentor Name: ​ Click or tap here to enter text. Council/Mentor Email: ​ Click or tap here to enter text.

Are you currently a student and completing this project for school? ​ ☐ Yes* ☒ No 

*If yes, where? ​ Click or tap here to enter text.

Faculty Advisor/Chair Name: ​ Click or tap here to enter text. Faculty Advisor/Chair Email: ​ Click or tap here to enter text.

HM Entity: ☐ HMH ☐ HMB ☐ HMCL ☒ HMCC ☐ HM Corporate ☐ HMC ☐ HMSL ☐ HMTW ☐ HMW

Project Title:

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Type of Project: ☐ Kaizen ☐ QI ☒ EBP ☒ Research ☐ Mixed ☒ Nurse Residency ☐ Other

Houston Methodist Pillar: ☒ Quality & Safety ☐ Service ☐ People ☐ Finance ☐ Growth & Innovation

PICOT or Research Question:

P = population; I = intervention; C = comparison; O = outcome(s); T = time

In patients in a Long-Term Acute Care (LTAC) unit, how does the implementation of a structured mobility program (including scheduled turning, use of mobility aids, and staff education) compared to current standard repositioning practices affect the incidence and progression of pressure injuries and deep tissue damage over a period of three months?

Project Background: The goal of this section is to demonstrate that the project is necessary, worthwhile, and appropriate. Please describe the practice gap or problem you identified. Use data that confirms the problem exists and is causing negative outcomes in your practice area. Use evidence from the literature to support the problem and intervention. Please use in-text citations (ex. Doe, J., 2024) when using information from the literature.

Patients in LTAC units face a high risk of pressure injuries due to immobility and complex health conditions. Standard repositioning practices are inconsistently applied and lack personalization, contributing to poor outcomes. Evidence shows that structured mobility programs—featuring scheduled turning, mobility aids, and staff education—significantly reduce injury rates and severity (Kandula, 2025; NPIAP, 2023). Despite guidelines, pressure injuries remain common, with 23% of patients affected and 8% developing deep tissue damage within three months, leading to longer stays, higher costs, and reduced quality of life (Smith et al., 2024).

Target Population: In 1–2 sentences, describe the population involved in this project.

The population involved in this project consists of patients admitted to a Long-Term Acute Care (LTAC) facility who are at risk of pressure injuries and deep tissue damage.

Project Interventions: This is where you outline and describe the “what are you going to do” part of the project. Please explain each intervention you want to implement, including as many details as possible with a timeline/date. Include a description of your plan for implementation, including logistics for deploying educational material or training staff.

The structured mobility program includes personalized turning schedules based on Braden Scale assessments, use of mobility aids to minimize tissue stress, and staff training focused on early injury detection, repositioning techniques, and accurate documentation.

Outcomes: Clearly describe how you are evaluating the impact of each intervention you included above to address the problem in the background. Please be specific in describing how the outcome measures are operationalized into the data points you will collect.

Over three months, the intervention seeks to lower pressure injury rates by 30%, prevent deep tissue damage, boost staff adherence to mobility protocols, and improve patient comfort and satisfaction.

Data Collection: Please describe how you will collect the data, where you will keep/store any data you are collecting, and who will have access to this data. If applicable, attach your data collection tool as a supplemental document.

Data will be collected on patient outcomes (pressure injury incidence, severity progression, mobility frequency, and Braden scores), staff compliance (documentation audits and surveys), and patient experience (comfort ratings and satisfaction surveys). All information will be securely stored in the facility’s HIPAA-compliant EMR system. Access will be restricted to key personnel—project leads, unit managers, the quality improvement team, and the IRB if applicable—with all staff trained in data privacy and documentation protocol.

Data Analysis Plan: Please describe what statistical methods you will use to evaluate the impact of your intervention. They can be descriptive (e.g., mean, median, frequencies/rates) and/or inferential (e.g., t-test, confidence interval).

The evaluation will use averages and variability to summarize injury rates, Braden scores, comfort levels, and staff compliance. Paired t-tests and chi-square test will assess whether changes in patient outcomes and injury rates are statistically significant between pre- and post-intervention groups.

Sustainability Plan: Please describe how you will ensure that a successful intervention is sustained and/or continued once you have completed the initial project.

To sustain the structured mobility program, the facility will integrate protocols into official policies and EMR systems, provide ongoing staff training through annual competencies and quarterly workshops, and promote leadership accountability via unit champions and performance dashboards. Continuous monitoring will include monthly audits and feedback loops, while recognition programs and patient engagement will help reinforce long-term adherence and success.

Selected References: Please enter all the references you used to support your background. Articles should be current (published within the last 5 years unless it is seminal work), relevant, and support your interventions and project goals. If you are modeling an EBP project on a specific manuscript, ensure the reference is included in the list and cited in the background section.

Kandula, S. (2025). Effectiveness of structured mobility programs in reducing pressure injuries in long-term care settings: A systematic review. Journal of Wound Care and Prevention, 34(2), 101–110.

National Pressure Injury Advisory Panel (NPIAP). (2023). Prevention and treatment of pressure injuries: Clinical practice guideline. Retrieved from https://npiap.com

Smith, L., Rodriguez, M., & Chen, A. (2024). Pressure injury prevalence and outcomes in LTAC facilities: A three-month observational study. Journal of Long-Term Acute Care Medicine, 18(1), 45–52.