NRS 465 Week 5 Benchmark – Capstone Change Project Implementation Plan

Benchmark – Capstone Change Project Implementation Plan

Nosocomial infections are a patient safety concern for burn wound patients in trauma centers because of the delicate nature of the skin as they get treatment. The proposed change project focuses on implementing strict sterilization and decontamination of wound dressing equipment and developing safety protocols through policies to prevent and control wound infections. The implementation plan for this project entails various components to meet the set project objectives and expected measurable outcomes. The purpose of this paper is to describe the implementation plan of the proposed capstone change project to prevent and control burn wound infections among burn patients in the trauma center at the practicum site, Jacobi Medical Center.

Summary of the Problem

The management of burn wounds is a critical aspect of improving patient safety and quality of care. Wounds have a significant impact on patient care experience, especially the risk for infections (Hu et al., 2023). The issue of focus for this essay is infection prevention and control among burn wound patients. Effective wound management reduces nosocomial infections among burn wound patients, leading to better and higher-quality outcomes.

Proposed Solution                    

The proposed solution to the issue or problem is the development and implementation of a strict sterilization and decontamination of wound dressing equipment and guidelines through an organizational policy. The evaluation of literature shows that sterilization and decontamination measures alongside evidence-based guidelines can prevent and lower the rate of infections among burn wound patients. Findings from Kim et al. (2025), McWilliams et al. (2021), and Mozafari et al. (2024) support the implementation of the proposed measures and protocols that include sterilization and decontamination of dressing equipment and materials. Further, Riza et al. (2025) demonstrate that certain practices and strategies can enhance wound management despite the challenges that wounds present for healthcare providers. Again, Yang et al. (2024) emphasize the importance of nurses having sufficient information to understand the distribution of nosocomial pathogens and antimicrobial resistance among burn wound patients. The article by Odhah et al. (2025) emphasizes the importance of knowledge and practices focused on infection prevention among burn wound patients. The evidence from these articles supports the proposed solution because of the benefits it offers in improving wound care and management.

The proposed solution will enhance nurses’ abilities, competencies, and skills to manage wounds and prevent associated infections like nosocomial infections due to the delicate nature of wounds. Knowledge, practices, and a shared approach to wound care demonstrate the sociocultural and linguistic considerations as nurses will integrate best practices, including applying evidence-based findings and culturally competent care for better patient care delivery and outcomes (Ariyo & Olorunfemi, 2024). The proposed solution affects nursing practice as they should have knowledge, collaborate with patients, and focus on the most appropriate interventions to enhance wound care and management.

Implementing the Nursing Intervention

The project team will implement the proposed change through a systematic process based on the relevant change model, Kotter’s eight-step change process. The initial step in this case will entail creating a sense of urgency for the implementation, followed by building a coalition of change proponents in the facility (Burke & Dempsey, 2022). During these initial steps, the project team will gather requirements and resources, develop a strategic implementation plan and vision, and engage all stakeholders for acceptance of the project to reduce possible resistance. The team will then create an appropriate strategy that would entail training nurse leaders and managers in the unit, who will in turn train nurses to disseminate and implement the proposed solution (Ariyo et al., 2024). The fourth stage will be to communicate the vision and engage stakeholders to address any concerns, challenges, and obstacles. The fifth step will be to implement a pilot scheme (intervention and control groups) involving two patient cohorts in the first four weeks of the implementation. The sixth stage will be to determine the effectiveness of the interventions by documenting infections occurring among the initial burn wound patients within two weeks after their admission as an intervention group. The seventh stage would be to implement the proposed intervention in the unit upon successful piloting and positive outcomes, as illustrated through reduced rates of infections, more information and awareness, and a collaborative approach by all healthcare providers through interdisciplinary teams (Riza et al., 2025). The team will then implement these measures as best practices and part of guideline protocols through a deliberate organizational policy. The implication is that these measures will become standard practices and activities in preventing and controlling nosocomial infections in the facility.

Project Objectives

The proposed change project will have the following objectives;

1. To develop protocols and measures through a policy to prevent and control nosocomial burn wound infections
2. To improve patient safety and care experience despite the delicate nature of burn wound injuries
3. To develop a collaborative approach to improve wound management and care for affected patients
4. To improve patient care outcomes, communication, and overall organizational culture and practices

Measurable Outcomes

Measurable outcomes from a change project demonstrate the effectiveness of the proposed interventions. Outcome measure assesses and validates the overall effect of a project and deploys relevant metrics that align with set objectives. As such, the outcome measures for the capstone change project include

1. Increasing sterilization and decontamination requirements by 90% within the first two months of the implementation
2. Reduce infection rates by 60% within the first two months of the project
3. Create a robust collaboration and coordination framework based on interdisciplinary collaboration among healthcare providers
4. Enhance patient satisfaction rates to 80% by the end of the implementation
5. Full integration of these measures and protocols into practice in the practicum site as long-term sustainable measures

Rationale for Proposed Intervention, Objectives, and Outcomes

The rationale for the project and its intervention and objectives is to lower the rate of wound infections among burn wound patients in the trauma center. The proposed project seeks to enhance strict measures and protocols to address the high prevalence of nosocomial infections among burn wound patients (Odhah et al., 2024). The project enhances the self-determination of patients and nurses as it offers interventions, tools, and strategies to enhance care delivery and outcomes. Patients get quality and dignified care with reduced risk for infections, which is critical for better outcomes and life (Mozafari et al., 2024). Nurses implement strategies that enhance care quality and ensure patient safety, leading to high satisfaction rates and knowledge acquisition on best practices in caring for burn wound patients.

Conclusion

The implementation of the proposed change project to prevent and control infections in the burn wound critical trauma center entails a systematic approach based on a strategic plan and comprehension of the set objectives. The proposed change project will help nurses and other practitioners to provide effective guidelines and implement sterilization and decontamination measures through deliberate policy mandates in the facility to prevent and control infections, including nosocomial infections. The proposed measures enhance the self-determination of all stakeholders as they entail dignified and respectful approaches to infection control and prevention for patients in burn trauma settings.

References

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https://doi.org/10.4103/jin.jin_139_23

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burn wounds: A prospective, randomised, single‐blind, positive control clinical trial.

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Kim, P. J., Gallo, L., Chen, J., Yuan, M., Gallo, M., Main, C., & Coroneos, C. (2025). A 10-year

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