Question descriptionDesign for change paper is to convince the nursing team to implement change in the work place. The implemented change is hiring a multidisciplinary wound care team to decrease the number of pressure ulcers, in a long term care facility, compared to having floor nurses with no training provide wound care. This change should save money by not having to treat such strenuous wounds, provide for increased healing and prevent skin breakdown for at risk patients. Attached below for any help is the proposal outline (step by step to type the paper on), the ACE star model (the paper refers back to this), milestone 1 (this gives an outline of the thoughts going into the paper), the instructions of what is to be in the paper and the required article that is to be cited in the paper. The impact of pressure ulcers on the individual is profound, spanning
the physical, emotional and social domains of life (Gorecki
2009). This impact is largely influenced by factors related to the
individual themselves, the healthcare professional and the environment
of care delivery (Gorecki 2012). Fundamentally, people
living with pressure ulcers experience significant anxieties that relate
to their experiences of the ulcer, for example, the presence of
unrelieved intractable pain, in addition to challenges to their ability
to cope with the demands that treatments impose upon them
(Gorecki 2012).
From a European perspective, pressure ulcer management absorbs
between 4% and 5% of the annual healthcare budget, with nurse
or healthcare-assistant time accounting for up to 90% of the overall
costs (Posnett 2009). In the USA, pressure ulcers cost between
USD 9.1 billion to USD 11.6 billion per year (EUR 6.7 billion to
EUR 8.5 billion), with estimates in 2007 that each pressure ulcer
adds USD 43,180 (EUR 31,580) in costs to a hospital stay (Agency
for Healthcare Research and Quality 2011). Within the acute-care
setting in Australia in 2005, median opportunity costs for pressure
ulcers were estimated at AUD 285 million (EUR 202 million)
(Graves 2005). The human and economic drain on healthcare
systems is compounded by the fact that healthcare professionals
and clinicians are often not trained in prevention and treatment of
pressure ulcers or remain in systems where multidisciplinary and
integrated care processes are not in place, or both (Moore 2013b)

Question descriptionFinal Paper
The topic that you used was:
Nurse training on Ventilator Associated Pneumonia this was the outline.
Your final assignment for this course is a Final Paper that will focus on evaluating research studies and reports to analyze a specific topic within a Health and Human Services research area. You will select a topic area in Week Three of this course that will be used for the Final Paper. Examples of possible topic areas include:

• Program effectiveness of community-based mental health treatment facilities.
• Perceptions of ethical competence among human service professionals working in long- term care.
• Treatment intervention outcomes for veterans with post-traumatic stress disorder.
• Characteristics of successful job placement programs for special needs adults.
• Trends in health care legislation and impacts on health and human service delivery.

For your Final Paper, you will elaborate on each section of your Final Paper Outline from Week Three. You must utilize at least eight peer-reviewed sources that were published within the last 10 years; these will be the same sources that you identified in your Week Three assignment. Your sources must present actual research studies that correspond to the problem or background of your selected topic area. Your Final Paper must address the following:

• Describe your selected topic area. Your description of the problem or background of your topic area should include more detail than the overview you provided in Week Three.
• Summarize the components, attributes, and/or various segments of the topic area you have selected. For example:
  • What is the research problem or issue?
  • Who or what is affected by this problem or issue?
  • What are some specific examples of research studies, evaluations, reports, literature reviews, etc. that address it?
  • What are the findings of these sources, and what are their implications on the health and human services field?
• Evaluate the research reports and/or theories from the studies presented in your minimum of eight peer-reviewed resources. This analysis should add to the exploration of the problem or background of your selected topic area.

Writing the Final Paper
The Final Paper:

• Must be eight to ten double-spaced pages (excluding the title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.
• Must include a title page with the following:
  • Title of paper
  • Student’s name
  • Course name and number
  • Instructor’s name
  • Date submitted
• Must begin with an introductory paragraph that has a succinct thesis statement.
• Must address the topic of the paper with critical thought.
• Must end with a conclusion that reaffirms your thesis.
• Must use at least eight peer-reviewed sources from the Ashford University Library.
• Must document all sources in APA style, as outlined in the Ashford Writing Center.
• Must include a separate reference page, formatted according to APA style as outlined in the Ashford Writing Center.