A logic model or program theory is a description or model frequently pictorial of how a program is supposed to achieve its expected outcomes and solve the identified problem for which it was created. It creates a logical links between expected outcomes and the activities designed to achieve them and incorporates the evidence-based theoretical assumptions that explain how the activities will lead to outcomes. A program theory or logic model is NOT the theoretical framework on which your project is based although it may be related to a theoretical framework. A theoretical or conceptual framework is a general theory that explains why some things happen. A program theory or logic model is unique to your project and explains how it is supposed to work.

Assignment Prompt

  1. Develop a one-page diagram of theoretical foundation for your project/program, describing how and why your project should achieve the desired outcome. Add references on the second page. You may arrange items in the diagram in any way you choose, but the diagrams should include each of the following components and show the logical connections between them:
    1. The need or problem to be addressed by the project/program with supporting data
    2. The context for the project/program (attach a reference list with your diagram)
    3. The strategy (ies) proposed to address the need/problem
    4. The evidence base for the proposed strategies (attached a reference list with your diagram)
    5. Factors that will influence the use of strategy
    6. The expected outcomes of the project/program
    7. The resulting impact of the project/program if the outcomes are achieved.

Expectations

  • Due: Monday, 11:59 pm PT
  • Length: Two pages (1st page for diagram, 2nd page for references)
  • Format: APA Style (7th ed.), one-inch margins with double spacing, proper APA formatting
  • Research: Scholarly (peer-reviewed) contemporary  reference(s) within the last 5 years
  • Writing: Use correct grammar and sentence construction: Clear expression of ideas
  • File Title: Save the file with Student First Name_Last Name_Title of assignment

  

The initial PICOT question that I have formulated based on my area of interest for EBP proposal revolved around pressure ulcer management for the elderly patient.

PICOT QUESTIONS

For elderly patients above 60 years with pressure ulcers (P) will the negative pressure wound therapy (I) as opposed to standard moist wound therapy (C) improve the healing of the pressure ulcer (O) during their two-week stay at the hospital (T).

The initial PICOT question that I have formulated based on my area of interest for EBP proposal revolved around pressure ulcer management for the elderly patient.

PICOT QUESTIONS

For elderly patients above 60 years with pressure ulcers (P) will the negative pressure wound therapy (I) as opposed to standard moist wound therapy (C) improve the healing of the pressure ulcer (O) during their two-week stay at the hospital (T).

Rationale

One of the major issues that raises concern is the delayed healing of pressure ulcer wound particularly, among elderly patient. There is a high prevalence of pressure ulcers among patients above the age of 60. Research shows that pressure ulcers account for 70% of the complications among elderly hospitalized patients and that 71% of pressure ulcers occur among patients above 70 years. The cost of treating pressure ulcers has increased significantly because these patients tend to stay longer at the hospitals (Magny et al, 2017). There are varieties of treatment options for this condition. Due to shortcomings in the existing treatment options for this condition, there is a need to develop more evidence-based solutions (Boyko et al, 2018). The negative pressure wound therapy involves attaching a machine to the wound dressing so that it can suck all the tissue fluid away from the wound (Fernandez et al, 2017).

The topic of delayed wound healing among elderly patient is a major issue of concern because of the reduced quality of life and long stay in the hospital. This question is important because it will compare the effectiveness of two pressure wound therapies to determine if pressure wound therapy improves the healing of pressure wounds. The topic will also help in determining the effectiveness of pressure wound therapy as compared to standard moist wound therapy when it comes to facilitating wound healing. Upon completion of this project, an evidence-based solution will be developed for elderly patients with pressure wounds. My PICOT question will help to improve patient care because it will be a way to treat an elderly patient wound. The implication of my PICOT question to the nursing practice is that it is a tested method to improve wound care. It is an intervention that will help patients achieve the desired results.

References

Boyko, T. V., Longaker, M. T., & Yang, G. P. (2018). Review of the current management of pressure ulcers. Advances in wound7(2), 57-67. Retrieved from https://www.liebertpub.com/doi/abs/10.1089/wound.2016.0697

Fernandez, L., Ellman, C., & Jackson, P. (2017). Initial experience using a novel reticulated open cell foam dressing with through holes during negative pressure wound therapy with instillation for management of pressure ulcers. J Trauma Treat, 6(5), 410. Retrieved from https://www.researchgate.net