Consider you are a nursing expert.


Answer these:
1.	Briefly describe a nursing practice issue that you are interested in from an evidence-based practice perspective.  Why is this clinical issue important to your nursing practice?  (one single paragraph, 200 words).









2.	Create a PICO question regarding this clinical issue.  Define your questions using PICO by identifying Problem, Intervention, Comparison Group and Outcomes:


Population/Problem: 				

Intervention: 				

Comparison: 				[not needed, could be current standard]

Outcome: 					

Time: ___________________[remember max 12 weeks]



3.	Write out your question as one continuous statement:		

Example: “Among patients with COPD (P), does implementing a COPD action plan (I), compared to the standard process (C), decrease hospital readmissions over 12 weeks?”		

About my topic:
Our topic was "Pressure ulcers in mental health facilities", I'm a nurse manager for Fort Lauderdale Behavioral Center, and that is where I will develop the project. This population starts from 5 y/o to seniors that could be up to 100 y/o (more prone to develop pressure ulcers because could be bed-bound) Topic of Interest
Pressure ulcers remain a significant concern in healthcare, particularly within specialized populations. The desire to further analyze this subject is also supported by national statistics that mention that the incidence of pressure ulcers tend to reach almost 38% in some hospitals (Borojeny et al., 2020). My interest centers on addressing the inadequate implementation of a proper pressure ulcer prevention strategies tailored for mental health patients at the Fort Lauderdale Behavioral Centre. This setting comprises individuals with unique behavioral and psychological needs, necessitating customized preventive measures to mitigate pressure ulcer development.
Introduction
The Fort Lauderdale Behavioral Centre, situated in Florida, functions as a specialist mental health institution offering both inpatient and outpatient treatments. As the Nurse Manager at FBC, the execution of a DNP project that is  centered on Pressure Ulcer Prevention signifies a purposeful effort to improve the quality and also the safety of patient care. 
Organizational Assessment and SWOT Analysis
Strengths
Fort Lauderdale Behavioral Centre is characterized by several attributes that provide an adequate foundation for my quality improval initiatives. The clinics guarantees a targeted approach to patient treatment by their excellence in mental health care and also inpatient and outpatient treatments. The nursing staff's expertise together with the established care protocols, promotes consistent patient management, while the organization's esteemed reputation and established patient demographic in the region create a conducive environment for the implementation of new quality initiatives. 
Weaknesses
It should also be noted that FBC deals with several issues requiring deliberate rectification. Negative patient comments on staff responsiveness, cleanliness, and treatment quality point out areas that require interventions to be adressed. The concerns are exacerbated by difficulties in staff coordination and compliance with treatment guidelines, which diminish the consistency and efficacy of patient care. Moreover, increased personnel turnover and reduced morale pose substantial challenges, since they interrupt care continuity and adversely affect the overall quality of service provision.
Opportunities
In particular, the adoption of EBP for the prevention of pressure ulcers presents FBC with a number of options. By implementing and assimilating best practices, FBC may significantly improve patient safety and satisfaction. Staff training and development efforts provide an additional opportunity for enhancement, facilitating the nursing workforce's successful adoption of new preventative measures. It is essential to observe that quality improvement initiatives that are in accordance with the objectives of the firm have the potential to enhance the facility's image as well as its capacity to operate in an effective manner.
Threats
FBC is also s required to face several threats that have the potential to impede the effective execution of the DNP project. The enduring adverse public view that arises from previous patient complaints, threatens the clinics reputation and the overall patient confidence. Regulatory oversight and possible legal consequences thar originate from care inadequacies are substantial external pressures that need immediate compliance and quality assurance protocols. It is worth noting that staff resistance to change and established practices can impede the implementation of new preventative measures and this might impact the overall efficacy of the proposed project.
Interprofessional Stakeholder Engagement
The successful implementation of the quality development initiative at FBC is contingent upon the active participation and also on collaboration of a variety of interprofessional stakeholders. Nursing personnel and nurse supervisors are essential in everyday patient care and the implementation of novel preventative strategies. For the purpose of ensuring that preventive measures are in line with the general goals of patient care, it is essential that physicians and also  psychiatrists maintain a tight contact with nursing teams.  The risk management team is instrumental in the development and maintenance of patient safety measures, thereby supporting the project's objective of reducing the occurrence of pressure ulcers. Quality improvement professionals are also responsible for overseeing facility standards and assessing the efficacy of executed programs, offering essential feedback and modifications to enhance results. Administrative personnel tasked with compliance and regulatory matters must guarantee that all quality enhancement initiatives conform to applicable norms and standards, therefore reducing any legal liabilities.