NURS 6052 EBP Part 4 Recommending an Evidence-Based Practice Change

NURS 6052 EBP Part 4 Recommending an Evidence-Based Practice Change

NURS 6052 EBP Part 4 Recommending an Evidence-Based Practice Change

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Change is necessary in the healthcare systems. With the advancement in the operational processes, there is always the need to adjust some of the approaches used in the healthcare. Most organizations often implement changes to ensure efficiency in the healthcare processes and also to increase revenues. With the increased demands of quality in the healthcare delivery, most healthcare institutions are always involved in the continuous change processes to ensure that they meet the ever increasing demands from the clients. Given that healthcare institutions are faced with different challenges that need to be addressed, there is always the need to initiate change processes to address such challenges/problems (Arditi, Nayak, & Damci, 2017). Different healthcare institutions are associated with different issues that either require changes in people’s behaviors or the processes or approaches in the healthcare system. Some of the challenges may include medication errors, workplace conflicts, inadequate care delivery, high costs of healthcare services, and low nurse to patient ratios. These challenges/issues often require the implementation of appropriate changes in the service delivery to ensure effective operational processes. The purpose of this paper is to examine an issue that may lead to the implementation of change processes in the healthcare system.

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Executive Summary of the Issue Impacting Organization/Workplace

One of the main issues affecting my organization/workplace is workplace conflict. In most cases, conflicts among the employees and the management often impact effective operational processes. Usually, workplaces with a lot of issues experience delays in service delivery. Also, the quality of service delivery may go down. With the increasing conflicts within the work environment, people cannot reach consensus on various issues that impact healthcare processes. Workplaces with continuous conflicts often require constant changes to ensure that there is an overall improvement in the operational processes. Conflicts within the work environment may be caused by poor communication, lack of common understanding among the workforce, as well as the lack of respect among the employees and the management. Close-mindedness, misunderstandings, as well as passive aggressive behaviors are some the other causes of workplace conflicts in my organization. In my organization, the management has been involved in implementing different change processes to address the issue of workplace conflicts. However, the approaches that have been taken often appear ineffective. For instance, the management has tried to transform communication processes to enhance understandings among the employees and the management; however, the approaches that were taken failed to produce effective outcomes.

Description of Health Organization

My organization is a tertiary hospital that serves a diverse patient population. The organization’s specialized and general care services serve patients. The organization’s organizational culture is team-oriented. Employees collaborate in inter-professional teams to complete their assigned tasks. The organization is ready to implement change as a result of the increased use of inter-professional teams to complete organizational tasks. Furthermore, the organization has a culture of implementing best practices to drive performance and care quality excellence. The organization also recognizes the importance of continuous quality improvement. It reviews its effectiveness in achieving its goals on a regular basis in order to improve on areas of weakness and explore opportunities in its markets.

The rising rate of adult obesity is the current issue confronting our institution. In recent years, the number of obese patients seen in the emergency department and admitted to the wards has steadily increased. Obesity has been linked to a number of health issues, including cancer, heart disease, hypertension, and diabetes. As their ability to engage in strenuous physical activities declines, obese adults lose social and occupational functioning. Nurses and physicians, for example, play critical roles in combating adult obesity. Nurses and physicians oversee the implementation of evidence-based practice interventions to reduce the prevalence and risks of obesity in the population. They also educate at-risk populations on the necessary lifestyle and behavioral interventions for obesity prevention.

My Healthcare Organization

My Healthcare business provides our clients with high-quality healthcare services.
My organization’s culture is founded on honesty, respect, acceptance of new employees, privacy, and regard for our patients.

The firm is prepared for any change since personnel are constantly trained to adapt to changes in the workplace.

The gathering of evidence is an activity that takes place with an end goal in mind. Law enforcement officers, for example, gather evidence to support a decision to charge persons accused of illegal action. Similarly, evidence-based healthcare practitioners gather data to support decisions aimed at achieving specified healthcare outcomes.

In this Assignment, you will identify a problem or opportunity for change within your healthcare organization and propose a practice change backed by an EBP methodology.

To Get Ready:

Consider the four peer-reviewed articles linked to your clinical area of interest and PICOT that you critically appraised in Module 4.
Reflect on your present healthcare organization and consider potential prospects for evidence-based reform, depending on your topic of interest and PICOT.
Consider the best way to communicate the outcomes of your presentation to an audience.

The task at hand: (Evidence-Based Project)

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uA tertiary organization

uProvides a wide range of care services

uHas culture of teamwork, openness in communication, transformational leadership, and recognition of employee contributions

uIts ready to implement change

I work with a tertiary hospital. The hospital has been providing its services for the last 50 years. The hospital provides a wide range of services to its populations. The services include inpatient, outpatient, surgeries, maternity, and psychiatric care services. The organization has an effective culture that promotes excellence. The culture of the organization is characterized by teamwork in the provision of patient care. The leadership and management encourages open communication to ensure that the needs of the healthcare providers are prioritized in patient care. The organization also utilizes transformation leadership styles to ensure that employees develop the competencies that they need in addressing the actual and potential needs of their populations. There is also the provision of rewards and incentives to motivate the employees engage in activities that contribute to the optimum care outcomes in the organization. Based on the above, the organization is ready to implement change that addresses the issue of the increasing prevalence of CLABSI .

Part 4: Recommending an Evidence-Based Practice Change

Create a narrated PowerPoint presentation with 8 to 9 slides that includes the following:

Briefly describe your healthcare organization’s culture and willingness to change. (You may choose to keep a variety of

• 

  This anonymous, for example, your firm name.)

  Describe the current issue or change opportunity. Include the circumstances around the need for change, the breadth of the problem, the stakeholders involved, and the risks associated with change implementation in general in this description.
  Propose an evidence-based idea for a change in practice utilizing an EBP decision-making process. It should be noted that if sufficient proof is not discovered, additional study may be required.
  Describe your strategy for this change’s knowledge transfer, including knowledge development, distribution, and organizational adoption and execution.
  Explain how you plan to present your project’s findings to an audience. Give an explanation for why you chose this distribution approach.
  Describe the measurable results you aim to obtain as a result of implementing this evidence-based change.
  Make sure to include APA citations for any evidence-based peer-reviewed literature you used to back up your points.
  Include the following in your lessons learnt section:
  A synopsis of the critical evaluations of the peer-reviewed publications you previously contributed
  An explanation of what you discovered when filling out the Evaluation Table on the Critical Appraisal Tool Worksheet Template (1-3 slides)

  By Week 10’s seventh day

  Part 4 of your Evidence-Based Project must be submitted.

  .

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

• Please save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)” as the name.
• Click the Week 10 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Week 10 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 10 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment Draft for Authenticity

Submit your Week 10 Assignment Draft and review the originality report

Submit Your Assignment by Day 7 of Week 10

To participate in this Assignment:

Week 10 Assignment

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Module 6: Changing the World Through Evidence-Based Practice (Weeks 10-11)

Laureate Education (Producer). (2018). Evidence-based Practice and Outcomes [Video file]. Baltimore, MD: Author.

Learning Objectives

Students will:

• Analyze opportunities for change within healthcare organizations
• Recommend evidence-based organizational changes using an evidence-based practice approach to decision making
• Identify measurable outcomes addressed by evidence-based changes
• Justify dissemination strategies
• Analyze the impact of patient preferences on clinical decision making
• Analyze decision aids

Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 7, “Patient Concerns, Choices and Clinical Judgement in Evidence-Based Practice” (pp. 219–232)

Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186

Note: You will access this article from the Walden Library databases.

Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396

Note: You will access this article from the Walden Library databases.

Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483

Note: You will access this article from the Walden Library databases.

Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.x

Note: You will access this article from the Walden Library databases.

The Ottawa Hospital Research Institute. (2019). Patient decision aids. Retrieved from https://decisionaid.ohri.ca/

EVIDENCE BASED PRACTICE-Recommending an Evidence-Based Practice Change

Culture and change readiness

My successful strategic shift requires consideration of crucial factors.

Ecologic tension

Consistency and quality of policy

my responsibility as a significant player in change leadership

A positive institutional culture is present.

clinical and administrative relations

the compatibility between the regional setting and the change agenda

the straightforwardness of institutional intentions

aspirations are one among these elements.

Possibility of change

I propose adopting N95 masks for healthcare professionals in conjunction with current hygiene, distance, and contact tracking techniques as a viable method to source management.

I urge the institution’s administration and officials to support the widespread use of this sort of face mask when caring for patients, including the application of appropriate laws.

After collecting factual resources, the investigation on the public’s use of masks to prevent COVID-19 infection is advancing rapidly.

In order to prevent the COVID-19 pandemic, healthcare professionals need guidance on which sorts of masks to use when treating the general public.

Evidence-based Concept

First, healthcare practitioners must limit infected individuals’ contact with each other through physical contact tracing and separation with effective quarantine. Second, they must reduce the likelihood of transmission per contact by, among other things, wearing the safest type of masks in healthcare institutions.

N95 Respirator

Protects against infectious particles or droplets that cause respiratory diseases.

Provides fifty times the protection of a fabric mask and twenty-five times that of a surgical mask.

Plan for knowledge transfer factors are included while creating an effective knowledge transfer strategy.

That are the notable audience members who are educated about this topic?

How much data must be documented? What information is indispensable, and what may be gained by other means?

How will crucial information be collected and distributed to those who need it?

Adoption by the company

I explain six crucial steps that I want to implement for an effective organizational transformation.

Clearly defining the change and connecting it to the goals of my institution.

Identifying the consequences and those who will be affected.

Creating a communication strategy.

Recommend training that is beneficial.

Developing a support network.

Assessing the change procedure.

Measurable Outcomes

N95 adoption consequences

COVID-19 control

Physical and behavioral intervention.