A key component to determine if an EBP change project is successful is by measuring the EBP change project outcome. According Melnyk and Fineout-Overholt (2015) it is important to be able to monitor outcomes in an EBP change project to determine the significance that it could potentially have on healthcare quality and patient outcomes. Therefore, data collection and data analysis is pertinent to determine the success of an EBP change project (Harris, Roussel, Walters, & Dearman, 2011). The intended outcome for this EBP change project is that African Americans between the ages of 18-60 years old with prediabetes will exhibit an increase in diabetes at the end of the 6-week diabetes education program. An increase in diabetes knowledge would be…
I do not think that KDDM and PBE, while useful for predicting patient outcomes and identifying weaknesses with certain interventions, will ever completely replace the traditional methods of establishing good practice. Rather, more traditional methods, such as EBP, will be combined with KDDM and PBE to significantly improve patient care. Integrating these methods into one will establish a practice founded not only on proven research but also the simultaneous collection of information about the chosen intervention and their potential outcome. This hybrid practice will be centered on the individual patient will provide the possible chance of recovery and superior care. For so long healthcare practices have been built on the traditional method…
Prior to conducting the actual hazard analysis, there are steps to be taken in preparing for the FMEA. First, you must select the process to be examined. In this scenario, it will be the administration of conscious sedation. Secondly, you want to assemble your team of interdisciplinary professionals. As mentioned above, in this scenario, I would assemble a team inclusive of RN’s who are trained in the current process, a physician, a pharmacy representative, a member of risk management and a unit manager.…
While examining the various models, each presents its strength and weaknesses. For example, in the model of John Hopkins integrate cultural values into evidence-based practice. On the other hand, the star model recommends important strategies to overcome challenges in research. Moreover, the star model incorporates patient preferences into best practice. Select EBP that you will implement into…
Evidence-based practice (EBP) is incorporated throughout the health care field to improve patient care and organizational outcomes. The implementation of EBP relies on the infrastructure and culture of a facility. It is the job of the nurse manager to promote a culture in the facility that allows staff the ability to accept change and grow. The purpose of this discussion is to discuss how an organizational infrastructure and culture plays a part in implementing EBP. I will also be discussing my facilities process in implementing EBP.…
This in turn could bring in more patients for the hospital. In order to do this. I would be happy to set up a meeting in order to go over ways to implement this type of care at Orange Regional Medical Center. Speaking to other nurses and getting their ideas and information about ways to do this would be beneficial for the hospital. The nurses are the front runners in patient care, and their input should be taken into serious consideration.…
Discussion The third step of the Ottawa model involves the assessment of current practice and identification of barriers and facilitators to practice change for agent change and organization. The barriers for professional individual and organization include lack of time that is heavy workload and limited appointment time, lack of self-efficacy that is limited skills on completing multifactorial risk assessment and management, lack of resources that is inadequate staffing, and lack of awareness that is providers are not fully aware about the existence of the guideline. In contrast, the facilitators for the professional individual and organization are support from the management that includes training and education, implementation of change on…
Ethics This essay will discuss the ethical safeguards for clinical research that may not apply to evidence-based projects. Additionally, this essay will discuss ethical controversies related to two ethical exemplars. In conclusion, patients’ ethical responsibility in improving healthcare will be explored. Ethical Safeguards Clinical research involves the study of investigational analysis of data or experiments that involve humans.…
In today’s dynamics of health care, nursing researchers play a significant role in joint partnerships with other health care disciplines to develop evidence-based practices that improve the care and outcomes of their patients (LoBiondo-Wood & Haber, 2014). The identification of a better way to practice patient care in my workplace has been discovered and descriptions of the steps required to implement this change are reflected upon. My organization encourages changes that promote the safety and quality of care of our clients as long as it is supported by the evidence. Nursing research, research utilization, and evidence-based practices are separate entities and in combination will provide the evidence that supports change to improve patient…
Clinical Decision Making using Evidence Based Practice (EBP): Case Study In this case study, a 45-year-old, African American women is dealing with attempting to lower her HgbA1C to better manage her diabetes, weight, and to prevent the development of cardiovascular disease. This patient currently follows a diabetic diet, exercises daily, and takes an 800-mg dose of metformin daily. However, her HgbA1c has only decreased by one percentage point and her fasting glucose levels are 160-190 mg/dl.…
It contributes to greater nurse efficiency and professionalism which helps results in better health outcomes for the patients. EBP is a crucial element of quality care since individual nurses are able to position themselves to provide optimal care to the patients by using the competencies acquired from the practice (Polit & Beck, 2010). Patients will often have an improved outcome where EBP has been used because it promotes the collection, interpretation and integration of reports from the clients, observations of the practitioner and the research obtained from evidence to give maximum results. As a result, the preferences of the patients themselves, their families and those of the community as a whole are served (Polit & Beck,…
The importance of reaching healthcare decisions by utilizing relevant evidence and expertise is an area where medical personnel agree (Linton & Prasun, 2013). According to Linton and Prasun (2013), the use of evidenced based practices (EBP) in nursing is growing however, an increase in teaching and mentoring would improve the implementation. Removing some of the obstacles that prevent compliance is a key factor in the success of an EBP program. One of these barriers according to Reavy and Tavernier (2008) is the “lack of commitment by the nurse to consistently use EBP methods, embrace the concepts, or implement the findings" (Reavy). The thought of having one more thing to do was overwhelming for the staff nurses, yet was exactly the answer.…
Evidence Based Practice Evidence-based practice (EBP) is best described by Hood (2014, p. 250) as “practice based on the best available evidence that also incorporates patient values and preferences and clinician judgement and expertise”. Nurses use evidence-based practice to improve and transform healthcare, by reforming care so that is more effective, safe, and efficient. The goal of most research utilization and evidence-based practice is to improve care delivery or client outcomes. Evaluation of evidence-based practice Bennett (2009) states that there are five key steps in the evidence-based process that include: “(1) formulation of a clinical question; (2) gathering the best evidence to answer the clinical question; (3) critical…
Implementation of EBP can result to nurses’ satisfaction, increase cohesion, and turnover (Levin & Feldman, 2012). As a healthcare professional, an organizational budget is not what nurses would like to be reminded of before going to work. However, as each year passes, the focus has shifted to how much nurses can save lives as well as save money for the organization. This is the reason why EBP plays an important role in nursing because it is known to decreased hospital and healthcare cost (Levin & Feldman,…
The final stage of Lewin’s model of change, refreezing, focuses on maintaining the implemented change over a long period of time (Yoder- Wise, 2011). Lewin suggests that reinforcement of the new change along with rewarding positive behavior and providing positive feedback on the change may assist with the maintenance of the intervention (Yoder- Wise, 2011). A series of surveys about the change will be provided to nurses throughout the process of implementing the standardized template for end-of-shift handovers. Additionally, a suggestion box will remain present within the break room of each floor to allow for feedback from staff on the project. As the project progresses and data continues to be collected throughout the implementation of the employment of the SBAR formatted, standardized template, the progress of the project will be displayed within the break rooms.…