Nursing Evidence-Based Practice Model

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Goncalves-Bradley, Lannin, Clemson, Cameron and Shepperd, (2016) and Wagner (2015) studies are considered Evidence Level I and contain strong, compelling evidence with consistent results. Goncalves-Bradley et al. (2016) include 30 trials stating a “discharge plan probably brings about a small reduction in hospital length of stay a mean difference – 0.73 days”. And Wagner (2015) wrote about an initiative which included 14 hospitals with indications of interventions that needed to be achieved to gain a positive impact on the hospital to inspire positive through-put, thus having patients discharging by 2 PM versus 6 PM.
In reviewing, Evidences Level V-VII, the interventions can assist the evidence-based practice (EBP) change in a positive. There is enough evidence listed in these levels that altering and coordinating the timing of these tasks can move the discharge time up by several hours and improve through-put for the rest of the hospital therefore decrease overcrowding in the emergency department (ED).
Model for Change
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With the current patient population of hospitalized patients and the overcrowding of patients in the ED, the organization must change the strategy and become more efficient in discharging patients so that beds will become available for the sicker patient. Educating the providers, clinicians, and support staff in assisting patients to meet their discharge day and time are goals for the facility. This will meet the hospital cost containment strategies while striving for quality health care for the patient and not be hospitalized longer than

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