Evidence-Based-Practice Proposal Paper
HLT 490 Topic 1 Problem, Purpose, and the Question: Evidence-Based-Practice Proposal
Details:
The final capstone project is a culmination of the written research-based assignments completed throughout the course. Each written assignment contributes to the final Evidenced-Based Proposal paper. This is the first written assignment.Evidence-Based-Practice Proposal Paper
Think about what you have learned with regard to the five critical steps of evidence-based practice. In a formal paper of 500-750 words, address the following:
Part 1: Defining the Problem
Identify and describe one topic that may resolve a patient-care-quality problem or issue.
Draft a possible problem statement.
Describe a problem. Explain why it is a problem, and why it is significant to your discipline. Use the literature you gathered as support for why this is a problem in relation to your practice. The problem should focus on the resolution of an issue significant to improving patient care.
Draft a purpose statement in relation to your problem statement that states what you hope to accomplish if you implemented this project.Evidence-Based-Practice Proposal Paper
Part 2: Defining a Searchable, Answerable Question
From what you wrote about your problem and purpose, develop searchable questions using the PICOT format that will be the basis for your implementation plan. Word count is not relative in this section. Include evidence-based resources.
General Requirements:
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.Evidence-Based-Practice Proposal Paper
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.Evidence-Based-Practice Proposal Paper
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.Evidence-Based-Practice Proposal Paper
Healthcare in the 21st century has been influenced greatly by evidence-based practices. Clinicians and nurses use evidence-based practices to carry out their day-to-day activities. Traditional clinical operations are being replaced by new scientific research evidence of better health care delivery. However, the use of evidence-based practices in healthcare decision-making is still a topic of interest to many researchers. Since the inception of evidence-based practices in nursing, negligible changes in operations have occurred. This is because regardless of the many researches that provide better ways of carrying out nursing practices, managers and decision makers remain reluctant to change due to ignorance and organizational barriers. Many issues in nursing today can quickly find their solution in evidence-based clinical practices, but the continual habit of the management team to relay on outdated information to make decisions is a major barrier to healthcare breakthrough (Brown & Farquhar, 2014). Thus, evidence-based practices cannot make an impact on healthcare without the involvement of the managers who are the key decision makers on clinical operations.
Many systematic reviews exist on evidence-based practices in healthcare, but there are few studies that touch on the use of evidence-based practices in the management of healthcare. The scope of these studies, in addition, is too wide, thus making it difficult for managers to make ideal decisions on healthcare management (Overholt et al., 2010). To achieve the desired outcomes of this study, we sought articles from systematic reviews published in various databases including Cochrane database of systematic reviews, database of abstract of reviews of the effect, NHS economic evaluation database, as well as health and technology assessment database. The relevant material was identified by hand searching the databases from their start up to August, 2014. We screened the materials and ranked them baed on their relevance to evidence-based healthcare management using rapid critical appraisal checklist for evidence-based clinical practice guidelines and evaluation table template. We appraised the materials for quality and relevance on the topic of discussion by the use of the two aforementioned appraisal tools. The evaluation table template was the standardized language summary tool we applied to summarize the materials used for analysis to ensure standardized results.Evidence-Based-Practice Proposal Paper
The paper analyzed four peer-reviewed materials that addressed evidence-based healthcare management from different points of view, ranging from access to evidence, the process towards incorporating evidence in decision making and the limitations to this kind of change, including technology in health care organizations. All the materials suggested there was need for managers to embrace evidence-based practices in making health care decisions. In addition, they also indicated that the transition from traditional ways of management to evidence-based management would not be easy due to the differences that exist between healthcare operations and clinical operations (Ryan et al., 2014). A lot of evidence-based research is conducted in relation to clinical operation, thus making it difficult for healthcare managers to embrace the same strategies in making healthcare decisions. The four materials, however, gave four different strategies of ensuring evidence-based healthcare management with the same common goal of providing effective resources management, reduced costs of operations, improved healthcare delivery and improving the public perception of care. Evidence-Based-Practice Proposal Paper
The first reviewed article emphasized on the difference between clinical and healthcare operations. According to Walshe & Rundall (2001), these are the main challenges to evidence-based healthcare management; therefore, there is need for the health department to address the problem in order to pave the way for the employment of evidenced-based practices in healthcare. In addition, the article proposed several ways of adopting evidence-based healthcare management. These include the adoption of a new evidence-based culture and changing the way managers make decisions by improving management willingness. In addition, the research shows that for evidence-based healthcare management to be effected in healthcare institutions, the government must be involved. Increased government investment in this kind of research would help a great deal in incorporating research evidence in decision-making.
The second research emphasized on the exclusion of biased opinion and personal emotions from decision making in the healthcare field. This is because the findings of the study indicated that the staff in healthcare facilities made decisions based on personal opinions (Yu-Chih et al., 2013).
The third research cited the unavailability and inaccessibility of evidence material as the greatest challenge for managers towards achieving evidence-based healthcare management. The research advocated more material to be availed for managers and decision makers in the healthcare sphere.Evidence-Based-Practice Proposal Paper
The fourth research emphasized the complications brought about by technology as the barrier to healthcare management (Peace, 2011). Therefore, the study suggested better use of technology to minimize negative impacts while taking advantage of the positive technological impacts in healthcare management.
All four studies had a common weakness: they all pointed out that only a few studies have been conducted on the topic under investigation, and this made it difficult to substantiate the information and suggestions made by these authors. Therefore, it is imperative that scholars write more literature on the issue of evidence-based healthcare management in order to achieve the desired results in the entire health care industry (Li-chi, 2014). Evidence-Based-Practice Proposal Paper