NURS 6052 Week 9 Essay Assignment
Recommending an Evidence-Based Practice Change
The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.NURS 6052 Week 9 Essay Assignment
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
To Prepare:
Reflect on the four peer-reviewed articles you critically appraised in Module 4.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change.
The Assignment: (Evidence-Based Project)
Part 5: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide PowerPoint presentation in which you do the following:
Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.NURS 6052 Week 9 Essay Assignment
Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
Add a lessons learned section that includes the following:
1. A summary of the critical appraisal of the peer-reviewed articles you previously submitted
2. An explanation about what you learned from completing the evaluation table (1 slide)
3. An explanation about what you learned from completing the levels of evidence table (1 slide)
4. An explanation about what you learned from completing the outcomes synthesis table (1 slide)
The post Evidence-Based Project, Part 5: Recommending an Evidence-Based Practice Change appeared first on Versed Writers.
In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions and diseases and improved survival rates for people with those conditions and diseases, and a wide range of technological innovations. The health care that results varies considerably in its safety, effectiveness, and efficiency, as well as in its quality and cost.
Health Care Comes Home reviews the state of current knowledge and practice about many aspects of health care in residential settings and explores the short- and long-term effects of emerging trends and technologies. By evaluating existing systems, the book identifies design problems and imbalances between technological system demands and the capabilities of users. Health Care Comes Home recommends critical steps to improve health care in the home. The book’s recommendations cover the regulation of health care technologies, proper training and preparation for people who provide in-home care, and how existing housing can be modified and new accessible housing can be better designed for residential health care. The book also identifies knowledge gaps in the field and how these can be addressed through research and development initiatives.
Health Care Comes Home lays the foundation for the integration of human health factors with the design and implementation of home health care devices, technologies, and practices. The book describes ways in which the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), and federal housing agencies can collaborate to improve the quality of health care at home. It is also a valuable resource for residential health care providers and caregivers.NURS 6052 Week 9 Essay Assignment
Recommendations of the Practice Change
Policy makers should adopt a number of recommendations for practice change in the field. Moreover, numerous changes could be undertaken as highlighted in the several recommendations explicated below.
The first significant recommendation for change in the routine shaving of the surgical site is the use of electric clippers instead of shaving hair form the surgical site. Orsted et al. (2010) agrees that the use of electric clippers comes out as one of the key recommendations for practice change because they can be used as alternatives to razors, which cause more harm to patients. They are beneficial because they tend to cut hair further form the patient’s skin unlike razors that cut deeper exposing patients to risks. The use of electric clippers is recommended because it plays a vital role in the reduction of the patient exposed to surgical site infections (SSI).
The second change that can be adopted is not to shave the hair at the surgical site. Accordingly, the presence of hair at the surgical site is not harmful or dangerous to the patient in any given way. It does not necessarily lead to surgical site infections, as believed before. Therefore, it is be desirable to leave hair, as it does not interfere with surgery. In fact, the presence of hair does not restrict the recovery period of patients and, in the end, can be advantageous to the whole process.NURS 6052 Week 9 Essay Assignment
The third relevant change that can occur is instructing patients on the best strategies of hair removal, therefore, reducing their potential exposure to infections that can result from the surgical procedure. They should be advised to use clippers, thus, ensuring they do not interfere with the surgical site using ineffective shaving methods. Greene, Mills, Moss, Sposato, and Vignari (2010) hold the view that the recovery of patients will automatically improve if they are instructed on how to clean the surgical site. The surgical site infections are always reduced through involving patients and ensuring that they follow the prescribed measures of dealing with the surgical sites. This minimizes incidences of carelessness among patients, leading to the improved management of the surgical site.
According to Orsted et al. (2010), the fourth relevant recommendations is that the removal of hair from the surgical site has to be done immediately before the operation. In the current approach, the routine shaving of the surgical site is usually done days to the surgery. However, this is quite disadvantageous because it leads to the risk of getting surgical site infections. Removing the hair a few hours to the surgery is more recommendable because it enhances the opportunity for improved outcomes among patients. The most important thing to note in this case is that the removal of hair from the surgical site has to take place outside of the operating room for the obvious reasons of minimizing the dispersal of loose hairs and the risk of contaminating the sterile field or the surgical wound of the patient.
Clinical Implications
The most notable clinical implication that the above recommendations will have on patients is the reduction of the risk of surgical site infections (SSI). Card et al. (2014) reiterate that member of the preoperative team is always looking forward to the mitigation of SSIs among patients. These recommendations will offer patients the opportunity to be free from any signs and symptoms of infections, which indicates about the improved patient’s outcomes during the preoperative procedures. The patient will have the opportunity to handle the recovery process in the most effective manner without the fear of any further infections. The economic burden of addressing further infections is gradually reduced because of the above mentioned recommendations, leading to the belief in the nursing practice.NURS 6052 Week 9 Essay Assignment
Another relevant clinical implication for patients is the reduction in the morbidity and mortality rates. Because of the exposure to different types of bacterial infections, some patients have lost their lives in the previous years. However, these recommendations would reduce the number of the deaths of patients. They will have a higher survival rate compared to what is experienced now because of the shaving of the surgical site.
Practice Implications
The above recommendations would also have automatic implications on the nurse practice. They would revolutionize the practice in terms of the procedures of preparing patients for surgeries of all types. Foley, Chen, Simjee, and Zervos (2011) believe that the practice will stand a greater chance of moving from the traditional form of operation to the most modern and reliable form in the care delivery and outcomes. This means that patients will have more trust and belief in the practice because of its focus on the improved outcomes that come with the refusal to shave hair from a surgical site. There would be an automatic practice transformation with the adherence to these procedures in the best ways possible.NURS 6052 Week 9 Essay Assignment
Barriers in Applying Research to Practice
The first relevant barrier for applying this research to practice could be the lack of leadership support. Orsted et al. (2010) opines that nursing leaders play a critical role in making decisions for the practice performance. Because of their power and decision-making abilities within the organization, they can attempt to block the success of the new recommendations in terms of their applicability into the practice. They will want to ensure that they promote their own positions and support them, inhibiting the application of this research to practice.
Another barrier for applying research into practice is the low levels of physician acceptance of the new practices. Physicians always want to be treated better compared to the nursing practice, and they may discredit this research and its applicability to practice. The high level of professional competition between nurses and physicians would pose a challenge on the application of the research into practice.
The third barrier to the application of the research is a natural disbelief in change. Tenner, Norrie, and Melen (2011) confirm that many individuals in practice may tend to be rigid to the methods used in the preoperative exercises. Therefore, the natural resistance to change would make it difficult for the application of this research to practice. This is also backed up by the fear of the new training costs that would incur, when informing employees about the new techniques in dealing with hair around the surgical site.NURS 6052 Week 9 Essay Assignment
Two Strategies to Overcome the Barriers to Application of Research
The effective overcoming of these barriers will ensure the practice to be successful in the end. Therefore, the first relevant strategy to overcome these barriers is to use opinion leaders to ensure the support of the masses in apply the research into practice. Greene, Mills, Moss, Sposato, and Vignari (2010) note that opinion leaders such as physicians could play a helpful role in encouraging the rest of the leadership team to support the suggested recommendations for the success of the practice in the most effective manner. With opinion leaders, suggestions related to the advantages of the research and the offered transformations would be discussed, ensuring the support of other professionals. Their collaborative work will ensure that the research is gradually put into practice.
The second strategy to overcome the barriers is the development of the stakeholder analysis and the use a team-based problem-solving approach. This strategy would be dedicated to address the lack of the support from physicians and general resistance to change. A stakeholder analysis would be crucial in the identification of the specific groups of individuals that do not support the suggested changes in the organization. Therefore, they would be addressed one by one through a team-based problem-solving approach that makes everything clear in terms of the new suggestions and their implementation into practice.NURS 6052 Week 9 Essay Assignment