identify an issue or opportunity for change within your healthcare organization

identify an issue or opportunity for change within your healthcare organization

Evidence-Based Practice Change Essay
Assignment: Evidence-Based Project, Part 5: 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. 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, related to your clinical topic of interest and PICOT. Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection. Evidence-Based Practice Change Essay.

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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. Evidence-Based Practice Change Essay. 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: A summary of the critical appraisal of the peer-reviewed articles you previously submitted An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides). Evidence-Based Practice Change Essay

Health Organization
St. Mary’s Town hospital
Offers general inpatient and out patient services
Culture and Readiness
The hospital culture is characterized by;
customer focused services
patient satisfaction
Safety
Employee engagement
Readiness
Administration support positive evidence based changes
Availability of economic, human and technical resources. Evidence-Based Practice Change Essay
Current Problem
Increased Inpatient Geriatric falls
Evidence Based Idea
Installation of bedside alarms
Personal bed sensor detecting reduced pressure
Decrease falls
Detect movements for portending falls
Alert nurses of high-risk patients attempting to leave the bed without assistance (Hoffman, TMontori, & Del Mar, 2014)
Plan
Knowledge transfer;
Creation review of evidence based literature material (Opperman, et al., 2016)
Dissemination presentation
Adoption and selection of new technology
Implementation clinical staff engagement selection of the right leadership. Evidence-Based Practice Change Essay
Measurable Outcome
Zero patient fall
Lessons
Summary

Bedside alarms reduce hospital falls
Lessons Cont’d
Evaluation table

Literature review offers reliable evidence based knowledge to support practice changes in healthcare (The Ottawa Hospital Research Institute, 2019).
References
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. Evidence-Based Practice Change Essay doi:10.1001/jama.2014.10186
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:
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
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
The Ottawa Hospital Research Institute. (2019). Patient decision aids. Retrieved from https://decisionaid.ohri.ca/. Evidence-Based Practice Change Essay

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