Assignment Evidence-Based Project Part 5 Recommending An Evi

Assignment Evidence Based Project Part 5 Recommending An Evidence B

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. 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. Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation. Describe your 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)

Paper For Above instruction

The healthcare industry is a dynamic environment that continually seeks improvements to enhance patient outcomes, safety, and organizational efficiency. In this context, implementing evidence-based practice (EBP) changes is crucial for fostering advancement driven by empirical research. This paper aims to propose a comprehensive plan for an evidence-based practice change within a hypothetical healthcare organization, reflecting on organizational culture, problem identification, proposed change, knowledge transfer strategies, and expected outcomes. Additionally, it includes lessons learned from critically appraising relevant literature, emphasizing the importance of systematic evaluation in EBP initiatives.

Organizational Context and Readiness for Change

The selected healthcare organization is a mid-sized community hospital with a culture that values continuous improvement and patient-centered care. The organization demonstrates a moderate readiness for change, characterized by management support for quality initiatives and ongoing staff training programs. However, barriers such as resistance to change among some clinical staff and limited resources require strategic planning. The organization's leadership has expressed openness to adopting evidence-based interventions that demonstrate clear benefits to patient outcomes.

Current Problem and Opportunity for Change

The identified issue pertains to the high incidence of hospital-acquired infections (HAIs), specifically catheter-associated urinary tract infections (CAUTIs). Despite existing protocols, CAUTI rates remain elevated, indicating a need for practice revision. The circumstances surrounding this problem include inconsistent adherence to catheter insertion and maintenance protocols, a broad scope involving multiple departments, stakeholders such as nursing staff, physicians, infection control teams, and administrative leadership. The risks associated with inaction encompass increased patient morbidity, extended hospital stays, and higher healthcare costs.

Proposed Evidence-Based Change in Practice

Based on the literature, an evidence-based intervention involves the implementation of a nurse-led catheter removal protocol aligned with updated CDC guidelines, emphasizing daily assessment of catheter necessity and timely removal. Systematic review findings support that such protocols significantly reduce CAUTI rates (Saint et al., 2016). If further research indicates gaps, a pilot study will be conducted to refine the protocol accordingly. This approach ensures that clinical decisions are informed by the best available evidence and fosters a culture of safety.

Knowledge Transfer Plan

Effective knowledge transfer involves creating comprehensive training modules focused on the new protocol, dissemination through organizational meetings, online platforms, and hands-on workshops. Engagement of clinical champions and infection prevention staff will promote organizational adoption. The plan also includes ongoing monitoring, feedback sessions, and data sharing to sustain the change. Utilizing Kotter’s change model ensures that the transition is communicated effectively, and resistance is managed tactfully (Kotter, 2012).

Measurable Outcomes

The primary outcomes include a measurable reduction in CAUTI incidence rates within six months post-implementation. Secondary outcomes encompass increased adherence to maintenance protocols, improved staff knowledge regarding infection prevention, and a decrease in related healthcare costs. Data will be collected through electronic health records, staff surveys, and microbial surveillance reports, using pre- and post-intervention comparisons.

Lessons Learned and Critical Appraisal

Reviewing the four peer-reviewed articles critically appraised earlier highlighted the importance of rigorous evidence evaluation before practice change. Key lessons include the necessity of assessing the quality of evidence, understanding context-specific factors, and recognizing the role of multidisciplinary collaboration. The Evaluation Table from the Critical Appraisal Tool Worksheet reinforced that high-quality randomized controlled trials provide robust support, yet implementation must consider organizational nuances. This process underscored that evidence alone does not suffice; effective translation and stakeholder engagement are vital.

Conclusion

Implementing an evidence-based nurse-led protocol to reduce CAUTI rates exemplifies a strategic, research-supported approach to improving patient safety within a healthcare organization. Success depends on systematic knowledge transfer, ongoing evaluation, and fostering an organizational culture receptive to change. Embracing such initiatives aligns with the core principles of EBP and contributes to advancing quality healthcare delivery.

References

• Saint, S., Chenoweth, C., & Fakih, M. (2016). Preventing catheter-associated urinary tract infection in hospitals: a review. Infection Control & Hospital Epidemiology, 37(10), 1237-1244.
• Kotter, J. P. (2012). Leading change. Harvard Business Review Press.
• Hwang, S. Y., Kim, M. H., & Kim, J. S. (2018). Implementation strategies for evidence-based practice: A systematic review. Journal of Nursing Scholarship, 50(2), 130-138.
• Meiner, S., & Weiss, S. (2019). Strategies for translating evidence into practice: A systematic review. Implementation Science, 14, 67.
• Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. Wolters Kluwer.
• Melnyk, B. M., Gallagher-Ford, L., & Long, L. (2017). The state of evidence-based practice in US nurses: Critical reflections and recommendations. Worldviews on Evidence-Based Nursing, 14(1), 74-81.
• Titler, M. G., et al. (2016). The evidence-based practice implementation process: A systematic review. Journal of Nursing Management, 24(8), 988-999.
• Grol, R., & Wensing, M. (2013). Implementation of evidence-based practice: A review. Medical Journal of Australia, 199(Suppl 9), S24-S28.
• Cabana, M. D., et al. (2010). Strategies for promoting evidence-based practice: An overview of systematic reviews. Implementation Science, 5, 15.
• Proctor, E. K., et al. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65-76.