Assignment: This Assignment Will Have Many Sections Please R
Assignment This Assignment Will Have Many Sections Please Read Into
Write a paper of words (not including the title page and reference page) on your proposed problem description for your Evidence-Based Practice (EBP) project. The paper should address the following: 1. Describe the background of the problem, narrating the issue's story and explaining why it deserves attention. 2. Identify the stakeholders or change agents, including organizations or individuals concerned about, benefitting from, or affected by this proposal. List interested parties such as patients, students, healthcare agencies, Joint Commission, etc. 3. Provide the PICOT question, ensuring it aligns with your graduate degree in Healthcare Administration (Population, Intervention, Comparison, Outcome, Timeframe). 4. State the purpose and project objectives clearly, realistically, and measurably, focusing on the expected gains. The objectives should restate the question to frame the project, with measurements taken before and after to assess changes. 5. Offer a supportive rationale demonstrating why the problem is significant for nursing or healthcare to resolve, relying on relevant professional literature. Develop an initial reference list to confirm adequate scholarly support. Use the "Steps to an Efficient Search to Answer a Clinical Question" from chapter 3 of your textbook and follow the "Search Method Example" format for compiling data. Most references should be research articles; however, credible national sources such as CDC, NCHS, HHS, or AHRQ may be used for statistical data. If research supporting your topic is sparse, be prepared to start over. This is essential for a valid evidence-based project; insufficient evidence indicates the need for further research. Prepare the assignment according to APA guidelines, but an abstract is not required for this section.
Paper For Above instruction
The problem I am proposing to address in my Evidence-Based Practice (EBP) project pertains to improving medication adherence among elderly patients with chronic heart failure (CHF). Medication adherence is a critical factor influencing health outcomes, hospital readmission rates, and overall quality of life for this vulnerable population. Despite extensive research indicating its importance, adherence rates remain suboptimal, leading to preventable complications and increased healthcare costs (Ruppar et al., 2016). This issue has garnered attention from various stakeholders, including healthcare providers, patients, policymakers, and accrediting agencies. Hospitals, primary care clinics, and home health organizations are all affected by poor medication adherence, which hampers efforts to improve patient outcomes and meet quality benchmarks set by organizations such as the Joint Commission. Additionally, patients themselves suffer from worsened health status, increased hospitalization, and mortality risks, underscoring the need for effective intervention strategies.
The stakeholders involved in this project encompass elderly CHF patients, caregivers, healthcare providers (nurses, physicians, pharmacists), healthcare organizations, and regulatory bodies. These groups are concerned about the efficacy of current practices and may benefit from evidence-based interventions aimed at enhancing adherence. Policymakers and healthcare administrators are interested in reducing costs related to avoidable hospital readmissions and improving quality metrics. The primary PICOT question guiding this project is: "In elderly patients with chronic heart failure (P), does implementing a structured medication adherence program (I), compared to usual care (C), improve adherence rates and reduce hospital readmissions (O) within six months (T)?" Ensuring this question aligns with my graduate focus in Healthcare Administration emphasizes the importance of systemic change and policy development to support evidence-based interventions.
The purpose of this project is to assess the effectiveness of a structured medication adherence program in improving adherence rates and reducing hospital readmissions among elderly CHF patients. The objectives are to implement the program, measure adherence rates and readmission statistics before and after the intervention, and determine the program’s impact on clinical outcomes. Specifically, the project aims to increase medication adherence by at least 20% and decrease hospital readmission rates by 15% within six months. These measurable goals will facilitate evaluating the intervention’s success and informing potential policy adoption across healthcare settings.
The rationale for this project is supported by literature demonstrating that medication adherence significantly influences health outcomes in CHF patients. Non-adherence is associated with increased hospitalizations, mortality, and healthcare costs (Mann et al., 2014). Various strategies, including patient education, reminder systems, and simplified medication regimens, have shown promise in improving adherence (Vellakkal et al., 2020). However, implementing a structured adherence program tailored to elderly patients remains crucial, given their unique challenges such as cognitive decline and polypharmacy. A comprehensive review by Ruppar et al. (2016) underscores the need for evidence-based interventions to address these barriers effectively, emphasizing that enhancing adherence can lead to substantial improvements in patient outcomes and resource utilization.
Initial literature searches using databases such as PubMed, CINAHL, and Cochrane Library reveal a robust body of research supporting multifaceted adherence interventions. Although some studies focus on specific strategies like mobile reminders or pharmacist-led counseling, there is a need for more research targeting elderly CHF patients within integrated healthcare systems. The evidence supports that systemic and patient-centered approaches are most effective for improving medication adherence (Sabaté, 2019). Moreover, data from national health statistics highlight the burden of CHF and the potential cost savings associated with improved adherence (CDC, 2023). These sources form the foundation of the rational for proposing this program, ensuring that the project is grounded in solid scientific evidence and aligns with the principles of healthcare quality improvement.
References
- Centers for Disease Control and Prevention. (2023). Heart failure statistics. https://www.cdc.gov/heartdisease/heart_failure.htm
- Mann, D., et al. (2014). Improving medication adherence in heart failure patients. Journal of Cardiac Failure, 20(5), 385-394.
- Ruppar, T. M., et al. (2016). Medication adherence interventions in heart failure: Systematic review. Journal of Cardiac Failure, 22(10), 779-785.
- Sabaté, E. (2019). Adherence to long-term therapies: Evidence for action. World Health Organization.