Evidence-Based Practice Model And Change Model Create ✓ Solved

Evidence Based Practice Model And Change Model Create A

Create a PowerPoint presentation that addresses each of the following points/questions. Support your content with at least three (3) sources using APA citations throughout your presentation. Make sure to cite the sources using the APA writing style for the presentation.

Part 1: Choose and explain one Evidence Based Practice Model from Chapter 13 of the textbook (Melnyk and Fineout-Overholt, 2015). Then, related to your research topic (does an abdomen ultrasound compared to a CT abdomen diagnosis acute appendicitis more efficiently) from Mod 1, describe in detail how you would utilize the model to implement an evidence-based practice change in your personal clinical practice environment. Model to use: Stetler Model of Evidence-based Practice.

Part 2: Choose one Change Model/Theory from Chapter 14 of the textbook (Melnyk and Fineout-Overholt, 2015). Then, related to your research topic from Mod 1 (does an abdomen ultrasound compared to a CT abdomen diagnosis acute appendicitis more efficiently), describe in detail how you would utilize the model/theory to implement an evidence-based practice change in your personal clinical practice environment. Models/theories to choose from include: Change Curve, Kotter and Cohen's, Roger's Theory of Diffusion of Innovations, The Transtheoretical Module of Health Behavioral Change.

Assignment Expectations: Length: 9-13 slides Structure: Include a title slide, objective slide, content slides, reference slide in APA format. Title/Objective/Reference slides do not count towards the minimum slide count for this assignment. References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment.

Paper For Above Instructions

Title Slide

Evidence-Based Practice Model and Change Model Presentation

Objective Slide

The objective of this presentation is to explore the Stetler Model of Evidence-Based Practice and a Change Model, specifically Kotter's Change Model, as they relate to the research question: "Does an abdomen ultrasound compare to a CT abdomen in diagnosing acute appendicitis more efficiently?" By understanding these models, we will identify ways to implement evidence-based practice changes in clinical settings.

Part 1: Evidence-Based Practice Model - Stetler Model

The Stetler Model of Evidence-Based Practice (EBP) is designed to facilitate the integration of research into practice. It consists of five phases: Preparation, Validation, Comparative Evaluation, Decision-Making, and Translation. In the context of the research topic on the effectiveness of ultrasound versus CT for diagnosing acute appendicitis, the Stetler Model can be effectively utilized to implement evidence-based changes in clinical practice.

Phase 1: Preparation

In this phase, I would gather and review relevant literature focusing on studies that compare ultrasound and CT scans concerning their efficiency in diagnosing appendicitis. This includes analyzing various peer-reviewed articles and clinical guidelines that discuss the pros and cons of each imaging technique in diagnosing appendicitis.

Phase 2: Validation

During validation, I would ensure that the evidence gathered is relevant and applicable to my clinical setting. This involves assessing the quality of the studies, the population studied, and the outcomes measured. I would focus on studies that have a clinical relevance to my practice, such as the accuracy of diagnosis, time-to-treatment implications, and cost-effectiveness of using ultrasound versus CT.

Phase 3: Comparative Evaluation

In this phase, I would weigh the benefits and risks of both imaging modalities. This means comparing the quality of patient outcomes reported in the studies analyzed during the validation phase. Factors like cumulated patient exposure to radiation, costs for the healthcare system, and patient preferences would be explored in-depth.

Phase 4: Decision-Making

Based on the comparative evaluation, I would consult with other healthcare professionals, including radiologists and surgeons, to facilitate a team approach in decision-making. Our decision would be reflective of the best evidence gathered, integrated with clinical experience and patient values. This collaborative discussion is critical to ensure that we are making informed choices aligned with the most efficient diagnostic pathway.

Phase 5: Translation

The final phase focuses on implementing the chosen practice. This may involve creating clinical protocols that favor ultrasound as a first-line imaging modality for suspected appendicitis cases while educating staff on the evidence supporting this practice. Additionally, continuous feedback and evaluation processes would be established to ensure adherence and assess patient outcomes.

Part 2: Change Model - Kotter's Change Model

Kotter’s Change Model, consisting of eight steps, provides a framework for successfully implementing organizational change. This model is particularly useful in fostering engagement and facilitating the transition to evidence-based practices regarding appendicitis diagnosis.

Step 1: Create Urgency

To initiate change, I would generate awareness among the staff about the need to improve diagnostic accuracy for appendicitis. This could be achieved through presentations highlighting the inefficiencies associated with current practices and the potential benefits of using ultrasound.

Step 2: Form a Powerful Coalition

A team of influential stakeholders would be assembled, including surgeons, radiologists, and nursing leaders. This coalition would be key in driving the change effort and ensuring that all perspectives are considered.

Step 3: Create a Vision for Change

Developing a clear vision that communicates the intended change—the integration of ultrasound as a standard diagnostic tool for appendicitis—would guide the efforts. This vision would be shared and discussed among all team members to foster enthusiasm and alignment.

Step 4: Communicate the Vision

Effective communication is crucial for the success of any change initiative. I would ensure that the vision is communicated through regular meetings, newsletters, and updates, making room for feedback and addressing any concerns that may arise.

Step 5: Empower Action

Removing any barriers to implementing the change, such as logistical issues with ultrasound availability or scheduling conflicts, would be paramount. Training sessions would be organized to equip healthcare providers with the necessary skills for using ultrasound efficiently.

Step 6: Create Quick Wins

Celebrating small successes along the way, such as increased accuracy in diagnoses or positive patient feedback, would help maintain momentum and strengthen the commitment of all team members involved in the change process.

Step 7: Build on the Change

As the change begins to take hold, it is crucial to continue building on the momentum. Sharing updated performance metrics and patient outcomes would be essential to keep the team engaged and committed to the evidence-based practice we are implementing.

Step 8: Anchor the Changes in Corporate Culture

Finally, ensuring that the use of ultrasound is not just a temporary change but is integrated into the culture of the organization is vital. This would involve ongoing training, reinforcement, and integrating the practice into protocols and guidelines for appendicitis diagnosis.

References

• Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. Wolters Kluwer.
• Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., Haynes, R. B., & Richardson, W. S. (1996). Evidence based medicine: What it is and what it isn't. BMJ, 312(7023), 71-72.
• Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in health service organizations: A systematic literature review. Milbank Quarterly, 82(4), 581-629.
• Kotter, J. P. (1996). Leading Change. Harvard Business Review Press.
• Burnes, B. (2004). Managing Change: A Strategic Approach to Organizational Dynamics. Pearson Education Limited.
• Johnson, S. (2016). A Guide to the Kotter Change Model in Practice. Business News Daily. Retrieved from https://www.businessnewsdaily.com
• NHS Institute for Innovation and Improvement. (2008). Quality Improvement. Retrieved from https://www.institute.nhs.uk
• Cameron, E. & Green, M. (2015). Making Sense of Change Management: A Complete Guide to the Models, Tools and Techniques of Organizational Change. Kogan Page Publishers.
• Prochaska, J. O. & Velicer, W. F. (1997). The Transtheoretical Model of Health Behavior Change. American Journal of Health Promotion, 12(1), 38-48.
• Rogers, E. M. (2003). Diffusion of Innovations. Free Press.