Evidence Based Project Part 4: Recommending An Eviden 532750

Evidence Based Project Part 4 Recommending An Evidence Based Practic

Identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an evidence-based practice (EBP) approach. Create an 8- to 9-slide narrated PowerPoint presentation addressing your healthcare organization's context, the current problem or opportunity, your proposed EBP change, the plan for knowledge transfer and dissemination, expected outcomes, and lessons learned from appraising relevant peer-reviewed articles. Include citations and support your plan with credible resources.

Paper For Above instruction

The healthcare sector continually evolves through the integration of evidence-based practices (EBPs) to improve patient outcomes efficiently and safely. In this context, I have identified a pertinent opportunity within my healthcare organization, an urban community hospital, which demonstrates readiness for change, yet requires a structured approach to implementing new practices rooted in current evidence. This paper discusses the organization's culture, the identified problem, the proposed EBP change, the dissemination plan, anticipated outcomes, and key lessons learned during the critical appraisal process.

Organization Description and Readiness for Change

The organization under review is a mid-sized urban community hospital with a focus on culturally competent, patient-centered care. Its culture values continuous improvement and embraces innovation; however, change implementation often faces resistance due to entrenched practices and limited dissemination channels. The hospital’s leadership recognizes the importance of evidence-based practice in addressing clinical challenges and has shown openness to adopting new protocols when supported by robust research. Such a culture provides a fertile ground for implementing meaningful practice changes that can enhance patient safety and care quality.

Current Problem and Opportunity for Change

The identified issue pertains to high rates of hospital-acquired pressure injuries (HAPIs), which significantly impact patient well-being and hospital reimbursement. Despite existing prevention protocols, data indicates a persistently elevated incidence of pressure ulcers, especially among inpatients with limited mobility. The scope includes orthopedic, ICU, and medical-surgical units, involving stakeholders such as nurses, physicians, wound care specialists, and hospital administrators. The risks of maintaining the status quo are increased patient morbidity, prolonged hospital stays, and financial penalties, necessitating a targeted, evidence-based intervention to reduce HAPIs effectively.

Proposed Evidence-Based Practice Change

Drawing from recent peer-reviewed literature, including articles supporting repositioning schedules, skin assessment protocols, and nutritional interventions, I propose adopting an evidence-based bundle for pressure injury prevention. This bundle emphasizes regular repositioning every two hours, advanced skin assessment tools, and nutritional support tailored to individual patient needs. Implementation of this bundle, supported by current research, aims to decrease HAPI incidence substantially. If existing evidence is insufficient, further research may be necessary to tailor interventions to the hospital’s specific context.

Knowledge Transfer, Dissemination, and Organizational Adoption

Effective knowledge transfer involves several steps: creating educational materials, conducting HAPI prevention training sessions for clinical staff, and integrating protocols into electronic health records (EHRs). Dissemination strategies include presentations at staff meetings, distribution of quick-reference guides, and leveraging the hospital intranet for ongoing education. Engaging staff early fosters ownership and accountability, facilitating organizational adoption. Additionally, I would establish a multidisciplinary committee to oversee implementation, monitor adherence, and continuously evaluate outcomes, ensuring sustained practice change.

Dissemination Strategy and Rationale

In addition to internal training, I plan to present the project findings and outcomes at regional nursing conferences and publish in peer-reviewed journals. This dual approach ensures that knowledge reaches both local staff and the wider healthcare community. Disseminating results through professional channels enhances credibility, encourages wider adoption, and contributes to the broader evidence base. Furthermore, using visually engaging presentations will increase stakeholder engagement and reinforce the importance of adopting new protocols.

Expected Outcomes and Evidence Support

The primary measurable outcomes include a reduction in pressure injury incidence rates, improved staff compliance with preventive protocols, and enhanced patient satisfaction scores related to skin care. Secondary outcomes might include decreased length of stay and fewer readmissions for pressure ulcer-related complications. Evidence from peer-reviewed studies (e.g., Lyder & Ayello, 2019; Bennett et al., 2020) supports the expected efficacy of targeted repositioning, skin assessment, and nutritional interventions. Collecting baseline and follow-up data will facilitate evaluating the intervention’s impact, providing quantitative support for ongoing quality improvement efforts.

Lessons Learned from Critical Appraisal of Literature

Critical appraisal of peer-reviewed articles revealed the importance of intervention consistency and staff education in success. For instance, Lyder and Ayello (2019) emphasize multifaceted approaches combining repositioning with nutritional support. The appraisal process underscored the necessity of evaluating study quality, sample size, and applicability to our setting. Completing the Evaluation Table highlighted the variability in study designs and outcomes, reinforcing the need for tailored implementation strategies that consider organizational culture and resource availability. These lessons inform how to adapt best practices to ensure sustainability and effectiveness.

Conclusion

Implementing an evidence-based bundle for pressure injury prevention aligns with the organization’s culture of continuous improvement and prioritizes patient safety. Strategic dissemination and staff education are vital for organizational adoption, while measurable outcomes will determine success. The process of critical appraisal strengthened the project by ensuring reliability and relevance of supporting evidence. Moving forward, ongoing evaluation and adaptation will be essential to embed this practice change sustainably, ultimately enhancing patient care quality and safety.

References

• Bennett, G., Nelson, S. S., & Hixson, E. (2020). Strategies for Preventing Pressure Ulcers in Hospitalized Patients. Journal of Nursing Care Quality, 35(4), 365–371. https://doi.org/10.1097/NCQ.0000000000000453
• Lyder, C. H., & Ayello, E. A. (2019). Pressure Ulcer Prevention. In R. G. Hughes & H. M. McKenna (Eds.), Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Agency for Healthcare Research and Quality.
• Gill, K. R., & Gray, M. M. (2018). Implementing Evidence-Based Pressure Injury Prevention Protocols. Wound Management & Prevention, 64(7), 24–30.
• Gray, M., et al. (2019). Evidence-Based Strategies for Pressure Ulcer Prevention. Journal of Wound Care, 28(Sup3), S4–S17. https://doi.org/10.12968/jowc.2019.28.Sup3.S4
• Coleman, S., et al. (2020). Standardized Repositioning and Skin Assessment for Pressure Ulcer Prevention. International Wound Journal, 17(3), 694–702.
• Zhang, Y., et al. (2019). Nutritional Interventions to Prevent Pressure Ulcers: A Systematic Review. Nursing Research, 68(3), 245–253.
• Franks, P. J., & Holyfield, D. (2021). Multidisciplinary Approach to Pressure Ulcer Prevention. American Journal of Nursing, 121(5), 26–35.
• Smith, J. A., & Jones, A. V. (2018). Barriers to Implementing Evidence-Based Practices in Hospitals. Healthcare Management Review, 43(2), 155–162.
• Thomas, D. R. (2019). Identifying gaps in Pressure Ulcer Prevention Knowledge. Clinical Nurse Specialist, 33(2), 69–75.
• Katre, C. S., et al. (2022). Organizational Culture and Adoption of Evidence-Based Practices. Journal of Healthcare Leadership, 14, 123–134.