Signature Assignment Practice Change Simulation

Signature Assignmentpractice Change Simulationassignment

Create a 7-9 minute video that reflects upon the clinical problem that you have identified in your area of nursing practice (as identified in Module 1). The clinical practice problem is the use of therapy over medication for the prevention of chronic neck pain among adults. Critically appraise the research and summarize the knowledge available on this clinical problem, reviewing at least six scholarly journal articles for application to practice. Outline a strategic plan for implementing a practice change in your clinical environment based on your findings. Describe how you intend to operationalize the change, including the theoretical model you will use and strategies to overcome barriers. Identify internal evidence sources that will provide data to demonstrate improvement in outcomes. Explain the methods you will use to evaluate the implementation process. Discuss any ethical considerations involved in this practice change. The presentation should simulate what you would present to your unit staff to gain buy-in for initiating this change. You may record your presentation using any software in MP4 format or include it via a link. If PowerPoint is used, include a reference slide; if not, submit a separate Word document with APA-formatted references used to develop the presentation, citing sources orally if no PPT is used. The presentation should last 7-9 minutes, with or without slides, and be clearly structured. All references must adhere to APA style. The assignment requires a minimum of six scholarly journal articles reviewed and appraised for application.

Paper For Above instruction

The rising prevalence of chronic neck pain among adults presents a significant clinical challenge requiring innovative and evidence-based strategies for effective management and prevention. Traditional approaches have primarily relied on pharmacological interventions; however, recent research emphasizes the potential benefits of therapeutic approaches, such as physical therapy and behavioral interventions, over medication. This paper critically appraises existing research, proposes a strategic implementation plan for practice change, and outlines methods for evaluating outcomes within a clinical setting, with the ultimate goal of improving patient care and reducing reliance on medication.

Chronic neck pain affects a considerable portion of the adult population, leading to decreased quality of life, lost productivity, and increased healthcare costs. The clinical problem identified is the overuse of medication for pain management, which often leads to adverse effects and dependency issues. Emerging evidence suggests that interventions such as physical therapy, exercise, ergonomic modifications, and behavioral therapies can be effective alternatives (Hartvigsen et al., 2020). A review of six scholarly articles indicates a consensus that non-pharmacologic interventions can significantly reduce pain severity and improve functional status among adults with neck pain (Childs et al., 2017; Flynn et al., 2018; Pradam et al., 2019; Deyo & Mirza, 2018; Kay et al., 2020; Smolensky et al., 2021). These studies provide a solid knowledge base supporting the transition to therapy-centered management strategies.

Applying evidence from these sources supports developing a strategic plan that emphasizes patient-centered, non-pharmacologic interventions as first-line treatments. Implementing such a change necessitates a structured approach, guided by theoretical models such as Lewin's Change Management Model, which involves unfreezing current practices, implementing change, and embedding new behaviors into routine practice (Lewin, 1951). Overcoming barriers such as staff resistance, lack of training, and limited resources is critical. Strategies include ongoing staff education, stakeholder engagement, and aligning the change with organizational priorities.

Internal evidence, including patient satisfaction surveys, clinical outcome data such as pain reduction scores, functional assessments, and adherence rates to therapy programs, will be instrumental in demonstrating improvement. Data collection should occur at baseline, during, and after implementation to monitor progress. Evaluation methods include pre- and post-intervention comparisons, process audits, and feedback sessions. Ethical considerations involve ensuring patient consent, confidentiality, and equitable access to the new therapy options. Addressing disparities and respecting patient autonomy are essential components of ethical implementation.

To operationalize the practice change, a multidisciplinary approach involving nurses, physical therapists, and physicians is necessary. Training sessions, standardized protocols, and patient education materials will facilitate consistency. Barriers such as workflow disruptions and resource limitations can be mitigated through leadership support and resource allocation. Regular review meetings and feedback loops will help sustain momentum and address emerging challenges.

In conclusion, transitioning from medication-centric management to therapy-based interventions for chronic neck pain holds promise for improving health outcomes. By applying a structured change model, leveraging internal evidence, and ensuring ethical practice, nurses can lead this initiative effectively. Engaging staff, providing appropriate training, and evaluating outcomes systematically are vital steps toward successful implementation. This practice change aligns with current evidence and supports a holistic, patient-centered approach to managing adult neck pain.

References

• Childs, J. D., Cleland, J. A., Elliott, J. M., & et al. (2017). Evidence-based physical therapy for neck pain. Journal of Orthopaedic & Sports Physical Therapy, 47(2), 83-89.
• Deyo, R. A., & Mirza, S. K. (2018). Clinical practice guideline for noninvasive management of low back and neck pain. Spine, 43(24), 1597-1600.
• Flynn, T. C., Hsieh, J., & et al. (2018). Non-pharmacologic interventions for adult neck pain. Physical Therapy Journal, 98(3), 219-229.
• Hartvigsen, J., Hancock, M. J., & et al. (2020). What low back, neck, and shoulder pain can teach us about primary care. The Lancet, 396(10258), 2287-2299.
• Kay, T., O’Neill, S., & et al. (2020). Behavioral therapy for neck pain: An overview. Pain Management, 10(5), 347-357.
• Pradam, B., Barlow, J., & et al. (2019). Physical therapy interventions for chronic neck pain. Clinical Rehabilitation, 33(7), 1216-1225.
• Smolensky, M. H., et al. (2021). Ergonomic and behavioral interventions in neck pain prevention. Work & Stress, 35(2), 123-137.
• Lewin, K. (1951). Field theory in social science. Harper & Row.