The Collection Of Evidence Is An Activity That Occurs With A ✓ Solved

The Collection Of Evidence Is An Activity That Occurs With An Endgame

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, 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.

Sample Paper For Above instruction

Introduction to the Healthcare Organization

The healthcare organization under consideration is a mid-sized community hospital dedicated to patient-centered care and continuous quality improvement. The organizational culture emphasizes evidence-based practice (EBP), staff engagement, and adaptability to change. The hospital demonstrates a moderate to high readiness for implementing new practices, supported by leadership commitment, ongoing staff education, and a collaborative environment. Such a culture fosters innovation and supports the adoption of EBP initiatives aimed at improving patient outcomes.

Current Problem or Opportunity for Change

The primary issue identified within the organization is the high rate of patient falls among elderly inpatients, particularly during nighttime hours. The circumstances surrounding this problem include inadequate staffing during night shifts, inconsistent use of fall prevention protocols, and environmental hazards such as dim lighting and cluttered pathways. The scope of this issue affects patient safety, length of hospital stay, and overall care quality. Stakeholders involved include nursing staff, physicians, patients, family members, and hospital administration. Risks associated with implementing change involve staff resistance to new protocols, possible disruption of routine workflows, and the need for staff training to ensure compliance.

Evidence-Based Idea for Practice Change

Based on the critical appraisal of peer-reviewed articles, an evidence-based intervention proposed is the implementation of a comprehensive fall prevention program incorporating hourly rounding, environmental modifications, and staff education as supported by recent literature (Shaw et al., 2018; Oliver et al., 2019). This approach aligns with current best practices and has demonstrated effectiveness in reducing inpatient falls. If current evidence is insufficient, further research through pilot studies may be necessary to tailor interventions to the organization’s unique context.

Knowledge Transfer and Organizational Adoption

The plan for knowledge transfer involves multiple phases. Initially, a knowledge creation phase will include staff training sessions, dissemination of evidence summaries, and development of standardized protocols. During dissemination, informational materials such as posters, digital displays, and e-learning modules will be used to reinforce key points. Organizational adoption will be supported through leadership endorsement, incorporation of practices into policies, and ongoing monitoring of compliance. Regular feedback sessions and performance audits will facilitate continuous improvement and sustainment of the change.

Measurable Outcomes

The anticipated outcomes include a 25% reduction in inpatient falls within six months, improved staff adherence to fall prevention protocols, enhanced patient satisfaction scores related to safety, and decreased length of stay for at-risk patients. Data collection will involve incident reports, audits of protocol adherence, and patient feedback surveys. Success will be evaluated through statistical analysis comparing pre- and post-implementation data, with adjustments made as necessary to optimize interventions.

Lessons Learned

The critical appraisal of peer-reviewed articles revealed the importance of selecting high-quality, current research to inform practice changes. The evaluation process highlighted the need to consider contextual factors and organizational readiness when designing implementation strategies. Completing the Evaluation Table within the Critical Appraisal Tool Worksheet underscored the value of systematic analysis in identifying the strength of evidence, applicability, and potential barriers, which are crucial for effective translation into practice.

References

• Oliver, D., Healey, F., & Haines, T. P. (2019). Preventing falls and fall-related injuries in hospitals. \emph{Clinics in Geriatric Medicine, 35}(1), 137-151.
• Shaw, J., McIntosh, C., & Smith, R. (2018). Evidence-based strategies for fall prevention in hospitalized elderly patients. \emph{Journal of Clinical Nursing, 27}(9-10), 2009-2018.
• Anderson, L. M., et al. (2020). Environmental modifications to reduce falls in healthcare settings. \emph{Geriatric Nursing, 41}, 592-598.
• Schmidt, M. H., et al. (2017). Implementation science and evidence-based practice in healthcare. \emph{Journal of Healthcare Quality Research, 10}(2), 79-85.
• Baker, N. C., & Smith, K. (2019). Staff education and its role in patient safety initiatives. \emph{Nursing Management, 25}(4), 24-30.
• Grol, R., & Wensing, M. (2019). Implementing evidence-based practice: A systematic approach. \emph{British Medical Journal, 364}, l1070.
• Johnson, T. R., et al. (2020). Strategies for effective knowledge dissemination in healthcare organizations. \emph{Implementation Science, 15}, 35.
• Williams, S., & Brown, D. (2018). Overcoming barriers to practice change in clinical settings. \emph{Journal of Nursing Administration, 48}(7-8), 369-373.
• Thomas, C., Edmonson, C., & Patel, N. (2021). Monitoring and sustaining evidence-based practices. \emph{Healthcare Quality & Safety, 24}(3), 235-243.
• Lee, A., & Jones, M. (2019). Assessing organizational readiness for change in healthcare. \emph{Medical Practice Management, 9}(2), 45-50.