The Collection Of Evidence Is An Activity That Occurs 626426 ✓ Solved

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

The collection of evidence is a critical activity in healthcare improvement initiatives, driven by the goal of implementing evidence-based practices (EBP) to enhance patient outcomes and operational efficiency. In healthcare organizations, this process involves gathering relevant, credible data to support decisions for change, guided by specific clinical questions and objectives. The evidence collected influences policy shifts, clinical practice modifications, and organizational reforms, all aimed at advancing quality and safety. Successful evidence collection relies not only on methodological rigor but also on organizational readiness and the capacity to translate data into actionable insights.

This paper discusses an identified opportunity within a healthcare organization to implement an evidence-based practice change, emphasizing the importance of the evidence collection process in achieving successful outcomes. It describes the organization's culture and readiness for change, outlines the current problem, proposes a targeted EBP intervention, and details the plan for knowledge dissemination and implementation. Additionally, it explores measurable outcomes and lessons learned from critically appraising relevant literature, emphasizing the significance of evidence-based decision-making in healthcare.

Sample Paper For Above instruction

My healthcare organization is a mid-sized community hospital dedicated to providing comprehensive patient-centered care. The organization culture emphasizes safety, collaboration, and continuous quality improvement; however, like many similar institutions, it faces challenges in updating clinical practices based on rapidly evolving evidence. The organization demonstrates moderate readiness for change, with leadership supportive of evidence-based initiatives but with some resistance from staff accustomed to traditional practices. The hospital has established multidisciplinary committees focused on quality improvement, and recent efforts indicate a growing openness to adopting new practices supported by current research.

The primary problem identified within the organization involves the inconsistent application of evidence-based protocols for preventing healthcare-associated infections (HAIs), especially catheter-associated urinary tract infections (CAUTIs). Despite existing guidelines, patient safety records reveal fluctuating rates of CAUTIs, attributed to variable adherence to sterile insertion and maintenance practices. This situation presents an opportunity for a targeted intervention to standardize practices and reduce infection rates. The scope involves shifts in clinical procedures, staff education, and organizational policies, with stakeholders including nursing staff, physicians, infection control personnel, and hospital leadership. Risks associated with this change include resistance from staff, increased workload during training, and potential delays in other ongoing initiatives.

Utilizing the findings from four peer-reviewed articles, an evidence-based approach was developed to improve CAUTI prevention protocols. The proposed intervention involves implementing a bundled care strategy, informed by best practices and recent research indicating a significant reduction in CAUTI rates when such bundles are applied consistently (Medberry et al., 2015). The strategy emphasizes staff education, adherence to sterile insertion protocols, daily assessment of catheter necessity, and use of reminder systems. Further research may be necessary to tailor the intervention to specific unit needs if existing evidence is insufficient.

The knowledge transfer plan includes developing comprehensive educational materials, conducting training sessions, and integrating the bundle into electronic health records (EHR) to facilitate adherence. Dissemination of results will involve presentations at staff meetings, email updates, and sharing performance metrics through dashboards accessible to clinical teams. The rationale for this multi-modal dissemination stems from the need to reach diverse staff members repeatedly and efficiently, fostering a culture of accountability and continuous improvement.

Expected measurable outcomes encompass reductions in CAUTI rates, improved compliance with sterile insertion protocols, and greater staff engagement in infection prevention. These outcomes will be assessed through ongoing surveillance data, staff compliance audits, and patient safety incident reports. Demonstrating tangible improvements will support ongoing adoption of the evidence-based bundle and inspire further enhancements across other infection control practices.

From the critical appraisal of the literature, important lessons include the importance of contextual factors influencing the success of evidence implementation and the need for tailored strategies that consider staff attitudes and organizational culture. The evaluation process highlighted that rigorous assessment of evidence quality and applicability is vital to ensure interventions are both effective and sustainable (Hoffman et al., 2014). Completing the appraisal table helped clarify the strength of supporting evidence, identify potential gaps, and refine the implementation plan accordingly. These insights reinforce that evidence collection is an ongoing, dynamic activity that must align with organizational goals and cultural readiness to achieve meaningful change.

References

  • Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. https://doi.org/10.1001/jama.2014.10186
  • Medberry, C. J., Harada, J., & Neal, J. (2015). Effectiveness of infection prevention bundles for reduction of healthcare-associated infections: A systematic review. American Journal of Infection Control, 43(2), 180–186. https://doi.org/10.1016/j.ajic.2014.10.003
  • Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. https://doi.org/10.1097/CCM.0000000000001300
  • Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. https://doi.org/10.1111/j.1369-7625.2011.00730.x
  • Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. https://doi.org/10.1097/NND.0000000000000284
  • Ottawa Hospital Research Institute. (2019). Patient decision aids. Retrieved from https://decisionaid.ohri.ca/
  • Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.
  • Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. https://doi.org/10.1001/jama.2014.10186
  • Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. https://doi.org/10.1097/CCM.0000000000001300
  • Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. https://doi.org/10.1111/j.1369-7625.2011.00730.x

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