To Prepare And Reflect On The Four Peer-Reviewed Articles Yo

To Preparereflect On The Four Peer Reviewed Articles You Critically A

Reflect on the four peer-reviewed articles you critically appraised in Module 4, 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. Consider the best method of disseminating the results of your presentation to an audience.

Paper For Above instruction

Introduction

Healthcare organizations thrive on continuous improvement and evidence-based practice (EBP) to enhance patient outcomes, safety, and organizational efficiency. Recent scholarly articles provide insights into integrating EBP into clinical practice, emphasizing shared decision-making and evaluating professional development. This reflection discusses how these articles influence potential practice changes within a healthcare setting, considering the organization’s readiness and strategic dissemination of findings.

Organization Overview and Readiness for Change

The organization under consideration is a mid-sized urban hospital committed to patient-centered care and continuous staff education. The organizational culture emphasizes quality improvement, multidisciplinary collaboration, and evidence-based decision-making. Using organizational assessment tools, it exhibits a moderate readiness for change, with supportive leadership and engaged staff but recognizes the need for structured knowledge transfer processes to implement EBP effectively.

Current Problem and Opportunity for Change

A significant challenge within this organization is inconsistent shared decision-making (SDM), especially in critical care units. This inconsistency affects patient satisfaction, autonomy, and adherence to treatment plans. The opportunity for change involves adopting standardized SDM practices aligned with the latest evidence, enhancing patient engagement and outcomes. The scope encompasses ICU teams, patients, families, and interdisciplinary staff, with risks including staff resistance, resource limitations, and potential workflow disruptions.

Proposed Evidence-Based Practice Change

Based on the reviewed literature, implementing a structured SDM framework in ICU settings is proposed. The approach aligns with the policy recommendations by Kon et al. (2016), emphasizing patient-centered care and shared decision-making processes. If existing evidence is insufficient, further research, such as pilot studies or qualitative assessments, may be necessary to customize the intervention for organizational context.

Knowledge Transfer Plan

Effective dissemination involves creating a multi-phase knowledge transfer strategy. Initially, training workshops and protocol development will foster knowledge creation. Subsequently, dissemination channels such as internal seminars, decision support tools, and online modules will promote awareness and adoption. Organizational integration strategies include embedding SDM protocols within standard operating procedures and conducting staff competency assessments.

Dissemination Strategy and Rationale

The primary dissemination method selected is a series of targeted workshops combined with digital dissemination via emails and organizational intranet. This approach ensures active engagement, allows immediate feedback, and facilitates widespread access, accommodating diverse learning preferences. The strategy promotes organizational buy-in, essential for sustained practice change.

Expected Outcomes

The implementation aims to improve patient satisfaction scores related to decision-making, increase adherence to treatment plans, and enhance staff confidence in applying SDM. Metrics include patient engagement surveys, staff competency assessments, and clinical outcome data. Short-term indicators will evaluate process adherence, while long-term measures will assess patient health outcomes and organizational culture shifts.

Lessons Learned

The critical appraisal of the peer-reviewed articles revealed the importance of integrating shared decision-making into clinical practice to improve patient-centered care. Kon et al. (2016) underscored the significance of policy support and structured protocols, while Opperman et al. (2016) emphasized evaluating professional development's return on investment, which can be applied to training initiatives for SDM practices. Completing the Evaluation Table within the Critical Appraisal Tool Worksheet highlighted the necessity of rigorous evidence assessment to ensure the validity and applicability of research findings, stressing critical thinking and contextual adaptation.

Conclusion

By leveraging evidence from peer-reviewed articles, healthcare organizations can implement meaningful practice changes that promote patient autonomy and organizational excellence. Effective knowledge transfer and dissemination strategies are essential to embed these changes sustainably, ultimately enhancing patient care quality and staff competency in shared decision-making.

References

  • 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.0000000000001388
  • Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (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.0000000000000267
  • Higgins, J. P. T., Thomas, J., Chandler, J., Cumpston, M., Li, T., & Page, M. J. (Eds.). (2019). Cochrane Handbook for Systematic Reviews of Interventions (2nd ed.). John Wiley & Sons.
  • Forsetlund, L., Bjørndal, A., Hasvold, P., et al. (2009). Continuing education meetings and workshops: Effects on professional practice and health care. Cochrane Database of Systematic Reviews, (2). https://doi.org/10.1002/14651858.CD003030.pub2
  • Shaw, J., & Govender, R. (2018). Implementing shared decision-making in clinical practice: Challenges and opportunities. Patient Education and Counseling, 101(2), 212–217. https://doi.org/10.1016/j.pec.2017.08.019
  • Stacey, D., Légaré, F., Lewis, K., et al. (2017). Decision aids for people facing health treatment or screening decisions. Cochrane Database of Systematic Reviews, (4). https://doi.org/10.1002/14651858.CD001431.pub4
  • Bradbury-Jones, C., & Taylor, J. (2019). Reflective practice in nursing: Evidence and implications for practice. Nursing Standard, 34(4), 44–50. https://doi.org/10.7748/ns.2019.e11272
  • King, J. A., & Moultrie, J. (2019). Knowledge transfer and organizational learning. Organizational Dynamics, 48(4), 100697. https://doi.org/10.1016/j.orgdyn.2019.100697
  • Grol, R., & Wensing, M. (2017). Effective implementation of change in patients' care. Medical Journal of Australia, 207(2), 69–72. https://doi.org/10.5694/mja2.51452
  • Harrison, S. E., & Moultrie, J. (2020). Knowledge management and innovation in healthcare. International Journal of Innovation Management, 24(S1), 2050024. https://doi.org/10.1142/S1363919620500242

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