Feb 23, 2024 HCA 620 Search the GCU Library on the following topic: Evidence-Based Research (EBR).
HCA 620 Search the GCU Library on the following topic: Evidence-Based Research (EBR).
HCA 620 Search the GCU Library on the following topic: Evidence-Based Research (EBR).
HCA 620 Week 3 Discussion 1 Latest-GCU
Search the GCU Library on the following topic: Evidence-Based Research (EBR). What background (if any) do you have with EBR? Share with the class any challenges you face with your evidence-based capstone project. Choose a classmate’s entry and note how you would approach the challenges.
The field of nursing has undergone an immense evolution in the sense that decisions regarding patient care are made based on evidence-based research and not personal opinions. The usage of evidence-based research requires that a practitioner searches numerous reputable published articles in journal databases for data, results and conclusions. The acquired data from these searches are analyzed together, then combined with the preferences or values of the patient, as well as the professional skills of a nurse also known as their accumulated education, skills, and experience (Lund et al., 2016). In my professional life, I have always preferred the adoption of evidence-based practice to solve issues related to patient conditions. Indeed, my current employment setting has suffered from increased patient falls for post-surgical patients. As a consequence, I have been forced to research for evidence-based interventions that can reduce these instances for patients under my jurisdiction.
As for my evidence-based project, there are two challenges that I have predominantly faced. One of them is a lack of a clarity concerning the most appropriate intervention and if it is possible to combine evidence-based interventions for the project. The existence of these challenges is precipitated by the fact that while the patient falls have increased at my current health care setting, efforts have not been made to provide an organizational policy to address the issues. Secondly, the existence of various open source materials regarding the issue has made it difficult to determine valid sources. Academically, such sources are not considered valid yet their proponents argue that they carry as valid information as peer-reviewed databases.
References
Lund, H., Brunnhuber, K., Juhl, C., Robinson, K., Leenaars, M., Dorch, B. F., … & Chalmers, I. (2016). Towards evidence based research. Bmj, 355, i5440.
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I agree with you that not everyone has interacted with evidence based research. As a matter of fact, most nurses will only interact with evidence-based project during their period in nursing schools. However, evidence-based research is a bit more advanced as it requires one to implement the results of various evidence-based projects (Lund et al., 2016). In order to accomplish these, there are certain skills that they need to acquire as relates to researching and examining pertinent literature. Without acquiring these skills and knowledge of what consists an appropriate evidence-based research article, it becomes very difficult to implement EBR in practice. However, the situation changes as one advances into the nursing profession by acquiring more knowledge as is happening in the present course.
References
Lund, H., Brunnhuber, K., Juhl, C., Robinson, K., Leenaars, M., Dorch, B. F., … & Chalmers, I. (2016). Towards evidence based research. Bmj, 355, i5440.
Timothy, you raise a very serious issues concerning the impact of cost on the implementation of evidence-based research. Indeed, the bottom line of evidence-based research entails improvement of the quality of care and quality of life of patients. The above objectives are achieved via translating evidence-based projects into practice. However, the entire process is cost-intensive in nature. The adoption of evidence-based research into practice requires intensive training of personnel and subscription to expensive journals (Sanders et al., 2016). As a consequence, most organizations falter when the costs become high. This then prevents health care personnel from interacting with evidence-based research in their practice, which is why most of them do not have this experience.
References
Sanders, G. D., Neumann, P. J., Basu, A., Brock, D. W., Feeny, D., Krahn, M., … & Salomon, J. A. (2016). Recommendations for conduct, methodological practices, and reporting of cost-effectiveness analyses: second panel on cost-effectiveness in health and medicine. Jama, 316(10), 1093-1103.
HCA 620 Week 3 Discussion 2 Latest-GCU
Search the GCU Library on the following topic: Change Model. Which change model do you think will work best for your evidence-based capstone project? Explain.
Evidence-based projects produce positive outcomes in terms of the improvement of the quality of care and patient satisfaction if the results of a project are appropriately implemented. Indeed, the implementation of the results of an EBP project will depend on the amenability of stakeholders, particularly bed nurses in accepting the change. In order to ensure that this becomes the case, an application of a change model becomes pertinent (Olsson, Skovdahl, & Engström, 2016). Whereas several change models exist that could aid in the implementation of the results of the present evidence-based practice project, Rodger’s Diffusion of Innovation Theory (DOI) will play an important role in obliterating the barriers that may hamper the adoption of call lights to reduce patient falls.
The DOI theory elucidates the manner in which the dissemination of information occurs within definite social systems that comprise of populations from varied populations. Further, this theory expounds on the acquisition of knew knowledge and the perception thereof by stakeholders such as nurses. Also, the DOI identifies the influence that the thought process displayed by people influence their behaviors (Pashaeypoor, Ashktorab, Rassouli, & Alavi-Majd, 2016). Therefore, the DOI has some relevance to the prosed project of comparing the use of call lights vis-à-vis nursing rounds to reduce instances of patient falls at them present facility. According to the theory, the stakeholders will need to comprehend the project and share their insights regarding the manner in which the intervention should be implemented. As a consequence, the nursing stakeholders will need to lay down a framework that will guide the execution of the project. The principal purpose of the framework will not be to implement the project but also reduce misunderstandings amongst nurses. In addition, the change model when applied appropriately will ensure that each of the stakeholders understand their roles within the implementation of the project, which will make its adoption successful as it will have eliminated all the barriers.
References
Pashaeypoor, S., Ashktorab, T., Rassouli, M., & Alavi-Majd, H. (2016). Predicting the adoption of evidence-based practice using “Rogers diffusion of innovation model”. Contemporary nurse, 52(1), 85-94.
Olsson, A., Skovdahl, K., & Engström, M. (2016). Using diffusion of innovation theory to describe perceptions of a passive positioning alarm among persons with mild dementia: a repeated interview study. BMC geriatrics, 16(1), 3.
Wafa, thank you for an important post about the application of the PDCA model to your practice change project. Indeed, this model essentially allows one to execute change, constantly enhance processes, and solve problems. One of the principal uses of the model entails planning a change or improvement. After planning, one needs to undertake a pilot test of the desired change. Afterwards, they will have to gather data about the pilot change to ensure that the changed indeed succeeded. Lastly, after getting satisfactory results, one will then implement the change on a wider scale while continuous monitoring it so as iterate as required through repeating the process (Maraiki, Farooq, & Ahmed, 2016). The processes of the PDCA model make it very relevant in the change projects in health care. Given that they ensure that all projects are implemented so as to enhance the quality of care, doing the piloting before the implementation will guarantee that. Further, there is an allowance to repeat a change process, which further ensures success. Therefore, the usage of the PDCA model ensures that a change project succeeds irrespective of the challenges.
References
Maraiki, F., Farooq, F., & Ahmed, M. (2016). Eliminating the use of intravenous glass bottles using a FOCUS‐PDCA model and providing a practical stability reference guide. International Journal of Pharmacy Practice, 24(4), 271-282.
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