Evidence-Based Capstone Project, Part 6: Disseminating Results

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RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE

WALDEN UNIVERSITY

JULY 28, 2019

Recommending an Evidence-Based Practice Change

My Facilityl is focused on providing quality healthcare to all patients regardless of their differences.

The facility is has a culture of embracing change as long as it helps in improving the patients’ health outcomes.

However, since our hospital is a community-based health service facility, there are some of things that need to be changed.

The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.

Recommending an Evidence-Based Practice Change

The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and enough oncologists.

Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer.

Cancer is one of the top diseases causing high mortality rates around the world presently.

The federal and national government are the key stakeholders who need to provide the hospitals with funds for purchase of cancer screening machines and hiring of enough oncologists.

The risk involved with this change is the cancer screening costs which might not be affordable to all people.

Organization Description and Readiness for Change

Recommending an Evidence-Based Practice Change

Increasing cancer screening awareness can be done in the community especially in various institution where many people come together.

Cancer screening awareness can also be increased by passing the information on importance of screening in social media and also for every patient that visits the hospital.

Cancer screening services should also be done freely to attract more people to go for screening services.

The facility can implement these changes by training all the nursing staffs and physicians on cancer screening information so they can pass the information to all the people they interact with and attend.

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Recommending an Evidence-Based Practice Change

One of the measurable outcomes that can be achieved with the implementation of cancer screening awareness is the early detection of different types of cancers like colorectal, breast, cervical, prostate, among others (Alfa Scientific Designs, 2017).

The second outcome is the education on prevention strategies that people could adopt to help prevent cancer by educating the people on some of the cancer risk factors (Alfa Scientific Designs, 2017).

The awareness can also help in acknowledging the existence of screening services in the healthcare facility.

Knowledge of the early signs associated among the public could also be achieved through awareness campaigns.

Overall Quality Improvement in Processes: Continuous quality improvement initiatives implemented through culture change and ongoing process to achieve better care (Friesen-Storms et al., 2015).

Lessons from the summary of the critical appraisal of the peer-reviewed articles

The evaluation table contained different elements that helped in an easier analysis of each article used.

The evaluation table helped in having a quick glance of the different research design and methods that were used in each article.

The evaluation table also summarized the sample setting of each article. There was also a summary of variable, measurement, data analysis, and research findings.

The major lesson from the evaluation table was finding whether each of the articles used were worth to practice.

Appraisal of research findings relevant to practice (Melnyk & Fineout-Overholt, 2018).

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Evidence Based Idea

  • Evidence based for changed that has been proposed is providing patient-centered care for elderly patients at the nursing home
  • EBP approach to patient centered care has been extensively researched
  • Patient-centered care is based on value based care to address specific needs of patients
  • Alignment of patient-centered care and value based care is needed to improve overall wellbeing of patients
  • Patient centered care to be aligned to patient outcomes, perspectives and experiences to adequately address patient needs.

Lessons from the summary of the critical appraisal of the peer-reviewed articles

The completion of the levels of evidence table helped to identify the kind of study conducted in each article.

The levels of evidence was an eye opener in that each research is categorized into different types of study considering the research design and methods used.

Another lesson from the levels of evidence table was that each type of study represented a specific level of evidence.

Description of Measurable Outcomes

  • With the implementation of patient centered care and value based care, the

following measurable outcomes are anticipated to be achieved:

  • Residents access to quality care: Residents overall improvement in health is evaluated to determine effectiveness of implemented approach.
  • Homelike atmosphere: Practices and structures are designed to be less like an institution and more homelike .
  • Relationship between patients and professionals: Close relationships maintained between health professionals at nursing home and patients.
  • Staff empowerment and collaboration.
  • Staff are more empowered to undertake roles and there is more collaborative decision making to deliver enhanced care that is patient-centered
  • Overall Quality Improvement in Processes: Continuous quality improvement initiatives implemented through culture change and ongoing process to achieve better care (Friesen-Storms et al., 2015).

Reference

Alfa Scientific Designs,. (2017). The Importance of Cancer Awareness.

https://www.alfascientific.com/health-matter/importance-cancer-awareness/

Friesen-Storms, J. H., Bours, G. J., van der Weijden, T., & Beurskens, A. J.

(2015). Shared decision making in chronic care in the context of evidence

based practice in nursing. International journal of nursing studies, 52(1), 393-

402.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing &

healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.