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Evidence-Based Practice Change: A Case Study

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Evidence-based practice change: Fall-risk assessment, and management and treatment among community-dwelling older adults in primary care setting
Outcomes to measure: According to DiCenso, Guyatt, & Ciliska (2005), evaluation is an important step to determine the impact of the evidence-based practice change. The evaluation process after the implementation of the evidence-based practice change helps to assess whether the change has happened and had the intended impact. Upon the completion of the evaluation process, the practice change can remain unchanged, modified, or discarded (Gawlinski, 2007). DiCenso et al. (2005) also mentioned that the successful implementation of a change is based on the evaluation of structure, process, and outcome indicators. The evaluation of structure and process outcomes is beneficial in determining the success of implementing evidence-based decision. On the other hand, the success of the change in nursing practice can be evaluated with the intermediary outcome indicators such as organizational, patient, or health system. The …show more content…

(2010) evaluation was it evaluated the data at 3 months, thus long-term sustainability of the implementation of guideline to improve outcomes among HIV patient reading renal health is unknown. According to Gawlinski (2007), it is important to measure “the process and outcome variable variables 6 to 12 months after implementation” to evaluate the sustainability of the practice change. Likewise, DiCenso et al. (2005) mentioned that the financial costs of additional staff, physical resources, new equipment, implementation strategies, staff education, patient education, diagnostic tests should be evaluated to determine the success of the practice change. However, Goodroad et al. did not conduct any cost-benefit analysis to compare the cost related to implementation to undesirable outcome such as dialysis, and health care costs related to adverse drug effects and chronic kidney

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It was a privilege to work with Laura on a team rehabilitating a severely impaired brainstem CVA patient. She uses evidence based practice to modify treatment approaches to promote positive outcomes for both her patients physical needs as well as cognitive-communicative needs. A perfect example of this was scheduling her PT session prior to an SLP comm/cog session with increasing cardiovascular effort to promote improved cognitive

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Evidence Based Practice Proposal- Section D: Solution Description The Edmonson Psychiatric Fall Risk Assessment Tool (EPFRAT) to have higher sensitivity in assessing fall risk in the geri-psychiatric population (Edmonson et. al, 2011). This project of EPFRAT will let the progress of a fall risk prevention protocol to provide the safest environment and best quality of care possible for the geriatric psychiatric inpatient.

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The model that will be utilized to implement the change outlined within this paper is the Stetler Model. The model focuses on the nurse as the main critical thinker, but can be utilized by a group of clinicians. The model uses a systematic approach to bring about change through a five step process that involves the following: preparation, validation, comparative evaluation and decision-making, translation/application, and evaluation (Schaffer, Sandau, and Diedrick, 2013). This model focuses on defining the needs priority by way of evidence based research. Evidence is gathered externally via research and internally such as outcome data, consensus data, and experimental information (Schaffer, Sandau, and Diedrick, 2013).

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Capstone Project: Falls Prevention and Risk Assessment of the Elderly Population while in Long Term Care facility Evidence Based Practice – NUR 4775L Dr. Susan Poole, DNP, CNE November 22, 2015 Capstone Part I: Falls Prevention and Risk Assessment of the Elderly Population while in Long Term Care facility Introduction to Problem According to Centre for disease Control (CDC) more than 1.4 million people 65 and older live in nursing homes. If current rates continue, by 2030 this number will rise to about 3 million (CDC, 2014). Nursing home residents are at an increases risk for falls depending on the acuity of their illness and their mental state.

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The survey consisted of five questions and the answers ranged from 1 (Excellent) to 5 (Poor). At the end of the survey, social service asked the client if she had any comments or concerns about the treatment or hospital. The information helps social services and team to know whether if the changes and treatment are showing improvement. Limitations Since social services did not work at the hospital, social services cannot be there to monitor if the treatment is doing well.

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Evidence based practice (EBP) is to demonstrate the best practice, which has been supported, with a clear rationale to back it up, while acknowledging the patient/clients best interest. In this professional outline it will be discussed why EBP is so important to start with student nurses career and continuing throughout the nursing career and the second main point will be on the impact it has on patient outcomes regardless of discipline. I believe if this mind set is instilled early in the nurses career the practice will evolve it a more proactive

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Evidence Based Intervention Case Information Mary has been diagnosed with Alzheimer’s disease at a moderate level. She also has other health issues including high blood pressure, diabetes and depression. Her husband, John has these additional health issues as well and is currently Mary’s caregiver. They receive home health services as well. John understands that Mary will need to go to a nursing home at some point, but would like to keep her at home for as long as possible.

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1. You have been instructed of the great importance of using evidence based practice in everyday treatment. Give one example of an evidence-based intervention that you have used thus far. How did you make this intervention occupation-based, as well? If you don't feel that this applies to your FW rotation thus far, why not?

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The theory of evidence based practice is not only an approach that targets for quality of patients but also highly improves the level of accountability in the health care sector by promoting a life-time learning process. Evidence based practice addresses the compulsory need for quality research evidence and quality practice all in struggle to support the care of a patient. Below is a brief description of the five models of evidence based practice(“ LibGuides at Oregon Health & Science University,” n.d.). Ask: Get some information about the consideration of people, groups, or populaces. Acquire: Secure the best accessible proof with respect to the inquiry.

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As a result, this adjustment in practice should be prioritized. The third phase is to build a team to develop, evaluate, and implement the change in practice. The team should comprise nursing and non-nursing professionals and stakeholders from the organization or unit. This team should be in charge of developing,

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What is Evidence-based practice? Evidence-based practice is an all-around systematic approach to patient care that was built up on research and proven treatment results within nursing in order to increase the patient outcomes. Evidence based practice is define as “the integration of current evidences and practices to make decisions about patient care”. (Medical Surgical Nursing, 2018). Evidence-based practice not only includes the best proven research for practicing patient-centered care, but also merges the patient’s preferences and values into consideration.

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Evidence-based nursing practice help to improve individual bedside practice because nurses work in the ward based on knowledge they obtained from previous research. It can also answer problematic clinical practice issue since it aim at solving problem, it improves nurse’s quality and reduces variations in care. Nurses are also confident in their decisions due to the fact that they know what they’re doing and can as well prove it because every patient deserves care that is based on the best scientific knowledge and ensures high quality and are cost-

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In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).

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This assignment has impacted my perspective on evidence-based practice by helping me build clinical reasoning skills and knowledge of difference diagnoses that will enables me to apply the most high-quality and appropriate intervention strategies that is proven effective in improve patient’s treatment outcome.

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ENSURING EVIDENCE BASED PRACTICE SIGNIFICANCE OF THE CONCEPT Evidence base practice can be defined as the integration of clinical experience and skills, patient values and best research evidence into decision making process for patients’ care (Saclett D, 2002) The integration of the three elements into decision making process enables the practitioner a better opportunity for enhanced clinical outcome and improved quality of life. Evidence alone is not enough in decision making hence the integration of the three elements. In order to ensure effective public health programme the practitioner must ensure that every decision made is evidence based.

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