Barriers

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University of Texas, Arlington *

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5367

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Medicine

Date

Jan 9, 2024

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docx

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2

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ALL WORK AND NO PLAN MAKES FOR A DISASTER State your proposed EB practice change, 15 points Implementation of an integrative complementary and alternative medicine program for cancer patients with advanced disease progression that would be seen as a viable alternative to opioid analgesics for oncologic pain. Participants will be given opportunities to visit with acupuncturists, massage therapists, and yoga instructors. Follow ups with primary care oncologists would occur monthly and include pain assessment questionnaires and survey regarding the effectiveness of CAM intervention. After 6 months other CAM providers would be included pending the results of the pilot study. Describe the anticipated barriers to the change process in your institution (or where the change will be implemented). Include the organization's culture, anticipated reaction to change, and your leadership role for change. 20 points Some potential barriers to having a fully integrated CAM medicine program would include skepticism on behalf of the providers or patients who are not fully aware of the benefits of alternative therapies. An institutional pilot study showing the effectiveness of CAM in the patient population would need to be put together and be put forth for IRB approval. Other barriers include funding and seeking active participants to participate in the pilot study. From an institutional standpoint volunteers and staff members would need additional training in CAM specialties (employment of massage therapists, yoga instructors, acupuncturists, etc.) requiring additional funding if grants could not be obtained. The culture of the organization is very focused on new groundbreaking research and prides itself on new innovations. The leadership role needed to properly implement this pilot program would include a research studies coordinators or a research nurse to organize and obtain the needed approvals to get the program up and running. Plans to overcome barriers 20 points To overcome these barriers educational sessions for providers and literature regarding the pilot program of CAM would be provided during regularly scheduled research meetings. Marketing flyers promoting the CAM program would be placed in waiting rooms, common areas, individual exam rooms and other common patient areas deemed acceptable. The research department would oversee spearheading the IRB approval process and setting up the calendar/schedule for patients and CAM providers. Special requests for budgetary funds and funding for contract CAM providers- yoga instructors, acupuncturists, and massage therapist to compensated appropriately and facilities to be used.
Who are the colleagues you will include to facilitate change? 20 points The institution is fortunate to have a research department that would oversee the pilot program and actively recruit patients, collect data and questionnaires, and follow up with the patients either in person or via telephone calls. Medical providers would also be vital in implementing change by allowing this option and suggesting the CAM program to their patients when the subject of pain comes up. An interdisciplinary approach would be needed in order to come up with the best outcomes for patients. Identify the stakeholders for the change in practice you have chosen for your EB project. 20 points The main stakeholders for this change in practice would be the patients who would benefit from alternative therapies for oncological pain. Other stakeholder that would also be affected includes the family members or caregivers of the patients in addition to doctors, nurses, CAM practitioners (massage therapists, fitness and personal trainers, acupuncturists) and other member of the medical team (PT, OT, Social Work, Case managers) and to a greater extent the hospital and cancer research. APA formatting is used when appropriate. 5 points
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