Ebp Innovations Model

Throughout this essay I will be discussing the holistic impact a premature baby within the neonatal units has on not only the child but also the immediate family. There are many health issues which can affect the child but also other issues including attachment to the mother which can also have a long-term effect on the child. This can also influence the family as there may be financial implications on the family due to these extra unexpected costs. Throughout this essay I will be discussing these topics in detail.

All the researchers decided to “(1) Examine the knowledge, attitudes, and use of EBP by nurses at the large academic, Magnet- designated medical center and (2) identify strategies to facilitate and encourage the use of EBP at the bedside” (White- Williams, et al, 2013, p.247). They also looked into the possible influence of continued education in many different forms such as certification or participation in council and so forth and its influence on attitudes, knowledge and implementation of EBP in clinical practice of nurses in large academic

After the delivery, the heat from the mom’s body can warm the baby and maintains the baby’s body temperature. For instance, when nursing students were at the operating room at Saint Peter’s Hospital during the C-section delivery, as soon as the baby was out, the doctor placed the newborn on the mother’s chest. When the mother was alert and awake during the C-section made it possible for the baby to stay on her chest on the first hours after the birth. It was one of the most beautiful moments in life. Nevertheless, there was another C-section birth of diabetic mother. She was not fully awake during the C-section and the doctor only did not promote skin-to-skin mother and the newborn. The doctors and nurses at Saint Peter’s Hospital support and encourage skin-to-skin for mother and newborn right after the birth if there is no complication on mother or baby or when the condition is possible. Saint Peter’s Hospital has policy for vaginal delivery, “all infants that meet the criteria for initiate skin-to-skin care shall have skin-to-skin care implemented as the standard of care immediately after birth and as needed thereafter regardless of feeding preference”. They promote skin-to-skin contact between mother and baby immediately after delivery. However, mothers and babies have a physiologic need to be together during the minutes, hours, and days following birth, and this time together significantly improves maternal and newborn outcomes.

The introduction of EBP onto healthcare improvement scene constituted a major paradigm shift. This shift was apparent in the ways nurses began to think about research results, the way nurses framed the context for improvement and the way nurses employed change to transform.

Special care and attention must be given to infants in the Neonatal Intensive Care Unit (NICU) because of their small size and the health complications they face. One particular challenge faced by health care professionals in the NICU is the management of pain for preterm babies. Preterm infants must undergo a wide range of tests, procedures, and, often, life-saving measures during their hospitalizations, which not only subjects them to pain, but pain-related stress and anxiety. This has an impact on the infants themselves, as well as on the family members and friends who are involved in their care (Smith, Steelfisher, Salhi, & Shen, 2012). The purpose of this paper is to examine the problem of pain management among preterm NICU patients and propose the implementation of kangaroo care as a pain management technique.

Ricci, S. Kyle, T. and Carman, S. (2017). Maternity and pediatric nursing 3rd ed. Philadelphia:

To help prevent this issue I have created a program for the Fairfax hospital Neonatal Intensive Care Unit (NICU) to facilitate the bond between mother and child while both are recovering and being cared for. The pilot program called “rooming-in” allows mother and child to be on the same private room where other family can also stay. The room will be designed to give maximum support to both mother and baby by having all resources in room as well as a private team of nurses.

As the demand for making changes and facilitating EBP increase, more models are developed to attain better EBP adoption, such as the ACE Star Model of Knowledge Transformation and the Iowa model of EBP (Schmidt & Brown, 2015, p. 47 - 49). As advance to the regional level of collaboration, nurses from different organizations, hospitals, or clinics obtain resources with assistance via local librarians (Schmidt & Brown, 2015, p. 50). As Shirey (2006) mentioned in her article, there are four important regional resource centers of excellence provide and integrate multiple resources to organizations, which facilitate innovation of EBP remarkably. In order to spread and implement the new change throughout the country, the national level of collaboration is employed to promote nursing research and EBP. Several national associations establish and update their EBP guidelines on an annual basis, therefore, nurses and organizations who are interested in research and EBP for providing a higher quality of healthcare to patient have references to look up and follow (Schmidt & Brown, 2015, p. 53). Finally, EBP changes made by the nurses from different countries is called the

In the United States, the Department of Health and Human Services works tirelessly in order to improve the conditions for newborn infants. Their goal is to provide essential human services, as well as protect the health for all Americans. Specifically, the area of infant health focuses on the period of rapid development from birth to one year age. The factors that contribute to infant health is not only attributed to the child, but also extends to the health of the mother and their family support system as well. This area of healthcare is extremely important because it ensures the future health of the next generation. Infant health has many external factors, such as social, economic, and biological, that influence the well-being of the

Within every change there are issues that will need to be resolved, and that is why this paper discussed various strategies to overcome those challenges. Kangaroo Mother Care helps improve the health of preterm infants in the NICU, along with their parents. That is why it is crucial to implement the change, and start making a different in these infant’s

Prematurity is the primary cause of increasing infants’ serious illnesses and deaths in the United States (CDC, December 2014).Preterm infants are more likely to have developmental delays, impaired cognitive growth, and behavioral problems as compared to their normal counterparts. Also, the expenditure for the care of premature babies is constantly increasing due to their extended stay in Neonatal Intensive Care Unit (NICU). Previous studies have estimated that the Average daily expense of NICU stay is over $ 3000 for each preterm infant (Muraskas& Parsi 2008). The longer the stay, more will be the cost. The length of NICU stay depends upon the gestational age and complications associated with prematurity. The

Medical and technological advances in maternal and neonatal care have significantly reduced maternal and infant mortality and medical interventions have become commonplace and arguably routine. Used appropriately, they can be lifesaving procedures. Routine use, without valid indication though, can transform childbirth from a natural physiologic process and family event into a medical or surgical procedure. Every intervention presents the possibility of unwanted effects and subsequent risks that can potentiate more interventions with their own inherent risks (McKinney, 2014).

There is power in having data to support change. The EBP process is one way of advancing improvements in healthcare. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.

Spartanburg Regional Healthcare System (SRHS) is a magnet hospital located in Spartanburg, South Carolina. Their mission is to “provide excellence in health” and their vision is to “become a national leader in health quality” (Spartanburg Regional Health Care System [SRHS], 2015). In the past, they have considered and implemented numerous changes and they continue to strive to make improvements that will successfully utilize evidence-based practice, further technological advances, and improve patient care (SRHS, 2015). While new change proposals can prove beneficial, change should occur gradually and is best promoted using a model or systematic framework such as Roger’s Diffusion of Innovations model. It is based on Lewin’s Change Model and includes Lewin’s three stages of “unfreezing, moving, and refreezing” (Kearney-Nunnery, 2012). Within the three stages, Rogers has incorporated “knowledge, persuasion, decision, implementation, and confirmation” (Kearney-Nunnery, 2012). Roger’s model is well-suited for change proposals stemming from evidence-based practice (Kearney-Nunnery, 2012). Therefore, Roger’s model is ideal for presenting one scientific change that SRHS should consider, which is the elimination or reduction of harmful bacteria in the surrounding environment through employee training, new policies and procedures, and structural/architectural changes within the hospital.

The nurse must be mindful of each intervention initiated and the possible benefits of the intervention against its potential harmful effects for both mother and fetus. Not providing basic comfort measures for the mother can cause serious physical and emotional problems and could lead to possible fatigue and feelings of failure from the mother. The priority of this nursing intervention is to provide the mother and fetus with the least discomfort as possible and