Ebp Innovations Model

The [DH] Toolkit (2009) outlines a commission framework to aid with strategic development of neonatal service that highlights the need to ensure the babies and families are the focus during their pathway of care given. The following care services should be commissioned as a part of neonatal care, these include transfer services, cot location services as well as a maternity bed (DH, 2009). Family centred care throughout their stay and ongoing into community with follow up services and a range of support services throughout and post care (Smith & Coleman, 2010). The DH toolkit can be used to a strategic level with regional and network planning as well as receiving support from commissioners. The toolkit is designed to support the delivery in

The goal is to increase our HCAPHS scores. To achieve this goal, the unit will implement the Perinatal Quality Collaborative of North Carolina (PQCNC) survey “How’s your Baby” on the unit at discharge. This is an anonymous survey for parents developed by PQCNC to assess patient care and readiness for discharge. A committee of three to four nurses, as part of a green belt project to revamp the unit’s discharge process, will take charge of the “How’s your Baby” initiative for the unit. The discharge committee will make sure that information on “How’s your Baby” is in the discharge packets and provide follow up with families once the infant is discharged from the hospital. The committee will provide education on the “How’s your Baby” initiative during staff meeting and provide feedback for staff on the

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

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.

Internal method is used to identify best practices within an organization, to compare best practices within the organization, and to compare current practice over time. In my EBP project, I would like to discuss internally with my coworkers, my mentor, patients and family members to get more information to solve issues regarding fall prevention because Communication and sharing information with participants always for specifying the purpose and strategy of the quality improvement. Developing open channels of communication across all corrections and at all levels of leadership, permits the voicing of concerns and observations the process of creating any change. External method I would like to use my EBP that is a Center for Transforming Healthcare

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

The APN leader interviewed for this paper is a Board Certified Nurse Practitioner (CNP), Chery Arnett works in the Neonatal Intensive Care Unit for Memorial Hospital of Carbondale. She began as a registered nurse in 1981, then in 2001earned her CNP title. She manages and cares for the ill neonate, collaborates with Neonatologist and Pediatricians to improve overall health outcomes. She provides support and assists ventilation, assists with deliveries both “normal” and high risk infants, provides care for the healthy newborns, also providing guidance to parents for caring for the “neonate” or healthy newborns. She is also responsible for assessments, orders, treatment plans, medications, and discharge of the infant. CNP’s provide initial, ongoing and comprehensive care, including managing patients with acute and chronic illness and diseases for both premature infants and term infants.

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 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.

Thank you for your great post. I do agree that the organization should have more BSN nurses to participate and work on implementing EBP. The best solution for the problem is to release the information about IOM the goal of 2020 and discuss what you learn and gain in the BSN program. In my organization, most of the people share the experience about the BSN program and it makes more people to attend the BSN program. I also told them that I could do it so you could do it.

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

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.

When infants and toddlers require to be hospitalized in the PICU and must endure procedures that may question the pain level, physiological status and recovery of such child, the question of how to involve or encourage the promotion of healing must be considered as an important factor of the patient. A study of using a method referred to as touch and talk to test the hypothesis of mental status and recovery to invasive procedures performed in the pediatric intensive care unit has concluded where the results may benefit the pediatric population. Many parents who have children currently or may experience in the future may find the study to be helpful when providing parental emotional

The introduction and background information of this study first identifies the information to be collected. According to several other studies listed, there are three specific factors that determine the successfulness of EBP implementation among nurses - access to EBP learning opportunities; faith that EBP is more beneficial than practices previously in use, and follow through of the