Mp's Five-Step Evidence-Based Model: A Case Study

I remain highly motivated that one day I will be able to help save another person’s life or to ameliorate their suffering in one way at the least. Enriching and bettering the world with quality health care has become one of my ultimate goals. I aspire to induce positive changes to the way healthcare is administered and it is my mission to serve the minorities in the Washington, D.C. metropolitan area. It is my desire to help people recover that drives myself to become a public health professional with a specialty in health policy and management, particularly minorities in low socioeconomic areas with inadequate health care. I for one remain adamant that these qualities will be of ample help throughout my formation as a public health professional. Furthermost, what drives me is my love for people and my desire to effect positive changes to the way healthcare is

Evidence-Based Practice Proposal Final Paper Usha Kizhakkedan Grand Canyon Final Paper of Evidence Based Proposal NUR-699 Dr. Debbie Long June 1, 2016 Table of Contents Part 1: Organizational Culture and Readiness Assessment 4 • Introduction to Evidence-Based Practice 4 • Barriers to Evidence-Based Practice 4 • Facilitators of Evidence-Based Practice 5 • Integration of Clinical Enquiry 5 • The Survey 6 Part 2: Problem Description 7 • Description 7 • Identification of change agents in the Health care system 8 • PICOT question 8 • Purpose and Objectives 9 • Rationale 10 • Literature support 10 • Research Method 10 Part 3: Literature Support 11 • Research Questions 11 • Search Method 12 • Organization of Literature 12 • Framework 12 • Nursing Rounds- Patient and Family Satisfaction: 13 • Communication: 15 • Management of Pain, Use of Call Lights and Cases of Patient falls 15 • Data Collection 16 Part 4: Solution Description 16 • Objectives 17 • Change Methodology 17 • Implementation Plan 18 • Evaluation 19 Part 5: Change Model 19 • Change Model 20 • Implementing Change 21 • Rationale 22 Part 6: Implementation Plan 22 • Staff Education 23 • Client feedback 23 • Timeframe 23 • Hiring Process 24 • Implementation 24 • Data collection and Evaluation 24 • Progression 24 • Resource Management 24 • Budget Plan 25 • Outcomes and its impact 25 • Summary 26 Part 7: Evaluation of Process 26 • Objectives 26 • Methodology 27 • Procedure 27 • Collection and Analysis of data

In today’s society, there is still a great struggle with health care disparities and many lives are affected by the lack of this fundamental program in our society. There are millions of people who die each year because they are unable to afford quality healthcare. The debate still continues about healthcare inequalities, what causes this disparity and who are affected by it. Health care is more of a necessity rather than a luxury and even though skeptics may argue to the latter, it only underlines the importance of the need for the wellbeing and care of individuals. There are several factors that could contribute to the lack of health care in the United States which ranges from but not limited to race, gender, socio- economic status, and lack of insurance coverage. The truth is there is a great disproportion between who can really afford quality healthcare as appose to individuals who have it. One would imagine that an employed individual would easily afford quality healthcare but we could be no further from the truth, since one’s economic status is an essential determinant to its affordability.

Though the American healthcare system has made big steps towards providing affordable healthcare for everyone, there remains a growing population of people who fall through the system’s cracks. These people are the medically underserved. They are typically the victims of unfortunate life circumstances that has left them without health insurance, or with insurance that provides inadequate coverage. The underserved also includes those who have trouble accessing healthcare for any reason. Anyone with illnesses or disabilities that require assistance beyond their coverage, or people who live in remote areas where healthcare services are sparse fall under this title. The term also does not exclude those who have sufficient insurance and resources, but struggle to understand and navigate our increasingly complex system of healthcare.

According to Stevens (2013), the call to develop and implement evidence-based practice (EBP) within all healthcare disciplines is fueled by legislative demands for improvement in standard medical metrics such as mortality and morbidity. However, increasing demands by the public for evidence related to the metrics and outcomes of such concepts as quality of life illustrate what may be more important to the client (Stevens, 2013). This client-directed focus has resulted in patient-centered outcomes research (PCOR) (Stevens, 2013). "The Patient-Centered Outcomes Research Institute (PCORI) helps people make informed health care decisions, and improves health care delivery and outcomes, by producing and promoting high integrity, evidence-based information

The whole world has issues with healthcare and how to provide care for all their citizens. The United States is currently in the process of making changes to its healthcare system. There are currently multiple types of health insurance in the United States. Today, I will address the health care insurance I have, its products, source of my insurance, my out-of-pocket expenses, the level of coverage I receive with my plan, the major limitations to my coverage, and the process of receiving needed care, needed care in my plan including exams, how to get to a specialist if needed and the process for non-emergency care.

The community identified its priority health needs by doing Community Health Status Assessment(CHSA). The aim of this was to obtain feedback from residents regarding their health status, access to healthcare and their perception of community services. The study included residents of Atlantic County and surrounding areas in Camden and Cape May counties that are serviced by Atlantic County hospitals in2002. The first research component was a secondary data collection. This secondary data profile contained health and wellness statistics collected from New Jersey, the Department of Health and Senior Services NJDHSS, CDC, and U.S. Census Bureau data. The profile identified the health status of area residents compared to those in other parts of the state and the nation. The same data profile was used in the

Evidence-based practice is a decision making process in which you combine scientific data with clinical expertise, patient values and circumstances of the patient. (Hoffmann, Bennett 2017). The World Health Organisation (WHO) defines chronic diseases as those which are caused by non-reversible pathological changes in the body, are permanent and leave a lingering disability, those that require ongoing rehabilitation or care. Indigenous Australians experience very high prevalence, morbidity and mortality from chronic health conditions such as diabetes, cardiovascular, renal and chronic respiratory disease. Multi morbid and comorbid chronic diseases are increasingly placing a greater burden on individuals, communities and health care services

In our research, we have compared three very different tools for ranking evidence based practice methods. Each of these tools could be effectively utilized in any healthcare facility or healthcare organization.

According to the QSEN Institute (2014), evidence-based practice is knowing how to identify gaps in existing evidence-based guidelines and finding ways to fix these disparities. Because the prison facility does not currently educate directly on the importance of proper and frequent hand washing, a lack in this evidence-based practice of hand washing education was identified and selected for implementation.

When the most precious thing of the parents, their children have a condition such as type 1 diabetes, life is changed and their first reaction is anger, denial and doubt, and ask each other why my son? It is very important that parents understand that their child's condition is manageable and with good habits it can be controlled. The availability of evidence-based practice is a tool we can use to demonstrate parents that what we have told them has scientific evidence and it has been proven that with a medical follow up, monitoring and proper diet their child can have a normal lifestyle and a good quality of life. Having in mind the recommendations and guidelines that are provided to the feelings of grief, anger, denial and frustration will

I have been working in community based services for three years now and one of the topics that I thought would be interesting to research would be the efficiency of evidence based practices within a community setting. I have myself been trained in several evidenced based practices which I have implemented with families. However, it has been a common experience among my colleges that many of these practices do not fit well within CBHI services. I would like to explore the issue and propose date to my field placement on how to better implement these evidenced based mental health practices within the community. I realized that this is a broad topic but I will work on refining this idea as I believe it will be valuable for my clients.

The purpose of faculty training in the nursing profession is to provide program evaluation to examine evidence-based practice in a simulation of care and provide safe nursing practice. Patients with a tracheostomy are high risk and have numerous problems for nurses to find because of respiratory problems. In addition, understanding the facility policy regarding tracheostomy care, the faculty must possess specific knowledge and skills to provide satisfactory care. Evidence-based research has provided the organization for nurses to improve nursing care standards and practice regarding tracheostomy care (Schreiber, 2015). On the other hand, the patient simulation laboratory (SIM lab) coincides with this setting because it uses state-of-the-art

Nursing is a practice that keeps evolving. A policy, according to Yoder-Wise (2014), “is just a plan for action related to an issue that affect a group’s well-being” (p.179). Nurse Managers and coordinator find ways to keep up to date with the standard of practice or evidence-Based practice. In my current work area, nurses are kept up to date with the use of online classes that are compiled by the company. The online class is a short power point with voice with a test at the end. This is required by all nurses. This online system allows nurses to learn at location of their convenience. If the nurses have any questions, they are able to refer to the power point and consult their administrator. This strategy allows nurses to review and understand

The authors Brady and Lewin discuss the concept of evidence- based practice and the current challenges. The authors describe evidenced- based practice (EBP) as the integration of three important components: evidence from research, clinical expertise, and patient values. They described with surprise the majority of nurses are not aware of current research findings to support their nursing practices. The authors found nurses rely on their experience, traditions, policies and procedures in their practice.