Wednesday, December 11, 2019

Evaluation Plan and Integrate EBP Samples †MyAssignmenthelp.com

Question: Discuss about the Evaluation Plan and Integrate EBP. Answer: Evaluation Plan Elements Create a vision for EBP This help to define the preferred future stand of the company in regard of its major objectives. Vision is the long-term outlook of the company; it narrates what the institution wants to become. The statement should take into consideration all the members and the EBP adopted should make the staff comfortable (Melnyk, Gallagher?Ford, Long Fineout?Overholt, 2014). The vision should help in outlining the following items: enhancing the staff involved in the research, increasing clinical study within the company and also enhancing the ability of the members to offer evidence-based care. Engage resource and personnel EBP requires the facilitation of the change process and input from different skilled internal and external facilitators. The model needs a theoretical explanation of the real meaning of EBP. All the staff should be given enough training in the area of EBP, strictly followed by enough time resource to help them learn and gain enough knowledge for the implementation of the entire process (Khammarnia, Haj Mohammadi, Amani, Rezaeian Setoodehzadeh, 2015). EBP training helps the management to reduce resistance and barriers to implementing EBP. The two major important areas include; understanding what EBP entails and recognizing clinical issues for applying EBP. There also need for understanding research and terms of the statistics, performing critical appraisals, implementing recommendations to users and general literature searches are the core for purpose of understanding EBP. Integrate EBP and nourish the culture EBP is a process that requires enough time for full implementation in the organization, nurses and other staff members need to identify clinical issues and ensuring that EBP is in line with the culture of the organization. Evaluate the evidence The organization should then evaluate the model and ensure that it performs towards fulfilling organizations goals put in place. EBP should be efficient and effective and enhances the performances of every member of the staff. Objectives and Strategies Objective: Develop a mental framework Strategy: Developing a written summary of what is to be achieved. Brainstorming will staff about the environment to be created. Objective: Establish a motivating image for change Strategy: Utilizing creativity for capturing clinical staffs attention. Taking advantage of actual clinical scenarios to emphasize the necessity for practice changes is another strategy. Objective: Create specific goals Strategy: Focusing on short-run, achievable goals and establishing solely 2-3 goals at a go. Objective: Gain administrative support Strategy: Contacting responsible administrators for clinical practice. Another strategy is creating a presentation which denotes the need for transforming the culture into Evidence-based practice surrounding. Seeking administrators accountable for clinical practice is required. Objective: Establish a leadership team Strategy: Identification of central personnel with EBPs passion. Conducting a small focus-group discussion/meeting is required. Objective: Involve experts and EBP mentors in clinical practice Strategy: Identification of EBP mentors and clinical experts focused in the areas. Engaging clinical specialists support. Barriers The six barriers to the implementation of EBP include institutional/cultural, lack of knowledge, lack of motivation, physician and patient factors, limited access to up-to-date, user-friendly technology and computer system and time management. Institutional/Cultural barriers Significant barriers are cultural factors in the institution and need to promote system-wide hospital change. Hospital system cultural attitude undermines the significance of professional advancement among the nurses (Jordan, Bowers Morton, 2016). Also, a traditional norm alongside a strong tendency of falling back on habits instead of basing practice on current evidence is also a barrier. Lack of Knowledge Lack of a basic knowledge of EBP is a barrier. Nurses fail to acknowledge criteria which reflect high-quality study/research. Mostly, lack of knowledge is never discussed as a theme in respective focus groups (Williams, Perillo Brown, 2015). Time management Some nurses hold that it is unrealistic to expect a nurse to follow up with study/research to reinforce their practice while taking care of patients. EBP implementation is a time consuming process with lots of bells and hoops to jump via and individuals to converse with to achieve implementation (Considine Currey, 2015). Physician and Patient Factors Different conflicting beliefs and values among doctors and patients hamper EBP care provision. Some doctors knowingly use obsolete practice because they feel it is evidence-based. Some patients do not want to alter their treatment plans when novel evidence arises. Lack of Motivation Lack of personal drive alongside motivation is required to improve nurse provision of better professional care. Nurses remain disinterested or uninspired to embrace EBP. Many nurses remain unmotivated to implement EBP due to the length of time between current employment and formal academic training (Bucknall, Forbes, Phillips, Hewitt, Cooper Bogossian, 2016). Limited access to up-to-date user-friendly technology and computer system Inadequacy computer resources hamper EBP implementation. Nurses providing direct patient care need access to as well as assistance with technical resources. References Bucknall, T. K., Forbes, H., Phillips, N. M., Hewitt, N. A., Cooper, S., Bogossian, F. (2016). An analysis of nursing students decision?making in teams during simulations of acute patient deterioration.Journal of advanced nursing,72(10), 2482-2494. Considine, J., Currey, J. (2015). Ensuring a proactive, evidence?based, patient safety approach to patient assessment.Journal of clinical nursing,24(1-2), 300-307. Jordan, P., Bowers, C., Morton, D. (2016). Barriers to implementing evidence-based practice in a private intensive care unit in the Eastern Cape.Southern African Journal of Critical Care (Online),32(2), 50-54. Khammarnia, M., Haj Mohammadi, M., Amani, Z., Rezaeian, S., Setoodehzadeh, F. (2015). Barriers to implementation of evidence based practice in Zahedan teaching hospitals, Iran, 2014.Nursing research and practice,2015. Melnyk, B. M., Gallagher?Ford, L., Long, L. E., Fineout?Overholt, E. (2014). The establishment of evidence?based practice competencies for practicing registered nurses and advanced practice nurses in real?world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs.Worldviews on Evidence?Based Nursing,11(1), 5-15. Williams, B., Perillo, S., Brown, T. (2015). What are the factors of organisational culture in health care settings that act as barriers to the implementation of evidence-based practice? A scoping review.Nurse education today,35(2), e34-e41.

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