The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
  • Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

Main Post Discussion 2- 

The clinical question of interest on this assignment is how to prevent hospital-acquired infections among hospitalized adults. Hospital-acquired infections, also known as healthcare-associated infections (HAI), are nosocomially acquired infections that are typically not present or might be incubating at the time of admission (Monegro, 2020). Nosocomial infections are acquired after admission to the hospital, manifest within 48 hours after hospitalization and include: catheter-associated urinary tract infections, central line-associated bloodstream infections, surgical site infections, ventilator-associated pneumonia, hospital-acquired pneumonia, and Clostridium difficile infections (Monegro, 2020).

The next step in the EBP process, searching for the evidence, search for literature reveals body of evidence that can show best practices we can use to solve clinical problems (Laureate, 2018).

For my search I choose CINAHL Plus and TRIP Database with Full-Text databases to answer my PICOT question. I searched keywords “hospitalization or inpatient”. From the search options, I selected the following limiters: Boolean/Phrase, also searched within the full text of the articles, Full text, Peer reviewed Journals, English Language, Evidence-Based Practice, All adult, Inpatients. The result was 1,593 articles, which was not related to my topic of interest. I then searched key word “CAUTI Prevention”, which narrowed down the result to 42 articles. This time the articles were more related to what I was looking for but not heading to answering my PICOT question yet. I then tried the combining approach and searched “CAUTI Prevention” AND “Inpatient”, resulting in 19 articles that were more relevant to my clinical question.

To find significant information about my clinical question I choose keywords related to my PICOT question, searched combined keywords, and set limits to further narrow the result.

It is good to note that using “or” instead of “and” is helpful for it does not limit the results to items that have both keywords used (Walden University Library, n.d.-a). While trying to use specific keywords is important, using judgment and relationship words should be avoided since they may exclude relevant articles to the topics (Walden University Library, n.d.-b).

In my opinion exploring relevant articles to resolve clinical issues is a skill that improves with practice.

I also noticed that combining the searches can generate narrowed down number of articles more specific to the clinical issue.

Reference

Laureate Education (Producer). (2018). The Value of Clinical Inquiry [Video file]. Baltimore,

MD: Author.

Monegro, A. F. (2020, September 3). Hospital Acquired Infections – Stat Pearls – NCBI

Bookshelf.

Discussion Week 9

Introduction

                   Evidence-based practice is essential in providing quality care, promotes patient outcomes and quality of life. Nurses should standardize the use of evidence-based practice to maximize their performance. Evidence dissemination is vital because it enhances nurse’s awareness and enables them to implement evidence-based practice.

Most Inclined Dissemination Strategies

                   The dissemination of evidence-based practice aims to enhance and encourage the spread of information concerning evidence-based interventions to improve patient outcomes (Melnyk, & Fineout-Overholt, 2018). The first strategy that I will utilize in disseminating evidence-based practice information is user-friendly manuals and guidelines. Examples of manuals and procedures include practice guidelines and treatment manuals provided to all individuals in the organization. I will create policies and manuals that are friendly to the target group. Similarly, evidence-based treatment manuals serve different purposes. The information contained in different practice guidelines and manuals can be learned quickly. Hence there is no need to use a lot of resources in hiring experts to implement the programs.

The second strategy that will be used to disseminate evidence-based practice is electronic poster presentation. Adapting the use of electronic poster presentation is a way to utilize space and is more economical “green” (Betz, Smith, Melnyk & Tessa, 2018). The electronic poster presentation is displayed on a large computer screen. This type of dissemination can be instituted in the entire health care facility on computers in different sections that can reach wider onlookers. Using electronic poster presentation is vital because it is economical and make use of available space. It has been proved that electronic poster presentation results in the effective dissemination of evidence-based practice. My organization has recently inaugurated the service of electronic poster presentations due to its effectiveness.

Least Inclined Dissemination Strategy

The dissemination strategies that I would least incline to are online modules and workshops. Online modules lack feedback from the audience. For instance, the nurses are assigned education modules and given a check box to tick yes or no if they have read the modules. Additionally, the nurses can mark the check box to indicate that they have read the information while they haven’t. In my opinion, the workshop’s effectiveness will depend in attendance and is limited to the length of time of the workshop.  

Barriers that may be Encountered

There are different barriers that I may encounter while utilizing the dissemination strategies that I am most inclined to. I fin

CRITICAL APRAISAL

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Evaluation Table

Full APA formatted citation of selected article.

Article #1

Article #2

Article #3

Article #4

(Parker, Giles, Graham, Suthers, Watts, O’Brien, & Searles, 2017).

(Scanlon, 2017).

(Ferguson, 2018).

(Menegueti, et al, 2019)


Evidence Level *

(I, II, or III)



Level III

Level II

Level III

Level II

Conceptual Framework

Describe the theoretical basis for the study (If there is not one mentioned in the article, say that here).**

The basis for the study was to minimize IDC usage rates by minimizing improper urinary catheterization and duration of catheterization.

The basis for the study was to boost nurses’ knowledge on how to reduce NSUH ICU and NSLIJHS ICU CAUTI.

The basis for the study was to lower the cases of CAUTIs and enhance quality.

The basis for the study was to analyze the impact of adopting a HWCs educational program and checklist for indwelling urinary catheter indication among critical patients on the incidence of CAUTI.

Design/Method

Describe the design and how the study was carried out (In detail, including inclusion/exclusion criteria).

The study design used was multiple pre-post control interventions. In four acute care hospitals in Australia, the complex approach will be adopted and analyzed.

The data will be collected from all adult inpatient wards excluding operating rooms, emergency departments, and day-only wards.

The study design used to collect data is scorecards. The scorecards that were used include patient care services scorecard, unit-based scorecards, collaborative care, and council scorecard. The data will be collected from CAUTI ICU patients and CAUTI NON-ICU patients.

The design that was used is non-probability sampling. In this study, it was optional for the nurses to attend education training for CAUTI prevention. CAUTI patients that were at risk in a hospital setting were involved in the study.

The design that was used to collect data was a Quasi-experimental study. It was carried out in nine beds general intensive care public hospital in Southeast Brazil. An exclusion criterion was not indicated.

Sample/Setting

The number and characteristics of

patients, attritio