Dq Response 19332697

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Technology is integral to successful implementation in many projects,   through either support or integration or both. Name at least one   technology that could improve the implementation process and the   outcomes of your EBP project. Do you plan to use this technology? If   not, what are the barriers that prevent its use?

nimmi james reply

Technology has become an important factor in health care, and is used daily by most medical facilities, clinics, and home health agencies. Technology in health care can have its downfalls but has been shown to be very beneficial overall. Some ways that it has shown to benefit health care is by improving quality and safety, increase efficiency of health care and test results, improve public communication with health care, increase support of care in communities, build health skills and provide advanced learning, and allow information to be easily communicated between health care professionals (U.S. Department of Health and Human Services, 2019).

For my project, technology plays a major role in the implementation of pressure ulcer prevention. Technology can be used to to educate the patient and staff for proper interventions and prevention of pressure ulcers. Another technology that can be implemented in the units is taking pictures of the wounds by the wound care nurses or doctors to document and evaluate the progression and healing of the pressure ulcers. I am using technology to educate the staff and patient about the pressure ulcer prevention and how the nutrition can be helpful to achieve this goal.

Reference

U.S. Department of Health and Human Services (2019). Health Communication and Health Information Technology. Healthy People 2020. 

       Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/health-communication-and-health-information-technology.

 
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Dq Response 19336697

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by carrie

The evidence-based project (EBP) initiative that I am focusing on is developing and implementing a formal unit-based preceptor program. There are many aspects to consider when moving ahead with an evidence-based project (EBP) change, and one must ask how it will affect financial, quality, and clinical aspects.

Financial aspect: The financial aspect to consider for developing a formal unit-based preceptor program is the increased financial expenditures that organizations face with high nurse turnover rates. It costs organizations an estimated sixty-two to sixty-seven thousand dollars pre nurse leaving his or her job (Kovner et al., 2016). A unit-based preceptor program will directly impact the financial aspect because evidence shows that quality preceptorship increases nurse retention, thus decreasing the financial burden on the organization (Kovner et al., 2016).

Quality aspect: The quality aspect to consider for developing a formal unit-based preceptor program is the disruption to work patterns and inconsistency of care that is related to high nurse turnover rates. According to Kovner et al. (2016) increased turnover significantly affects the productivity, unit work patterns, and lowers job satisfaction which can result in decreased quality of patient care and outcomes. The unit-based preceptor program will directly affect the quality aspect of patient care in that when there is a decrease in turnover there will be an increased continuity of care and unit workflow patterns resulting in improved care and outcomes (T. Brock, personal communication, September 3, 2019).

Clinical aspect: The clinical element to consider for developing a formal unit-based preceptor program is how it enhances nursing skills for both the preceptor and the preceptee (T. Brock, personal communication, September 3, 2019). To precept students or new graduate nurses’ preceptors need to know the organization’s policies and nursing procedures which results in increased nursing and critical thinking skills (T. Brock, personal communication, September 3, 2019). A formal unit-based preceptor program will directly affect the clinical aspect in when precepting preceptees, questions often lead to a more in-depth review of literature to find answers and solutions.

Reference

Kovner, C. T., Djukic, M., Fatehi, F. K., Fletcher, J., Jun, J., Brewer, C., & Chacko, T. 

(2016). Estimating and preventing hospital internal turnover of newly licensed nurses: 

A panel survey. International Journal of Nursing Studies, 60, 251-262. 

doi:10.1016/j.ijnurstu.2016.05.003

 
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Dq Response 19336701

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Kimberly morris said

One financial aspect which needs to be taken into account with my evidence-based project (EBP) would be allowing for materials to be printed to be handed out to clients of the Calhoun County Public Health Department as well as to patients in other community facilities which may benefit from lead education. Because of the push for lead prevention within the community, this should be something which could be fixed rather easily. The Battle Creek Community Foundation provides grants and scholarships to encourage a positive change within the community and because of the recent lead focus, they may take an active interest and provide necessary funds for education (Battle Creek Community Foundation, n.d.).

A quality aspect of the lead project would be the utilization of the Michigan Care Improvement Registry (MCIR). This system provides not only immunization information, but it also provides information regarding lead testing. If a child has been tested for lead it will be recorded within MCIR. This would enable me to ensure there is no duplication of testing. It can also help me when identifying households with children within high-risk areas. Because of this, I will be able to do more targeted education either by providing a mailing to these houses or by going out and marketing the educational material to provider’s offices within that specific area.

Reference

Battle Creek Community Foundation. (n.d.). Retrieved from https://www.bccfoundation.org/

 
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Dq Response 19337909

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Dorothy 

My capstone project involves improving patient outcomes for patients who experience postpartum hemorrhage. I plan to provide education to nurses on symptoms of postpartum hemorrhage, educate on importance of quantitative blood loss, provide simulation trainings to be able to improve communication and care, and develop a protocol for treatment of hemorrhage. At first, I thought that we would be able to provide all aspects of the postpartum hemorrhage bundle at one time. However, after discussing it with my mentor, she feels it would be best to provide each segment individually. She introduced me to a concept called Team STEPPS. There are four main concepts in the framework: communication, leadership, situation monitoring and mutual support. The Team STEPPS model has three phases as well: planning, implementing and sustaining. By using the Team STEPP model health care agencies can be more successful in implementing change and provide safer higher quality care (Health Research & Educational Trust, 2015). Based on this concept, we will present the basic education for postpartum hemorrhage at a staff meeting. Our goal will be to give all staff members time to process the educational material, so that our first simulation training, allows them to demonstrate understanding of the educational material.     Current goal:  Staff meeting mid-September  First simulation training early to Mid-October    

 Reference  Health Research & Educational Trust. (2015). Improving patient safety culture through teamwork and  communication: TeamSTEPPS®. Chicago, IL:Health Research & Educational Trust. Retrieved from  https://www.aha.org/system/files/2018-01/2015_teamstepps_FINAL.pdf

 
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Dq Response 19337913

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Carrie 

In this discussion board, I will briefly describe my proposed solution to address the suggestion/educational need and how it has changed since I first envisioned it. (P), would providing teaching about tobacco cessation (I) compared to medications to assist in tobacco cessation (C) lead to a decrease in tobacco dependency and better health outcomes (O), after four weeks of intervention date (T)? Provide tobacco cessation techniques through the help of community services to decrease potential health problems secondary to tobacco dependency. The solution to this PICOT statement is to provide all patients who are admitted into the hospital with tobacco addiction, education prior to discharge. The education we provide patients at our facility is a sheet of paper that includes: What is my main problem, what is smoking cessation, what do I need to do, and Why is it important for me to do this? Making the patient aware of the risk they are posing to their health is important. When the patient has this information, they are able to make an informed decision on the next step to receive help with tobacco cessation. The fact that education is needed in order for the patient to begin tobacco cessation has not changed. The way that education is provided has changed. Education can be provided in various ways. In our facility, patients are handed a piece of paper that is reviewed with them with the nurse at bedside. In other facilities, education is performed on the television. Patients must complete the education by discharge. “With tools and smoking cessation resources from the Tips From Former Smokers® (Tips®) campaign, you can ensure your patients have the right resources to begin their quit journeys” (Centers for Disease Control and Prevention, 2019, para. 1). There are many resources and paths a patient can take to quit tobacco products. It is the nurse’s job to provide the patient with a variety of resources so that the patient can decide which method will help them individually be successful with tobacco cessation. Providing the patient options with tobacco cessation has changed my perspective. Not everyone learns the same way. Some people may be visual, tactile, etc. types of learners. Knowing the patients learning style is essential before providing any education. When the patient learns in a way that they better understand, they will be more successful in their cessation journey.  

Resource  Centers for Disease Control and Prevention. (2019). Healthcare Providers: Tools and Resources  | Health Care Providers | Partners | Tips From Former Smokers | CDC. Retrieved from   https://www.cdc.gov/tobacco/campaign/tips/partners/health/index.html

 
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Dq Response 19345257

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Nimmy James     Re: Topic 7 DQ 1  response 

The main objective of dissemination is to rise and encourage to spread the knowledge regarding evidence- based interventions. The main goal of enhancing better applications and patient outcome. There are various internal and external methods of disseminating evidence- based project. However, the method applied should be effective. The effectiveness characterized by positive engagement of the targeted audience, which enhances awareness, understanding and motivation to implement in the workplace. One of the hardest aspects of evidence-based practice (EBP) is making sure that the change we wanted to occur actually happens. So, evaluation of the results is a major component of evidence-based practice. It shows the progress that you have made throughout the process, it shows the failures and it also shows the success. As Ginex p states “Share the outcomes but also the process of your project: what worked, what didn’t, what you learned, and what you would do (or not do!) again” (Ginex, 2018).  “Dissemination can occur in many forms within your organization and beyond, and it should be part of the planning process for the full project” (Ginex, 2018). One internal method of dissemination of the project can be the hospital board, nurses and physicians and other professionals involved in patient care. These people have the most power to make the most change necessary to make the EBP successful. An internal method of disseminating of my EBP is through my unit counsel group and policy committee. These groups to ensure my EBP project will be implemented according to unit needs. One external method of dissemination can be the patients and families. External dissemination doesn’t even have to be through people it can be used through posters or even through on-line media. The internal and external groups are very important to facilitate sharing knowledge and data in the nursing field. Moreover, when reporting the finding to the groups would facilitate constructive criticism of the result, it will provide the opportunity to improve before implementation.     References:   Ginex, P. K. (2018). Use these methods to evaluate EBP outcomes and disseminate results. Oncology Nursing Society Voice.           

   Retrieved from https://voice.ons.org/news-and-views/use-these-methods-to-evaluate-ebp-outcomes-and-disseminate-results

Reference must include doi or retrieval URL 

 
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Dq Response 19345947

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Kimberly Morris    3 posts   Re: Topic 7 DQ 2  One of the keys to making a successful change and to assess its effectiveness is to collaborate with your partners to see what is most meaningful to you and the stakeholders (Prosci, n.d.)The evidence-based practice project I chose was to see if early education would an effect on the neuro and behavioral development of children. This seems to be a rather lengthy project which may actually take years to see if there is any relevant change. One thing I can do is to see the number of families who are willing to receive the information regarding lead and its negative effects. By knowing how many families within a higher risk area are being given the necessary information to make educated choices regarding lead, this will allow me to know at least how many families I am working with. This would give me a base number and then I could further study the children within the first five years of their life to know if they have been tested for lead, have tested above the suggested limit, and if they are having any neuro or behavioral problems. This would then allow me to get a percentage to see if there have been any significant changes within the high-risk community. Unless when discussing it with the other stakeholders involved, they have other ideas to measure the outcome, I would propose this.  Reference  Prosci. (n.d.). Metrics for measuring change management. Retrieved from  https://www.prosci.com/resources/articles/measuring-change-management-effectiveness-with-  metrics

Reference must include doi or retrieval URL 

 
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Dq Response 19455643

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    Respond one of your colleagues’ posts by offering a possible resolution to their  questions/concerns with supporting documentation, if possible, or  expanding on their thinking and providing an example as support.  

 at least 2 references in each peer responses!  You must do this to receive  maximum points! 

The most difficult question for me to answer when starting a master’s program was – did I make the right choice? After being accepted and following through with the admission process, it became clear that advancing my career was necessary in order to become a Psychiatric Nurse Practitioner to fulfill my aspirations in life. Although after being accepted to Walden, a whole new bundle of questions arose. How do I manage my personal life, time for self-care, work, and now reserving time for academics? Aside from the time management aspect, I question my strength at writing papers, especially when it comes to writing in APA format.

After posing these questions, I began searching for ways in which to be successful at both time management and successful writing tips. I gained insight by asking colleagues that I had listed in my academic success plan about time management and tips for APA writing. I also researched ways in which to be successful in an online Master’s program. According to Kelsey Sheehy, a contributor to US News, success in online programs “requires discipline, commitment, and organization” (2012). Sheehy went on to suggest that planning and setting aside time for course work helps to maintain a balance between work, family, and course work (2012). Having persistence and self- efficacy will also be imperative in maintaining success as an online learner alongside my ability to plan each week (“10 Traits of a Successful Online Learner” 2019). It is evident that to maintain a healthy balance of all areas of my life, I must prioritize planning as part of my success.

When it came to my concern about whether I could be successful at writing, I was relieved to find that Walden University offers a writing center. The writing center provides support when it comes to writing APA papers. Being able to utilize this resource before becoming overwhelmed will give me better control over my learning (Kauffman, 2015). The school writing center offers live webinars, as well as the ability to schedule appointments to address questions I have regarding APA allows me to feel more confident about my writing abilities. Having resources and support with my writing questions ultimately helps me feel more confident that I can be successful within my Master’s program.

 
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Dq Response 2

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 Respond one of your colleagues’ posts by offering a possible  resolution to their  questions/concerns with supporting documentation,  if possible, or  expanding on their thinking and providing an example as  support.  

at least 2 references in each peer responses!  You must do this to receive  maximum points! 

DQ #2

  

   As I begin my master’s program, there are many questions. Like most students, I am concerned with how most efficiently manage my time.  I am concerned that with working full time and going to school full time, I will not have enough time to read the assigned readings, complete the assignments, and retain the information required to pass state boards.  Throughout my BSN, I took one class at a time.  Taking two classes at a time leaves me feeling some anxiety as to whether I will comprehend and retain the information beyond the week’s assignment or test.  The academic skills center recommends using the SQ3R method to aid in reading retention and comprehension.  This is an active and process-based approach to reading that will allow you to remain engaged in the reading and help to retain the information (Walden University, 2019).  According to Rades (n.d.), some tips to effectively manage your time and increase productivity include making a list of things you know you waste time on  and minimize or eliminate those things, hiding or deleting social media apps, don’t multitask, and complete important tasks first.  Eliminating wasted time spent on unimportant things can buy more time for studying.  

           With spending most of my free time studying and doing assignments, how do I avoid anxiety and burnout?  How do have a positive work/school/life balance? According to Gordon (2015) meditation is a good way to relieve anxiety.  Small changes like mindfulness can have a large impact on our state of mind.  In the past, I have always told myself to take one day at a time. This has seemed to work thus far, but the Master’s program is a little more intimidating.  Any recommendations would be greatly appreciated.  I set high expectations for myself, which creates more stress and anxiety.  Tips to reduce stress and anxiety would be helpful as well.

 
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Dq Response Contribution

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QUESTION

Why is understanding the health care system at the local level   important to consider when planning an EBP implementation? Conduct   research and solicit anecdotal evidence from your course mentor that   you will take into consideration for your own change project

ANSWER

When making an evidence-based practice change, it is important to consider what is offered locally before implementing changes. Understanding your resources and what is available within the local community will allow the researcher to know where the change needs to be made and in what way a change could make things better. Knowing your community and what its needs are, should be the first step to making a change. While some communities may want to focus on diabetes because that has the highest prevalence in their area, others may want to focus on heart disease. What area of change would make the most impact and what services are already being offered within the community (Ockene et al., 2019)? These are important questions to ask prior to planning an EBP implementation.

After talking with my mentor, she brought up a few good points regarding my research on lead education. She mentioned that timing was important and that now is the time for promoting lead education and prevention within our county. She had mentioned many stakeholders are recognizing the importance focusing on lead right now and that there is a big push within our local community to begin with lead awareness. She also said there are many community leaders who are looking at lead and willing to fund projects involving this topic (V. Mouser, personal communication, August 20, 2019).

Reference:

Ockene, J., Edgerton, E., Teutsch, S., Marion, L., Miller, T., Genevro, J.,…Briss, P. (2019, April). Integrating           evidence-based clinical and community strategies to improve health. American Journal of Preventive           Medicine. Retrieved from https://www.uspreventiveservicestaskforce.org/Page/Name/integrating-          evidence-based-clinical-and-community-strategies-to-improve-health#copyright-and-source-          information

CAN YOU CONTRIBUTE TO THIS ANSWER

 
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