I need two replies to my peers discussion questions, one reference each, only within the last 5 years 100 to 200 words each should be enough. I’ve included their discussions questions.
1)Considerations in finances, clinical issues and quality aspects in evidence-based practice (EBP) are essential in developing any viable change proposal. Creating awareness for the EBP, developing knowledge and using the method are some of the processes that EBPs must follow for successful implementation (Cullen & Adams, 2012). My proposal addresses the need to ensure the wellness of older cancer patients going through chemotherapy. Their emotional and physical well-being translates to general good health that is vital to any recuperating patient. In my EBP proposal presentation, the use of virtual conferencing requires finances to access a stable internet connection and develop a PowerPoint presentation to ease the delivery of the proposal. The need to improve home-based care for these patients entails the use of finances due to equipment needs and home-based nurse employment. The relationship between the patients and the nurse will be of high quality as the nurse has only one patient. Also, prevention of polypharmacy which is common in most elderly patients is possible in this type of care (Farrington, Richardson, & Bridge, 2019). Elderly patients are vulnerable members of the society who require more attentive patient care.
References
Cullen, L., & Adams, S. L. (2012, April). Planning for Implementation of Evidence-Based Practice. The Journal of Nursing Administration (JANA), 42(4), 222-230. doi:10.1097/NNA.0b013e31824ccd0
Farrington, N., Richardson, A., & Bridge, J. (2019, June). Interventions for older people having cancer treatment: A scoping review. Journal of Geriatric Oncology, 11(5), 769-783. Retrieved August 17, 2020, from https://doi.org/10.1016/j.jgo.2019.09.015
2)The evidence-based practice (EBP) proposal is implementation od a closure bundle in colorectal surgeries to reduce surgical site infections (SSIs). It is critical to assess the financial, clinical, and quality aspects of practice change proposal. Practice changes require an upfront investment of time and resources. These investments are designed to create an improvement in outcomes, whether clinical (e.g., reduced infections), organizational (e.g., shorter length of stay), or fiscal (e.g., reduced unplanned readmissions, which helps the organization avoid Medicare penalties). Any of these may have cost implications. Some EBP improvements may not create cost savings but may achieve an equally valuable outcome (e.g., patient satisfaction) that helps fulfill the organizational mission (Cullen, 2018).
Implementation of practice change requires investments in time and resources to promote adoption of the EBP. Budgets need to consider start-up and ongoing costs, including personnel, equipment, meetings, training to develop experts, training for clinicians, and resources for evaluation. Capturing such investments may be advantageous for establishing the benefit of the EBP. In this project, the implementation is mainly related to cost of closure trays, its processing, additional supplies needed for skin prep and related process, educational materials, time, and resources invested for the planning and implementation. My proposal will direct and indirect financial impact on the organization and the patients, as it reduces the SSIs and reduce the cost of extended hospital stay, readmissions and Medicare penalties and mostly by enhancing the patient outcome and wellbeing.
Again, this proposal has significant impact on quality aspects of healthcare as this proposal helps in promoting the anticipated patient health outcomes, which include reducing mortality rate, promoting the patient’s quality of life, and minimizing hospital readmissions among other indicators. Regarding the EBP project, the evidence-based practice intervention would promote the quality of care by reducing the adverse health outcomes associated with the use of closure bundle to reduce possible SSIs. Additionally, it would enhance patient satisfaction.
One clinical aspect of practice change proposal is availability of healthcare staff, with relevant expertise and knowledge to facilitate the implementation of the evidence-based solution. In the midst of the prevailing shortage of healthcare professionals in the healthcare system, it is important to consider the skill mix required for the successful implementation of the EBP solution, its availability and the implications on the workload of the healthcare professionals in an organization. Preventive closure bundles with recommended elements from both standard of care as well as new interventions are most effective for SSI reduction following colorectal surgery (Pop-Vicas et al, 2020). Considering the positive impacts of enhanced patient recovery, with the use of SSI prevention bundle in colorectal surgeries, it is beneficial to spend money, time, manpower and other related resources for its implementation.
Cullen, L. (January 8, 2018). Evidence-Based Practice and the bottom line: an issue of cost. HFMA. Evidence-Based Practice and the Bottom Line: An Issue of Cost (hfma.org)
Pop-Vicas, A., Abad, C., Baubie, K., Osman, F., Heise, C., & Safdar, N. (2020). Colorectal bundles for surgical site infection prevention: A systematic review and meta-analysis. Infection Control & Hospital Epidemiology, 41(7), 805-812. doi:10.1017/ice.2020.112
0 comments