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Evidence-based practice (EBP)

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Evidence-based practice (EBP)

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of evidence-based practice (EBP) is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time.

Name two potential barriers that may prevent your EBP change proposal (based on after discharge follow-up) from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.

Evidence-based practice (EBP)

Sustaining Evidence-Based Practice Change in After-Discharge Follow-Up

Sustaining change within healthcare organizations, particularly regarding evidence-based practice (EBP) proposals, can be challenging. As organizations implement changes, various barriers may arise that hinder the desired outcomes over time. In the context of an EBP change proposal focused on after-discharge follow-up, two significant barriers can be identified: staff resistance to change and inadequate patient engagement.

Barrier 1: Staff Resistance to Change

One potential barrier that may prevent the EBP change proposal from achieving sustained results is staff resistance to change. Healthcare staff may be hesitant to adopt new practices or workflows due to comfort with established routines, skepticism about the efficacy of the proposed changes, or concerns regarding additional workload. Resistance can stem from a lack of understanding of the benefits associated with the change, insufficient training, or inadequate leadership support.

Strategies for Overcoming Staff Resistance
To address this barrier, it is essential to engage staff early in the change process. Involving team members in discussions about the importance and expected outcomes of the EBP change can foster a sense of ownership and investment. Providing comprehensive training sessions that highlight the benefits of the new follow-up practices, along with how they can enhance patient outcomes, is crucial. Additionally, ongoing support from leadership and the establishment of feedback mechanisms can help staff voice concerns, thereby promoting a culture of open communication and collaboration.

Barrier 2: Inadequate Patient Engagement

Another significant barrier that could hinder the sustainability of the after-discharge follow-up proposal is inadequate patient engagement. If patients do not actively participate in their follow-up care, the effectiveness of the interventions may diminish. Factors contributing to this issue may include lack of understanding about the importance of follow-up appointments, barriers to accessing healthcare services (such as transportation issues), or low health literacy.

Strategies for Enhancing Patient Engagement
To overcome this barrier, it is vital to implement strategies that enhance patient engagement. Providing educational resources that explain the significance of follow-up care and what patients can expect during their appointments can empower them to take an active role in their healthcare. Additionally, employing various communication methods, such as reminder calls, texts, or emails, can help reinforce the importance of follow-up visits. Collaborating with community organizations to address transportation barriers and promote accessible healthcare services can also increase patient participation.

Conclusion

In conclusion, sustaining the EBP change proposal focused on after-discharge follow-up requires addressing potential barriers such as staff resistance and inadequate patient engagement. By actively involving staff in the change process and enhancing patient education and access to follow-up care, organizations can foster a culture of continuous improvement. Ensuring that the practice change is integrated into the organizational culture is essential for maintaining positive outcomes over time. Through these strategies, healthcare organizations can work towards achieving long-lasting impacts in patient care and outcomes.

References

McCormack, B., McCance, T., & McGhee, S. (2017). Developing evidence-based practice: A guide for nurses and health care professionals. John Wiley & Sons. https://www.wiley.com/en-us/Developing+Evidence+Based+Practice%3A+A+Guide+for+nurses+and+health+care+professionals-p-9781119266586

Ogrinc, G., et al. (2016). Transforming care: A multidisciplinary approach to improving patient outcomes. American Journal of Medical Quality, 31(5), 429-436. https://journals.sagepub.com/doi/full/10.1177/1062860616632454

 
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Evidence Based Practice (EBP)

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Evidence Based Practice (EBP)

Discussion Questions response

Must respond to at least one additional discussion question. Rationales must be provided for the response(s). 50-word minimum/100-word maximum without the reference(s). Minimum of one reference (the course textbook can be a reference), APA format.

Response

Evidence Based Practice (EBP) in Quality Improvement

Evidence-based practice alludes to assimilating the best available investigation evidence, which is the clinical know-how and the clients’ values, to enhance the outcome. The utilization of the evidence-based practice comprises asking the relevant clinical questions, determining the best evidence to answer the question, and applying the evidence to the nursing process. In all levels of care, the nurses are involved in asking and answering focused clinical questions, which are primarily aimed at improving patient outcomes (“Evidence-based practice: Principles, procedure, strategy and proof,” n.d).

The EBP practice is playing a fundamental role in allowing the nurses to formulate clinical questions, which are essential in identifying existing challenges, accumulation of definitive research evidence, breaking down the evidence, applying this evidence in the clinical intervention, and adding evaluation of their impact on quality improvement (Jolley, 2020). Some of the metrics that can be used in the review include the rates of readmission, mortality, satisfaction scores, among others, as evidence of whether the EBP is leading to improvement or deterioration in the quality-of-care services.

There are multiple ways in which the evidence-based practice applies to the improvement of the nursing services in the organization in which I work, including offering the best possible care services to improve patient’s experience. The evidence-based practice will also ensure continuous updating of the nurses on emerging medical protocols for the client’s care (Manivannan, 2016). The EBP is used in determining efficiency or ineffectiveness of processes such as prescriptions, electronic health records and other techniques based on their impacts on metrics such as readmission, mortality rates, patient feedback and others while unearthing areas of weakness for continuous quality improvement in the health care service delivery.

 

References

Evidence-based practice: Principles, process, policy, and proof. (n.d.). Art Therapy, Research and Evidence-Based Practice Art therapy, research, and evidence-based practice, 7-25. https://doi.org/10.4135/9781446215142.n2

Jolley, J. (2020). Evidence-based practice. Introducing Research and Evidence-Based Practice for Nursing and Healthcare Professionals, 63-88. https://doi.org/10.4324/9780429329456-4

Manivannan, S. (2016). Assuring quality in nursing colleges. Nursing Education and Quality Assurance in Nursing Colleges, 249-249. https://doi.org/10.5005/jp/books/12876_25

 
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