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Evaluating and Sustaining Change from EBP

Evaluating and Sustaining Change from EBP

Evaluating and Sustaining Change from EBP

Introduction

The ultimate goal of EBP is to create a culture of evidence in an organization or practice setting. This assignment enables you to finalize the steps of the EBP process in relation to a health care challenge and to incorporate the importance of interprofessional communication and collaboration to appropriately assess and address the health care needs of patients and to promote and advance the health of populations. Evaluating and Sustaining Change from EBP

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Instructions

Write a paper in which you complete the steps of the EBP process and promote a culture of evidence.

Paper Format and Length

Format your paper using APA style.

  • Use the APA Style Paper Template [DOCX]. An APA Style Paper Tutorial [DOCX] is also provided to help you in writing and formatting your paper. Be sure to include:
    • Title page and references page. An abstract is not required.
    • A running head on all pages.
    • Appropriate section headings.
  • Your paper should be 4–6 pages in length, not including the title page and references page.
Assignment Grading

The following requirements correspond to the scoring guide criteria, so be sure to address each point. Read the performance-level descriptions in the scoring guide for each criterion to see how your work will be assessed.

  • Analyze the outcomes of an evidence-based intervention (step 5 in the EBP process).
    • Restate the PICO(T) question from your Week 5 assignment, and provide a transition to Step 5 of the EBP process, after an evidence-based intervention was implemented and data related to the outcomes have been gathered.
    • Review the information provided in the Vila Health: Creating a Culture of Evidence multimedia simulation, showing results from 2020 (after the intervention) compared to baseline data from 2018 and 2019 (before the intervention).
    • Analyze both qualitative and quantitative outcomes.
  • Develop a continuing evaluation plan in relation to the outcomes from an evidence-based intervention (still part of Step 5 of the EBP process).
    • Discuss additional data that needs to be collected and methods for doing so.
      • Was the data collected sufficient to show whether the intervention was successful?
      • When, and how often, should the same or other data be collected to continue evaluating the intervention?
      • Justify your conclusions and recommendations.
  • Recommend strategies to disseminate outcomes and sustain the evidence-based practice improvements through collaboration with professionals in health care and other fields (Step 6 in the EBP process).
    • Strategies could include how to teach providers or staff about EBP, how to facilitate changes in attitudes and behaviors, and how to lead change.
    • Make recommendations about how the organization can create a culture of evidence.
    • What evidence do you have to support your recommendations?
  • Organize your writing so ideas flow logically, with smooth transitions.
  • Apply selected resources to improve your writing skills.
    • Include an appendix after your reference page in which you identify writing improvement tools or resources you’ve used, based upon feedback received during the course from Smarthinking and your instructor.
    • Include evidence of the use of such tools as the Personal Writing Assessment, MEAL plan, outlining, reverse outlining, and (or) other resources explaining the appropriate use of evidence.
    • Explain how you used these tools or resources to improve your writing for this assignment.
  • attachment

    Unit7Assignment.docx

    Vila Health: Creating a Culture of Evidence

    You continue your work with the EBP intervention Team at St. Anthony Medical Center. Over the last three months, the organization has conducted an evidence-based intervention to address the hospital’s poor patient safety scores. Now, it’s time to review data about the results of the intervention. It’s also time to make recommendations for how the hospital can move forward to creating a culture of evidence.

    You have an email from Andrea Branch, the EBP Intervention Team Lead.

    EMAIL INBOX

    Inbox – (1)

    PDSA Cycle Outcomes – First Quarter 2018

    From: Andrea Branch, EBP Intervention Team Lead

    To: Kayla Stephens

    Thank you so much for all of your work on the patient safety intervention. Here is a report on how the intervention went over the past 12 weeks. I pulled data from our tracking system for the first quarter of 2020 for the same indicators with poor performance in 2018 and 2019.

    According to the data, it seems like we might be making a difference so far, but you will be the best judge of that. Here are the 2018 and 2019 yearly rates again, and at the bottom you will see the first quarter of 2020 rates:

    2018

    1. Patient Falls – Expected: 0 Observed: 3

    2. Medical Errors causing patient allergic reaction – Expected: 0 Observed: 2

    3. Staff member in Emergency Department (ED) needed urgent treatment for concussion = 1

    2019

    1. Medical Errors causing patient allergic reaction – Expected: 0 Observed: 4

    2. Staff member in Emergency Department needed urgent treatment for lacerations = 1

    3. Nurse on critical care unit slipped and broke her arm = 1

    2020

    1. Patient Falls – Expected: 0 Observed: 0

    2. Medical Errors causing allergic reaction – Expected: 0 Observed: 1

    I also wanted to mention that the EBP Intervention Team seems to think that staff members like the new Incident Reporting (IR) system.

    Also, they heard about a couple of incidents where water was spilled in the ICU, and one of the nurses reported each of these incidents immediately. She said it was about time we had an IR system where we could see possible immediate results and make positive changes to the safety of our environment.

    I also heard that the Lead Nurse in ICU had two huddles with all staff in the unit, including Environmental Services staff, on the importance of preventing slips and falls for both staff and patients and ensuring the floors in rooms and stations are clean and any spills are taken care of immediately. The Environmental Services staff members mentioned it to their supervisors and I guess their department will be adding one more round during the evening hours to help ensure floors are clean and not slippery for anyone. The Lead Nurse was even thinking about creating an educational poster on preventing falls to put up on the wall in the break room as a reminder.

    Anyway, that is just what I heard. Maybe if there is another formal town hall or something like that we can all talk about everyone’s experiences and get some input on how it’s going for everyone with the implementation of the intervention using PDSA cycles.

    I suggest you speak with Emilio Ramirez, the PDSA Team Director, to ask questions and gain insight on how you might write your final report and create a culture of evidence at St. Anthony Medical Center.

    Again, thanks for all of your hard work.

    Sincerely,

    Andrea

    St. Anthony Medical Center

    You meet with Emilio Ramirez, the PDSA Team Director, to discuss your next steps, including how to move forward with building a culture of evidence at the hospital.

     

     

    What questions do I need to be asking myself as I complete my final report?

    Emilio: That’s an excellent question. One important question you should yourself is, “When do I want another report?” What kind of time frame is needed to ensure that you have the data you need. Another important question is, “How are we going to sustain this?” Going forward, do you have a plan to obtain continued buy-in by stakeholders, as well as the resources you need to continue with the intervention? Evaluating and Sustaining Change from EBP

    EMAIL INBOX

    Inbox – (1)

    Final report

    From: Jackie Sandoval, CNO

    To: Kayla Stephens

    I am aware of the success of the evidence-based intervention with the PDSA cycle team and with the nursing staff. This is great news! Now we need to spread this optimism about EBP throughout the organization.

    As you write your final report and make recommendations to foster engagement by various stakeholders in the organization to create and sustain a culture of evidence. Please address the following:

    · Differing opinions that existed within the medical staff.

    · Organizational culture.

    · Leadership strategies.

    · Communication planning to share the results with stakeholders across the organization.

    Thank you for all your hard work!

    – Jackie

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