NR 451 Week 6 Assignment: EBP Change Process form

Week 6 Assignment: EBP Change Process form ACE Star Model of Knowledge Transformation Follow Nurse Daniel as your process mentor in the weekly Illustration section of the lesson. Name: _____________________ Star Point 1: Discovery (Identify topic and practice issue) Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing practice issue.) The selected topic is errors in nursing practice. The nursing practice issue that is related to the selected topic is the reduction of errors by nurses through safety culture promotion in the health care institutions. Briefly describe your rationale for your topic selection. Include the scope of the issue/problem. Errors are common in the nursing practice and have adverse effects including placing the health of a number of patients at risk of getting ill or even death. Actually, millions of patients across have ended up dying due to medication errors. The errors can be contributed by factors such as fatigue due to long working hours, lack of paying attention by nurses, and recklessness. Nurses are capable of coming up with measures that could help in lowering the number of errors or even eliminating them completely in the nursing practice. 2.2019 Update. DLP This study source was downloaded by from CourseH on :57:19 GMT -06:00 NR451 WEEK 6 ASSIGNMENT : EBP CHANGE PROCESS FORM 2 Star Point 2: Summary (Evidence to support need for a change) Describe the practice problem in your own words and formulate your PICOT question. The number of error in the health care settings is ever rising and this comprises the problem in the nursing practice. Examples of the errors include medication errors, missed care to the patients, infections, and falls. Unfortunately, these errors have much deadly effects yet not much has been done in most healthcare institutions to ensure they promote safety culture with a focus of improving the health outcomes on the patients. Based on this problem in the nursing practice, the developed PICOT question is “Concerning medication errors (P), what impact does promoting the safety of patients has (I) compared to the use of checklists during the intervention (C) in the reduction of the mortality rate (O) within one year (T)?”. List the systematic review chosen from the Cochrane Database of Systematic Reviews from the Chamberlain library. Type the complete APA reference for the systematic review selected. Lawati, M. H. A., Dennis, S., Short, S. D., & Abdulhadi, N. N. (2018). Patient safety and safety culture in primary health care: a systematic review. BMC family practice, 19(1), 104. List and briefly describe other sources used for data and information. List any other optional scholarly source used as a supplement to the systematic review in APA format. 2.2019 Update. DLP This study source was downloaded by from CourseH on :57:19 GMT -06:00 3 Bodur, S., & Filiz, E. (2009). A survey on patient safety culture in primary healthcare services in Turkey. International Journal for Quality in Health Care, 21(5), 348-355. Description: This article evaluates the safety culture of the patients in units that offer primary health care. The paper demonstrates that improvement of safety culture to the patients should be a priority in the health care facilities. Gaal, S., Verstappen, W., & Wensing, M. (2011). What do primary care physicians and researchers consider the most important patient safety improvement strategies?. BMC health services research, 11(1), 102. Description: The paper explores the feasibility and effectiveness of the diverse strategies used in the improvement of the safety of the patients in the primary care. The most important strategies such as standard keeping of records and good medical record system are highlighted and discussed. Nieva, V. F., & Sorra, J. (2003). Safety culture assessment: a tool for improving patient safety in healthcare organizations. BMJ Quality & Safety, 12(suppl 2), ii17-ii23. Description: The article presents a discussion of the uses of safety culture assessment tool in the improvement of the safety of the patient. The article presents crucial processes that health care facilities need to adopt when making decision of using the culture assessment tools. 2.2019 Update. DLP This study source was downloaded by from CourseH on :57:19 GMT -06:00 4 Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence. Summary The article found that there are various definitions of patient safety culture. However, the most common definition was that patient safety culture refers, to shared values, perceptions, competencies, attitudes, and behaviors within a healthcare institution. It was also observed that most errors in the nursing practice come resulted from communication breakdown both inside and outside the nursing practice and poor relationships between care givers and the patients. The aspects that were found to be important in the patient safety culture include safety electric sockets, accessibility of telephone, and medical instruments availability. The paper identifies two tools that can be used in the measuring of patient safety culture. These are; the Hospital Survey on Patient Safety Culture (HSOPSC) and the Manchester Patient Safety Framework (MaPSaF).Through the HSOPSC tool, it was acknowledged that the safety of patient is complex and multidimensional. Overall, the article acknowledges that the safety of patient is important in the provision of quality health care and it has remained a big challenge. Patient safety can be improved by the health institutions first addressing and understanding safety culture. The strength of evidence On a scale of 1 to 5, the systematic review has strength of 5. This is because it has large supporting evidence of systematic reviews. The article used 28 articles with a global distribution 2.2019 Update. DLP This study source was downloaded by from CourseH on :57:19 GMT -06:00 5 in United States, German, Netherlands, Australia, United Kingdom, Canada, Brazil, Turkey, Kuwait, and Saudi Arabia. Outline one or two evidence-based solutions you will consider for the trial project. The managements of the health care institutions should come up with systems and practices the will help in promoting the culture of patient safety. They should also develop leadership capacity that will ensure there is effective communication between the patients and nurses as well as an effective system of recording and storing medical records for the patients. Star Point 3: Translation (Action Plan) Identify care standards, practice guidelines, or protocols that may be in place to support your intervention planning (These may come from your organization or from the other sources listed in your Summary section in Star Point 2). There should be a comprehensive learner-centered so as to increase the knowledge, skills, and attitude to the nurses. Furthermore, nurses should create an awareness of the various on the different approaches that can be used to promote patient safety and reduce errors in the nursing practice. List your stakeholders (by title and not names; include yourself) and describe their roles