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Paper Inleiding EBP en E-Health + beoordelingsfomulier (9.6!)

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Benchmark -Evidence Based Practice Proposal Final Paper Student Name University Name Course Number, Section, and Title Instructor Name Date (Month, Day, Year) 2 Abstract Knowing an organization's culture is very important to start the process of assessing its readiness for Evidence Based Practice (EBP) EBP will improve the care of patients with diabetes disease, by decreasing the length of stay during hospitalization. For the EBP to be successfully implemented, several technological equipment including EHRs are required. Providing evidencebased mentoring education should be provided at the organization by nurses who have adequate experience with implementing EBP. Diabetes is a group of related diseases that affect the endocrine system. There are more risks of diabetes (77%) higher among African Americans compared to non-Hispanic white American in United States. Current standards of care for diabetes disease are pharmacological treatment at home or healthcare setting. Other non-pharmacological treatment, like physical exercises and diet modifications, should be evaluated. Diabetes is a life-style condition and is more prevalent among individuals of African American ethnicity. Effectively reducing the prevalence of diabetes disease, will require strong collaboration between healthcare providers, the healthcare system, and the community. Achieving this goal would require adequate funding the healthcare facilities in areas occupied by people of lower socioeconomic status. The outcomes of the project will result in tremendous impacts on the quality care improvement. The theoretical framework that was selected for this project is the Roger's Diffusion of Innovation Theory. This framework is important in guiding the adoption of EBP project for change. The stages in Roger's diffusion theory included: knowledge, persuasion, decision, implementation, and confirmation. Diet modification is hard to achieve overnight, but success can be visible through behavioral changes one at a time. This EBP project is proposed to take place at an out-patient diabetes community hospital in the Dorchester area at Carney Hospital, Boston Massachusetts. The participants targeted for this project will be those patients with type 2 diabetes aged 18 and older with diabetes. The amount of time needed to complete this project is essential to take around four to eight months. Two physicians, two registered nurses, and a project manager were the key partners in this initiative. Aside from the estimated sum of Medicare patients qualifying for case management, there shall be zero patient contact or patient details needed for this initiative. The intervention itself would be free of charge, as well as the other target documents. There is no question that EBP is a strategy for problem solving that can be found in both diagnostic and management procedures. Focus groups can be very helpful if the opportunities for one-on-one interviews are minimal or you need to replicate a certain social environment. Since the research was completely based on evidence-based practice, it is easy to measure and evaluate the results. There were several groups to see whether the plan works with different individuals in order to see the validity and applicability of the research. The view of soul food as unhealthy has led to unhealthy cooking practices and a lack of variety. Without giving up the culture, African Americans will still eat soul food in a healthy way.

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Geüpload op
9 juli 2022
Aantal pagina's
21
Geschreven in
2021/2022
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Benchmark -Evidence Based Practice Proposal Final Paper




Student Name
University Name

Course Number, Section, and Title

Instructor Name

Date (Month, Day, Year)

, 2


Abstract

Knowing an organization's culture is very important to start the process of assessing its readiness
for Evidence Based Practice (EBP) EBP will improve the care of patients with diabetes disease,
by decreasing the length of stay during hospitalization. For the EBP to be successfully
implemented, several technological equipment including EHRs are required. Providing evidence-
based mentoring education should be provided at the organization by nurses who have adequate
experience with implementing EBP.


Diabetes is a group of related diseases that affect the endocrine system. There are more risks of
diabetes (77%) higher among African Americans compared to non-Hispanic white American in
United States. Current standards of care for diabetes disease are pharmacological treatment at
home or healthcare setting. Other non-pharmacological treatment, like physical exercises and
diet modifications, should be evaluated.

Diabetes is a life-style condition and is more prevalent among individuals of African American
ethnicity. Effectively reducing the prevalence of diabetes disease, will require strong
collaboration between healthcare providers, the healthcare system, and the community.
Achieving this goal would require adequate funding the healthcare facilities in areas occupied by
people of lower socioeconomic status. The outcomes of the project will result in tremendous
impacts on the quality care improvement.

The theoretical framework that was selected for this project is the Roger's Diffusion of
Innovation Theory. This framework is important in guiding the adoption of EBP project for
change. The stages in Roger's diffusion theory included: knowledge, persuasion, decision,
implementation, and confirmation. Diet modification is hard to achieve overnight, but success
can be visible through behavioral changes one at a time.

This EBP project is proposed to take place at an out-patient diabetes community hospital in the
Dorchester area at Carney Hospital, Boston Massachusetts. The participants targeted for this
project will be those patients with type 2 diabetes aged 18 and older with diabetes. The amount
of time needed to complete this project is essential to take around four to eight months. Two
physicians, two registered nurses, and a project manager were the key partners in this initiative.
Aside from the estimated sum of Medicare patients qualifying for case management, there shall
be zero patient contact or patient details needed for this initiative. The intervention itself would
be free of charge, as well as the other target documents.

There is no question that EBP is a strategy for problem solving that can be found in both
diagnostic and management procedures. Focus groups can be very helpful if the opportunities for
one-on-one interviews are minimal or you need to replicate a certain social environment. Since
the research was completely based on evidence-based practice, it is easy to measure and evaluate
the results. There were several groups to see whether the plan works with different individuals in
order to see the validity and applicability of the research. The view of soul food as unhealthy has
led to unhealthy cooking practices and a lack of variety. Without giving up the culture, African
Americans will still eat soul food in a healthy way.

, 3


Section A: Organizational Culture and Readiness Assessment
Knowing an organization’s culture in very important to start the process of assessing its

readiness for Evidence Based Practice (EBP). Organization culture and readiness for the whole

system integration of EBP are tools that can used to assess the organization’s level of readiness.

Based on the survey at Fallon Medical Center (FMC), regarding EBP that will improve the care

of patients with diabetes disease, by decreasing the length of stay during hospitalization. With

some level of interventions in place, the organization is prepared for the change. The category

that scored high is the availability of usable technological equipment. For the EBP to be

successfully implemented, several technological equipment including EHRs are required and

these were readily available within the organization.

Another category of readiness was the availability of resources and facilities that

enhances the efficient of implementation of EBP. The organization has libraries that are of great

importance to the team in the acquisition and access of additional knowledge regarding EBP.

However, the employee’s knowledge and attitude regarding EBP project and organizational

culture, scored low points (Jones et al., 2015). Employees lacked knowledge on the usefulness of

EBP project and how such knowledge could increase employee engagement, retain talent, drive

successful transformation and positively impacting project results (Jones et al., 2015).

Project Facilitators

Some leading facilitators of EBP include the organizational leadership which promotes

staff participation in multidisciplinary team effort when formulating new organizational policies.

The leaders have an inclusive policy encourages staff involvement in decision-making. Data

collection is done through the charting system, which makes data collection on patients’ length of

stay and caregiver involvement, relatively easy. Collaboration between several departments such

as the Intensive Care Unit (ICU), and rehabilitation department is well maintained. In addition,

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