Essay
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EBPprocessformNATA.docx1
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. Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process.
Name: ___Nataliya Izarova__________________
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 topic of my nursing practice issue is reducing of patient’s medications errors at home in post hospital 30 days period.
Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.
There is 10–20% of hospital admissions among older people are associated with medication errors (Brekke et al. 2008). RN is the first medical professional who patient meets at home after hospital discharge. Medications reconciliation is # 1 nursing issue in hand off process when nurse visited patient home. RN must reconcile meds with discharged MD to make sure patient has and willing to take proper medications and dosages. RN must report any side effects or adverse reactions if any noted in the patient’s to prevent further body( systems) damage and re-hospitalization to correct the problem.
Star Point 2: Summary (Evidence to support need for a change)
Describe the practice problem in your own words and formulate your PICOT question.
It is often happens visiting nurses document medications list that is written in the discharge papers with no checking actual medications that patient has at home. This problem may lead to big discrepancies between medications that was recommended by a doctor who discharge patient home and actual medications at home.
PICOT question: Does timely nursing medications reconciliation will improve patient’s medications compliance and decrease risk of re-hospitalization during 30-days post hospital discharge?
List the systematic review chosen from the CCN Library databases. Type the complete APA reference for the systematic review selected.
Berland, A., Bentsen, S. B.,. (2017, March 28). Medication errors in home care: a qualitative focus group study. Journal of Clinical Nursing, 26(21-22), pp. 3734-3741. Retrieved from https://eds-a-ebscohost-com.chamberlainuniversity.idm.oclc.org/eds/detail/detail?vid=1&sid=9cd0736f-fe8f-425b-a17f-a478bca4f603%40sdc-v-sessmgr03&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=28152226&db=cmedm
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 .
Engelke, Z. (2018, April 13). Patient Education: Home Care -- Teaching Medication Self-Administration. Nursing Practice and Skill. Retrieved from https://eds-a-ebscohost-com.chamberlainuniversity.idm.oclc.org/eds/detail/detail?vid=2&sid=6c2f560a-bbdb-4658-b167-fe6940399d46%40sdc-v-sessmgr01&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=T706566&db=nup
Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence.
The study reveals the important role of nursing to follow agency’s policies and procedures in hands off process such as timely( within 24 hours) communication with discharged doctors, pharmacies. The study underlined the importance of nursing competency in pharmacology such as knowlege of generics and brands meds, to report any issues found in the home medications to avoid medications errors and patient’s taking unnecessary meds. Also, review stressed the importance to have all necessary documentation from a hospital during the first home visit as the references for medications reconciliation.
Outline one or two evidence-based solutions you will consider for the trial project.
Proper communication with referring doctor will be a visiting nurse priority to compare medications at home with medications doctor discharged patient with. This evidence-based solution will objectively provide accuracy in dosages and clear questions if nurse have any. For example if patient has aspirin 81 at home but doctor prescribed 325. Visiting nurse must confirm the dosage or even ask MD what was the reason meds dosage changed. In such situation the picture will be cleared with no questions behind.
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).
List your stakeholders (by title and not names; include yourself) and describe their roles and responsibilities in the change process (no more than 5).
What specifically is your nursing role in the change process? Other nursing roles?
List your stakeholders by position titles (charge nurse, pharmacist, etc.). Why are the members chosen (stakeholders) important to your project?
What type of cost analysis will be needed prior to a trial? Who needs to be involved with this?
Star Point 4: (Implementation)
Describe the process for gaining permission to plan and begin a trial. Is there a specific group, committee, or nurse leader involved?
Describe the plan for educating the staff about the change process trial and how they will be impacted or asked to participate.
Outline the implementation timeline for the change process (start time/end time, what steps are to occur along the timeline).
List the measurable outcomes based on the PICOT. How will these be measured?
What forms, if any, might be used for recording purposes during the pilot change process. Describe.
What resources are available to staff (include yourself) during the change pilot?
Will there be meetings of certain stakeholders throughout the trial? If so, who and when will they meet?
Star Point 5: (Evaluation)
How will you report the outcomes of the trial?
What would be the next steps for the use of the change process information?
9.2019 Update. DLP
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