assignment
taylor222
20170204152750evidencebasedpracticeproposalsectionbproblemdescription.docxEVIDENCE-BASED PRACTICE PROPOSAL- SECTION B: 6
EVIDENCE-BASED PRACTICE PROPOSAL- SECTION B: 4
Running head: EVIDENCE-BASED PRACTICE PROPOSAL- SECTION B: 5
Evidence-Based Practice Proposal- Section B: Problem Description
Problem Definition
Evidence- based Practice or EBP can help change and improve care in many different healthcare settings. It is essential therefore to assess the organizational-wide problems that require the most attention and implementation of EBP protocols. In the case of my individual organization the major problem that requires the most immediate attention is the problem of inadequate provision of quality and efficient healthcare services in the sepsis identified patient due to poor coordination among healthcare providers, physicians, and other key stakeholders within the facility. It should be noted that the major goal of every healthcare organization is to provide quality and reliability for patients seeking healthcare services (Melnyk & Fineout-Overholt, 2015). Statistics show that one out of four patients who become septic in the hospital will die due to the illness (Surviving Sepsis Campaign Guidelines Committee including the pediatric Subgroup [SSCGC], 2013). It is proven to be detrimental that these patients are identified very early and treated aggressively to decrease mortality, length of stay and reduce the cost of care. Utilization of EBP protocols during Emergency Department triage and care can provide safer, better quality care, saving lives, reducing length of stay and reducing cost of care for patients and third party payers. This should be the guiding principle of every healthcare organization, although it is the goal of this healthcare organization it has become very difficult for this organization to fully realize because of the lack of resources and poor integration of departments within the facility as well as the lack of coordination among healthcare providers, physicians and other key stakeholders. The problem of poor coordination among healthcare providers and physicians within the facility is the main contributor to inadequate provision of quality and reliable healthcare services within the facility. It is essential to adopt EBP with the facility to ensure quality and efficient care for all patients.
Stakeholders/change agents
Successful implementation of EBP requires efficient coordination of all units and cooperation among all stakeholders within the facility. These stakeholders form part of the change agent and they include individual providers, practitioners, nurses, patients, nurse managers and other key stakeholders within the facility.\ These change agents play an important role in facilitating change since they coordinate the flow of information about the proposed change (Melnyk & Fineout-Overholt, 2015). It is also important to note that these change agents support and champion for the innovation and help overcome any resistance to the proposed changes (Melnyk & Fineout-Overholt, 2015).
PICOT Question
In Emergency Department patients, over eighteen years of age, what impact does implementing sepsis evidence-based protocols have on the level of compliance among nurses with best practice recommendations (early identification, diagnosis and treatment, utilizing the use of lactate levels, cultures, and the sepsis bundle) in comparison to no protocol use?
The project purpose and objective
The main purpose and objective of this project is to ensure effective provision of quality, reliable patient care through the adoption of EBP sepsis protocols that 1) ensure efficient and effective coordination of care among nurses and other key stakeholders within the facility 2) establish patient potential for sepsis early 3) implement sepsis adult evidence based protocols within one hour.
Supportive rationale
Sepsis has been one of leading causes of death in healthcare facilities around the world for many years. Even with the many campaigns and availability of evidence for the early identification and treatment there is a continued higher death rate associated with cases of sepsis (McClelland & Moxon, 2014). Efficient coordination of nurses and other key change agents enables effective provision of quality care within the facility which results in more than adequate care and improved health and safety of patients within the facility (Melnyk & Fineout-Overholt, 2015). Adopting EBP sepsis protocols will result in several changes including a more engaged facility, improved communication among healthcare providers and staff and all around improved patient care. The problem of lack of coordination among healthcare providers and other healthcare staff has resulted in poor quality of healthcare services within this facility. Implementing EBP sepsis protocols will ensure higher coordination among providers and physicians which will result in improved sepsis identification and patient care.
References
McClelland, H., & Moxon, A. (2014). Early identification and treatment of sepsis. Nursing Times, 110(4), 14-17. Retrieved from www.nursingtmes.net/download?ac=1275356
Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice (3rd ed.). Philadelphia: .
Surviving Sepsis Campaign Guidelines Committee including the pediatric Subgroup. (2013, February). Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Critical Care Medicine, 41(2), 580-637. http://dx.doi.org/doi:10.1097/CCM.0b013e31827e83af
