Evidence-Based Practice Proposal – Evaluation of Process – Solved Essay

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In 500-750 words, develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

1. Describe the rationale for the methods used in collecting the outcome data.

2. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.

3. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.

4. …

Solution

Evidence-Based Practice Proposal – Evaluation of Process

Introduction

This EBP project will guide nurses on how to reduce 30 days post-discharge readmission rates. A decision will, therefore, be made on whether to accept and amend the practice change. The chief changer agent together with the quality manager and case management director will evaluate the process by assessing the utilized evidence-based materials. 

The rationale for the Methods Used in Collecting the Outcome Data

It is easier for most patients to respond to questions using a Likert scale. It is also possible to get the contributing factors to the patients’ worsening health state such as dietary, co morbidity, and non-adherence to patient education. For instance, the nurse can give them dietary recommendations as well as common food’s specific sodium content. They are also able to assess whether the patients received full medical evaluation or not. Patients who are at high risk for readmission due to para-medical reasons like non-optimal medication are also identified with ease.

Ways in Which the Outcome Measures Evaluate the Extent to Which the Project Objectives Are Achieved

By getting the comparison of the 30 days readmission rate for outpatients receiving additional information to inpatients getting traditional education, the extent of achievement of reduction of readmission rate will be evaluated. According to Ziaeian, and Fonarow (2016), discharge education helps in reducing readmissions of heart failure patients. However, this intervention alone is not enough to reduce heart failure readmission rates. There is, therefore, a need for other interventions like discharge planning, prior scheduling of follow-up, communicating with outpatient providers, medication reconciliation, and follow-up telephone calls. Readmission is prevented since these patients receive necessary information about diet, how to adhere to medication, and also how they can manage symptoms on their own.

Outcome Measures and Their Evaluation

The proposed EBP project outcome measure to be measured will be to measure the rates of readmission for those HF patients receiving extra education within an outpatient setting in comparison to those who received the standard education offered to in-patients. The anticipated outcome will also be to increase self- care behavior knowledge and early recognition of symptoms in need of attention by the primary care physician. The validity and reliability of the data will be premised on the fact that the data will be obtained from HF patient director of case management. Similarly, the data’s applicability will rely heavily on the director of quality who prepares reports on monthly reports an HF subcommittee.

Strategies to Take If Outcomes Provide Negative Results

It’s not always that the results of a project turn to be positive. It is therefore necessary to formulate strategies that would be implemented in case the outcomes are negative. If negative results are registered, the implementation plan would be revised by identifying the barriers at the patient, health providers, and system-level barriers. Possible ways of addressing the obstacles would also be devised. Among other strategies to address these barriers include the medical home establishment in outpatient clinics, partnership creation with community resources for patients with low income, and medical home establishment with heart failure patients and families (Figueroa et al., 2017). Alternatively, we would look for suitable ways of addressing the study limitations. Chamberlain et al., (2018) acknowledges that a larger sample size would be lead to an accurate measure of changing trends. Patients from several organizations would also be used. These would help to improve health outcomes.

Implications for Practice and Future Research

Advanced Practice Nurses (APNs) are responsible for the care coordination of care for heart failure patients. They assess the patient’s needs; implement necessary educational elements for chronic condition management as well as evaluation of patients’ adherence to management behaviors for self-care. They also check the patients’ daily weights, understand dietary restrictions, and also identify worsening symptoms. Their expertise also promotes positive healthcare practices. To direct change in practice, future research should be based on existing study findings. The research should also determine whether the outcome quality of heart failure patients is improved by education led by APNs. If the education tool used is successful, its use would be continued at the project facility.

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Conclusion

The results of the project will determine whether it will provide the nurses with a framework to apply future interventions for heart failure management. Improved outcomes and reduced 30 days readmission rate will indicate better implementation of the chosen strategies. In the long run, heart failure patients will benefit from the health facility

References

Chamberlain, R. S., Sond, J., Mahendraraj, K., Lau, C. S., & Siracuse, B. L. (2018). Determining 30-day readmission risk for heart failure patients: the Readmission after Heart Failure scale. International journal of general medicine, 11, 127.

Figueroa, J. F., Joynt, K. E., Zhou, X., Orav, E. J., & Jha, A. K. (2017). Safety-net hospitals face more barriers yet use fewer strategies to reduce readmissions. Medical care, 55(3), 229.

Ziaeian, B., & Fonarow, G. C. (2016). The prevention of hospital readmissions in heart failure. Progress in cardiovascular diseases, 58(4), 379-385.

Question

In 500-750 words, develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

1. Describe the rationale for the methods used in collecting the outcome data.
2. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.
3. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.
4. Describe strategies to take if outcomes do not provide positive results.
5. Describe implications for practice and future research.

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You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section.

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