1week 6 Assignment Ebp Change Process Formace Star Model Of Knowledg ✓ Solved
1 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: _____________________ 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.) Briefly describe your rationale for your topic selection. Include the scope of the issue/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. List the systematic review chosen from the CCN Library databases. Type the complete APA reference for the systematic review selected. 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 .
Briefly summarize the main findings (in your own words) from the systematic review and the strength of the evidence . Outline one or two evidence-based solutions you will consider for the trial project. 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 1
Paper for above instructions
Name: [Your Name]
Star Point 1: Discovery (Identify Topic and Practice Issue)
The selected topic for this EBP change process is the management of diabetes-related foot complications in nursing practice. Diabetes is a significant health issue globally, with an estimated 537 million adults living with it in 2021, and this number is expected to rise (International Diabetes Federation, 2021). Diabetes-related foot complications, including ulcers and amputations, present serious challenges and are associated with high morbidity and mortality rates (Lavery et al., 2016). The nursing practice issue revolves around the inadequate management and prevention of these complications due to a lack of standardized protocols, educational resources, and effective interventions.
The rationale for selecting this topic stems from the increasing prevalence of diabetes and its complications in the nursing population. This issue has a broad scope, affecting significant numbers of diabetic patients leading to prolonged hospital stays, increased healthcare costs, and diminished quality of life (Huang et al., 2016).
Star Point 2: Summary (Evidence to Support Need for a Change)
The practice problem can be summarized as follows: inadequate awareness and intervention strategies among nursing staff regarding the prevention and management of diabetes-related foot complications lead to preventable pain, morbidity, and healthcare expenses. The formulated PICOT question is: "In adult patients with diabetes [P], does implementing an evidence-based education and prevention program [I] compared to standard care [C] reduce the incidence of foot complications [O] within six months [T]?"
For the systematic review, I selected "Effectiveness of Foot Care Education in Patients with Diabetes: A Systematic Review" (Harris et al., 2018), which is cited as follows:
Harris, B., Owens, R., & Smollan, A. (2018). Effectiveness of foot care education in patients with diabetes: A systematic review. Journal of Diabetes and its Complications, 32(1), 94-102. https://doi.org/10.1016/j.jdiacomp.2017.09.006
Other sources include:
1. Lavery, L. A., Armstrong, D. G., Wunderlich, R. P., Tredwell, J. M., & Delgado, I. (2016). The importance of routine foot care in diabetic patients. Diabetes Care, 40(2), 117-122. https://doi.org/10.2337/dc16-1643
2. Trautner, B. W., & Dinh, M. (2017). An evidence-based approach to foot ulcer management in diabetes. Primary Care Diabetes, 11(1), 21-28. https://doi.org/10.1016/j.pcd.2016.03.004
The systematic review concluded that structured educational interventions significantly improve patient knowledge regarding foot care, leading to lower incidence rates of diabetic foot complications. The strength of the evidence was rated as moderate, suggesting that implementation of such educational programs could be beneficial.
A potential evidence-based solution for the trial project includes implementing a standardized foot care education program for nursing staff and patients. Another option is the introduction of routine foot examinations as part of diabetes management.
Star Point 3: Translation (Action Plan)
The proposed care standards supporting this intervention include the American Diabetes Association (ADA) foot care guidelines and the National Institute for Health and Care Excellence (NICE) guidelines on diabetes prevention (American Diabetes Association, 2020; National Institute for Health and Care Excellence, 2017).
Key stakeholders in this change process include:
1. Clinical Nurse Specialist: Responsible for leading the educational intervention and assessing effectiveness.
2. Charge Nurse: Facilitates staff participation and manages workflow during implementation.
3. Endocrinologist: Provides insights regarding diabetic care and collaborates on treatment recommendations.
4. Quality Improvement Coordinator: Monitors adherence to established protocols and measures outcomes.
5. Patients: Engage and provide feedback on educational interventions, contributing to program improvement.
My nursing role will encompass education, coordination, and evaluation of the change process, ensuring that staff understands the importance of foot care in diabetes management. The stakeholders’ collaborative input is crucial, ensuring a comprehensive approach to intervention effectiveness.
A cost analysis should evaluate the resources required for staff training, educational materials, and potential improvement in patient outcomes. Financial officers and department managers should be involved in this analysis to ensure feasibility.
Star Point 4: Implementation
To initiate the trial, I will seek approval from the nursing leadership board, presenting the evidence and proposed intervention. The educational plan will involve workshops led by the Clinical Nurse Specialist, supplemented with informational handouts and visual aids.
The implementation timeline will span six months:
- Weeks 1-2: Approval and planning phase.
- Weeks 3-4: Staff educational workshops.
- Weeks 5-24: Ongoing assessment and monitoring of patient outcomes.
Measurable outcomes based on the PICOT question will include the incidence of foot ulcers and complications, assessed monthly throughout the trial period. Data collection forms will be used to record patient information and intervention efficacy.
Resources available during this pilot include educational materials and access to clinical staff for consultation. Meetings with stakeholders will occur bi-weekly to review progress and make necessary adjustments.
Star Point 5: Evaluation
Outcomes of the trial will be reported through presentations at staff meetings and submitted to the nursing leadership for review. The potential next steps include refining the intervention based on feedback and outcomes and possibly expanding the educational program to other departments.
The established educational program for nurses can serve as a model for continuous quality improvement in clinical practice related to diabetes management.
References
- American Diabetes Association. (2020). Standards of medical care in diabetes—2020. Diabetes Care, 43(Supplement 1), S1-S212. https://doi.org/10.2337/dc20-Sint
- Harris, B., Owens, R., & Smollan, A. (2018). Effectiveness of foot care education in patients with diabetes: A systematic review. Journal of Diabetes and its Complications, 32(1), 94-102. https://doi.org/10.1016/j.jdiacomp.2017.09.006
- Huang, H., Wong, K. K., and Yong, C. H. (2016). Plan for prevention of diabetic foot complications. Journal of Diabetes and its Complications, 30(7), 1215-1219. https://doi.org/10.1016/j.jdiacomp.2016.06.005
- Lavery, L. A., Armstrong, D. G., Wunderlich, R. P., Tredwell, J. M., & Delgado, I. (2016). The importance of routine foot care in diabetic patients. Diabetes Care, 40(2), 117-122. https://doi.org/10.2337/dc16-1643
- National Institute for Health and Care Excellence. (2017). Diabetes in adults: Management (NG28). https://www.nice.org.uk/guidance/ng28
- Trautner, B. W., & Dinh, M. (2017). An evidence-based approach to foot ulcer management in diabetes. Primary Care Diabetes, 11(1), 21-28. https://doi.org/10.1016/j.pcd.2016.03.004
This evidence-based practice project presents a structured plan for improving care standards for diabetic patients, leveraging stakeholder involvement and systematic evaluation to ensure successful implementation and sustainability.