5323 934 Pm Module 6 Assignmenthttpswaldenuinstructurecomc ✓ Solved

5/3/23, 9:34 PM Module 6 : Assignment Due Sunday by 10:59pm Points 100 Submitting a text entry box or a file upload Attempts 0 Allowed Attempts 2 Start Assignment ï„€Back to Module at a Glance ( The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes. In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

EVIDENCE-BASED PROJECT, PART 4: RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE RESOURCES Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources. 9:34 PM Module 6 : Assignment To Prepare: Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT. Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection. Consider the best method of disseminating the results of your presentation to an audience.

The Assignment: (Evidence-Based Project) Part 4: Recommending an Evidence-Based Practice Change Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following: Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.) Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general. Propose an evidence-based idea for a change in practice using an EBP approach to decision making.

Note that you may find further research needs to be conducted if sufficient evidence is not discovered. Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation. Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy. Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking. Add a lessons learned section that includes the following: A summary of the critical appraisal of the peer-reviewed articles you previously submitted An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides) Alternate Submission Method WEEKLY RESOURCES ( 9:34 PM Module 6 : Assignment You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the Kaltura Media Uploader guide ( media.waldenu.edu/2dett4d/Walden/WWOW/Canvas/1001/pulse_check/kaltura/index.html#/) .

This guide will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only "Screen" and "Audio" are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the "Posting Your Video in the Classroom Guide" found on the Kaltura Media Uploader page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.

Submit Part 4 of your Evidence-Based Project. Review the following submission instructions for the type of submission you choose. Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area. 1.

To submit your completed assignment, save your Assignment as WK11Assgn_LastName_Firstinitial 2. Then, click on Start Assignment near the top of the page. 3. Next, click on Upload File and select Submit Assignment for review. To submit your Kaltura media: 1.

Click on Start Assignment near the top of the page. 2. Next, click Text Entry and then click the Embed Kaltura Media button. BY DAY 7 OF WEEK 10 SUBMISSION INFORMATION - NARRATED POWERPOINT SUBMISSION INFORMATION - KALTURA PERSONAL CAPTURE 5/3/23, 9:34 PM Module 6 : Assignment NURS_6052_Module06_Week10_Assignment_Rubric 3. Select your recorded video under My Media.

4. Check the box for the End-User License Agreement and select Submit Assignment for review. Congratulations! After you have finished all of the assignments for this module, you have completed the course. Please submit your Course Evaluation by Day 7.

5/3/23, 9:34 PM Module 6 : Assignment Criteria Ratings Pts 75 ptsPart 4: Disseminating ResultsCreate a, 8-9-slide narrated PowerPoint presentation of your Evidence-Based Project:Briefly describe the following: your healthcare organization and culture, current opportunity for change, scope of issue, and EBP best practice recommendation.Explain how you would plan knowledge transfer and dissemination.Describe measurable outcomes with the implementation of EBP best practice.Summarize lessons learned. 75 to >67.0 pts Excellent The narrated presentation accurately and completely summarizes the evidence-based project. The narrated presentation is professional in nature and thoroughly addresses all components of the evidence-based project. ...The narrated presentation accurately and clearly describes in detail the healthcare organization and culture, current opportunity for change, scope of the issue, and EBP best practice recommendation. ...The narrated presentation accurately and clearly describes how to plan for knowledge transfer, disseminate the results of the project to an audience, citing specific and relevant examples. ...The narrated 67 to >59.0 pts Good The narrated presentation adequately summarizes the evidence-based project.

The narrated presentation is professional in nature and adequately addresses the components of the evidence-based project. ...The narrated presentation accurately describes in detail the healthcare organization and culture, current opportunity for change, scope of the issue, and EBP best practice recommendation. ...The narrated presentation accurately describes how to plan for knowledge transfer, disseminate the results of the project to an audience, citing specific and relevant examples. ...The narrated presentation accurately describes measurable outcomes 59 to >52.0 pts Fair The narrated presentation vaguely, inaccurately, or incompletely summarizes the evidence-based project. The narrated presentation may be professional in nature and somewhat addresses the components of the evidence-based project. ...The narrated presentation inaccurately or vaguely describes the healthcare organization and culture, current opportunity for change, scope of the issue, and EBP best practice recommendation. ...The narrated presentation inaccurately or vaguely describes how to plan for knowledge transfer, disseminate the results of the project to an audience, citing specific and relevant examples. ...The narrated presentation vaguely or inaccurately describes measurable outcomes 52 to >0 pts Poor The narrated presentation vaguely and inaccurately summarizes the evidence- based project or is missing.

The narrated presentation is not professional in nature and inaccurately and incompletely addresses the components of the evidence-based project or is missing. ...The narrated presentation vaguely and inaccurately describes the healthcare organization and culture, current opportunity for change, scope of the issue, and EBP best practice recommendation, no examples are provided, or it is missing. ...The narrated presentation vaguely and inaccurately describes how to plan for knowledge transfer, disseminate the results of the project to an audience, citing no specific and relevant examples. ...The narrated presentation 5/3/23, 9:34 PM Module 6 : Assignment Criteria Ratings Pts 5 pts 10 pts 5 pts presentation clearly and accurately describes measurable outcomes with the implementation of the EBP best practice and summarizes lessons learned. with the implementation of the EBP best practice and summarizes lessons learned. with the implementation of the EBP best practice and summarizes lessons learned. vaguely or inaccurately describes measurable outcomes with the implementation of the EBP best practice and summarizes lessons learned.

Resource Synthesis 5 to >4.0 pts Excellent The narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation. 4 to >3.5 pts Good The narrated presentation integrates at least one outside resource and two or three course-specific resources that may support the presentation. 3.5 to >3.0 pts Fair The narrated presentation minimally integrates resources that may support the presentation. 3 to >0 pts Poor The narrated presentation fails to integrate any or presents minimal resources to support the presentation. Presentation Narration 10 to >0.0 pts Excellent Narration is present.

0 pts Poor Narration is missing. PowerPoint Presentation:The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows 5 to >4.0 pts Excellent The presentation is professional; images are appropriately attributed; images are 4 to >3.0 pts Good Eighty percent of the presentation is professional; images are appropriately attributed; 3 to >2.0 pts Fair Sixty to seventy nine percent of the presentation follows these guidelines: presentation is professional; 2 to >0 pts Poor Less than sixty percent of the presentation follows these guidelines: presentation is 5/3/23, 9:34 PM Module 6 : Assignment Total Points: 100 Criteria Ratings Pts 5 pts well and is presented in a logical order. clear.

The presentation text is readable. Presentation flows well and is presented in a logical order. images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order. images are appropriately attributed; images are clear. The presentation text is readable.

Presentation flows well and is presented in a logical order. professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order. Written Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation. 5 to >4.0 pts Excellent Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.0 pts Good Contains a few (one or two) grammar, spelling, and punctuation errors. 3 to >2.0 pts Fair Contains several (three or four) grammar, spelling, and punctuation errors. 2 to >0 pts Poor Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

Paper for above instructions

Introduction

In healthcare, evidence-based practice (EBP) is critical for improving patient outcomes, enhancing the quality of care, and ensuring that healthcare interventions are based on the best available evidence. This assignment focuses on proposing an EBP change within my current healthcare organization, which is a large urban hospital. The proposal will highlight the current problem or opportunity for change and provide an overview of the evidence-based practice recommendations as well as a plan for knowledge transfer and dissemination.

Organization Overview

The organization is a 500-bed urban hospital specializing in complex care, offering various services including cardiology, oncology, and pediatrics. The culture of the organization emphasizes teamwork, patient satisfaction, and continuous improvement. Staff members are encouraged to participate in professional development activities and are often engaged in quality improvement initiatives. While the organization has successfully implemented many evidence-based practices, there is still room for growth in terms of fully embracing EBP in all departments.

Current Problem or Opportunity for Change

The current issue identified is the hospital's high patient readmission rates for heart failure patients. According to recent hospital metrics, readmission rates for heart failure patients stand at approximately 25%, which is higher than the national average of 21% (Centers for Medicare & Medicaid Services [CMS], 2021). The high readmission rates indicate a gap in effective discharge planning and patient education, as well as a lack of resources for patient empowerment after discharge.

Stakeholders Involved

Several stakeholders are involved in addressing this issue:
1. Patients: The primary beneficiaries of the changes.
2. Nursing Staff: Responsible for patient education and discharge planning.
3. Healthcare Providers: Include physicians and specialists who manage heart failure patients.
4. Hospital Administration: Responsible for policy changes and allocation of resources for new initiatives.

Risks Associated with Change Implementation

Implementing evidence-based changes brings several risks, including:
- Resistance from staff who may be accustomed to current practices.
- Challenges in funding for new programs or resources that may be required.
- The time-consuming process of education and training for staff.

Evidence-Based Practice Change Proposal

Given the identified problem, the proposed evidence-based practice change is the implementation of a structured discharge planning program, including comprehensive patient education and follow-up care. This approach has demonstrated success in reducing readmission rates for heart failure patients (Weiss et al., 2014).

EBP Recommendations

1. Risk Assessment: Assessing patients' risks for readmission before discharge.
2. Patient Education: Creating tailored educational materials addressing medication adherence, dietary recommendations, and symptom monitoring.
3. Follow-Up Scheduling: Ensuring timely follow-up appointments post-discharge, ideally within 7 days, to review the patient's progress.
4. Telehealth Services: Utilizing telehealth for ongoing follow-up and support needs.

Knowledge Transfer Plan

To facilitate knowledge transfer, the following strategies will be implemented:
1. Knowledge Creation: Developing educational materials in collaboration with clinical nurses and patient educators. This process will include evidence from recent studies advocating for effective discharge planning practices (Hesselink et al., 2014).
2. Dissemination: Hosting departmental meetings and training sessions to discuss the change in practice and rationale behind it. Utilizing posters throughout the hospital to highlight the importance of patient education and discharge planning.
3. Organizational Adoption and Implementation: Partnering with hospital leadership to create incentives for adherence to the new practices. Integrating EBP guidelines into the existing hospital policies ensures that new practices become the standard.

Dissemination Strategy

The results of the project will be disseminated through multiple channels, including:
- In-Person Presentations: Scheduling presentations with various departments to share data on readmission rates and the effectiveness of the proposed changes.
- Email Updates: Providing regular updates on the progress of the implementation and early outcomes.
- Newsletters: Utilizing hospital newsletters to highlight success stories and testimonials from patients impacted by the changes.
The rationale behind these dissemination strategies is that diverse communication methods will reach a broader audience, ensuring that all stakeholders are informed and engaged in the process.

Measurable Outcomes

The expected measurable outcomes with the implementation of this evidence-based change include:
- A 10% reduction in readmission rates for heart failure patients within six months of implementation.
- Improved patient satisfaction scores, as assessed through follow-up surveys.
- Enhanced medication adherence rates, tracked through pharmacist consultations.
These measurable outcomes will be monitored through ongoing data collection and analysis.

Lessons Learned

Critical Appraisal Summary

The critical appraisal of four peer-reviewed articles highlighted the importance of structured discharge planning and patient education, recognizing that such practices correlate positively with reduced readmission rates (McCoy et al., 2016). Analyzing these articles helped identify the components necessary for successful implementation, including the significance of interdisciplinary collaboration.

Personal Learning Reflection

Completing the Evaluation Table within the Critical Appraisal Tool Worksheet provided valuable insights into how to assess the relevance and quality of research. It reinforced the importance of critical thinking and skepticism in evaluating evidence to inform practice changes.

Conclusion

Implementing evidence-based practices is critical for addressing patient care issues, such as the high readmission rates experienced by heart failure patients. This proposal outlines a structured discharge planning program as a solution, along with plans for knowledge transfer and measurable outcomes. Ultimately, this initiative aims to improve patient outcomes, enhance satisfaction, and align the organization with national benchmarks.

References

1. Centers for Medicare & Medicaid Services. (2021). Hospital readmissions reduction program.
2. Hesselink, G., Schoonhoven, L., Barach, P., & et al. (2014). Improving patient discharge and reducing hospital readmissions by using intervention mapping. BMC Health Services Research, 14, 1-10.
3. McCoy, L., Theeke, L., & et al. (2016). Reducing hospital readmission rates: A systematic review of the evidence. Health Affairs, 35(5), 1045-1052.
4. Weiss, M.E., Costa, L.L., Yakusheva, O.M., & Costa, L.L. (2014). Discharge planning for patients with heart failure: A systematic review. Heart & Lung, 43(2), 100-107.
5. Melton, B. Y., & Smith, M. K. (2020). Key factors influencing success in quality improvement initiatives. Journal of Healthcare Management, 65(4), 273-283.
6. Rojas, S. V., & Lightbody, E. S. (2018). Patient self-management interventions for chronic obstructive pulmonary disease: A systematic review. Nursing Clinics of North America, 53(4), 569-584.
7. Vennix, M. J., Verhaeghen, T., & et al. (2018). Effectiveness of discharge planning with or without early post-discharge follow-ups: A systematic review. Journal of Advanced Nursing, 74, 213-225.
8. Fröjd, C., Lindgren, H. E., & et al. (2019). Patients’ perceptions regarding discharge planning after cardiac surgery: A qualitative study. Journal of Clinical Nursing, 28(13-14), 2586-2594.
9. Furtado, G. eM., Ribeiro, A., & et al. (2020). A structured intervention for discharging patients from hospital settings: Impacts on readmission rates and patient satisfaction. Journal of Nursing Regulation, 11(4), 22-30.
10. McCarthy, R., & et al. (2021). Enhanced nurse discharge planning: A systematic review. Journal of Nursing Care Quality, 36(2), 113-120.