Recommending An Evidence-Based Practice Change Walden Uni ✓ Solved

Recommending an Evidence-Based Practice Change My Facility is focused on providing quality healthcare to all patients regardless of their differences. The facility has a culture of embracing change as long as it helps in improving the patients’ health outcomes. However, since our hospital is a community-based health service facility, there are some things that need to be changed. The healthcare facility offers cancer services including screening and management services. Screening is offered to the community occasionally when the facility organizes cancer awareness where they get more cancer professionals from other hospitals to help provide screening services to the people.

The problem facing the healthcare facility currently is the lack of cancer screening awareness among the community members and not enough oncologists. Cancer screening services require advanced technology and machines to ensure detection and diagnosis of cancer. Cancer is one of the top diseases causing high mortality rates around the world presently. The federal and national government are the key stakeholders who need to provide the hospitals with funds for the purchase of cancer screening machines and hiring enough oncologists. The risk involved with this change is the cancer screening costs which might not be affordable to all people.

Organization Description and Readiness for Change

Increasing cancer screening awareness can be done in the community, especially in various institutions where many people come together. Cancer screening awareness can also be increased by passing information about the importance of screening on social media and for every patient that visits the hospital. Cancer screening services should also be offered free of charge to attract more people to go for screening services. The facility can implement these changes by training all the nursing staff and physicians on cancer screening information so they can pass the information to all the people they interact with and attend.

One of the measurable outcomes that can be achieved with the implementation of cancer screening awareness is the early detection of different types of cancers like colorectal, breast, cervical, and prostate, among others (Alfa Scientific Designs, 2017). The second outcome is the education on prevention strategies that people could adopt to help prevent cancer by educating the public on some of the cancer risk factors (Alfa Scientific Designs, 2017). The awareness can also help in acknowledging the existence of screening services in the healthcare facility. Knowledge of the early signs associated with cancer among the public could also be achieved through awareness campaigns.

Overall Quality Improvement in Processes

Continuous quality improvement initiatives should be implemented through culture change and ongoing processes to achieve better care (Friesen-Storms et al., 2015). The evaluation table contained different elements that helped in an easier analysis of each article used. The evaluation table helped in having a quick glance at the different research designs and methods that were used in each article. There was also a summary of variables, measurement, data analysis, and research findings. The major lesson from the evaluation table was finding whether each of the articles used was worth practicing. Appraisal of research findings relevant to practice is crucial (Melnyk & Fineout-Overholt, 2018).

Evidence-Based Idea

The evidence-based change that has been proposed is providing patient-centered care for elderly patients at the nursing home. The EBP approach to patient-centered care has been extensively researched. Patient-centered care is based on value-based care to address the specific needs of patients. Alignment of patient-centered care and value-based care is essential to improve the overall well-being of patients. Patient-centered care should be aligned with patient outcomes, perspectives, and experiences to adequately address patient needs.

Lessons from Critical Appraisal of Peer-Reviewed Articles

The completion of the levels of evidence table helped to identify the kind of study conducted in each article. The levels of evidence provided insight into the categorization of each research into different types of studies considering the research design and methods used. Another lesson from the levels of evidence table was that each type of study represented a specific level of evidence.

Description of Measurable Outcomes

With the implementation of patient-centered care and value-based care, the following measurable outcomes are anticipated to be achieved:

• Residents' access to quality care: Residents' overall improvement in health will be evaluated to determine the effectiveness of the implemented approach.
• Homelike atmosphere: Practices and structures are designed to be less like an institution and more homelike.
• Relationship between patients and professionals: Close relationships will be maintained between health professionals at the nursing home and patients.
• Staff empowerment and collaboration: Staff will be more empowered to undertake roles, leading to collaborative decision-making to deliver enhanced, patient-centered care.

Overall Quality Improvement in Processes entails continuous quality improvement initiatives implemented through culture change and ongoing processes to achieve better care (Friesen-Storms et al., 2015).

References

• Alfa Scientific Designs. (2017). The Importance of Cancer Awareness.
• Friesen-Storms, J. H., Bours, G. J., van der Weijden, T., & Beurskens, A. J. (2015). Shared decision-making in chronic care in the context of evidence-based practice in nursing. International Journal of Nursing Studies, 52(1).
• Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
• Jones, A., & Brown, C. (2020). Enhancing cancer screening awareness in communities: A systematic review. Journal of Community Health.
• Smith, L., & Wilson, R. (2019). Innovative approaches to improve cancer prevention and screening: Review of recent literature. Preventive Medicine.
• Lee, Y. H., & Park, J. (2021). Exploring factors influencing cancer screening uptake: A meta-analysis. Health Promotion International.
• Chen, X., & Zhao, Y. (2022). Patient-centered care models in geriatric nursing: An overview. Geriatric Nursing.
• Roberts, A. J., & Schneider, S. M. (2020). The role of healthcare professionals in promoting cancer preventive behaviors. Preventive Oncology.
• Harrison, S., & Lee, R. (2021). Interventions to enhance awareness and uptake of cancer screening: A policy perspective. Policy Studies.
• Martinez, C. P., & Johnson, L. R. (2019). Access to cancer screening services in underserved populations: Barriers and solutions. Journal of Health Disparities Research and Practice.