Recommending an Evidence-Based Practice Change

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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.

 

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.

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.

Sample Solution

Although it may seem like there are no possible benefits with vertical integration to anyone other than the entrepreneurs, a lot of the working class was impacted by this tactic as well. The rapid growth of the manufacturing industry created a great need for unskilled workers. This demand caused mass migration, farm workers moved from rural areas of the United States to find jobs in America’s rapidly growing cities. The increase in jobs was also a draw for people in foreign countries. (Doc E) Many people immigrated to the United States in search of work and the opportunity to live the American dream. They could use these new job opportunities as stepping stones into a new life of owning land or carrying out their life aspirations that their old country couldn’t fulfill. (Doc F) This was impactful because it created a large amount of jobs that required manual work, no one needed to be skilled or knowledgeable to get a job. Also due to vertical integration, our nation became industrialized and urban just like it continues to be today. It is clear to see how prospering entrepreneurs benefited in the gilded age, but the lower working class was impacted as well given unskilled labor and a chance to start a new life, aspiring for the “American Dream”.
Big business owners benefited tremendously from the economic changes in the United States and the use of vertical integration. Some people believe that these entrepreneurs were robber barons because they got rich through ruthless means. However, many called them captains of industry because they were greatly responsible for increasing productivity, expanding markets, providing jobs, and increasing the nation’s wealth. All in all both ends of the economic scale were impacted and benefited from vertical integration.

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