EBP-Change

 

 

 

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

Reflection on Evidence-Based Practice Change

Clinical Topic of Interest and PICOT

My clinical topic of interest is the use of telemedicine to improve access to healthcare for rural and underserved populations. My PICOT is:

  • Population: Adults with chronic diseases living in rural and underserved areas
  • Intervention: Telemedicine
  • Comparison: Standard in-person care
  • Outcome: Access to healthcare, measured by the number of appointments completed and the proportion of patients who receive recommended preventive care

Current Healthcare Organization

I work in a large academic medical center in an urban area. The organization has a strong culture of innovation and is committed to providing high-quality care to all patients. However, the organization does not currently have a robust telemedicine program.

Potential Opportunities for Evidence-Based Change

There is a significant opportunity to use telemedicine to improve access to healthcare for rural and underserved populations. Telemedicine can allow patients to see specialists and receive recommended preventive care without having to travel long distances. This can be especially beneficial for patients with chronic diseases, who may need to see their doctor regularly.

Evidence-Based Idea for a Change in Practice

I propose that our healthcare organization implement a telemedicine program for adults with chronic diseases living in rural and underserved areas. The program would provide patients with access to a variety of specialists, including cardiologists, endocrinologists, and nephrologists. The program would also provide patients with access to recommended preventive care, such as annual checkups and screenings.

Dissemination of Results

I would disseminate the results of my presentation to an audience using a combination of methods. I would first give a presentation to the organization’s leadership team. I would then develop a one-page summary of my findings and recommendations, which I would distribute to all staff members. I would also publish my findings in a peer-reviewed journal.

PowerPoint Presentation

Slide 1: Title slide

Slide 2: Introduction

  • Briefly describe my clinical topic of interest and PICOT
  • Describe my current healthcare organization and its culture
  • State the purpose of the presentation

Slide 3: Problem or opportunity for change

  • Describe the current situation and why change is needed
  • Discuss the scope of the problem and the stakeholders involved
  • Review the risks associated with change implementation

Slide 4: Proposed evidence-based change

  • Describe the proposed change in practice
  • Explain how the change is evidence-based
  • Discuss the potential benefits and risks of the change

Slide 5: Implementation plan

  • Outline the steps that would be taken to implement the change
  • Identify the resources needed
  • Discuss the timeline for implementation

Slide 6: Evaluation plan

  • Describe how the success of the change would be evaluated
  • Identify the metrics that would be used to measure success
  • Discuss the timeframe for evaluation

Slide 7: Conclusion

  • Summarize the key points of the presentation
  • Reiterate the need for change
  • Call to action

Slide 8: Questions?

Slide 9: References

Narration

The narration for the PowerPoint presentation would be clear and concise, and it would highlight the key points of each slide. I would also use the narration to address any questions that the audience may have.

Conclusion

I believe that the implementation of a telemedicine program for adults with chronic diseases living in rural and underserved areas would be a valuable addition to our healthcare organization. The program would improve access to healthcare for these patients, and it would also reduce the burden of travel. I am committed to working with my organization to implement this change in practice.

 

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