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Degree Program, Walden University
NURS 6052/5052 EB005: Evidence-Based Decision Making
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Month Day, Year
Title: Overview of Healthcare Organization
Slide Content:
Our healthcare organization is a mid-sized, urban hospital serving a diverse patient population, primarily adults with complex, chronic conditions. The organizational culture emphasizes patient-centered care and values continuous improvement, though it is sometimes challenged by limited resources and high patient turnover.
Our facility demonstrates readiness for change but faces common barriers, including workload demands, resistance to new protocols, and the need for thorough training. The organization encourages staff participation in quality improvement initiatives, which supports an environment conducive to evidence-based changes.
Title: Identifying the Problem and Need for Change
Slide Content:
Clinical Issue: The problem identified for evidence-based change is the high rate of post-surgical infections among adult patients. In the past year, the infection rate for post-operative patients has increased by approximately 15%, creating significant challenges in patient recovery times, healthcare costs, and overall patient satisfaction.
Scope and Impact: This issue affects over 200 patients annually, leading to extended hospital stays and increased readmissions. The issue’s scope impacts patients, families, healthcare providers, and the organization, which bears the financial burden of infection-related readmissions and lengthier hospital stays.
Stakeholders: Key stakeholders include surgeons, nursing staff, infection control teams, and the administrative staff responsible for funding and policy adjustments. Each of these groups plays a role in implementing and adhering to infection control protocols and postoperative care standards.
Risks of Change Implementation: Potential risks include staff resistance due to increased workload or workflow changes and the upfront costs associated with implementing new protocols and purchasing infection control resources. However, benefits such as improved patient outcomes and decreased costs related to readmissions justify these temporary challenges (Johnson & Smith, 2021).
Title: Proposed Evidence-Based Change and Literature Support
Slide Content:
Proposed Change: Implement a pre-surgical education program focused on infection prevention, combined with an enhanced postoperative infection monitoring system. Research indicates that patient education and systematic monitoring can reduce infection rates by empowering patients with knowledge and improving early detection of infection (Bennett et al., 2022).
PICOT Question: In adult surgical patients (P), does implementing a pre-surgical education program (I) compared to standard care (C) reduce postoperative infection rates (O) over a six-month period (T)?
Literature Review:
Decision-Making Approach: This approach aligns with the hospital’s values and is feasible given existing staff resources and infection control protocols. Evidence-based decision-making prioritizes strategies that address high-impact issues, aiming to reduce infection rates and promote optimal patient outcomes.