Evidence-Based Practice Final Paper
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Abstract
The goal of this EBP project is to describe the method of providing patient education to adult patients with Heart Failure to improve medication compliance and outcome. Due to a shortage of heart failure clinics in the United States, this evidence-based practice initiative was focused on this group. According to Frederick Memorial Hospital in Frederick, Maryland, heart failure-related readmissions account for 21.7 percent of readmissions, compared to the national average of 22 percent. This is owing to a shortage of resources in that region, including a scarcity of heart failure clinics to follow up on patients referred from various facilities. The PICOT question is “In adult patients with heart failure admitted to acute care setting, will education on prescribed home medication compliance and symptoms self-monitoring, compared to no education, decrease admission and readmission to hospitals for the same diagnosis within a period of one year?”
Section A: Organizational Culture and Readiness Assessment
Before incorporating evidence-based practice (EBP) in an institution, an Organizational Culture and Readiness Assessment must be completed. The results would include guidance on the ethos and preparation of the organization’s EBP. A study tool proposed by Melnyk and Fineout- Overholt was used to evaluate the organization’s culture and ability to adopt evidence-based practice (EBP) (Melnyk & Fineout-Overholt, 2015). The findings of the scale-based study indicated that the company was reasonably prepared to incorporate EBP in the clinical environment, with an overall score of 4 out of a possible 5 points. Administrators’ dedication to EBP and the fiscal instruments used to fund EBP ranked considerably higher. Leaders are encouraging nurses to find issues within their agency and do analysis and suggest an EBP approach with the assistance of a mentor, all while getting compensated. This may be addressed by designating an EBP-trained instructional resource capable of guiding nurses across databases and other evidence-based materials (DeNisco & Barker,2016).
Possible project barriers include difficulties in increasing the participation of staff nurses and gaining approval from senior leadership to invest in EBP-specific services. Thus, nurse practitioners, nurse administrators, and doctors will be team facilitators when they interact directly with vital nursing personnel and will collaborate up and down to lobby for EBP in the clinical setting.
Clinical inquiry should be incorporated into the organization by providing extra training and instruction to caregivers at all stages, as well as management. The organization is on the correct track by recognizing the need for change; nevertheless, by discussing the shortcomings through appropriate advocates and capitalizing on the culture’s capabilities, the organization would be able to implement evidence-based practice (DeNisco & Barker, 2016).
Section B: Proposal/Problem Statement and Literature Review
In adult patients with heart failure admitted to acute care setting, will education on prescribed home medication compliance and symptoms self-monitoring, compared to no education, decrease admission and readmission to hospitals for the same diagnosis within a period of one year.
Literature Review
Millions of people in the United States have been treated for heart failure in both inpatient and outpatient settings. Heart failure has become a major issue in our culture, resulting in approximately one million hospitalizations each year (Fleming & Kociol, 2014). Despite the fact that heart failure is one of the most treatable illnesses, figures from the American Heart Association suggest that the population of Americans living with the condition will increase by 46% by 2030, increasing the total number of people living with the condition to eight million. Heart failure has a dismal prognosis as well as a poor quality of life. The expense of healthcare for heart failure is high, accounting for a large amount of Medicare spending. According to Zohrabian et al., 2018, the overall cost of heart failure healthcare is expected to rise from 31.7 billion to 66.7 billion by 2030. (Zohrabian et al. 2018).
Without heart failure readmission initiatives to help people manage their condition, admissions from heart failure will remain to be a concern. According to one research, heart failure is the fifth most costly ailment treated in US hospitals, costing a whopping 10.2 billion dollars and 2.7 billion dollars in readmissions (Zohrabian, et al., 2018). Although economics, a lack of expertise, and access all play a part in hospitalizations and readmission rates, r