Nursing Discussion Reply
Nursing Discussion Reply
When it comes to the author’s EBP, much of the project’s strength revolves around the acclimation of DSME and how
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the difference self-management education can make in the life of diabetics versus those who do not benefit from the system. After discussion aspect of this project with the author’s mentor, it become clear that one of best attributes of this project is the fact that it costs very little to implement, and the project cost would be limited to providing visual information that patients can take with them that can double as daily notes. Funding towards this project involves covering the financial cost of printed material that very well would go into deeper level of information regarding DSME. The effectiveness of education, especially one that is done for the sake of health for a patient to continue living as best they can under the right amount of discipline, self-care, and steady regiment, is dependent on the one conveying the education, so there is a chance that an effective educator might require compensation for providing the education. The nature of this EBP project is very much steeped in change in quality for patients living with type II diabetes. This project proposed change in quality involves better glycemic control for patients, more efficient ways to manage glycemic control and how to administer self-management correctly, and better quality of life for the patient. DSME’s invaluable role in making sure the elderly are managing their own path towards a prolonged and healthy life is the heart of this project. With proper education comes better handling of one’s health, which is reflected by fewer number of inflicted patients consulting hospitals and doctors in regards to their diabetic conditions. The clinical aspect here is to lessen the readmission rates by providing a program that is sustainable and lends proper self-care and management to patients. According to a recent study (Cheney, 2018), hospital readmissions were “more likely to be amenable to interventions within the hospital and to be caused by factors for which the hospital is directly accountable, such as problems with physician decision making”. The net result here is less financial obligations on the hospital, less financial burden on the patient from accruing hospital bills, and more freedom given to afflicted patients to handle things in a proactive manner. Reference: Cheney, C. (2018, May 1). 30-Day Readmissions Penalty Draws Fire. Retrieved from http://www.healthleadersmedia.com/quality/30-day-readmissions-penalty-draws-fire Hospital responsible for the patient’s readmission and financial obligations. When considering the idea of revising EBP in the healthcare setting, or implementing new EBP, several things must be considered and analyzed prior to the implementation phase of the project. EBP changes do not go without impacts financially, in regard to quality, and with clinical implications. The end result may produce positive results with an increase in revenue, quality and safety, and with a positive clinical outcome, but not without the potential for possible barriers or challenges in the beginning. All of the previously listed areas must be addressed and taken into account long before any final decisions should be made and before EBP changes or introductions are introduced (Fineout-Overholt, 2011). After speaking with this authors mentor B. Bird, a better understanding of the financial, quality, and clinical implications were produced. Although somewhat minor in the realm of healthcare cost, there were still costs to consider when developing and implementing the new early ACS assessment tool. The Acute Coronary Syndrome (ACS) tool will guide nurses in early and better detection of ACS upon Emergency Room arrival and for those with atypical ACS symptoms. The cost for development of this tool would fall under education and would consist of a short session top train nurses in its use and to provide evidence as to its importance. Wages for the attendees would be paid if became mandatory to attend the training session. A marginal cost would also be involved with printing copies of the tool to have the initial triage area. The quality aspect that was brought to my attention, and discussed with this authors mentor consisted of mostly positive outcomes. The quality of patient care would greatly increase and has shown to do so by many studies evaluated throughout the course. From a quality control or quality improvement standpoint, B. Bird suggested that it would have to be standardized and would have to have policies backing its use and reinforcing it importance. This tool would need t be accepted as best practice uniformly throughout the department. Like the quality discussion, the clinical implications would be directed towards triage nurses and would need to be understood as to its use. This tool, if accepted as new EBP, would reduce the time it takes for diagnosis and treatment of ACS before irreversible damage occurs to the heart. Clinically, we would see lower mortality rates and improved patient outcomes. The early detection tool would need to be implemented into the clinical setting after training has been conducted and with constant feedback as to its strengths and weaknesses. A revaluation would need to be done often to produce a revised tool that fits the needs of the nurses using it and to produce the best possible patient outcomes. Reference Fineout-Overholt, E. (2011). Following the Evidence: Planning for Sustainable Chang [PDF]. American Journal of Nursing.
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