Evidence-Based Practice Change

In this Assignment, you will 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, related to your clinical topic of interest and PICOT. (See attached document)

· Reflect on your current healthcare organization (Hospital – Psychiatric Unit) and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

· Clinical topic – Workplace Related Stress among the Nurses

· P– population= Patients in critical care unit

I – Intervention = nursing under stressful environment

C – other nursing environments

O – Low levels of nurse satisfaction (Melnyk et al., 2009) Evidence-Based Practice Change

T – No timeframe

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· Consider the best method of disseminating the results of your presentation to an audience.

Instructions – The Assignment: (Evidence-Based Project) – Please see the example provided by Professor. (Attached document)

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 (psychiatric unit in a Hospital), 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. Evidence-Based Practice Change

· 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.

· Be sure to provide APA 7 citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

· Add a lesson learned section that includes the following:

· A summary of the critical appraisal of the peer-reviewed articles you previously submitted.

· An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

· The narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.

Resources from School:

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

· Chapter 7, “Patient Concerns, Choices and Clinical Judgement in Evidence-Based Practice” (pp. 219–232)

·Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186

Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396

Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483 Evidence-Based Practice Change

Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.x

Assignment: Evidence-Based Project, Part 4: Recommending