Your response posts should be a minimum of 100 words and include one reference. You do not have to answer the question.
Topic 6 DQ 1
This is the question
After discussion with your preceptor, describe how leadership and economic models of health care can be used to optimize EBP to improve patient outcomes.
These are the posts
1. After discussing with my preceptor, she said that it is vital as a leader to get input from the nursing staff on the unit (Tucker & Melnyk, n.d.). Without receiving input from the staff that will be utilizing this new EBP, there will be a lot of push back when the new practice of care is implemented because they will not have much knowledge about the change and feel as if it is just adding more tasks to their day. On the unit that I am completing my practicum hours, the nurses feel as the leadership team is not willing to help the staff when necessary, they feel as if they are only there to see the things that are being done incorrectly. My preceptor also mentioned that if the new practice is mentioned once or twice and then not talked about for a while, the staff will more than likely forget about it so it needs to be a consistent topic that is educated to the staff about because staff will adapt their routine to include the new practice if it is consistently talked about and if they see the leaders including the new practice as well (Kitson et al., 2021). One big thing in nursing is that it is a continuously evolving profession and everyone involved needs to be flexible and adaptable because it is ultimately about the patient care being provided. If new research comes around, the practice will change and the nursing profession will then start to incorporate it so that it betters patient care and their outcomes.
-Faith
2. I had a broad discussion with my preceptor about leadership role and economic impact on the project implementation. For the successful EBP project, the co-operation among the front line nurses and the leadership team. According to the needs assessment, I have chosen to implement 2 CHG shower preoperatively for the surgical patient. After the needs assessment, appraisal and adequate literature review to support the proposal. The project was discussed during the safety huddles by the leader of the unit. Process models was used by the leader to facilitate implementation by offering practical guidance with regard to planning and executing implementation endeavors, by highlighting the key aspects that must be considered in implementation practice. The leader in the unit uses the situational leadership model in which she uses mixed type of leadership.
Economic implications should be considered in decisions to adapt evidence-based practices. Allocating resources to the implementation of interventions requires an understanding of the relationship between resources expended and health outcomes achieved by the program or intervention. Submitting the product request to the product approval committee together with the infection control team was done and 2% CHG soap was made available in the unit. Strategies designed to improve the quality of health care delivery and the uptake of evidence-based practices represents a cost-effective use to prevent Surgical site infections.
-Nigel
3. Leadership and economic models of healthcare can be instrumental in optimizing evidence-based practice (EBP) to improve patient outcomes, such as through the implementation of a Fall Prevention Program. After discussing with my preceptor, I have learned that effective leadership is crucial in this context as it involves guiding the team, fostering a culture of safety, and ensuring adherence to best practices. Transformational leadership, which emphasizes motivation and team engagement, can significantly enhance the implementation of EBP by encouraging staff to embrace new protocols and actively participate in fall prevention strategies (Stanley, 2020).
Economic models, such as cost-benefit analysis and value-based care, play a critical role in optimizing EBP by ensuring that resources are allocated efficiently to maximize patient outcomes. By evaluating the costs associated with falls, such as extended hospital stays and additional treatments, and comparing these with the costs of implementing a Fall Prevention Program, I can demonstrate the financial benefits of the program. This approach not only justifies the initial investment but also highlights the long-term savings and improved patient outcomes (Porter & Lee, 2020).
By combining leadership and economic models, we can create a compelling case for the adoption and sustained implementation of fall prevention programs. I can use data from economic analyses to advocate for necessary resources and training, ensuring that the staff is adequately prepared to implement EBP effectively. Moreover, continuous monitoring and evaluation of the program can help in identifying areas for improvement, ensuring that the fall prevention strategies remain effective and aligned with the latest evidence (Stanley, 2020).
-Josephine
4. Economic models of healthcare are used to evaluate health and cost outcomes following the introduction of a new healthcare intervention (Digital Health Outcomes, 2024). Much of healthcare costs are related to situations that could have been preventable. Examples include re-admissions due to inadequate education or resource management for patients, adverse events related to patient falls, surgical site infections, etc. These examples can be prevented by taking the time and using the proper equipment and resources. This is why we continuously need to assess our best practices and implement new and better ways of doing things. By using economic models, one can identify how much an intervention will cost to implement and compare it to the costs the organization will face without the intervention.
Leadership in healthcare can help create a culture that encourages and supports changes in practice (Harvey et al., 2020). Traditional leadership in healthcare was characterized by hierarchy. Now, many leaders are working to shift their organizations to models of empowered teams and servant leadership (Smith, 2021). When implementing a new evidence-based practice change, effective communication is key. Staff want to understand why this change is being made. If the leadership does not communicate the reason why, staff may not be too receptive or willing to adhere to this practice change. Understanding how the practice changes can benefit them, and patients is important for the success of the change.
-Morgan
Topic 6 DQ 2
This is the question
Provide an overview of your implementation plan developed in Topic 5 and discuss any modifications that need to be made.
In responses to your peers, provide suggestions on how the implementation plan can be improved.
These are the posts
5. My implementation plan is to utilize a simple handout when providing education to patients who are diagnosed with Congestive Heart Failure in hopes to help reduce the readmission rates of the hospital. Approximately 20% of patients hospitalized for CHF exacerbation are readmitted within 30 days (Reddy & Borlaug, 2019). Around 6.7 million Americans over the age of 20 suffer from heart failure (Bozkurt et al., 2023). Most of the patients that are hospitalized at my clinical site are not fully understanding the education being provided to them because they receive a packet with a lot of information at the time of discharge and with a handout it can be provided to them in the beginning of their hospital stay so that they can teach back the information on it. The handout is designed like a stop sign with 3 different sections. The green section has signs and symptoms that are apart of the disease and are expected but they do not require any medical follow-up. The yellow section is where the patient should be concerned with the symptoms and should be either seen by their cardiologist, PCP, or an urgent care. This section also houses the phone numbers for their PCP and cardiologist. Lastly, the red section is symptoms that warrant an immediate call to 911. In order to implement this project on the unit, the nurses will first observe me educating patients with CHF utilizing this tool and then I will slowly have the nurses to educate their patients and once they are comfortable and utilizing for every patient with CHF they will educating all of their patients. In the implementation plan, the objectives and goals will need to require a more in depth description including more details.
-Faith
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