Discussion: Solution Description

Discussion: Solution Description ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Solution Description Write a paper of 500-750 words (not including the title page and reference page) paper for your proposed evidence-based practice project solution. Address the following criteria:Discussion: Solution Description Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your PICOT before continuing. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources. Discussion: Solution Description Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the PICOT. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. Upon receiving feedback from the instructor, refine “Section D: Solution Description” for your final submission. This will be a continuous process throughout the course for each section. Discussion: Solution Description ebp_section_a_julie_bralock.docx ebp_section_b_julie_braylock.docx ebp_section_c_juliebraylock.docx section_d_rubric.docx Evidence Based Project Proposal Section A: Organizational Culture and Readiness Assessment Julie Braylock Grand Canyon University: NUR 699 February 3, 2018 Professor Cindy Boyer Spring Valley Hospital was established in 2003 as the first acute care hospital in Southern Nevada in Las Vegas. The hospital has recorded outrageous growth regarding community that they provide their services. Currently, the hospital has a bed capacity of 292. The services that are offered are inclusive of emergency services offered in 24 hours, maternity services, inpatient and outpatient rehabilitation, wound care and cardiovascular services. I conducted an evidence-based practice readiness survey at my hospital. The mission of the hospital is to “provide a culture of excellence with committed employees, physicians, and volunteer deliver safe quality patient care for their community” (Spring Valley Hospital 2018). I have worked at Spring Valley for several years, and it is evident to me that the hospital is striving to provide optimal care to the patients which includes best practice guidelines to insure the best possible patient outcomes. Knowing this, I scored the facility a 5 for this category. The organization’s level of readiness lies in interprofessional collaboration. The hospital is part of six acute care hospitals that are responsible for providing patient care within Southern Nevada and Las Vegas at large. The other hospitals that take part include Desert Springs Hospital Medical Center, Summerlin Hospital Medical Center, Valley Hospital Medical Center, Henderson Hospital and Centennial Hills Hospital Medical Center (Spring Valley Hospital Medical Center, 2018). Interprofessional collaboration is essential since it improves the outcome of patients. Additionally, teamwork is vital in reducing workload and thus improves job satisfaction for both the healthcare workers and the patients (Bosch & Mansell, 2015). As a worker at the facility, I noticed how the workers were relieved of workload and this increased work efficiency. The program also helped in interprofessional-based education among the workers in the hospital. The hospital is not a Magnet Hospital but does have some evidence-based practice (EBP) guidelines in effect. Nurses are educated and responsible to adhere to the guidelines daily. I did score give a score of 5 because the most recent EBP guidelines are put into practice. I scored a 3 for the degree in which nursing staff is dedicated to EBP. I scored this this area low because working in the ICU I do see where staff does fall short in committing to guidelines. Some of the barriers does tie in with lack of education. The hospital also offers minimal training opportunities to nurses. I would have to score the hospital at a 3 in this area. Training is crucial since it improves skills and knowledge. Through training, nurses can improve their basic understanding and thus become more robust when faced with challenges in their daily activities. The hospital use of electronic health records requires people who are trained. The electronic records make the work easy as the files are easy to find and thus time conscious. The hospital has fewer staff members than the required number. However, to curb this issue, the hospital allows volunteers who fill the gap to ensure that workload is minimized, and the patients stay in the hospital is reduced. This is mainly because of the training that is offered to ensure that the serviced offered are of good quality and up-to-date. Evidence-based practiced (EBP) in nursing at Spring Valley Hospital is apparent. EBP aims to make available valuable and practical care to the patients with the intent to improve the outcome. The hospital fulfills this by ensuring that the EBP in nursing is practiced (Spring Valley Hospital Medical Center, 2018). The patients who were admitted to the hospital give feedback stating that they received the most effective care based on available facts. Possible project barriers for EBP in the hospital include misunderstanding of the statistics, scarce time to carry out the EBP and to read the literature and lack of power to change the care given to the patients. Barrier facilitators include support from peers and colleagues as well as managerial support. Insufficient authority to prompt a change in the practice setting has been a major barrier in the hospital. The organization should be willing to support the implementation of research in the six facilities that are within the Valley system. Lack of time to implement and review the findings was also another barrier in the hospital. I scored the facility at a 4 in this area. There are less training opportunities and support policies that are in the hospital, and this makes it hard for the hospital to promote EBP at regular intervals. Promoting clinical inquiry and generating an interest in EBP is significant in a hospital setup. This is because they facilitate positive outcomes such as build of interdisciplinary relationships, creating rapport and generating a continuing trustworthy structure. One of the methods to improve clinical inquiry is through coaching and mentorship of the steps involved in EBP. Another method is to change the authority among the nurses to provide a platform to ask what is not understood. Moreover, encourage the nurses to identify patients who are interested in taking part in the EBP. References Bosch, B., & Mansell, H. (2015, July). Interprofessional collaboration in health care . Retrieved January 30, 2018, from PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4530359/ Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based Practice in Nursing and Healthcare: A Guide to BestPractice (3 rd ed.). Philadelphia: Wolters Kluwer Health. Spring Valley Hospital Medical Center. (2018). About us: About the Hospital . Retrieved January 30, 2018, from Spring Valley Hospital Medical Center: https://www.springvalleyhospital.com/careers Discussion: Solution Description Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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