Recommending an Evidence-Based Practice Change.

uEBP Part 5: Recommending an Evidence-Based Practice Change

Student’s Name
Program Name, Institution
Course Name
Instructor’s Name
Month, Year

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uHealthcare Organization

üA regional-based facility providing inpatient and outpatient cancer care

üFacility  serves more than 200,000 people

üPopulation served is highly diverse

üNurses comprise the majority of the health workforce

üBackground knowledge on EBP

üPatient-centric culture, passionate and dedicated staff

uOpportunity for Change

üMore than 14 million cancer diagnoses in the US

üPrimary focus  of management are pharmacologic agents to improve QoL

üPatients use CAM but hardly disclose

üCAM improves stress, pain, fatigue, depression, and anxiety

üPatients using CAM experience side effects

üMost providers lack knowledge  on CAM

üProviders should encourage disclosure of CAM use

uEvidence-Based Change Idea

üMost cancer patients use CAM but won’t disclose to treatment teams

üCAM includes homeopathy, acupuncture, and naturopathy

üCAM can result to adverse effects

üEducation and disclosure is integral to improving outcomes

üEducation improves knowledge on sie effects, benefits, risks, outcomes and complications

ü

uPlan For Knowledge Transfer

üPre-assessment of providers knowledge on CAM

üReview findings to identify knowledge gaps

üProvider training based on identified gaps

üPost-assessment of providers’ knowledge on CAM

üDevelop care guidelines to include patient education on CAM

üEvaluate outcomes

uMeasurable Outcomes

üPatient admittance to using CAM

üIncident reports on adverse events due to CAM

üSeverity of symptoms(pain, nausea anxiety)

üPatient experience of care

üPatient satisfaction

uLessons Learned: Critical Appraisal Summary

üFour peer-reviewed studies were appraised

üPublished between the years 2015-2020

üAll studies recommended educating cancer patients on CAM

üAll studies were systematic reviews

üHigh quality, evidence level I

uLessons Learned: Evaluation Table

üAll articles did not provide the conceptual framework

üSystematic reviews with either quantitative or qualitative research designs

üSearch for studies in Cochrane, CINAHL, EMBASE, PubMed, and Medline databases.

üInternal and external  assessors established validity of studies

üData analyzed using thematic analysis and statistical analysis

uLessons Learned: Level of Evidence Table

üThe level of evidence was determined by the methodological quality of each study

üThe recommended grade and strength  of each study determined the level of evidence

üAll studies were systematic reviews thus evidence level I

üAll studies had high reliability, validity with applicable findings.

uReferences

vMöller, U. O., Beck, I., Ryden, L., & Malmström, M. (2019). A comprehensive approach to rehabilitation interventions following breast cancer treatment-a systematic review of systematic reviews. BMC cancer, 19(1), 472.

vKrzyzanowska, M. K., Walker-Dilks, C., Atzema, C., Morris, A., Gupta, R., Halligan, R., & McCann, K. (2016). Approach to fever assessment in ambulatory cancer patients receiving chemotherapy: a clinical practice guideline. Current Oncology, 23(4), 280

vPaice, J. A., Portenoy, R., Lacchetti, C., Campbell, T., Cheville, A., Citron, M., & Koyyalagunta, L. (2016). Management of chronic pain in survivors of adult cancers: American Society of Clinical Oncology clinical practice guideline. Journal of Clinical Oncology, 34(27), 3325-3345.Recommending an Evidence-Based Practice Change.

vSingh, P., & Chaturvedi, A. (2015). Complementary and alternative medicine in cancer pain management: a systematic review. Indian journal of palliative care, 21(1), 105–115. https://doi.org/10.4103/0973-1075.150202

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Assignment: Evidence-Based Project, Part 5: Recommending an Evidence-Based Practice Change The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes. 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 in Module 4, related to your clinical topic of interest and PICOT. Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection. Recommending an Evidence-Based Practice Change. The Assignment: (Evidence-Based Project) Part 5: Recommending an Evidence-Based Practice Change Create an 8- to 9-slide PowerPoint presentation in which you do the following: Briefly describe your healthcare organization, 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. Recommending an Evidence-Based Practice Change. Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation. Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change. Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking. Add a lessons 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)Recommending an Evidence-Based Practice Change.