Measuring expected change outcomes is crucial in research to ascertain effectiveness of planned change into real-world clinical practice.  Outcome evaluation is important at all levels including patient, clinician, and organization level.  Outcomes need to be measured throughout the process including at the beginning, short-term, and long-term (Melnyk & Fineout-Overholt, 2015).  Cultivating change mentors and champions can help improve outcomes and provide ongoing training with clinicians including “circulate information, encourage peers to adopt the innovation, arrange demonstrations, and orient staff to the innovation” (LoBiondo-Wood & Haber, 2014, p. 434). 

Expected Change Outcomes

The expected outcome from this change will be a decrease in surgical site infections (SSI) with postoperative patients.  Many factors come into play when measuring outcomes which include measurement tools, validity of instruments and tools to measure outcomes, as well as accurate self-reporting in regard to clinician compliance (Melnyk & Fineout-Overholt, 2015).  Outcomes can be measured by tracking statistics on postoperative patients regarding type of preoperative bathing solution used prior to surgery, the incidence of postoperative SSI, clinician compliance with intervention at point-of-care, 30-day hospital readmission data as well as patient satisfaction surveys (HCAHPS) over a 6-month period.  The results will determine if the change will be translated into practice.  

Implementation Process Outcomes

       Utilizing EBP leaders (mentors) can help with all aspects of the change process.  Mentors give guidance, encouragement, help foster self-confidence in clinicians as well as reinforce values to the team.  The ARCC change model stresses the importance of utilizing change mentors and champions to improve quality of care as well as patient outcomes.  Assigning a change leader and unit champions will help to provide support such as ongoing organizational assessment, conduct EBP workshops and provide ongoing education, encouragement with clinicians and staff focused on a culture of EPB, institute EBP implementation strategies (EBP rounds, newsletters, journal clubs, etc.), assess for and focus on overcoming barriers, facilitate involvement of staff and point-of-care clinician compliance, and implement a culture of multidisciplinary collaboration to promote and sustain EBP (Melnyk & Fineout-Overholt, 2015, p. 378).

References

LoBiondo-Wood, G., & Haber, J. (2014). Nursing research:  Methods and critical appraisal for evidence-based practice (8th ed.). St. Louis, MO: Mosby Elsevier.

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare:  A guide to best practice (3rd ed.). Retrieved from Amazon Kindle App

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

• Describe the project you propose.
• Identify the stakeholders impacted by this project.
• Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
• Identify the technologies required to implement this project and explain why.
• Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

Please, post a short response to the following discussion.

 

Use a reference from scholarly literature : Peer-reviewed Nursing journal not older than 5 years or your textbook:

 Polit, D. E. & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice(9th. ed.). Philadelphia, PA: Wolters Kluwer. 

Nursing researches, evidence-based practice (EBP), and theories can be subject to reviews and readings. Nursing is an ever-changing science and profession, even though nurses based their knowledge on previous studies. Literature review is significant to the research process because it balances the strength of the knowledge obtained and review the previous information obtained. The nursing research process includes the review or creation of concepts and theories (Polit & Beck, 2018). Therefore, a deep reading and investigation of the research allows for either confirmation, or exclusion, of that research. As Bernhofer (2015) expresses, a thorough review of the literature can show that there is no need to change the practice or, in the other hand, it can show that there is a possibility to improve the outcomes desired by changing the practice protocols. A literature review may influence new researches process and practices as it proves the knowledge already obtained is based on strong and appropriate evidences that were not biased.

 

Family nurse practitioner

You need to answer the questions brief and right to the point

Disease:  Prostatitis

1. Population most affected (ex: Older Adults, Middle Adults, Young Adults, Teenagers, Child, Infants)

2. Age related milestone for your chosen population

3. Socio-Demographic/Risk factors for getting the disease/condition

4. Impact on Quality Of Life

5. Current/new/recent research/Evidence Base Practice that will benefit/support this patient with the specific disease (If there are none please state so)

6. Recommendation for treatment or Gold standards for treatment if any (can be tied into the current research as above) (If there are no gold standards then please state so, but there should be some recommendations)

7. Please tell what/how you (speak in the first person) as the FNP caring for this patient with this specific disease can make a difference in his/her care and incorporate patient care/self-help teaching that can help him/her minimize disease symptoms.

8. Red flags for this condition (what specific Sign/Symptoms require urgent/ER care) or when should you refer patient to specialist.

 it is a smaller project, it is a group project I want it on two format. I have to have to show 3 paragraphs on a research paper about education of Native American on diabetes. So it should be nursing interventionseducation and at least 3 slides. But i will confirmed it. I need it by Monday.