Nursing

Recommending an Evidence-Based Practice Change

Silifat Jones-Ibrahim

Walden University

Introduction

My organization has focused on delivery of better healthcare to its clients.

Diversity in healthcare delivery has bee crucial in transforming the healthcare.

The quality of care has been holistic care which is essential in long-term healthcare delivery.

Patient centered care has been important and provide a better patient satisfaction which has been a crucial aspect in improved quality healthcare delivery.

Introduction

The healthcare organization has been growing with a critical focus on the integration of fundamental technology-based changes which have focused on transforming healthcare setting.

IT due diligence in healthcare concentrates on evaluation of necessary technological changes in healthcare with a focus on the underlying costs, benefits, and risks involved in IT function.

Current problem

The changes within the healthcare organization have provided a strong emphasis on the need to ensure there is a focus on the wellbeing of quality service delivery.

Delivery of quality healthcare requires a highly integrated environment that help in ensure that there is better delivery of healthcare across different healthcare organizations.

The hospital has been unable to effectively define a strategy to incorporate technology in healthcare with an intention to improve the quality of care.

Current problem

The integration of technology has ensured that there are new measures in healthcare, which define an improved quality.

The advancing quality of health care is based on technological changes, which are focusing on specific concepts within healthcare.

However, inability to incorporate better healthcare technology within the organization has created a difficult operational environment especially management of patient health information.

Evidence based solutions

According to Mežinska et al. (2015), the most appropriate approach to consider has been to implement a health management system.

The article assert that the system should focus on efficiency in management patient information as well as operations management within the healthcare environment.

Management of healthcare information has become a critical factor which provides a strong consideration on critical processes which help create a reliable system.

Evidence based solutions

The inclusion of health information management systems has integrated vital processes which help identify important concepts which help manage patient information (Williams, 2013).

Electronic health record systems are also able to put in place better patient data protection thus ensuring that patient information does not fall into the wrong hands.

Health information is sensitive information, which can be detrimental to patient wellbeing if exposed (Wei, Lin & Loho-Noya,2013).

Plan for knowledge transfer of this change

A strategic system development will be evaluated with a key focus on the challenges that the organization is currently facing.

The input of healthcare service providers will be effectively considered to ensure that the system meets the minimum requirements.

The systems that are developed within a healthcare environment must focus on the underlying needs and challenges that nursing care provider are facing in their efforts to deliver improved quality of healthcare (Wei, Lin & Loho-Noya,2013).

Outcome

A transformed healthcare environment with successful technology integration will form the basis of evaluation.

Patient feedback will also be evaluated since it is easy to understand the impact of change.

Lessons learned

The article has provided a strong focus on the importance of technology in healthcare.

The article highlights that the integration of technology in healthcare has been to improve patient satisfaction.

References

Wei, J., Lin, B., & Loho-Noya, M. (2013). Development of an E-Healthcare Information Security Risk Assessment Method. Journal of Database Management, 24(1), 36– 57. https://doi.org/10.4018/jdm.2013010103

Williams, P. A. H. (2013). Information security governance: a risk assessment approach to health information systems protection. Studies in Health Technology and Informatics, 193, 186–206. https://doi.org/10.3233/978-1-61499-291-2-186

Mežinska, I., Lapiņa, I., & Mazais, J. (2015). Integrated management systems towards sustainable and socially responsible organisation. Total Quality Management & Business Excellence, 26(5-6), 469-481.

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

Hallett, N., Huber, J. W., & Dickens, G. L. (2014). Violence prevention in inpatient psychiatric settings: Systematic review of studies about the perceptions of care staff and patients. Aggression and Violent Behavior, 19(5), 502-514.

Iozzino, L., Ferrari, C., Large, M., Nielssen, O., & De Girolamo, G. (2015). Prevalence and risk factors of violence by acute psychiatric inpatients: a systematic review and meta-analysis. PloS one, 10(6), e0128536.

Kamphuis, J., Dijk, D. J., Spreen, M., & Lancel, M. (2014). The relation between poor sleep, impulsivity and aggression in forensic psychiatric patients. Physiology & behavior, 123, 168-173.

Latalova, K., Kamaradova, D., & Prasko, J. (2014). Violent victimization of adult patients with severe mental illness: a systematic review. Neuropsychiatric disease and treatment, 10, 1925.

Summary continue

Lozzino et al. (2015), management of acute psychiatric patients in wards is a complex process because different factors influence patients. Knowledge of these conditions provides a unique emphasis on changes that need to be made in ensuring that the healthcare services offered to attain the outcomes required.

Hallet et al. (2014), Dealing with mental illness requires a strong structure in place which can focus on creating a profoundly transformed environment for better engagement.

Kamphuis et al. (2014). The underlying changes within the health system define critical processes can help improve the health of inmates

Lataloya et al. (2014), the victimization of mentally ill patients has also been a significant issue, which makes it challenging to adopt better interventions. Victimization is mainly done in a situation where there is no understanding of the diagnosis of an individual and the determination of whether they are suffering from mental illnesses.

What I learnt from completing the evaluation table

The theoretical basis for the study, the design and hoe the study was carried out.

The number and characteristics of the patient and attribute rates.

The dependent and independent variables.

The general finding and recommendation of the research, the general worth of the research, the strengths and limitations of the study.

What are the risk associated with implementation of the suggested practices processed detailed in the researches

What I learnt from completing the levels of evidence table

Level I

Experimental, randomized controlled trial (RCT), systematic review RTCs with or without meta-analysis

 

Level II

Quasi-experimental studies, a systematic review of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only, with or without meta-analysis

 

Level III

Nonexperimental, a systematic review of RCTs, quasi-experimental with/without meta-analysis, a qualitative, qualitative systematic review with/without meta-synthesis

Level IV

Respected authorities’ opinions, nationally recognized expert committee/consensus panel reports based on scientific evidence

Level V

Literature reviews, quality improvement, program evaluation, financial evaluation, case reports, nationally recognized expert(s) opinion based on experiential evidence

What I learnt from completing the outcomes synthesis table

The number and characteristics of patients in each article

The outcome of each article

The key finding of each article

The appraisal and study quality of each article

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