NRS465 Applied Evidence-Based Project and Practicum
Week 6 Discussion
DQ 1 After discussion with your preceptor, describe how leadership and economic models of health care can be used to optimize EBP to improve patient outcomes. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
DQ 2 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. Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN DQ Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
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Here’s an initial response for each discussion question for Week 6:
DQ 1: Leadership and Economic Models in Optimizing EBP
Leadership and economic models of health care play a significant role in optimizing Evidence-Based Practice (EBP) to improve patient outcomes. Effective leadership is critical in fostering a culture that embraces EBP. Transformational leadership, in particular, is highly effective because it focuses on inspiring and motivating staff to adopt new practices and continuously improve patient care (Wong et al., 2013). Leaders who are transformational encourage innovation, provide support for learning, and empower their teams, all of which are essential for the successful implementation of EBP.
Economic models of health care, such as value-based care, align incentives with the goal of improving patient outcomes. Value-based care emphasizes the quality of care rather than the quantity, which encourages the integration of EBP to enhance clinical outcomes while reducing costs (Porter, 2010). By focusing on patient-centered outcomes and efficiency, value-based models support the use of evidence-based interventions that have been proven to be effective and cost-efficient. This model also drives the use of performance metrics and continuous quality improvement processes that rely heavily on EBP to inform care decisions.
Together, leadership and economic models can optimize EBP by creating an environment that prioritizes high-quality, cost-effective care. For instance, a health care organization led by transformational leaders and operating under a value-based model would be well-positioned to implement EBP initiatives that improve patient satisfaction, reduce hospital readmissions, and enhance overall health outcomes.
References:
Porter, M. E. (2010). What is value in health care? The New England Journal of Medicine, 363(26), 2477-2481.
Wong, C. A., Cummings, G. G., & Ducharme, L. (2013). The relationship between nursing leadership and patient outcomes: A systematic review update. Journal of Nursing Management, 21(5), 709-724.
DQ 2: Overview of Implementation Plan and Modifications
The implementation plan developed in Topic 5 focuses on enhancing hand hygiene compliance among nursing staff to reduce hospital-acquired infections (HAIs). The plan includes the following key components: conducting a baseline assessment of current hand hygiene practices, educating staff on the importance of hand hygiene through workshops and reminders, implementing hand hygiene stations at key points of care, and utilizing electronic monitoring to track compliance rates.
After discussing the plan with my preceptor, a few modifications were suggested to improve the plan’s effectiveness. Firstly, instead of solely relying on workshops, the plan will incorporate interactive training sessions, including role-playing and simulations, to engage staff more effectively and reinforce learning through practical application. Secondly, the electronic monitoring system will be adjusted to provide real-time feedback to staff, which is expected to encourage immediate corrective actions and foster a sense of accountability.
Additionally, the preceptor recommended adding a component to involve patients in the hand hygiene process. By educating patients and their families on the importance of hand hygiene and encouraging them to remind healthcare workers to perform hand hygiene, the plan can create a collaborative environment where everyone is responsible for infection prevention.
These modifications aim to create a more engaging and supportive environment for staff, increase compliance rates, and ultimately improve patient outcomes. Continuous evaluation of the plan will be crucial to ensure its success, and adjustments will be made based on feedback and observed outcomes.
References:
Sickbert-Bennett, E. E., DiBiase, L. M., Willis, T. M., Wolak, E. S., Weber, D. J., & Rutala, W. A. (2016). Reduction of healthcare-associated infections by exceeding high compliance with hand hygiene practices. Emerging Infectious Diseases, 22(9), 1628-1630.
Pittet, D., Hugonnet, S., Harbarth, S., Mourouga, P., Sauvan, V., Touveneau, S., & Perneger, T. V. (2000). Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. The Lancet, 356(9238), 1307-1312.
