instructions:
Homework help – Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria:
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, if it may be too costly, or if 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 problem statement before continuing.
Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement.
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 that 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, or professional expertise.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the Help write my thesis – APA Style Guide, located in the Student Success Center. An abstract is not required.
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Essay Sample
Evidence-Based Practice
Student’s Name
Institutional Affiliation
Course
Date
Evidence-Based Practice
Proposed Solution
The use of Evidence-based Practice (EBP) is imperative in the implementation of change as well as facilitating the improvement of care across a healthcare setting. Sepsis is a condition that could potentially threaten the life of an individual as it is influenced by the response of the body towards an infection (Evans et al., 2015). Precisely, it occurs when the relevant chemicals responsible for fighting an infection are released into the bloodstream and they end up triggering an inflammation throughout the body. Through the competent and effective implementation of EBP care measures, the quality of care for sepsis patients could be significantly improved. Based on the PICOT format, the proposed solution for this issue is structured around the evaluation of EBP protocols on sepsis for adult patients and its impact on the compliance levels of nurses compared to the lack of any protocol used. As such, the proposed solution focuses on the changes required to facilitate the early detection of sepsis in adults alongside the most appropriate recommendations for treatment. The proposed change will also focus on using the computer programs to develop protocols for screening patients and determining the early warning scores to facilitate the increased positive patient outcomes such as high mortality and low ICU admissions (Iba et al., 2019). The protocol will begin with the collection of a patient’s blood samples, chest radiographs, the initiation of IVF or the intravenous fluid resuscitation, and the use of antibiotics (Semler et al., 2015). The protocol will be taught to every practitioner concerning blood glucose testing while the respective laboratory testing will be conducted within a turnaround time of less than an hour.
Organization Culture
The proposed solution is relatively consistent with the community as well as organizational resources and culture considering that it is primarily geared towards the improvement of care, the establishment of an initiative, and the outcomes of sepsis patients (Rello et al., 2017). The plan also establishes a measure of urgency among the involved professionals based on the competence required in treating patients. As such, the success of this initiative would reciprocate into the development of a protocol that receives sufficient administrative support.
Expected Outcomes
One of the expected outcomes of the proposed solution is the heightened compliance levels from staff members on the sepsis EBP protocols. It is also expected that the patient mortality rate caused by sepsis will significantly reduce while the period of stay in hospital for a patient will also be minimized through the meticulous and consistent compliance with the protocols.
Methods to Achieve the Outcomes
To achieve the aforementioned outcomes, the nurses will be educated on the screening tools through group educational meetings where they will be taught on the criteria for Systemic Inflammatory Response Syndrome (SIRS), antibiotic therapy, and blood testing (Kakihana et al., 2016). These nurses will also familiarize with the computer utilization measures to understand all the guidelines included in the sepsis protocols. To ensure there is an accurate diagnosis as well as early intervention, the nurses will be required to conduct reliable clinical assessments while evaluating a patient’s history at the same time. One of the limitations is physician buy in that will be eliminated through involving the Medical Executive Committee in the implementation of the protocol.
Outcome Impact
The outcomes will have an impact on professional expertise which will be influence by positive effects through the increased awareness and knowledge of sepsis for nurses. They will be introduces to the best sepsis EBP protocols that will help in the early identification and treatment thereby contributing to a reduction in the mortality rates and an improvement in quality care.
References
Evans, K. H., Daines, W., Tsui, J., Strehlow, M., Maggio, P., & Shieh, L. (2015). Septris: a novel, mobile, online, simulation game that improves sepsis recognition and management. Academic Medicine, 90(2), 180.
Iba, T., Levy, J. H., Raj, A., & Warkentin, T. E. (2019). Advance in the management of sepsis-induced coagulopathy and disseminated intravascular coagulation. Journal of clinical medicine, 8(5), 728.
Kakihana, Y., Ito, T., Nakahara, M., Yamaguchi, K., & Yasuda, T. (2016). Sepsis-induced myocardial dysfunction: pathophysiology and management. Journal of intensive care, 4(1), 22.
Rello, J., Valenzuela-Sanchez, F., Ruiz-Rodriguez, M., & Moyano, S. (2017). Sepsis: a review of advances in management. Advances in therapy, 34(11), 2393-2411.
Semler, M. W., Weavind, L., Hooper, M. H., Rice, T. W., Gowda, S. S., Nadas, A., … & Wheeler, A. P. (2015). An electronic tool for the evaluation and treatment of sepsis in the ICU: a randomized controlled trial. Critical care medicine, 43(8), 1595.
