NR 451 Week 6 Assignment: EBP Change Process form

NR 451 Week 6 Assignment: EBP Change Process form

Student Name

Chamberlain University

NR-451: RN Capstone Course

Prof. Name:

Date

Week 6 Assignment: Evidence-Based Practice (EBP) Change Process Using the ACE Star Model of Knowledge Transformation

Star Point 1: Discovery (Identify Topic and Practice Issue)

Topic and Practice Issue:

Errors in hospital settings are common and have adverse effects on patient health, potentially leading to illness or death. The topic of focus is reducing nursing errors in healthcare institutions by fostering a safety culture.

Rationale and Scope of Issue:

The prevalence of errors in hospitals has resulted in millions of patient deaths worldwide. Factors such as fatigue, recklessness, and lack of attention contribute significantly to these errors. Nurses, due to their direct involvement with patient care, are in a critical position to implement measures that mitigate these errors.

Star Point 2: Summary (Evidence to Support the Need for Change)

Practice Problem and PICOT Question:

The frequent occurrence of healthcare errors, including missed care, infections, falls, and medication errors, underscores the need for change. Despite these fatal errors, minimal focus is given to fostering a safety culture in healthcare settings to improve patient outcomes.

PICOT Question:

In hospitalized patients (P), how does promoting a safety culture (I) compared to standard practices (C) impact medication error rates (O) over six months (T)?

Systematic Review from Cochrane Database:

• Ammouri, A. A., Tailakh, A. K., Muliira, J. K., Geethakrishnan, R., & Al Kindi, S. N. (2015). Patient safety culture among nurses. International Nursing Review, 62(1), 102–110.

Additional Scholarly Sources:

1. Flynn, F., Evanish, J. Q., Fernald, J. M., Hutchinson, D. E., & Lefaiver, C. (2016). Progressive care nurses improving patient safety by limiting interruptions during medication administration. Critical Care Nurse, 36(4), 19–35.
2. Cloete, L. (2015). Reducing medication errors in nursing practice. Cancer Nursing Practice, 14(1).
3. Bush, P. A., Hueckel, R. M., Robinson, D., Seelinger, T. A., & Molloy, M. A. (2015). Cultivating a culture of medication safety in prelicensure nursing students. Nurse Educator, 40(4), 169–173.

Summary of Evidence:

The systematic review highlights patient safety as a cornerstone of quality healthcare. Nurses play a crucial role in promoting a safety culture due to their hands-on interaction with patients. Key predictors of patient safety include communication, organizational learning, teamwork, and management support.

Evidence-Based Solutions:

1. Implementation of hospital management systems to enhance patient safety culture.
2. Promotion of leadership capacity to foster communication, teamwork, and a blame-free environment.

Star Point 3: Translation (Action Plan)

Care Standards, Guidelines, or Protocols:

The use of learner-centered training and supervision modules that increase awareness, skills, and knowledge among nurses is crucial in preventing errors and promoting patient safety.

Stakeholders and Their Roles:

1. Nurses: Implement strategies to minimize errors during care delivery.
2. Management: Develop and enforce policies to promote safety culture, provide training, and oversee implementation.
3. Patients: Collaborate with nurses and report any overlooked errors.

Nursing Role in the Change Process:

Nurses must report errors or near misses, identify unsafe materials or faulty equipment, and perform regular activity checklists to minimize errors.

Stakeholders and Justification:

1. Nurse Leaders: Supervise and advocate for policy changes.
2. Pharmacists: Address prescription errors and ensure medication safety.

Cost Analysis and Resources:

The primary cost involves training staff, creating awareness materials, and developing training videos. Stakeholders include nurse leaders, pharmacists, and management.

Star Point 4: Implementation

Permission and Planning:

Permission will be sought through formal communication to hospital management, detailing the problem, interventions, and expected benefits.

Staff Education and Impact:

Comprehensive training will highlight the importance of change and how stakeholders can participate. The training aims to ensure understanding and commitment to reducing errors.

Timeline:

1. 01/02/2024 – 14/02/2024: Staff training.
2. 15/02/2024 – 28/02/2024: Preparation of materials.
3. 01/03/2024 – 30/03/2024: Awareness campaigns.
4. 01/04/2024 – 30/04/2024: Evaluation of skills and strategies.

Measurable Outcomes:

• P: Medication error frequency.
• I: Adoption of safety protocols.
• C: Use of checklists.
• O: Reduction in mortality rates.
• T: Six months.

Recording and Resources:

Forms will document errors by type and nature. Available resources include checklists, posters, and flashcards.

Stakeholder Meetings:

Weekly meetings with stakeholders will assess progress and make adjustments as needed.

Star Point 5: Evaluation

Outcome Reporting:

Results will be presented using frequency tables to compare pre- and post-intervention outcomes.

Next Steps:

The findings will serve as a foundation for evaluating the effectiveness of implemented changes and identifying additional strategies for further improvement.

References

Ammouri, A. A., Tailakh, A. K., Muliira, J. K., Geethakrishnan, R., & Al Kindi, S. N. (2015). Patient safety culture among nurses. International Nursing Review, 62(1), 102–110.

Flynn, F., Evanish, J. Q., Fernald, J. M., Hutchinson, D. E., & Lefaiver, C. (2016). Progressive care nurses improving patient safety by limiting interruptions during medication administration. Critical Care Nurse, 36(4), 19–35.

Cloete, L. (2015). Reducing medication errors in nursing practice. Cancer Nursing Practice, 14(1).

NR 451 Week 6 Assignment: EBP Change Process form

Bush, P. A., Hueckel, R. M., Robinson, D., Seelinger, T. A., & Molloy, M. A. (2015). Cultivating a culture of medication safety in prelicensure nursing students. Nurse Educator, 40(4), 169–173.