Develop a poster for EBP change selected .Instructions and grading rubric are below.Topic-Rapid response to significant change in the condition of patients in long term facilities. Project outline is attached.
poster_guideline_and_rubric_.pdf
module_4_lesson_1_discussion.docx
module_4_lesson_1_discussion.docx
ebp__poster_sample.pptx
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EBP Poster Assignment Guideline
Students will prepare a poster in PowerPoint to present their EBP project. The sections of the poster
should reflect those in the assignment rubric (in bold font). A tutorial on creating a poster in Power Point
is provided in the assignment folder (with a link to a website with design tips and examples).
Clinical question
including all PICOTS or PICO or PICOT elements in narrative format
single outcome, single intervention
proposed intervention holds promise in improving an outcome in
population of interest
Synthesis of Evidence
from review of literature
one paragraph
Project team
Identify members of EBP project team (by profession and/or role, not by
name)
Includes stakeholders for change in practice
Barriers
Identify anticipated barriers to change (both cultural and organizational)
Facilitation Plan
Leadership plan (how will you lead the EBP team?)
Strategies to facilitate change and overcome barriers
Evaluation Plan
How will you measure the outcome of the change you propose?
How will outcomes be measured on an ongoing basis?
Implementation Plan
How will you roll this out at your institution? Include:
Time line
Plans for education
Roles for team members
Marketing
Equipment needs (including any costs associated with change)
References
Minimum of 5
APA format
Style/format
Terms in bold used as section headings
Free of errors
APA format for citations and references
Creativity of presentation
Design and use of color, illustrations, graphics
Total
Points
Points
possible earned
10
10
10
10
10
10
10
10
10
10
100
Proposed EB practice change.
Evidence based practice change that I would like to propose is rapid response to significant
change in the condition of patients in long term facilities.
I have been exposed to so many cases and victims /patients who are affected by nursing staff ‘s
lack of prompt interventions following a change in the condition of a patient in LTC. This I
mostly attribute to lack of skills and knowledge to identify baseline of patients and ill-fitting
policies proposed by LTC facility administration/owners to maximize profit at the detriment of
the patients .
Describe the anticipated barriers to the change process in your institution (or where the
change will be implemented). Include the organization’s culture, anticipated reaction to
change, and your leadership role for change.
The barriers to implementing this change include a push back from the facility administration
and lack of interest from nursing staff who are the applicators of this EBP. I anticipate the
institution will hesitate to adopt this because it will require them to train their staff on the new
strategies . I also believe that this will result in staff transferring patients to places of higher
acuity management which will reduce their desired census or head count which is how
reimbursement is derived. It is known that nursing staff are often instructed not to transfer
patients out of facilities even in times of crisis and changes in condition without facility
administration and physician approval. This often affects the promptness of intervention
provided as well as patient outcome. My proposal will include use of critical thinking and basic
CPR nursing judgement to make life changing decisions of responding rapidly in emergencies.
The leadership role needed to affect this change would include assertiveness in enlightening
both nursing staff and facility administration the negative impacts of lack of rapid response in
emergencies. The statistics will tell the story as well as the outcome of utilizing EBP.
References
Brown, S. J., (2018). Evidence-Based Practice Nursing .The research Practice Connection,4th
Edition. Burlington ,MA: Jones & Bartlett Learning.
Houser, J.& Omar, K.S., (2011). Evidence-Based Practice: An Implementation Guide for
Healthcare Organizations 1st Edition. Sudbury, MA: Jones & Bartlett Learning. Retrieved March
2nd,2019 from https://elearn.uta.edu/bbcswebdav/pid-8104771-dt-content-rid139829915_2/courses/2192-EVIDENCE-BASED-PRACTICE-25153-401/Resources/Evidencebased%20Practice%20%20An%20Implementation%20Guide%20for%20Healthcare%20Organizations.pdf
Overholt E, & Johnston L., (2006).Teaching EBP: Implementation of
evidence: moving from the evidence to action. Worldviews Evid Based
Nurs 2006;3(4):194-200. Retrieved from
https://www.nursingcenter.com/nursingcenter_redesign/media/ebp/ajnseries/following.pdf on
March 19, 2019.
Proposed EB practice change.
Evidence based practice change that I would like to propose is rapid response to significant
change in the condition of patients in long term facilities.
I have been exposed to so many cases and victims /patients who are affected by nursing staff ‘s
lack of prompt interventions following a change in the condition of a patient in LTC. This I
mostly attribute to lack of skills and knowledge to identify baseline of patients and ill-fitting
policies proposed by LTC facility administration/owners to maximize profit at the detriment of
the patients .
Describe the anticipated barriers to the change process in your institution (or where the
change will be implemented). Include the organization’s culture, anticipated reaction to
change, and your leadership role for change.
The barriers to implementing this change include a push back from the facility administration
and lack of interest from nursing staff who are the applicators of this EBP. I anticipate the
institution will hesitate to adopt this because it will require them to train their staff on the new
strategies . I also believe that this will result in staff transferring patients to places of higher
acuity management which will reduce their desired census or head count which is how
reimbursement is derived. It is known that nursing staff are often instructed not to transfer
patients out of facilities even in times of crisis and changes in condition without facility
administration and physician approval. This often affects the promptness of intervention
provided as well as patient outcome. My proposal will include use of critical thinking and basic
CPR nursing judgement to make life changing decisions of responding rapidly in emergencies.
The leadership role needed to affect this change would include assertiveness in enlightening
both nursing staff and facility administration the negative impacts of lack of rapid response in
emergencies. The statistics will tell the story as well as the outcome of utilizing EBP.
References
Brown, S. J., (2018). Evidence-Based Practice Nursing .The research Practice Connection,4th
Edition. Burlington ,MA: Jones & Bartlett Learning.
Houser, J.& Omar, K.S., (2011). Evidence-Based Practice: An Implementation Guide for
Healthcare Organizations 1st Edition. Sudbury, MA: Jones & Bartlett Learning. Retrieved March
2nd,2019 from https://elearn.uta.edu/bbcswebdav/pid-8104771-dt-content-rid139829915_2/courses/2192-EVIDENCE-BASED-PRACTICE-25153-401/Resources/Evidencebased%20Practice%20%20An%20Implementation%20Guide%20for%20Healthcare%20Organizations.pdf
Overholt E, & Johnston L., (2006).Teaching EBP: Implementation of
evidence: moving from the evidence to action. Worldviews Evid Based
Nurs 2006;3(4):194-200. Retrieved from
https://www.nursingcenter.com/nursingcenter_redesign/media/ebp/ajnseries/following.pdf on
March 19, 2019.
Bair Paws Warming Gown For Surgical Patients: An Evidenced-Based-Practice Project
Emily Rixon BSN, RN, CNOR, RNFA
Synthesis of Evidence
Many studies examine how hypothermia affects patients in surgery as well
as what can be some contributing factors for surgical patient hypothermia. Multiple
causes influence hypothermia in the operating room such as general anesthesia,
cold operating room environment, and exposed tissues (Nicholson, 2013). One study
discussed unintentional cardiac events caused by inadvertent hypothermia like a
cardiac dysrhythmia (Nicholson, 2013). Inadvertent hypothermia quadruples the risk
for a morbid cardiac event (Steelman et al., 2017). Another study discussed
increased blood transfusion requirement, infection, myocardial infarction,
ventilation and mortality, as potential complications related to hypothermia
(Williams & El-Houdiri, 2018). One study showed the cost of an upper body Bair
Paws warming gown is $15.57, which is much less costly than a readmission to the
hospital for a surgical site infection (Adriani & Moriber, 2013).
Clinical Question
Will implementing active warming
with the use of upper body Bair Paws
warming gown for surgical patients in
the preoperative area, to help keep
patients normothermic during their
entire surgical stay for a period of six
months?
Project Team
Intraop
Nurses
Preop
Nurses
Barriers
•
6
months
timeline
Roles For Team Members:
Preop nurses – Implement action plan
Intraop nurses – Implement action plan
Postop nurses – Implement action plan
Nurse manager – Education , data collection,
policy development /improvement
Director of O.R. – Data collection & presentation
of results
Nurse anesthetist – Implement action plan
Marketing:
Posters, handouts
Equipment Needs:
Upper Body Bair Paws Warming Gown – $15.57 Per Patient
Evaluation Plan
Patient temperature will be assessed and documented during certain
points of their operative stay. We will know if the new implementation is
working by assessing the data collection sheets for any inadvertent
hypothermia.
Director of
O.R.
Stakeholders include: Surgical patients, Nurses, Chief Financial Officer,
Director of the Operating Room, Operating Room Nurse Manager,
Infection Control Nurse, Patient Safety Authority
Implementation Plan
Plans For Education:
Staff meetings
Handouts
Posters
Nurse
Anesthetist
Postop
Nurses
Nurse
Manager
•
Facilitation Plan
Create awareness by meeting
with surgical team leaders,
surgical committee members,
and key stakeholders
Continued integration of
practice change by auditing
documentation and providing
feedback, celebrating progress,
revise policy or procedure as
necessary
Build knowledge by educating
the surgical team about
inadvertent hypothermia and
the plan to try to prevent it
Promote action by using an
action plan, unit rounding
documentation, performance
evaluation, and positive
recognition
•
As part of this evidence-based-practice change there is a cost
for the upper body warming gown of $15.57 per patient. To
get this cost approved will be a difficult barrier to overcome.
Educating all operating room nursing staff about the change in
practice, and their willingness to change could be a potential
barrier for this change in practice.
There are a lot of parts to this implementation including time
restrictions, and even though nurses want to be compliant
with the practice change it might be difficult to do so.
References
Adriani, M. B., & Moriber, N. (2013). Preoperative forced-air warming combined with intraoperative warming versus
intraoperative warming alone in the prevention of hypothermia during gynecologic surgery. AANA Journal, 81(6),
446–451. Retrieved from
http://search.ebscohost.com.ezproxy.uta.edu/login.aspx?direct=true&db=ccm&AN=107923843&site=ehost-live
Nicholson, M. (2013). A comparison of warming interventions on the temperatures of inpatients undergoing
colorectal surgery. AORN Journal, 97(3), 310–322. https://doi-org.ezproxy.uta.edu/10.1016/j.aorn.2012.12.018
Ousey, K., Edward, K.-L., Lui, S., Stephenson, J., Walker, K., Duff, J., & Leaper, D. (2017).
Perioperative, local and systemic warming in surgical site infection: A systematic review and metaanalysis. Journal of Wound Care, 26(11), 614–624. https://doiorg.ezproxy.uta.edu/10.12968/jowc.2017.26.11.614
Steelman, V. M., Schaapveld, A. G., Perkhounkova, Y., Reeve, J. L., & Herring, J. P., (2017). Conductive skin warming
and hypothermia: An observational study. AANA Journal, 85(6), 461–468. Retrieved from
http://search.ebscohost.com.ezproxy.uta.edu/login.aspx?direct=true&db=ccm&AN=126503419&site=ehost-live
Williams, M., & El-Houdiri, Y. (2018). Inadvertent hypothermia in hip and knee total joint arthroplasty. Journal of
Orthopaedics, 15(1), 151–158. https://doi-org.ezproxy.uta.edu/10.1016/j.jor.2018.01.035
…
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