1-The facility should consider the financial aspect of its business. This means there is a need to have funds available to help in making the project a reality. It is imperative to have an adequate amount of money that will be considered useful to assist the project to achieve its existing objectives. Quality entails improving the overall delivery of medical care by having a high level of cleanliness within the context of the healthcare environment (McFarland et al., 2017). The clinical aspect is ensuring that nurses maintain cleanliness within the context of the medical care environment. The proposal will have a direct impact on finances by stating the amount of money required for the project. It will also have a quality implication by giving the specific aspects that the organization needs to consider. The clinical element should be implemented from the context of nursing because it is the role of these individuals to ensure that medical care delivery to patients is appropriated.
McFarland, D. C., Shen, M. J., Parker, P., Meyerson, S., & Holcombe, R. F. (2017). Does hospital size affect patient satisfaction? Quality management in health care, 26(4), 205-209.
2-After discussion with my mentor, one financial aspect to be considered for developing this evidence-based practice project is an analysis of cost to determine if the EBP project will produce adequate value. For my specific evidence-based practice proposal it will cost the organization no money to implement musical therapy to decreases agitation, anxiety, and aggression in dementia patient residing in the memory support unit directly impacting this EBP project making the value of the proposal go up. The implementation of the EBP project could ultimately reduce costs associated with the negative side effects associated with psychotropic medication use including increased fall risk and emergent transfer to the ER which can also be linked to a clinical aspect as well. One quality aspect to this EBP project is increasing positive patient outcome by decreasing negative behaviors exhibited by dementia patient, ultimately increasing their quality of life. This quality aspect directly impacts the organization by meeting CMS goals to reduce psychotropic medication use in dementia patients to increase quality of life.
3-EBP is a problem-solving approach which incorporates the careful use of up to date, quality data in decisions regarding the care of patients (Vaidya et al., 2017). Speaking with my mentor, the financial aspect of the project would be hours spent trying to get nurses and nurse aides educated on the proposed guidelines for the care of dementia patient. Staff will also need training on updated tools that will be implemented at the end of the study. The facility will need to spend more to hire therapies to incorporate therapy in the daily schedule of the residents. Also, they will need additional staffs during sundowning period either paying for extra hours or hiring staffs that can cover that window.
Frequent falls with injuries tell a lot about the quality of services provided. The quality of a nursing facility depends on the quality of care that the patient receives. To prevent frequent falls and numerous injuries, EBP implemented needs to involve every step to provide the best care needed for the resident.
Clinically, staff acceptance of the project needs to be taken into consideration. Patient injury is something that a conscious nurse will not want it to happen on her shift. Proper education and providing staffs with proven research data will help them staff involve in the process. As lifelong learners, staff nurses continually encounter new knowledge of relevance to their patients. The conscientious nurse remains alert to clinical problems and encourages investigation into ways to improve patient outcomes (Di Lenoardi, 2014).
All the aspects brought together will make a good impact on the project. With the research and data given to the nurses, implementation, and then follow up of results will show this is a great solution to help alleviate the many falls and injuries. If this facility shows that the guidelines are helping there, then they can teach other colleagues at the corporate level that this helps and also will cut costs by preventing readmissions.
Di Lenoardi, B. C. (2014). Bringing evidence-based practice to life. Retrieved from https://lms.rn.com/getpdf.php/2145.pdf
Vaidya, N., Thota, A. B., Proia, K. K., Jamieson, S., Mercer, S. L., Elder, R. W., … & Zaza, S. (2017). Practice-Based Evidence in Community Guide Systematic Reviews. American journal of public health, 107(3), 413-420.