Proposed evidence-based practice project solution

This nursing essay describes a proposed evidence-based practice project solution for an EBP site. The paper discusses the organizational culture, expected outcomes, and the methods used to achieve the outcomes together with the outcomes.

Evidence-Based Proposal Section C Solution Description Paper

Introduction – Proposed evidence-based practice project solution

As the healthcare industry ushers in the third decade of the 21st century, one of the leading health issues is the management of heart failure, which continues to prove to be a significant health challenge. The aging population and the rising prevalence of HF serve to increase the healthcare costs shared by the individual patient and third-party payers (Savarese & Lund, 2017). One of these interventions is HF patient education, which entails making the patients aware of HF warning signs and how to manage them before they degenerate into hospital admissions. Following the proposed EBP intervention of decreasing the one-month readmission rates in acute care settings, the intervention of increasing knowledge and self-help activities, the third section of the EBP project aims to describe the proposed solution. Additionally, this essay examines the EBP site organizational culture, expected outcomes, and the methods used to achieve the outcomes together with the outcomes.

Proposed Solution -Proposed evidence-based practice project solution

Healthcare providers acknowledge that HF is a long-term condition with an increased prevalence emanating from the enhanced medical management therapies. Be that as it may, it remains one of the costliest cardiovascular diseases in the US and a leading cause of hospitalization. While this might be the case, Howie- Esquivel et al., 2015 note that half of the readmissions are preventable since they are caused by insufficient teaching upon discharge, not sticking to the recommended diet or medication, and inadequate or absence of follow up of the HF. Studies also point out that patient education that incorporates the family members on HF self-care practices plays a significant role in decreasing acute HF exacerbations while simultaneously improving the patient’s quality of life (Vailant-Rolussel et al., 2016). Subsequently, the proposed intervention is the implementation of an HF self-care patient education that utilizes a holistic approach in clinical decision making and early symptom recognition and management. The patient education program is cost-effective and does not cause any harm to the patient.

Organization Culture and Expected Outcomes – Proposed evidence-based practice project solution

The proposed patient education on self-care management practices rhymes the site of the proposed organizational culture in that the facility keeps the nurses motivated through internal and external rewards (Storkholm et al., 2019). This motivation leads the nurses to initiate, implement and sustain measures that are bound to improve patient outcomes and increase the hospital reimbursement rates after meeting the set patient safety recommendations and benchmarks as set by state nursing boards and other healthcare regulatory agencies. By focusing on measures that could lead to decreased readmissions, the change agents will target to intervene at the hospital stage before the patients’ discharge and run through the four weeks after discharge. Offering the patients, the requisite tools to partake in positive self-care behavior is bound to lead them to identify the changes in their HF condition and initiate interventions before they seek hospitalization.

Method to Achieve Outcomes and Outcomes Impact – Proposed evidence-based practice project solution

To achieve the expected outcomes of improved quality of life, enhanced self-care HF and management practices, and decreased hospital readmissions within the one-month post-discharge, a raft of methods will be used that can best be captured in six steps. The first step will entail the assessment for a need for change in practice when the nurse researcher meets will significant stakeholders like the hospital administrators, nursing staff, educators, case, and nurse managers, among others. Step two will see the connection between the problem, the proposed intervention, and anticipated outcomes established. Step three will include the synthesis of the best available evidence within the context of HF, patient and family education, self-care readmissions, and a decrease in reimbursement. The fourth step will see the practice change designed before the patient education program is implemented, evaluated while the last but not least will have the intervention integrated and eventually maintained into the hospital’s clinical practice.

Mathieson, Grande, and Luker (2017) highlight some barriers to EBP project implementation. A likely barrier will be a memory, but the nurse educations will resolve this by ensuring that verbal communication is accompanied by written resources like brochures, pamphlets, and posters. Other barriers include but are not limited to inadequate knowledge on the HF disease progression, its symptoms, and recommended best self-care practices that the educational intervention will address. The study assumes that the proposed theoretical frame will be suitable to evaluate and judge appropriate teaching materials. Simultaneously, a fundamental limitation is the utilization of nursing models to the psychological and emotional aspects of self-care. The impact of expected outcomes will lead to increased knowledge self-care activities, early HF symptoms identification, and enhanced compliance with the medication regimen and recommended diet.

Conclusion – Proposed evidence-based practice project solution

           In conclusion, the proposed EBP project on HF hospital readmissions rates reduction expects that a comprehensive HF self- care practice and patient education will lead to decreased hospital rates. The literature search guided through the PICOT question framework will also support the outcomes of the proposed hence the need to have implemented. Once it is successfully implanted, the HF self-care and patient education program will result in successful HF outcomes distinguishable from the decreased one moth rate during the time the proposed intervention is in progress.

Proposed evidence-based practice project solution
Proposed evidence-based practice project solution

References – Proposed evidence-based practice project solution

Howie-Esquivel, J., Carroll, M., Brinker, E., Kao, H., Pantilat, S., Rago, K., & De Marco, T. (2015). A strategy to reduce heart failure readmissions and inpatient costs. Cardiology Research6(1), 201.

Mathieson, A., Grande, G., & Luker, K. (2019). Strategies, facilitators, and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis. Primary health care research & development20.

Savarese, G., & Lund, L. H. (2017). The global public health burden of heart failure. Cardiac failure review3(1), 7.

Storkholm, M. H., Savage, C., Tessma, M. K., Salvig, J. D., & Mazzocato, P. (2019). Ready for the Triple Aim? Perspectives on organizational readiness for implementing change from a Danish obstetrics and gynecology department. BMC health services research19(1), 517.

Vaillant-Roussel, H., Laporte, C., Pereira, B., De Rosa, M., Eschalier, B., Vorilhon, C., & Dubray, C. (2016). Impact of patient education on chronic heart failure in primary care (ETIC): a cluster-randomized trial. BMC family practice17(1), 80.

Proposed evidence-based practice project solution Instructions

Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria:

  1. 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.
  2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
  3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement.
  4. 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.
  5. 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 APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.


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