Exploring EBP Quality Improvement
The healthcare setting is where individuals from the general public, such as patients, go to get various kinds of medical care. A hospital, a long-term care facility such as a nursing home, and skilled nursing facilities such as urgent care centers, physician’s offices, outpatient clinics, blood banks, rehabilitation centers, ambulatory surgical centers, and hospice homes are all examples of settings that fall under the umbrella term “healthcare setting.”
It was determined that an Acute care hospital, a nursing home, and an outpatient clinic would be the best places to implement an EBP and QI project in healthcare. With services like intensive care, the Evelyne Acute Care Hospital can treat up to a hundred critically ill patients at a time. Their website states, “To inspire hope and contribute to health and well-being by providing the best critical care to every patient through healthcare teamwork and research.” The Evelyne Acute Care Hospital is a government-run, for-profit healthcare facility. Acute care is linked to Aetna health insurance and other life insurance providers. The insurance company suggests yet another healthcare facility, a nursing home. Around 150 people aged 60 and up call Hopkins Nursing Home. The nursing home’s purpose is “To provide holistic and high-quality adult care with collaboration with other medical practitioners.” The nursing facility is public and a member of a company. It’s a well-known California nursing facility. I also looked at the outpatient clinic in St. Lucie as a potential location for the EBP QI research. The outpatient clinic has a patient population of 80 people. The aim of the outpatient department is ” To inspire humanity and give high-quality medical treatment and nursing services to all patients (CDC, 2019). ” The outpatient clinic operates independently as a private business. The outpatient clinic is located near California University.
Compare The Settings For Strengths And Weaknesses As Sites For An EBP QI Project
There were many things that the acute-care hospital did well. These included having an efficient patient flow protocol, having doctors and nurses who could respond quickly to patients in need of immediate attention, having effective and efficient automated acute care machines like life-supporting machines, and having an efficient computerized billing system (CDC, 2020). Evelyne Acute Care Hospital’s weak aspect is its faulty waste disposal system. The acute care hospital’s policy for disposing of non-infectious, infected, and highly infectious wastes was not well handled and needs quality improvement. A few of Hopkins Nursing Home’s best features include its well-ventilated rooms and nutritious meals. Locations where the elderly may relax and unwind efficiently and effectively. The nursing staff is Hopkins’s biggest quality issue. Due to a lack of nurses, the elderly residents of the nursing home are being poorly cared for (Chatterjee et al., 2020). St. Lucie’s outpatient department has a lot going for it, including the excellent consultation services offered by the trained medical professionals who staff it and the well-thought-out structure and flow system that is laid out on a whiteboard just inside the hospital’s front doors (CDC, 2019). The billing system is the area that requires the most work to bring it up to par with everything else. Paper invoices are used instead of a computerized system.
Practice Problems Explored Based On Interests And Identified Needs Of The Health Care Settings Investigated
I discovered the following practice issue at the acute care hospital: the poor waste disposal system. In the acute care hospital, the protocol for disposing of non-infectious waste, infectious waste, and highly infectious waste was not adequately addressed, and the quality of this aspect of the service needs to be improved (CDC, 2020). The elderly population in the Hopkins Nursing Home receives inadequate nursing care as a result of inadequate staffing levels on the part of the nursing staff, which I discovered while working at the Hopkins Nursing Home. The outpatient department at St. Lucie Hospital has a poor billing system, which is the practice problem I discovered there. Paperwork rather than computerization serves as the foundation for the billing system.
Each Problem As A Potential Focus For An EBP QI Project
An improper waste disposal system is a potential focus for an EBP quality improvement project. This is due to the fact that correct waste disposal techniques are very important in acute care facilities (Abou Hashish & Alsayed, 2020). Ineffective methods of waste disposal can increase the risk of infectious diseases like hepatitis B being contracted by patients as well as healthcare professionals. Eliminating waste in an appropriate manner lessens the likelihood that infectious diseases will spread (Abou Hashish & Alsayed, 2020). An EBP quality improvement project may choose to concentrate on the issue of inadequate staffing levels among healthcare providers, such as nurses working in nursing homes. This is due to the fact that inadequate staffing levels of healthcare providers, such as nurses, result in errors in medication administration and inadequate nursing services being provided to the elderly population residing in nursing homes (Abou Hashish & Alsayed, 2020). The poor billing system in the outpatient department, which leads to patients being overcharged and ultimately drives up the cost of outpatient services, is to blame for the high cost (CDC, 2019).
The Stakeholders Whose Approval Would Be Required To Initiate An EBP QI Project And Implement The Results
In the acute care hospital, the stakeholders whose approval may be required to initiate the EBP QI project and implement the results include the medical superintendent, the nursing officer in – charge of nursing services within the acute care facility, and the acute ward nursing managers (CDC, 2020). In addition, the medical superintendent and the nursing officer in – charge of nursing services within the acute care facility are also stakeholders. They play a very significant part in the process of approving and launching the EBP QI project, as well as in putting the project’s findings into Practice in the form of an effective waste management system and procedures. The nursing officer who is in charge of the nursing services and the physician who is in charge of the nursing home are both considered to be important stakeholders in the nursing home (Chatterjee et al., 2020). In order to improve the quality of nursing services and lower the risk of medical errors, their participation in the process of authorizing and launching the EBP QI project addressing the staffing of the nursing staff would be extremely crucial. They will provide a hand in putting the outcomes of the quality improvement initiative into action. The owner of the outpatient department, who is also a medical practitioner, is the key stakeholder whose agreement is required before beginning an EBP quality improvement project in the outpatient clinic (CDC, 2019). It is expected that he will play a significant part in the implementation of the successful and efficient billing systems developed as a consequence of the EBP QI project.
Similarities And Differences In Stakeholder Requirements Across The Settings
All of the care settings have one thing in common when it comes to the expectations of the stakeholders: they want an EBP QI project that will have a beneficial effect on the environment of the healthcare setting. The only difference that occurred between the various stakeholders was that the acute care setting stakeholders required a more detailed EBP QI project, whereas the other care settings only required the quality improvement part of the project results (CDC, 2020). This is the only difference that occurred among the stakeholders.
The One Proposed Health Care Setting/Practice Site And One Proposed Practice Problem You Have Selected As The Focus Of A Hypothetical Presentation To Stakeholders
The acute care hospital is the proposed location for the health care setting, and the proposed problem for the Practice is the inadequate waste disposal system as well as waste segregation techniques. I decided on the methods to use. The problem is important to me because, in acute care hospitals, proper waste disposal and segregation of waste are essential components in preventing the spread of infectious diseases among patients as well as among the medical staff who provide care for them (World Health Organization, 2018). Therefore, a quality improvement Evidence-Based Practice project is required to provide solutions for improved waste disposal techniques and improved waste segregation methods in order to reduce the spread of infectious diseases among healthcare providers as well as patients (World Health Organization, 2018).
References
Abou Hashish, E. A., & Alsayed, S. (2020). Evidence-Based Practice and its relationship to quality improvement: A cross-sectional study among Egyptian nurses. The Open Nursing Journal, 14(1), 254–262. https://doi.org/10.2174/1874434602014010254
CDC. (2019, May 16). In Outpatient Settings | HAI | CDC. Www.cdc.gov. https://www.cdc.gov/hai/settings/outpatient/outpatient-settings.html
CDC. (2020, July 14). Acute Care Hospitals/Facilities | NHSN | CDC. Www.cdc.gov. https://www.cdc.gov/nhsn/acute-care-hospital/index.html
Chatterjee, P., Kelly, S., Qi, M., & Werner, R. M. (2020). Characteristics and Quality of US Nursing Homes Reporting Cases of Coronavirus Disease 2019 (COVID-19). JAMA Network Open, 3(7), e2016930. https://doi.org/10.1001/jamanetworkopen.2020.16930
World Health Organization. (2018, February 8). Healthcare waste. Who.int; World Health Organization: WHO. https://www.who.int/news-room/fact-sheets/detail/health-care-waste
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Question 
Describe the three healthcare settings that you explored as proposed sites for an EBP QI project.
Exploring EBP Quality Improvement
( Community Mental Health Clinic, Crisis inpatient. Substance Use Clinic.