NR 505 Week 7 Assignment – Evidence-Based Practice Project Proposal Outline; TYPE II DIABETES

Overview and Significance of the Practice Issue

Improved communication amongst healthcare professionals is the practice problem addressed in this assignment. Ineffective healthcare provider communication is a problem that has a negative influence on patients. It has a detrimental influence on nursing since poor patient outcomes are the result. Effective communication is one use of evidence-based practice in health care. Things slip through the cracks now and again, and it would be better if the conclusion was stated upfront. To minimize infections and improve health, healthcare workers must communicate efficiently. Teachback is now regarded by healthcare experts as a beneficial intervention for improving patient safety as well as an evidence-based strategy for improved communication between healthcare providers and patients in the medical environment, according to Klingbiel & Gibson (2018).

PICOT Statement

Effective communication among all healthcare workers and patients (P) by educating and teaching back on what has been communicated (I), weekly for all patients, not just those who are to be recertified (C), has the

potential to lower infection rates, reduce hospitalizations, and improve patient health (O) within 4 weeks (T).

Proposed Intervention and

The proposal would include the creation and execution of a checklist for standardized handoff communication.

Amongst all disciplines. Using a defined handoff checklist ensures that care is transferred safely and

Expected Outcome

effectively from one clinician to another. Any omitted detail in home health might result in negative outcomes for a patient. This proposal’s intended results are to enhance effective and collaborative communication throughout each patient’s treatment process. The purpose or expected effect of having comprehensive, succinct, and thorough communication throughout the handoff process is to reduce the number of near-miss incidents and potentially harmful outcomes for the patients. Another anticipated effect is an increase in employee satisfaction throughout the process. A healthy work environment may be improved by using team debriefings, organized communication, and working with team members on crucial choices, according to Moss et al. (2016).

Synthesis of

Evidence to

Support the Proposed Intervention

Amudha et al. (2018) revealed that one of the components impacting nurse-physician communication skills, as well as distinct personality aspects, and that a lack of competency was also a reason for the lack of communication between nurses/physicians in a research study. It is related to the practice issue because great communication skills must be taught to nurses, and ways must be developed to improve successful communication between doctors and nurses. Nurses and doctors have a critical role in improving patient outcomes by establishing effective communication and collaboration. Lawrence & Poyaoan-Linzaga (2018) studied the relationship between patients who told their doctor about their risk of falling or the appearance of a balance problem and the chance of falling. It demonstrates how early intervention, such as patient education, may assist in the prevention of a fall. The study discovered that falls have a number of

Harmful repercussions, particularly among the elderly, and that early education is crucial in preventing falls. As a result, effective communication between healthcare practitioners and their patients is essential for reducing risk. The goal of Al Hamid et al. (2019) study was to demonstrate Kuwaiti healthcare professionals’ knowledge and attitudes about aspects that may affect patient safety culture. Multiple factors such as workload, communication, the healthcare environment, and reporting issues were shown to be obstacles to building a positive patient safety culture in the departments studied. Schot et al. (2019) offered an overview of the empirical evidence of healthcare workers’ active contributions to interprofessional collaboration. The results showed that different types of collaboration need different efforts from professionals working in teams or networks, as well as in different subsectors. Interprofessional collaboration entails a shared understanding of patient care among practitioners from many disciplines. Collaborative work entails seamless working relationships in the face of activities that are highly interconnected and interdependent. According to Fakhr-Movahedi et al. (2016), the purpose of the study was to investigate the role of the nurse in nurse-patient relationships. Patient-centered communication emerged as a prominent conceptual category as a result of the research. This category was established by merging two categories: identifying the needs of the patient and conveying those needs to the patient. In clinical settings, the patient’s needs are crucial in shaping the nurse’s communication responsibilities. As a consequence, if patients’ requirements are effectively identified and expressed in clinical settings, nurse-patient communication will improve, and treatment quality will improve.

Stakeholder Implications

Stakeholders are individuals who will be impacted and affected by any changes that are suggested inside a healthcare facility. The patient, caregiver, nursing staff, therapy staff, and administrative team are the primary stakeholders who will be affected by the change process in the home health facility. Compliance with the process modification to make patient safety a top priority will necessitate the involvement of the facility’s workforce.

References

Al Hamid, A., Malik, A., & Alyatama, S. (2019). An exploration of patient safety culture in Kuwait hospitals: A qualitative study of healthcare professionals’ perspectives. International Journal of Pharmacy Practice, 28(6), 617–625. https://doi.org/10.1111/ijpp.12574

Amudha, P., Hamidah, H., Annamma, K., & Ananth, N. (2018). Effective communication between nurses and doctors: Barriers as perceived by nurses. Journal of Nursing & Care, 07(03). https://doi.org/10.4172/2167-1168.1000455

Fakhr-Movahedi, A., Rahnavard, Z., Salsali, M., & Negarandeh, R. (2016). Exploring nurse’s communicative role in nurse-patient relations: A qualitative study. Journal of Caring Sciences, 5(4), 267–276. https://doi.org/10.15171/jcs.2016.028

Klingbeil, C., & Gibson, C. (2018). The teach-back project: A system-wide evidence-based practice implementation. Journal of Pediatric Nursing, 42, 81–85. https://doi.org/10.1016/j.pedn.2018.06.002

Moss, M., Good, V. S., Gozal, D., Kleinpell, R., & Sessler, C. N. (2016). A Critical Care Societies Collaborative statement: Burnout Syndrome in critical care healthcare professionals. A call for action. American Journal of Respiratory and Critical Care Medicine, 194(1), 106–113. https://doi.org/10.1164/rccm.201604-0708st

O’Lawrence, H., & Poyaoan-Linzaga, M. (2018). Effective communication provides early intervention among Medicare patients. International Journal of Organization Theory & Behavior, 21(2), 52–61. https://doi.org/10.1108/ijotb-03-2018-0018

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