Making The Case For Evidence-Based Practice

For this assignment please reply intelligently and concisely to the following post: For my project, I will be evaluating a plan to implement discharge follow-up on Hispanic patients. One of the significant issues I foresee with this is the language barrier. Within my healthcare facility, we utilize an interpretation service that does allow us to make outgoing calls and communicate with both an interpreter and another person all on the same call. However, drawbacks of this are that there can be a wait to get an interpreter or frustration on the patient end when communication times are prolonged. I have minimal issues with the interpretation services, and my patients typically have no complaints, but I yet to use them for prolonged phone use instead of in-person interpretation. Stakeholders with a vested interest in this would be hospital administration, primary care providers, emergency nursing services, and patient services representatives. In completing discharge follow-ups, there would be increased patient satisfaction and treatment compliance, resulting in a decrease in emergency visits and readmission rates. This would help decrease costs and emergency room volume and increase patient satisfaction scores, all of which concern this group of stakeholders. An excellent framework to utilize for implementing this change would be the PARIHS model. This model pertains to developing clinical practice guidelines and using evidence to affect patient outcomes (DeNisco & Barker, 2016). This method utilizing randomized control trials to support change initiatives and evaluates those changes in four categories (DeNisco & Barker, 2016). These four evaluation methods include clinical, functional, satisfaction, and cost (DeNisco & Barker, 2016). This framework applies to my practice change due to the nature of evidence I selected, mostly being randomized control trials and evaluation sources, which I find applicable to my change initiative.Making The Case For Evidence-Based Practice

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Evaluating A Plan To Implement Discharge Follow-Up

Discharge is the transition of a patient from home to hospital and back at home to ensure continuity of care. Patient discharge involves an interprofessional collaboration of the healthcare practitioner to achieve the desired outcome and enhance patient satisfaction (Pedersen, et al, 2021). Discharge instruction can be communicated verbally or in written form. A written discharge summary involves documentation of the patient’s diagnosis, investigations done, and the instructions provided by the care provider. Discharge instructions may include drugs to be taken at home and scheduled follow up clinics. This helps the patients to avoid unplanned hospital visits, readmissions, post-discharge complications, adverse drug effects, and mortalities.

The Problem Statement

The communication barrier is the main cause of post-discharge complications. The barrier can be language, illiteracy of the patient, poorly constructed discharge summary that becomes incomprehensible to the patients (Pedersen, et al, 2021). Therefore, the care providers through the help of the stakeholders need to implement an effective discharge and follow-up plan. For example, the preferred discharge communication method is the computer-generated discharge summary. A computer-generated discharge summary is effective because is it written in simple and clear language that is easy for the patient to comprehend.Making The Case For Evidence-Based Practice

Implementation Plan

For implementation according to Katowa-Mukwato, et al, (2020), the stakeholders will create awareness among the staff through teaching in CMEs and posters. The stakeholders seek the opinion of the healthcare professional leaders to include essential information in the discharge instructions. For example, the cardiologists will provide the appropriate teachings for the patients with heart failure upon discharge. Finally, the stakeholders will actualize the evidence-based practice in the clinical system gradually as they learn how to adopt and sustain it.

References

Katowa-Mukwato, P., Mwiinga-Kalusopa, V., Chitundu, K., Kanyanta, M., Chanda, D., Mwelwa, M. M., … & Carrier, J. (2020). Implementing Evidence-Based Practice nursing using the PDSA model: Process, lessons, and implications. International Journal of Africa Nursing Sciences, 14, 100261.

Pedersen, R. A., Petursson, H., Hetlevik, I., & Thune, H. (2021). Stroke follow-up in primary care: a discourse study on the discharge summary as a tool for knowledge transfer and collaboration. BMC Health Services Research, 21(1), 1-12.Making The Case For Evidence-Based Practice