Discuss barriers in practice to implementing a change related to your topic
Discuss barriers in practice to implementing a change related to your topic
Topic: Pressure injury prevention
The PARiHS (Promoting Action on Research Implementation in Health Services) framework provides a way to implement research into practice. It is one of many different EBP models in use today. The author of our textbook has chosen this model and more information about it can be found on pages 307-312.
The PARiHS EBP Model/Framework examines interactions between three key elements necessary for facilitation to occur (I=innovations or evidence, R=recipients or stakeholders, and C=context or setting). According to the PARiHS Model, successful implementation of research into practice is a result of facilitation. Facilitation requires the integration of the three elements identified above.
The facilitation is the type of support needed to help people change their attitudes, habits, skills and ways of thinking and working. How to change brings us to the PDCA Model which is a Quality Improvement Model/Framework that supports this facilitation element as suggested by the author. This widely used QI framework consists of the Plan, Do, Check, Act (PDCA) cycle which has 4 stages:
Plan: Determine goals for a process and needed changes to achieve them
Do: Implement the changes
Check: Evaluate the results in terms of performance
Act: Standardize and stabilize the change or begin the cycle again, depending on the results.
This assignment is designed to help you identify the PDCA Evidence-Based Practice Model and barriers and will be graded according to the Guidelines and Rubric for Models and Barriers.
INSTRUCTIONS:
- Discuss barriers in practice to implementing a change related to your topic and what are four evidence-based practice interventions (supported by professional sources or research studies) nurses can implement to overcome these barriers. Two peer-reviewed journal sources are required to support your identified barrier and your identified four strategies for overcoming this barrier.
- Create a PCIOT for pressure injury prevention for this paper.
- P = Patient populationI = Intervention or issue of interestC = Comparison of interventions or comparison of interestsO = OutcomeT = Time frame (this element is not always included)*For example, you may wish to research the effects of interrupted sleep on cognition of ICU patients 65 or older.Using this PICOT model,In __________(P), how does __________ (I) compared to _________ (C) influence _________ (O) over ________ (T)?In ICU patients who are 65 or older, how does interrupted sleep (awakened one time or more in four hours) as compared to uninterrupted sleep influence the patient’s cognitive ability over 5 days?Questions of meaningfulness and effectiveness relate to how people experience an intervention or phenomenon.What is the effectiveness of using a turn schedule (I) versus an audible public address reminder (C) on the incidence of pressure ulcers (O) in elderly patients in LTAC who require turning (P)?
- Discuss how you would use the PDCA model in your workplace clinical practice or student clinical practice and why? Support this with your peer-reviewed source
- Use APA format- no more than two pages in content, excluding the title and reference pages.
DETAILS:
- Discuss the PDCA model and how to implement change related to your topic based on what you have learned by critiquing articles on your topic.
- Discuss in practice what barriers you might have to bring about change related to your topic. Discuss how the PDCA model is used and barriers are overcome.
- Below is an example of barriers that are discussed in your article from the week eight discussion board.
- Institutional and/or cultural barriers include lack of knowledge, motivation, time management, physician and patient factors, and limited access to up-to-date, user-friendly technology and computer systems.
Requirements: 2 pages
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