“Recommending Evidence-Based Practice Change in Healthcare: A Comprehensive Approach”

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Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change
The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.
In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision makingLinks to an external site.. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186
Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statementLinks to an external site.. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396
Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practiceLinks to an external site.. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483
Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision makingLinks to an external site.. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.xThe Ottawa Hospital Research Institute. (2019). Patient decision aidsLinks to an external site.. Retrieved from https://decisionaid.ohri.ca/
To Prepare:
Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:
Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
Add a lessons learned section that includes the following:
A summary of the critical appraisal of the peer-reviewed articles you previously submitted
An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)
Alternate Submission Method
You may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the Kaltura Media Uploader guideLinks to an external site.. This guide will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only “Screen” and “Audio” are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the “Posting Your Video in the Classroom Guide” found on the Kaltura Media Uploader page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes.

Struggling with where to start this assignment? Follow this guide to tackle your assignment easily!

Step 1: Understand the Assignment Requirements

The first step is to carefully read through the assignment instructions to ensure you understand the key deliverables. You need to create an 8-9 slide narrated PowerPoint presentation that includes:

  1. A description of your healthcare organization, including culture and readiness for change.
  2. An outline of the current problem or opportunity for change, explaining its scope, stakeholders, and risks.
  3. A proposal for an evidence-based practice (EBP) change in your organization.
  4. A plan for knowledge transfer and how this change will be adopted by your organization.
  5. A dissemination strategy to share the results of your project with an audience.
  6. Measurable outcomes you aim to achieve after implementing the EBP change.
  7. A summary of lessons learned, including your critical appraisal of peer-reviewed articles and an explanation of the Evaluation Table findings.

Step 2: Select the Right Topic

Reflect on the four peer-reviewed articles you critically appraised in Module 4. These should be related to your clinical topic of interest and the PICOT question you formulated. This will guide you in selecting the right problem or opportunity for change within your healthcare organization. Look for a gap, a problem, or an opportunity where evidence-based practice could improve outcomes.

Example Topic: Let’s say your topic of interest from the modules is the improvement of patient outcomes in the post-operative care setting, particularly related to pain management. This could be a perfect topic to base your proposal on.

Step 3: Structure Your PowerPoint Presentation

Here is a suggested breakdown for your slides:

Slide 1: Title Slide

  • Include the title of your presentation, your name, the course name, and the date.

Slide 2: Healthcare Organization Overview

  • Briefly describe your healthcare organization (anonymous if necessary).
  • Discuss its culture, values, and readiness for change (e.g., is it a supportive environment for new ideas?).
  • Include any relevant information that helps your audience understand the organization’s context.

Slide 3: Current Problem or Opportunity for Change

  • Describe the current problem or opportunity in your organization.
  • Provide details about the circumstances surrounding the need for change.
  • Define the scope of the issue and the stakeholders involved (e.g., patients, staff, management).
  • Highlight any risks associated with implementing the change.

Slide 4: Evidence-Based Proposal for Change

  • Propose an evidence-based practice change (based on the research articles you reviewed).
  • Clearly explain the evidence supporting the change.
  • Discuss how the change would address the identified problem or opportunity.

Slide 5: Knowledge Transfer Plan

  • Outline how knowledge about the proposed change will be created, disseminated, and adopted in your organization.
  • Include strategies for training staff, sharing knowledge, and encouraging buy-in.

Slide 6: Dissemination Strategy

  • Describe how you would disseminate the results of your project to an audience.
  • Justify why you selected this dissemination strategy (e.g., presentations, written reports, social media).

Slide 7: Measurable Outcomes

  • Define measurable outcomes for the proposed change (e.g., reduced patient pain scores, quicker recovery times).
  • Explain how these outcomes will be tracked and evaluated.

Slide 8: Lessons Learned

  • Provide a brief summary of the critical appraisal of the peer-reviewed articles you reviewed.
  • Explain what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet.

Slide 9: References

  • List the APA-formatted references for the research articles you used to support your proposal and ideas.

Step 4: Record Your Narration

Once you’ve created your slides, start recording your narration for each slide. Focus on explaining the content clearly and engagingly. If you’re using PowerPoint, the built-in “Record Slide Show” feature is very useful.

For each slide:

  • Be concise, aiming for about 1 minute of narration per slide.
  • Make sure to emphasize key points and explain any complex ideas to make them easy to understand for your audience.

Step 5: Finalize the PowerPoint and Upload

  • After recording, review your presentation to ensure your narration matches the content on each slide.
  • Add speaker notes if required, and finalize your PowerPoint.
  • Upload your PowerPoint file along with the narration or follow the Kaltura Personal Capture method for video recording.

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