The financial aspect of the change project will have little to no impact on the finances of stakeholders and the healthcare organization. With the availability of internet service, many older adults have phones with internet access. With this internet, health-related applications can be downloaded on the phones, and reminders can be set up on these phone apps that will remind the patient to take their medications. Another financial aspect of the change project will focus on the Healthcare organization; this may cost the organization some financial implications as the organization develops and sends out short messaging services (SMS) to patients to remind them about taking their prescribed medications.
Quality aspects promote health education on setting reminders for medications to improve medication adherence and prevent the exacerbation of chronic illnesses commonly seen among older patients. Improving quality encompasses quality of nursing care and quality of patient life. Quality improvements involve a continuous process of collecting and analyzing data to improve nursing care delivery (Risch, n.d).
The clinical aspect is assessing the patients’ reasons for medication nonadherence and monitoring patients’ medication intake. The steps of evidence-based practice involve multiple processes; this requires nurses to have sufficient time to identify clinical problems that evidence-based practice can be implemented. Also, nurses need to research relevant literature, perform a necessary appraisal of the retrieved information, frame and utilize an intervention and evaluate the efficacy of the applied intervention (Majid, Foo, & Mokhtar, 2011).
Risch, S. (n.d). Evidence-based practice in a clinical setting. https://resources.nurse.com/evidence-based-practice-clinical-setting-nnw
Majid, S., Foo, S., Mokhtar, I.A. (2011). Adopting evidence-based practice in clinical decision making: nurses’ perceptions, knowledge, and barriers. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133901/#:~:text=As%20EBP%20is%20a%20multistep,the%20retrieved%20evidence%2C%20formulate%20and
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Delivering high-quality patient care involves the implementation of evidence-based practice (EBP). (Kueny, et al., 2015). When speaking with my preceptor, we discussed the financial, quality, and clinical aspects of developing the change proposal. When implementing my project, one important financial aspect is budgeting for more staff and interventions to help support nurses. One of the biggest causes of nurses’ mental health issues is burnout caused by inadequate staffing ratios. To show the value of the importance of providing appropriate interventions to aid nurses is to show the savings the facility will generate, having decreased staff turnover and increased patient and staff satisfaction and safety.
One quality aspect is to provide interventions that promote a healthier work environment. These interventions need to show nurses they are supported by the facility and to improve their mental health. Improving nurses’ mental health should increase staff morale, retention, give them the tools to improve their mental health, and decrease the long-term effects of depression, anxiety, and insomnia on nurses.
The clinical aspect is the time and resources available to help support the EBP project. Gaining managerial support to implement the project is extremely important in its success. Nurse burnout can lead to poor mental health amongst nurses causing emotional exhaustion and apathy, which can cause long-term effects. Amongst the nursing shortage, facilities need to work on supporting and retaining nurses. According to the AACN, nurses who left the profession were 40,000 in 2010 to nearly 80,000 by 2020, and most nurses have left due to inadequate staffing and a stressful work environment. Two states that have shown the lowest nurse burnout rates were California and Massachusetts, which have legislation regulating nurse staffing ratios. So facilities need to work on preventing burnout and using resources within their health care systems to help their patients and nurses, i.e., mental health counselors, spiritual health, etc.
Kueny, A., Shever, L., Lehan Mackin, M., & Titler, M. (2015). Facilitating the implementation of evidence-based practice through contextual support and nursing leadership. Journal of healthcare leadership, 7, 29–39. https://doi.org/10.2147/JHL.S45077
AACN. (2020). Nursing shortage. https://www.aacnnursing.org/news-information/fact-sheets/nursing-shortage
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