A Model For System Wide Implementation And Sustainability Of Evidence Based Practice

A Model For System Wide Implementation And Sustainability Of Evidence Based Practice

Length: 738 words (2.1 double-spaced pages)

Rating: Better Essays

Open Document

Essay Preview

The ARCC is a model for system-wide implementation and sustainability of evidence-based practice. This model aims to provide health-care institutions with an organized framework to guide the system to achieve quality outcomes by facilitating nurses to implement evidence based practices (EBP) effectively (Neville, Lake, LeMunyon, Paul, & Whitmore, 2012). It 's strategies do not only support individual change but organization change and are best fit for large organizations like hospitals (Melnyk & Fineout-Overholt, 2015). It 's purpose works perfectly for the PICOT question, which is targeted towards a system-wide health institution: inpatient hospitals. The ARCC also addresses the barriers that exist in such health-care organizations that can hinder health-care professionals from implementing evidence based practices which is a major issue that is apparent when researching nursing hourly rounds. ARCC notes lack of support of and/or belief in EBP and nurse leader/manager resistance as examples of barriers. According to Neville et al (2012) although nurses acknowledge nursing rounds as a valuable intervention, most found it to be less beneficial to their professional practice, noting issues with documenting, patient ratios, and skill mix as reasons for resistance and lack of belief in the intervention. Therefore, nurses were less likely to push for this EBP in their practice. With the ARCC model, mentors would be provided to remove such barriers that may hinder the success of interventions such as hourly rounds, and therefore improve nurse utilization of the EBP, patient outcomes and satisfaction. ARCC uses Cognitive Behavioral Therapy (CBT) to change the health professional 's beliefs about the value of a EBP and their ability to i...

... middle of paper ...

...al acquired injury, etc, as a result of not doing hourly rounding.
Increasing patient satisfaction are important goals for health institutions. Available evidence indicates hourly rounds are effective for nursing practice. The implication of these findings for nurses is the improvement in patient satisfaction through improved patient’s perception of staff communication, and staff responsiveness. In order to enhance patient satisfaction, all members of the health-care team must work together to successfully implement the intervention on their unit efficiently. Although, stronger evidenced studies are needed to to improve the quality of the evidence, the evidence available concludes that there is likely no evidence that can refute the effectiveness of hourly rounding. It proves as a cost-effective intervention that males a huge impact on patient outcomes.

Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

Evidence Based Practice For Healthcare Essays

- Evidence-based nursing care is known around the world for its key to delivering high quality healthcare while promising the best patient outcomes with the lowest costs. What I did not know about evidence-based practice (EBP) is that they have a term for the goal; Triple Aim. This consists of improving healthcare through enhancing the care experience, improving the health of the population, and reducing per capita costs of healthcare. The U.S. has made this their focus of healthcare systems (Melnyk & Fineout-Overholt, 2015, Chapter 1)....   [tags: Nursing, Evidence-based medicine, Hospital]

Better Essays
701 words (2 pages)

Essay on Nursing and Evidence Based Practice

- ... The paper selected was Karlsson, Arman and Wikblad’s (2008) Swedish research paper published in the International Journal of Nursing Studies. The paper followed the research process and employed a qualitative phenomenological paradigm that explored the lived experience of thirty-two Swedish teenagers with type 1 diabetes who were transferring to independent self-care. The selected sample was 56% female, with an age range of five years, a wide range of diabetes duration (1-14 years) and varied extent of glycaemic control; illustrating a heterogeneous sample was recruited....   [tags: patients care, management]

Better Essays
870 words (2.5 pages)

Essay on Evidence-Based Practice in Mental Health

- Evidenced-Based Practice in Mental Health In 2003, leaders in North Carolina’s healthcare field realized they needed to bring about changes to the services they provided in their community’s mental healthcare programs (McLaughlin & McLauglin, 2008). The North Carolina Science to Service Project (NCS2S) was implemented to bring more coordinated, quality healthcare services to their mental health patients (McLaughlin & McLauglin, 2008). The goals of the project were to better match healthcare services to their mental healthcare patient population, apply evidenced-based practice guidelines in their mental health practice, ensure proper resources were allocated for the services, and begin sta...   [tags: quality health care, change, services]

Better Essays
1803 words (5.2 pages)

Essay on Self Assessment And Reflections On Practice

- As a result of a self-assessment and reflections on practice P. Ryan came up with improvements and recommendations of the CNS role. One important recommendation was to “ensure that the CNS role has supernumerary status. This would mean that the CNS would no longer be expected to work as a staff nurse on the unit.” (Ryan & Doody, 2014, p 29). This was one of the most important aspects that needed to be addressed first. Another article addressed a review of CNS productivity. “Reviews of CNS roles over the past few years have tended to focus on their qualitative contribution to holistic patient care (Norton et al, 2012), which has done little to define their quantitative financial contributio...   [tags: Nursing, Nurse, Health care]

Better Essays
1236 words (3.5 pages)

Teaching Children with Severe Disabilities Using the System of Least Prompts

- My area of focus in education is on students with severe disabilities at any grade level. Teaching with the System of Least Prompts was chosen because the article discusses an evidence-based practice that could be implemented in the classroom and focuses on students with disabilities. Pardon the Interruption was also chosen because of the evidence-based practice discussed that focuses on communication skills and students with disabilities. Ault and Griffen in Teaching with the System of Least Prompts, explain that students with severe disabilities are given prompts t perform a behavior and then the prompts are faded out until the student can perform that behavior independently....   [tags: evidence-based practices]

Better Essays
974 words (2.8 pages)

Health Care Policy Initiation and Implementation Essay

- The main purpose of health care policies, like geographic maps, is to provide routes and directions to best achieve specific goals. Their design involves many variables and go through many steps that often begins with a problem that needs to be solved or addressed. To demonstrate such concept, this paper discusses the steps taken to adopt a new health policy in North Carolina; the main goal of the new policy is to implement Evidence-Based Practice (EVP) in mental health care and to redirect the service to its target population....   [tags: evidence-based practice, mental health]

Better Essays
1026 words (2.9 pages)

An Education That Incorporates A Wide Variety Of Skills Essay examples

- Alan Steinberg 12/15/2014 CPE390-FA-14F1 Prompt: 20 An education that incorporates a wide variety of skills is very helpful for a number of reasons. It helps with safety in the job sector, and helps build confidence regardless of the task. However, to take advantage of the broad-based curriculum means to do one’s individual work for every assignment. This is important for a number of reasons. It’s important for the student’s morale, the school’s reputation and most importantly the student’s education to hand in one’s homework with the required effort while abiding by the honor system....   [tags: Problem solving, Education, Student]

Better Essays
1574 words (4.5 pages)

Essay on School Programs For School Wide Initiatives

- Holly Pond Middle School is a small title one school in North Alabama with very common problems. The schools achievement numbers are average for schools in Alabama, which leaves much room for improvement. We have many school wide initiatives currently under way. Our attendance has improved to over 96% as a school and our school surveys show that students feel safe and enthusiastic about learning. As a school leadership team we decided that we would focus on reading initiatives during the 2014-2015 school year and math initiatives, during the 2015-2016 school year....   [tags: Teacher, High school, Education, School]

Better Essays
1771 words (5.1 pages)

Essay on A Foundation For The Nursing System

- Introduction (Yvonne) Within the nursing industry, there have been many significant theorists who have helped to develop, shape, and provide a foundation for the nursing system. Nursing theories help to clarify, define, and support the purpose of nursing from other caring professions. Additionally, nursing theorists have set professional boundaries within the nursing profession (McEwen and Wills, 2014). Subsequently, Dorothea Orem was one of America’s preeminent nursing theorists who postulated the Self-Care Nursing Theory, or the Orem Model of Nursing (Wayne, 2014)....   [tags: Nursing, Nursing theory, Nursing practice]

Better Essays
1765 words (5 pages)

Breastfeeding And The Body 's Immune System Essay

- Breastfeeding and HIV Breastfeeding one of the most encouraged and sacred acts between mother and infant since the beginning of time. A natural event in all species as part of survival. Encouraged in many cultures and for some the only means of providing nutrition for infants. HIV stands for human immunodeficiency virus. If left untreated, HIV can lead to the disease AIDS (acquired immunodeficiency syndrome). HIV attacks the body’s immune system, specifically the CD4 cells (T cells), which help the immune system fight off infections (AIDS.Gov, 2016)....   [tags: AIDS, HIV, Immune system, Breast milk]

Better Essays
1030 words (2.9 pages)