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.

 

Sample Answer

 

 

 

 

 

 

 

Here is a plan for an 8- to 9-slide PowerPoint presentation addressing your request. Each slide will include a title, key content, and a narrative script.

 

Slide 1: Title Slide

 

Title: Improving Patient Safety Through Evidence-Based Practice: A Project to Reduce CAUTIs

Narrative: "Good morning. My name is [Your Name], and today I will be discussing a critical initiative to enhance patient safety and quality of care at our organization. This presentation will outline a plan to reduce catheter-associated urinary tract infections, or CAUTIs, through an evidence-based practice change."

Slide 2: About Our Organization

 

Title: Our Organization: A Culture of Quality

Content:

Type of organization: [e.g., A 400-bed acute care hospital, a community clinic network]

Mission/Vision: Focus on patient-centered care and continuous improvement.

Culture: Describe the current culture. [e.g., Collaborative and open to new ideas, but sometimes resistant to top-down mandates].

Readiness for Change: Acknowledge both strengths and weaknesses. [e.g., "Our staff values patient safety and is generally receptive to data-driven initiatives. However, we have experienced some change fatigue recently, so this implementation must be well-supported and clearly communicated."]

Narrative: "Our organization is a [mention type of organization], deeply committed to our mission of [mention mission or vision]. We pride ourselves on a culture that values patient safety and continuous improvement. While we are generally receptive to change, especially when it's data-driven, we need to be mindful of potential change fatigue among staff. This means our implementation plan must be clear, collaborative, and well-supported."

 

Slide 3: The Problem: The Challenge of CAUTIs

 

Title: The Challenge: Catheter-Associated Urinary Tract Infections (CAUTIs)

Content:

Circumstances: Explain that CAUTIs are a major source of preventable harm, increased costs, and extended patient stays.

Scope of the Issue: Provide data (if possible, anonymized) on the current CAUTI rate in your facility. "Our current CAUTI rate is [X] per 1,000 catheter days, which is above the national benchmark."

Stakeholders: Identify key groups. [e.g., Nurses, physicians, infection control team, hospital administration, and most importantly, our patients.]

Risks: Mention risks associated with implementing change. [e.g., Staff resistance, lack of buy-in, inadequate resources, or failure to sustain the change over time.]

Narrative: "Our organization, like many others, faces a significant challenge with CAUTIs. These infections are not just a patient safety issue; they increase our costs, lengthen hospital stays, and are considered 'never events' by CMS, meaning we are not reimbursed for them. Our current rate of [X] puts us above national benchmarks. This problem affects everyone: from the frontline staff who provide care to our administrators and, most critically, our patients. We recognize that implementing change carries risks, such as staff resistance and a lack of resources, which is why our approach must be strategic and collaborative."

 

Slide 4: The Proposed Solution: An Evidence-Based Approach

 

Title: Our Solution: An Evidence-Based Practice Change