HCA 699 Why should patient values and clinical judgment be included in applying the evidence in clinical decision making for an individual patient?

HCA 699 Why should patient values and clinical judgment be included in applying the evidence in clinical decision making for an individual patient?

HCA 699 Why should patient values and clinical judgment be included in applying the evidence in clinical decision making for an individual patient?

Evidence-based practice is important in improving the overall quality of patient care. Hourly nursing rounds is an EBP used to reduce patient falls at a medical-surgical unit (Flowers et al., 2016). However, implementing the evidence-based practice (EBP) is associated with many challenges acting as barriers (Patel, 2019). Lack of support from the stakeholders such as leaders and nurses, which could enhance the implementation of the project is a major barrier. Nurses have not taken hourly rounds with the seriousness it deserves. Sometimes staff perceives hourly rounds as an option or extra work imposed on them rather than as a daily care activity (Flowers et al., 2016). Staff should change their perception and beliefs regarding hourly rounds to ensure its effectiveness in preventing falls.

In addition, hospital leadership lack support for the hourly rounds. For instance, some leaders view hourly rounds as luxury and encourage it only when the staff has time and not short-staffed (Toole, Meluskey, & Hall, 2016). Furthermore, leaders do not recognize staff members who excel with hourly rounding. Also, leaders in most cases are not involved in the rounding. They should change their perception and hold the mirror for themselves. It is unfair for leaders to expect staff to round every hour when they themselves do not. Nurse participation in organizational activities and quality improvement measures is very important. According to Toole, Meluskey and Hall (2016), nurses are the most significant agents of change in a healthcare setting. However, they cannot succeed without leadership support. These two groups of stakeholders need to work in collaboration to support hourly rounds to reduce falls in the surgical unit.

References

Flowers, K., Wright, K., Langdon, R., McIlwrath, M., Wainwright, C., & Johnson, M. (2016). Intentional rounding: Facilitators, benefits and barriers. Journal of clinical nursing25(9-10), 1346-1355. doi: 10.1111/jocn.13217

Patel, N. (2019). Breaking barriers: Implementing evidence‐based practice. Oral Surgery, 12(4), 286-292. https://doi.org/10.1111/ors.12435

Toole, N., Meluskey, T., & Hall, N. (2016). A systematic review: Barriers to hourly rounding. Journal of nursing management24(3), 283-290. doi: 10.1111/jonm.12332.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: HCA 699 Why should patient values and clinical judgment be included in applying the evidence in clinical decision making for an individual patient?

The methodology is essentially the section of your research paper that explains what you researched, how you

HCA 699 Why should patient values and clinical judgment be included in applying the evidence in clinical decision making for an individual patient
HCA 699 Why should patient values and clinical judgment be included in applying the evidence in clinical decision making for an individual patient

researched it, and what tools were used to analyze the data (McCombes, 2020). It is a very important section to have as it allows your readers to draw conclusions on the reliability and validity of your findings (McCombes, 2020). My research problem is identifying whether people that have access to reliable information about health inspection results and food recalls will be able to make better-informed decisions that reduces the risk of being exposed to a foodborne illness compared to those that do not. Much of the research I obtained doing my literature reviews contained quantitative research via the use of surveys. It was about 7 observational studies, 10 experimental designs, 1 meta-analysis, 2 cross-sectional, 1 quasi-experimental, 1 qualitative research study, and 2 correlational studies. The methodology is essentially how was the question that was posed, best answered (Melnyk & Fineout-Overholt, 2019).

My research question is best to be studied a quantitative approach through observational studies and questionnaires. The data that I required was how consumers react to health inspection results if they are willing to use them, and how they understand them. Coupled with does having such information available to the public facilitate decreasing the rates of foodborne illness when compared to its baseline of not presenting the information. Quantitative methods such as through surveys are really great at “measuring, ranking, categorizing, identifying patterns and making generalizations” (McCombes, 2020, para.2). It is also important that my methodology be quantitative in nature because I am making comparisons with before the application of health inspection results to after and its effects that it exerts on foodborne illness rates.

So, I would be observing how many people would use such an app (database) and the information that is presented to their decision-making about where to go to eat and why. Then I would observe how over time the restaurants adjusted their food safety standards to stay competitive with consumers frequenting their establishments. As evidenced by their improving health inspection result scores. This would be thoroughly analyzed with data being provided by the state’s health department. One of the best ways for researchers to understand how people act under specific circumstances the best way to get this information is to simply observe them under said circumstances (SkillsYouNeed, 2011). I would then submit questionnaires to the public in a format that they would be paid for their participation. To elicit their thoughts and feelings on using such a service and how it influenced their decision making.

Melnyk, B., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare a guide to best practice 4th edition [Ebook Version]. Retrieved from https://www.gcumedia.com/digital-resources/wolters-kluwer/2018/evidence-based-practice-in-nursing-and-healthcare_a-guide-to-best-practice_4e.php

SkillsYouNeed. (2011). Writing your dissertation: Methodology. Retrieved from https://www.skillsyouneed.com/learn/dissertation-methodology.html

McCombes, S. (2020). How to write a research methodology. Retrieved from https://www.scribbr.com/dissertation/methodology/