responses to discussion week 6

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1. In your opinion, do you believe educating the nurses directly impacted by your practice change the different aspects you took into consideration when constructing your evidence-based practice project would make it easier for them to accept the change? Why or Why not?

2. (mw) Financial Aspect:

For my capstone project, a financial aspect to consider is will the implemented proposal lead to reduced cost of health care service? Ideally an outcome from addressing the opioid crisis will include less readmissions and lessen the length of stay of patients at facilities who rely on opioids which can hinder progress of post-surgical patients especially those in rehabilitation (Hsiang, et al., 2019). This would allow the facility to restructure budget, but also lower their readmission rates which provide for better statistics. Financially, something to take into account when taking into account this evidence base change of providing education to those taking opioids, the end result will yield in lower utility costs for the facility due to the issues related to those on opioids medications.

Quality Aspect:

As a result of addressing the opioid crisis, patient care quality should increase as a direct effect and put less individuals at risk for overdose and proper pain management through various means other than opioids (Farley, et al., 2019). If patient care quality increases, patients are more satisfied with the care provided to them at the facility and could also impact outside stakeholders and facility stakeholders to further invest in evidence based practices. In focusing on quality aspects of my capstone project, addressing the issue will help combat the opioid crisis.

Clinical Aspect:

What needs addressing in this regard to help implement my proposal is the education of staff so that all workers are united and understand why this implication is important for our health care setting. In providing proper education on opioid dependency, in-service sessions will be necessary to provide the same clinical outcome regarding new protocols. This will require the usage of a staff educator to train nurses, in addition to providing brochures to the patients for a quick reference should questions come to mind. As with any new implementation it’s important that the community is assessed and ready to learn as a whole.

Hsiang, W. R., Mcgeoch, C., Lee, S., Cheung, W., Becher, R., Davis, K. A., & Schuster, K. (2019). Opioid dependency is independently associated with inferior clinical outcomes after trauma. Injury, 50(1), 192–196. doi: 10.1016/j.injury.2018.10.015

3.(wL) My Evidence-Based Practice (EBP) proposal is to provide people who are struggling with opioid addiction various treatment methods that have been shown to implement lasting change on their addictive tendencies and mental health. Increasing people’s ability to the assess of different rehabs and treatment methods will ideally reduce the rates of health complications and re-hospitalization. One financial aspect to consider is the cost of the education and training sessions for the patients and their loved ones. Since these will be provided by the agency or rehab facilities, rather than education from a hospital these costs can be minimized by getting donations or borrowing supplies from local hospitals and public health organizations and getting volunteers for the educational sessions. By having nurses and therapists volunteer to do the education sessions that take place in their area of expertise it will benefit the company in overall educational costs and expenses. There are ways to minimize the costs especially in non-profit or smaller facilities.

The quality aspect focuses on the improved care that the patient will receive from the various educators about different coping mechanisms and mental health exercises. By doing so, it also should potentially increase patient outcomes.Education will equip them to care for them selves in ways that they never knew how to and improve their safety with the goal of improved outcomes.

In the clinical aspect, the goal is to provide patient-centered education that stimulates behavior modification and assists patients to identify and resolve their addiction in a healthy manner. This form of education helps patients become much more receptive and self-aware (Moustafa, 2020).

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