Evidence-Based Practice Proposal - Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review
Evidence-Based Practice Proposal - Section A: Organizational Culture and Readiness Assessment and Section B: Proposal/Problem Statement and Literature Review In order to formulate your evidence-based practice (EBP), you need to assess your organization. In this assignment, you will be responsible for setting the stage for EBP. This assignment is conducted in two parts: an organizational cultural and readiness assessment and the proposal/problem statement and literature review, which you completed in NUR-550. Section A: Organizational Culture and Readiness Assessment It is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization's readiness. Develop an analysis of 250 words from the results of the survey, addressing your organization's readiness level, possible project barriers and facilitators, and how to integrate clinical inquiry, providing strategies that strengthen the organization's weaker areas. Make sure to include the rationale for the survey category scores that were significantly high and low, incorporating details or examples. Explain how to integrate clinical inquiry into the organization. Submit a summary of your results. The actual survey results do not need to be included. Section B: Proposal/Problem Statement and Literature Review In NUR-550, you developed a PICOT statement and literature review for a population quality initiative. In 500-750 words, include the following: Refine your PICOT into a proposal or problem statement. Provide a summary of the research you conducted to support your PICOT, including subjects, methods, key findings, and limitations. General Guidelines: You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section. RUBRIC Attempt Start Date: 25-Mar-2021 at 12:00:00 AM Due Date: 31-Mar-2021 at 11:59:59 PM Maximum Points: 80.0 Below is a copy of my PICOT paper Population Health Research and PICOT Statement Brenda Pernell NUR 550 Rachel Kelly Instructor Grand Canyon University February 17,2021   Population Health Research and PICOT Statement Mortality Indicators and a Clinical Problem A mortality indicator is a measure of the frequency of deaths over a given time period and within a specified defined population. For instance, the basic death rate is an estimate of a population's portion that is dying as a result of any cause including a disease within a specified duration. It is usually presented per 100,000 0r per 1000 individuals within a given time. The information obtained from the state database documented that about 75 percent of all deaths usually occurs among the elderly people, particularly from the ages of 65 years and older. Most of these deaths are caused by coronary heart disease, which is considered as the leading chronic healthcare condition that mostly kills the elderly population. The total number of deaths caused by coronary heart disease have significantly increased by 19% over the most recent one-decade period, up from 7.98 million deaths in 2009 to 10.48 million deaths in 2019 (Bots, Peters & Woodward, 2017). Besides, coronary heart disease has often been responsible for over 85% of all deaths caused by cardiovascular disease, particularly to the elderly people, with women being most affected as compared to men. Therefore, it is crucial to understand that cardiovascular disease (CVD) within older population inflicts a huge burden in terms of morbidity, functional decline, mortality, disability, and healthcare costs. PICOT Formulation and Population's Demographic and Health Concerns In elderly people with Coronary heart disease, how does stopping smoking and changing lifestyle as compared with not quitting smoking reduces the risk of further episodes of heart attack within two year? The above PICOT statement can be used for an evidence-based practice project for identifying the effectiveness of lifestyle changes, such quitting smoking towards reducing the rates of coronary heart disease among the elderly people. Coronary heart disease affects individuals from all ages, but is mostly prevalent among the elderly, as it usually manifests at later age (Zhang, Chen & Ma, 2018). About 85% of those with coronary heart disease are elderly, with only 15% percent accounting for the remaining age groups. However, apart from coronary heart disease, there are other various health concerns for the elderly people of 65 years and older. They are such as cognitive decline, balance issues, oral health problems and heart disease. The elderly are usually faced with several health conditions and concerns that have the potential of affecting their overall life quality (Bots, Peters & Woodward, 2017). Therefore, learning most of these concerns can make clinicians and healthcare organizations to help the elderly individuals in adjusting their lifestyles to allow them to undergo a healthy aging process. The Impact of Nursing Science, Health Determinants, and Epidemiologic, Genomic, and Genetic Data on Population Health Management Nursing science, health determinants, as well as genomic, epidemiologic, and genetic data can have a significant impact on managing health conditions of the elderly people. For instance, understanding the social determinants of health for the elderly people, including safe housing can have a positive impact on their health outcomes. For instance, the elderly living within the most disadvantaged neighborhoods are at high hospital readmission risk as compared to the elderly residing within the better-positioned neighborhoods (Hackshaw et al., 2018). Therefore, understanding these determinants helps nurses in considering the individual, community, and family to evaluate the clinical interventions through provision of education, advocating for patients, in addition to supporting the elderly patients to self-manage their health. On the other hand, nursing science can also have a positive impact in health management of the elderly people as it significantly contributes to both the discovery and research of innovative approaches that can be utilized in improving health outcomes. The genetic, epidemiologic, and genomic data also helps nurses in knowing their elderly patients best. Therefore, this helps in building a substantial trust between nurses and their elderly patients, thereby facilitating experiences and diagnoses (Zhang, Chen & Ma, 2018). All these significantly helps in managing the healthcare of elderly people as they consider factors like income level, patient's education, and environment, particularly when providing care and treatment. Potential Solution for Resolving the Health Issue Lifestyle changes and quitting smoking are the effective potential solutions that can help in preventing or controlling the cardiovascular heart disease among the elderly populations. As observed by Nettleton et al (2017), the goal of lifestyle changes is for preventing further plaque buildup in addition to decreasing damage to the patient's blood vessels. Such changes would significantly help in reducing the risk of heart attack. For instance, dietary changes such as increasing high-density lipoprotein (HDL) cholesterol intake while decreasing the intake of low-density lipoprotein (LDL) cholesterol may help in improving blood flow to a patient's heart by reducing plaque amount within the arteries. Besides, limiting cholesterol and fat in a diet can also help manage cardiovascular disease as it helps in losing more weight, which is associated with the episodes of heart attack. Quitting smoking is also a good way of preventing coronary heart disease. It is because smoking damages an individual's lung tissue and blood vessels, thereby reducing the amount of blood oxygen, thus increasing the rate of heartbeat. Quitting smoking has the potential of improving a person's blood flow as it relaxes the constricted blood vessels (Hackshaw et al., 2018). Second-hand smoking is also dangerous, and hence the elderly should often ensure that they are not exposed cigarette smoke at all the times as possible. How the Solution Incorporates Health Policies and Goals for Supporting Healthcare Equity The solution of lifestyle changes such as quitting smoking has incorporated certain health policies and goals for supporting healthcare quality for the elderly population. The tobacco control policies and smoking among the elderly people has often been integrated as part of this solution and is always advocating for smoking cessation among the older adults as a way of controlling or preventing coronary heart diseases. For instance, smoke-free policies as well as increases in tobacco taxes are extensively associated with a significant reduction in smoking among the older adults, thereby advocating for possible improved health outcomes for the rising share of the elderly population (Hu et al., 2017). Besides, such policies can be more effective, particularly among the older adults with the lowest education. Additionally, certain policies like increasing the prices of tobacco are associated with significant healthcare equity among the elderly, especially those within the low socio-economic status (SES), thereby potentially reducing the level of socio-economic inequalities in smoking. Also, cessation during old age can still have the capability of improving health outcomes and quality of life, in addition to increasing life expectancy and a lower disability risk (Hu et al., 2017). However, future research should consider bridging the important gaps in measuring the effectiveness of Tobacco control (TC) policies in controlling or preventing coronary heart disease.   References Bots, S. H., Peters, S. A., & Woodward, M. (2017). Sex differences in coronary heart disease and stroke mortality: a global assessment of the effect of ageing between 1980 and 2010. BMJ global health, 2(2). https://gh.bmj.com/content/bmjgh/2/2/e000298.full.pdf Hackshaw, A., Morris, J. K., Boniface, S., Tang, J. L., & Milenković, D. (2018). Low cigarette consumption and risk of coronary heart disease and stroke: meta-analysis of 141 cohort studies in 55 study reports. Bmj, 360. https://www.bmj.com/content/BMJ/360/BMJ.j5855.Full.pdf Hu, Y., van Lenthe, F. J., Platt, S., Bosdriesz, J. R., Lahelma, E., Menvielle, G., ... & Mackenbach, J. P. (2017). The impact of tobacco control policies on smoking among socioeconomic groups in nine European countries, 1990–2007. Nicotine & Tobacco Research, 19(12), 1441-1449. https://helda.helsinki.fi/bitstream/handle/10138/312126/Hu_Y_et_al_Tobacco_control_fi nal_ms.pdf?sequence=1 Nettleton, J. A., Brouwer, I. A., Geleijnse, J. M., & Hornstra, G. (2017). Saturated fat consumption and risk of coronary heart disease and ischemic stroke: a science update. Annals of Nutrition and Metabolism, 70(1), 26-33. https://doi.org/10.1159/000455681 Zhang, Y., Chen, Y., & Ma, L. (2018). Depression and cardiovascular disease in elderly: current understanding. Journal of Clinical Neuroscience, 47, 1-5. https://doi.org/10.1016/j.jocn.2017.09.022
ANSWER.
PAPER DETAILS
Academic Level
Masters
Subject Area
Nursing
Paper Type
Research Proposal
Number of Pages
5 Page(s)/1375 words
Sources
0
Format
APA
Spacing
Double Spacing
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