SBAR Communication ToolPurpose You are to create a Design for Change proposal inclusive of your Practice Issue and Evidence Summary worksheet from your Capstone Project Milestone #1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. Directions 1. Create a proposal for your Design for Change Capstone Project. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice. 3. The paper is to be four pages excluding the Title page and Reference page. 4. As you organize your information and evidence, include the following topics. a. Introduction: Write an introduction but do not use “Introduction” as a heading. Introduce the reader to the plan with evidence-based problem identification and solution. b. Change Model Overview: Overview of ACE Star model; define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members. c. Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change. d. Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings. e. Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan. 5. Citations and References must be included to support the information within each topic area. Scholarly sources are expected, which means using peer-reviewed jou Practice Issue Worksheet What is the Practice Issue? The practice issue in this case is employing the use of SBAR communication report during the handoff process of patients in addition to bedside report. According to this evaluation, this methodology is going to be the most effective and efficient mechanism in ensuring that a patient’s information is successfully transferred from one physician to another. Define the scope of the Practice Issue: Through the employment of this technique, healthcare providers will be in a position of assessing various factors surrounding a patient’s condition. The technique provides the physician with a strategy on how to assess a client’s situation, background, assessment and provide a recommendation. What is the practice area? Clinical Administration and Education How was the practice issue identified? The primary objective of each and every healthcare center is providing care to its clients that fosters quick recovery. However, over time, this has been a challenge to achieve as there exist numerous challenges within the healthcare sector. A major challenge is experienced during the handoff process. The healthcare sector has been having wide variations in practice with no definite kind that is presumed to be the right one. Also, there is lack of proper communication which can be aided through implementation of SBAR communication report. Moreover, there has been unsatisfactory patient outcomes which has become an issue of concern in the healthcare center. Through the implementation of this tool, it is believed that there are going to be positive outcomes in hospitals. The mode of communication that has been used over time fail to deliver clinical messages efficiently. As a result, this assessment proposes the use of SBAR communication report for effective delivery of communication. Describe the rationale for your checked selections: What evidence must be gathered? ___ Literature search ___ Guidelines ___ Expert Opinion ___ Patient Preferences ___ Clinical Expertise ___ Standards (Regulatory, professional, community) Describe the rationale for your checked selections: The use of SBAR communication report in the transition of patient information is imperative during the handoff process. Moreover, it is critical that it be integrated in the bedside report to ensure that the report gathered from a patient is effective and efficient. Through proper literature search, expert opinion, patient preferences and clinical opportunities among other evidential sources are imperative in the course of gathering evidence to support this particular study. EVIDENCE SUMMARY WORKSHEET Directions: Please type your answers directly into the worksheet. Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms: Despite the fact that the use of bedside report has turned out to be a critical tool that has enhanced patient handoff reports, it has not been so efficient in message delivery. This evaluation seeks to prove whether the incorporation of SBAR communication tool is efficient in improving how bedside report has been working in the clinical sector. Find a source of evidence that is a systematic review article on a nursing topic that is relevant to your practice problem. Write the complete APA reference for the systematic review article you selected: Sand-Jecklin, K., & Sherman, J. (2013). Incorporating bedside report into nursing handoff: evaluation of change in practice. Journal of nursing care quality, 28(2), 186-194. Define the search terms for your systematic review: The systematic review of the article was concerned at evaluating the effectiveness of bedside shift report. Some of the search terms for this particular assessment of bedside shift report, nursing handover, nursing shift report, patient-centered care and patient satisfaction. Bedside shift reports and nursing shift report regards a procedure in which nurses give a shift to shift report from one nurse to another. On the other hand, patient centered care entails the provision of a respectful care and responsive to varied patient preferences, needs and even values. Lastly, patient satisfaction is a degree of the extent in which the patients are contended with the care they are offered by healthcare providers. Identify the objectives of the article. Provide a statement of the questions being addressed in the work and how they relate to your practice issue: A major objective evidenced in Sand-Jecklin & Sherman’s (2013) study is on quantifying quantitative results of a particular practice change to a blended form of a bedside nursing report. Some of the questions being addressed are on the importance of implementing bedside shift report and the effects of blending with other techniques. Through this study, the effectiveness of blending bedside shift report with other techniques will prove if blending bedside shift report with SBAR will be effective. Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes. According to the authors of this article, patient outcomes can be improved through blending the use of bedside shift report with other tools such as recorded report in the course of ensuring patient outcomes. Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome. Consider the relevance to your project proposal for the Milestone 2 project paper. Some of the findings gathered from this study comprise of improvements after the implementation of patient’s survey items. Also, the study found out that after implementation, there was an improvement at the nursing perceptions of report especially on patient safety and involvement in care. Outline evidence-based solutions that you will consider for your project. Discuss any limitations to the studies performed that you believe impacts your ability to utilize the research in your project. Some of the evidence-based solutions to consider for this project are the use of different tools together with bedside shift report to see the most effective one. A limitation that can be possible in this project is on participant sampling. It is possible that the sample that will be used may not represent the entire patient population.
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