The pivotal aim of establishing and sustaining evidence based practices in health care is solely to ensure optimum quality health care that leads to prime patient outcomes. To achieve such sustainable and reliable practices, proper planning and procedures ought to be established, closely monitored, and subsequently implemented. As such, this paper offers an idea plan for the sustaining of created evidence based practice. The main blueprint of the paper relies on a strategy that incorporated policies of randomized controlled trials into the health care system. Drawing from Melnyk & Fineout-Overholt (2011) publication, evidence- based practices that relied on RRT (rapid response team) measures proved to be effective enough. As such, the respective plan offered in the paper conjoins the aspect of rapid responses and randomized control trials. Data from the two measures will offer paramount outcome in reference to the health care quality provided. The data will be sourced physically from different institutions and also use technological services, such as the internet, as a means of data- sourcing. The reasoning behind these measures is based on tackling urgent or spontaneously emerging cases and also tackling short and long admission cases. The rapid responses team measure will help tackle the urgent emergent cases while the RCT (randomized controlled trials) will recurrently assess the efficacy of nursing interventions during the short term and long term patient admissions thus providing suitable resolutions.
In this case, it could be argued that admission cases and emergency cases are a major root of strain in respect to the clinicians. These cases present a strenuous culture for the health care providers. As such, we could argue that the evidence-based practice sourcing from rapid response teams and randomized controlled trials on the effectiveness of interventions will not be faced with many barriers. Success of any evidence-based practice in the health spheres is highly determined by the readiness of an institution to appreciate it and the subsequent willingness of the clinicians to embrace it (Melnyk & Fineout-Overholt, 2011). In line with this, administrative support could be argued as a guarantee to the EBP measure as it elucidate on how well interventions and care should be offered to patients admitted for a long time and also those admitted for a short while. Considering the proposed case, knowledge of EBP and willingness to adopt it will also not be a point of concern in the institution. Consequently, the process of ensuring policies attached to the measure are approved by the relevant hospital committee will instigate.
However, the main query arises when establishing if there are adequate EBP mentors within the institution. EBP mentors are concisely perceived as support systems in the implementation and sustenance phases. In cases of mentor- paucity, those engaged in the EBP structuring will need to further educate personnel within the hospital. This can be done during breaks and also sourcing volunteers in order for more individuals to be educated. EBP adoption by clinicians is directly dependent on their ability to change their mentality regarding it, realizing the value it has and consequently having confidence in its implementation. Thus, offering them the knowledge will give them a chance to fully appreciate and support the policies and thus help in ensuring sustenance of the EBP. Further, the technological services will also help the sustainability of the EBP. The rationale behind this is that, in our contemporary world, appreciating and embracing technology is proving to be a major pro in any sector. Therefore, hospitals can source data from databases in the internet that have information about any randomized controlled trials in health care provision and the results arrived at. The up to date resources can also be easily be acquired via this means.
Data collection frequency will also be a critical factor to consider with the aim of achieving sustenance. Data will be recurrently collected after a time span not exceeding six months. This will ensure up to date knowledge of the solutions and relevant tools is acquired.
- Courtney, M. D., & McCutcheon, H. (2010). Using evidence to guide nursing practice. Sydney ; New York : Churchill Livingstone/Elsevier.
- Melnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice Step by Step : Sustaining Evidence-Based Practice Through Organizational Policies and an Innovative Model. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.
