reply1 As discussed earlier in this class (week five discussion one), it is misleading to assume that implementing evidence-based change is simply a question of organization and theories. Even though these may be important, developing and successfully implementing an evidence-based change proposal requires adequate planning. Consequently, after discussing with my preceptor, we agreed that there is need to take financial, quality, and clinical aspects into consideration for developing the evidence-based change proposal. The financial aspect of this change proposal requires adequate budgeting for efficiency and effectiveness. The purpose of my evidence-based change proposal is to help decrease nurse burnout; to achieve this purpose, it is pertinent for management to ease nurses workloads during a work shift by encouraging less than twelve (12) hours per shift (Banakhar, 2017), increasing nurse-to-patient ratios as necessary, and introducing the electronic nursing documentation and the electronic health record to facilitate the documentation and retrieval of patients information with ease. Furthermore, introducing a proper stress management intervention policy would require adequate financial implication especially for remunerating the psychotherapist and/or physiotherapist who would be in charge. These activities require financial backing, and the management of PowerBack Acute Center should be able to provide adequate financial backing for this purpose. In addition to fulfilling the financial aspect for developing the evidence-based change proposal, the quality aspect must also be considered. In fact, there is a relationship between the financial aspect and the quality aspect. In other words, without adequate financing no health facility can improve on quality. The quality aspect that must be considered for developing a proper stress management intervention for addressing the problem of burnout at PowerBack Acute Center will include adequate nurse-to-patient ratios, adequate nurse staffing to check working hours beyond ten hours per shift, electronic nursing documentation and electronic health record; and the clinical aspect that needs to be taken into account will include nurse stress levels and the availability of stressors within the facilitys environment. My proposal which is the introduction of a combined stress management intervention (progressive muscle relaxation technique (PMR) and mindfulness-based stress reduction) will directly and indirectly impact each of the aspects. For the financial aspect, this proposal will indirectly reduce the direct and indirect costs of burnout on the nursing staff, patients, and the health organization. It will directly impact on the quality aspect because it can reduce burnout and consequently facilitate the retention of nurses within the health facility. Lastly, by helping to reduce stress levels and stressors within the organization, my proposal will directly and indirectly enhance nurse satisfaction and positive patient outcomes. References Banakhar, M. A. (2017). The Impact of 12-hour Shifts on Nurses Health, Well-being, and Job Satisfaction: A Systematic Review. Journal of Nursing Education and Practice, 7(11): 69. http:s//doi.org/10.5430/jnep.v7n11p69 reply2 After talking with my preceptor regarding the points of this topic we decided that the financial aspect for my project would be very little for the hospital to implement since the discharge education checklist is just a piece of paper for nurses to follow. The only financial cost may be in training hours for the champions. The financial benefit for the healthcare system from decreased readmissions, would far out weight the initial cost. The quality aspect for this project is to improve the quality of care in the patient with heart failure and to give them the tools they need to adequately manage their chronic illness. Multidisciplinary team collaboration in managing drug and diet regimens will be a key component in providing the education needed for these patients to manage their heart failure at home (Glogowska et al., 2015). The clinical aspect of this project is to improve discharge education by first thoroughly assessing the patients health literacy and then tailoring the discharge education to meet the individual needs of the heart failure patient. By doing this, my hope is that it will eventually reduce the rate of readmission. Studies show that HF patients understanding of their discharge instructions is limited, particularly with respect to their knowledge of follow-up appointments and discharge medications, despite receiving discharge instructions (Regalbuto et al., 2014). Regalbuto, R., Maurer, M. S., Chapel, D., Mendez, J., & Shaffer, J. A. (2014). Joint Commission requirements for discharge instructions in patients with heart failure: is understanding important for preventing readmissions?. Journal of cardiac failure, 20(9), 641649. https://doi.org/10.1016/j.cardfail.2014.06.358 Glogowska, M., Simmonds, R., McLachlan, S., Cramer, H., Sanders, T., Johnson, R., Kadam, U. T., Lasserson, D. S., & Purdy, S. (2015). Managing patients with heart failure: a qualitative study of multidisciplinary teams with specialist heart failure nurses. Annals of family medicine, 13(5), 466471. https://doi.org/10.1370/afm.1845
Why Choose Us
High Quality, 100% Original and Well-Researched Papers
HireProWriter always ensure that our writers follow all your instructions precisely. You can pick your academic level: high school, college/university or professional, and we will assign a writer who much your field or discipline.
Professional and Experienced Academic Writers
Our Company has a team of professional writers with experience in business articles and academic papers. The majority are native speakers and capable to tackle any task for which you need assistance.
Free Unlimited Revisions
Do you think we missed something on your paper? No worries, send your order for a free revision. We give you up to 10 days to submit the order for review after you have received the final document. You can do this yourself after logging in to your account or get help from our support.
Prompt Delivery and 100% Money-Back-Guarantee
All papers are always delivered on time. In case we need an extension to master your paper, we will contact you on time regarding the deadline extension. In case you cannot provide us with more time, a 100% refund is guaranteed.
Original & Confidential
100% Plagiarism free work! We use premium writing tools to check plagiarism. Our professional editors carefully review all quotations in the text. Besides, we guarantee maximum confidentiality in all of our services.
Customer Support 24/7
Our support team is available 24/7. We are dedicated to giving the best customer experience. Feel free to get in touch any time for assistance.
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
Why work on your paper all night? While you can sleep tight, as we cover you back. HireProWriter offer all kinds of writing services.
No matter what kind of academic assistance you need and how urgent you need it, you are welcome to choose your academic level and the type of your paper at a reasonable cost. HireProWriter take care of all your academic paper needs with a 24/7 customer care support system.
Admission and Business Papers
An admission essay is an essay or other written statement by a candidate, often a potential student enrolling in a college, university, or graduate school. You don't have to worry about writing a presentable College admission essay, You can be rest assurred that through our services we will write the best admission essay for you.
Editing and Proofreading
Our Team (academic writers and editors) make the necessary adjustments to your essay/paper so that it is polished. Besides, we format your document by correctly quoting the sources and creating reference lists in the formats APA, Harvard, MLA, Chicago / Turabian.
We value our clients feedback, our system is designed to ensure that we deliver quality work through collaboration of our team and clients. In case you need an improvement in your paper, you are free to request for revision. For such case, your paper will be checked by the writer or assigned to an editor. Your Satisfaction is our Concern!