Evaluating Evidence for Practice - Essay Example

Pressure Ulcer This is damage made to the skin and its deeper layer of tissue. It occurs when pressure is put on the same area of skin for a length of time and cuts off the supply of blood. It occurs if a person has to stay in a chair or bed for a long period. Pressure ulcers are also referred to as pressure sores or ‘bedsores’. Some of the ways of managing pressure ulcers include the following:Changing position- this involves making frequent and regular changes to one’s position. In case a pressure ulcer has already been identified, changing position regularly will assist to avoid putting additional pressure on it, and aids the wound to heal fasterNutrition- consuming a healthy, balanced diet that has enough of protein and a good variety of vitamins and minerals assists in preventing skin damage and hastens the process of healing.

Continuous check on the skin- If risk factors for pressure ulcers have been known, its imperative for one to check the skin daily for any signs of pressure ulcers, i.e. discolored parts of the skin. This is mainly important if one has an underlying condition, such as diabetes or nerve damage, which may numb or dampen feelings of pain in some parts of the body.How to evaluate the anticipated change in practiceChanging already established the behavior of any kind is not easy. It is mainly challenging especially in healthcare as a result of the complex relationships between a varied range of professionals, patients, organizations, and careers.

In order to evaluate the anticipated change in practice, one has to understand the barriers to change within an organization.To develop a successful change strategy, one has to understand the types of barriers faced by the healthcare sector. With this knowledge, one can consider which levers and barriers may be operational in the organization and which may be applicable to a particular problem. As a result of this, it is likely to come up with a tailored approach to overcoming the anticipated barriers, encourage behavior change and eventually implement the guidance.

The role of the baccalaureate-prepared NurseBaccalaureate-prepared nurse act as the direct and care providers where they are patient educators and advocates. They emphasize partnership with the patients i.e. whether families, individuals, groups, population or communities so as to support and foster the active participation during the collection and analysis of practice change. Baccalaureate Nurses also bring an exceptional blend of knowledge, skills, judgment and caring for the evaluation of practice changesHow to disseminate change resultsOnce a change program is created, of course, it must be implemented.

Though there are various ways of disseminating out plans for change, the following general approach is recommended, which is flexible to various situations, and which has proved to be successful in various health care settings.The Model for disseminating change results begins with three processes based on three important questions. Setting aims- what are we trying to achieve?Creating measures-how will we know that a change is an improvement?Developing changes- what changes can we make that will lead to improvement?

The following are some of the strategies of communicating change in practice1. Tailoring the message-The communication intended for an individual basing on the information provided by the individual.2. Targeting the message to some segmented audience-Communication intended for subgroups centered on group membership or characteristics such as gender or sex, age, race, cultural language, background, and other “psychographic” characteristics3. Use of narratives-Communication provided in the form of a story, entertainment education or testimonial.4. Framing the message-Communication that bears the same messages in different ways (e.g., what is gained or lost by making a choice or taking an action)ReferenceBuerhause, P. (2007). The future of the Nursing Workforce In the United States: Data, Trends and Implications.

Boston: Bartlett Publishers.Medicine, I. o. (2003). The future of the publics health in the twenty-first century. Washington : National Academy Press .Puchalski, C. (2006). Spiritual assessment in clinical practice. Psychiatric Annals, 150.