Attached below are the 4 discussions to reply to using the prompt

To Prepare:

• Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
• Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
• Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

• Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
• Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
• Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
• Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
• Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
• Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
• Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
• Add a lessons learned section that includes the following:
  • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
  • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

In order to reflect on and analyze how the relationship between health and behavior affects the social determinants of health, I would like to share the analysis based on the latter. Accredited institutions and organizations such as the WHO, consider or identify the social determinants of health in the context where human beings are born, in the life spaces where they develop, as well as in the workplace and in the social system of interactions where the person makes his life Now, the way they do their life, the behavioral actions they carry out, are the ones that in one way or another will affect the health of the human being. Many times we talk about behavior and we do not associate it with health and that is where we must gain in general culture and assimilate that this influences from the moment we obtain, for example, the information from a medical diagnosis. In this sense, people react differently and adopt dissimilar ways to their treatment, they are not always the appropriate behaviors or postures, an issue that directly affects their health and is also associated with the human resources available to deal with the disease health process (Soriano & Jiménez, 2023).

The balance that is achieved between the physical state of health and psychosocial well-being, the best state of health refers to the person. There are behaviors that contribute positively to health, there we find an adequate and balanced diet, the practice of physical activity, avoiding by all means the consumption of toxic substances, the rest that the body requires during sleep hours, avoiding self-medication, among others. However, maintaining this balance based on health, and even more so when suffering from already established diseases, requires an environment that encourages this behavior, as well as people who accompany the transit through life in a healthy way, so that the interaction with the people of the closest and social environment contribute to the positive and not to negative behaviors for health. We are biopsychosocial beings and from there we react and develop (Cereceda, 2022).

    That is why nursing within its metaparadigms contains the dialectical relationships between its main concepts (person, environment, health and nurse). In those relationships that occur from theory and practice in nursing, there is integration between patients and nurses for their transformation in the care process to achieve their necessary transformations for their healing and social integration. These relationships between health and disease are currently focused on a paradigmatic vision of holistic care for health care, where the human being must be seen as a whole, not as the simple care of its parts. A human being who, by reacting negatively, influences his health, if he does not take care of his body or attacks it with toxins, in the same way his behavior brings consequences for his health and for those around him.

Please see attachment for directions