EVIDENCE-BASED PROJECT, PART 4: RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

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)

LEARNING RESOURCES

Required Readings

· Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). 

The connection between evidence-based medicine and shared decision makingLinks to an external site.
. 
Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186

· Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). 

Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statementLinks to an external site.
. 
Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396

· Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). 

Measuring return on investment for professional development activities: Implications for practiceLinks to an external site.
. 
Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483

· Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). 

Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision makingLinks to an external site.
. 
Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.xThe Ottawa Hospital Research Institute. (2019). 

Patient decision aidsLinks to an external site.
. Retrieved from https://decisionaid.ohri.ca/

Instructions

Read the article, “Oncologic emergencies in a cancer center emergency department and in general emergency departments countywide and nationwide”.  You may access the article in the resource folder. 

Thoroughly review the complete research article exploring the management of oncologic emergencies in critically ill patients visiting the Emergency Department (ED). Focus on patient characteristics, diagnoses, and factors influencing hospitalization.

Your case study should demonstrate a thorough grasp of the entire article, using specific details to support your points. This assignment aims to assess your ability to distill complex medical information into a focused case study, highlighting essential strategies for managing oncologic emergencies in critically ill patients. 

Please make sure to provide citations and references (in APA, 7th ed. format) for your work.  

Case Study Focus:

Based on your comprehensive reading, create a Case study highlighting key strategies for effectively managing oncologic emergencies in critically ill patients.

Key Points

Resource Optimization: Explain how increased resource utilization and hospitalization rates among cancer patients impact healthcare delivery. Discuss strategies to optimize resources while maintaining high quality care.

Timely Diagnosis: Emphasize the importance of timely diagnosis and intervention. Provide examples from the article illustrating the benefits of early recognition and swift treatment.

Tailored Interventions: Explore the concept of tailoring treatments to individual oncologic conditions. Share insights on customizing interventions based on diagnoses outlined in the article.

Multidisciplinary Collaboration: Discuss the value of multidisciplinary collaboration in managing critically ill patients. Describe how different specialties can work together for comprehensive patient care.

Risk Stratification: Explain the role of risk assessment in identifying high-risk patients and the significance of early interventions to prevent complications.

Education and Training: Address the impact of education and training on enhancing oncologic emergencies management. Highlight the benefits of well informed healthcare professionals.

Conclusion: Summarize key insights from the article and emphasize the patient centered approach to managing oncologic emergencies in critically ill patients.

Reports have described the acute onset of rhabdomyolysis in athletes performing intense exercise under conditions of excess heat and dehydration. What happens to the muscle cell membrane during rhabdomyolysis, and what proteins are elevated in the blood as a consequence of this cell damage?

1 page

Only 2 scholarly references no later than 2019.

APA format

1. Read the following case study and answer the reflective questions.  Please provide evidence-based rationales for your answers.  APA, 7th ed. must be followed.  

2.Attached you can find the case study

3.Please check for plagiarism and artificial intelligence(AI)

Write a grant proposal requesting funding to conduct research for the research question of “Is there a significant difference in the clinical outcomes, including mortality rates, reinfarction rates, and long-term quality of life, between patients treated with fibrinolytic therapy and those treated with percutaneous coronary intervention for acute myocardial infarction?”

Please use the template below to organize the grant proposal

· Executive Summary

· Statement of Need

· Project Description

· Conclusion 

· References  (6 references, I have provided some below)

Armstrong, P. W., Gershlick, A. H., Goldstein, P., Wilcox, R., Danays, T., Lambert, Y., Sulimov, V., Rosell Ortiz, F., Ostojic, M., Welsh, R. C., Carvalho, A. C., Nanas, J., Arntz, H. R., Halvorsen, S., Huber, K., Grajek, S., Fresco, C., Bluhmki, E., Regelin, A., Vandenberghe, K., … STREAM Investigative Team (2013). Fibrinolysis or primary PCI in ST-segment elevation myocardial infarction. The New England journal of medicine, 368(15), 1379–1387.
https://doi.org/10.1056/NEJMoa1301092

Joy, E. R., Kurian, J., & Gale, C. P. (2016). Comparative effectiveness of primary PCI versus fibrinolytic therapy for ST-elevation myocardial infarction: a review of the literature.
Journal of comparative effectiveness research,
5(2), 217–226. https://doi.org/10.2217/cer-2015-0011

Karha, J., & Topol, E. J. (2006). Primary percutaneous coronary intervention vs. fibrinolytic therapy for acute ST-elevation myocardial infarction in the elderly.
The American journal of geriatric cardiology,
15(1), 19–21. https://doi.org/10.1111/j.1076-7460.2006.05290.x

Krittanawong, C., Hahn, J., Kayani, W., & Jneid, H. (2021). Fibrinolytic Therapy in Patients with Acute ST-elevation Myocardial Infarction.
Interventional cardiology clinics,
10(3), 381–390.
https://doi.org/10.1016/j.iccl.2021.03.011

McClelland, A. J., Owens, C. G., Walsh, S. J., McCarty, D., Mathew, T., Stevenson, M., Gracey, H., Khan, M. M., & Adgey, A. A. (2005). Percutaneous coronary intervention and 1 year survival in patients treated with fibrinolytic therapy for acute ST-elevation myocardial infarction. European heart journal, 26(6), 544–548.
https://doi.org/10.1093/eurheartj/ehi149

Note: You do not need to provide research budgets/financials and organizational information which is covered in the tutorial.