NURS FPX 6011 Assessment 3 Attempt 1 Implementing Evidence-Based Practice
NURS FPX 6011 Assessment 3 Attempt 1 Implementing Evidence-Based Practice
Background on Clinical Problem
Evidence suggests post Myocardial Infarction(MI) care requires both pharmacological and non-pharmacological interventions (lifestyle modifications related to diet and physical activity).
Doctors, surgeons, and nurses mostly focus on the medication plans and disinclination is present toward healthy lifestyle education related to a healthy diet and physical activity.
Stakeholders
Nurses
Physician
Cardiologists
Cardiac Surgeons
Registered dietitians
Pharmacists
Patients and their families
Potential Barriers
CDC. (2022, February 7). Heart Disease Facts | cdc.gov. Centers for Disease Control and Prevention. https://www.cdc.gov/heartdisease/facts.htm#:~:text=Every%20year%2C%20about%20805%2C000%20people
Chen, A. M. H., Gardner, J., Wandling, E., Wicker, E., Grauer, P., & Sweeney, M. A. (2022). The impact of a provider motivational interviewing-based training on chronic pain management in a federally-qualified health center. Research in Social & Administrative Pharmacy: RSAP, S1551-7411(22)00122X. https://doi.org/10.1016/j.sapharm.2022.04.001
Heidenreich, P. A., Bozkurt, B., Aguilar, D., Allen, L. A., Byun, J. J., Colvin, M. M., Deswal, A., Drazner, M. H., Dunlay, S. M., Evers, L. R., Fang, J. C., Fedson, S. E., Fonarow, G. C., Hayek, S. S., Hernandez, A. F., Khazanie, P., Kittleson, M. M., Lee, C. S., Link, M. S., & Milano, C. A. (2022). 2022 AHA/ACC/HFSA guideline for the management of heart failure. Journal of the American College of Cardiology, 79(17). https://doi.org/10.1016/j.jacc.2021.12.012
Hopstock, L. A., Morseth, B., Cook, S., Eggen, A. E., Grimsgaard, S., Lundblad, M. W., Løchen, M.-L., Mathiesen, E., Nilsen, A., & Njølstad, I. (2021). Treatment target achievement after myocardial infarction and ischaemic stroke: Cardiovascular risk factors, medication use, and lifestyle: the Tromsø Study 2015–16. European Journal of Preventive Cardiology, 29(2). https://doi.org/10.1093/eurjpc/zwab050
Metwally, A. M., Soliman, M., Abdelmohsen, A. M., Kandeel, W. A., Saber, M., Elmosalami, D. M., Asem, N., & Fathy, A. M. (2019). Effect of counteracting lifestyle barriers through health education in Egyptian type 2 diabetic patients. Open Access Macedonian Journal of Medical Sciences, 7(17), 2886–2894. https://doi.org/10.3889/oamjms.2019.624
Piekarz, ., Langran, C., Raza, A., & Donyai, P. (2022). Medication-taking for secondary prevention of acute myocardial infarction: A thematic meta-synthesis of patient experiences. Open Heart, 9(1), e001939. https://doi.org/10.1136/openhrt-2021-001939
Outcome Measures
Professional’s unwillingness and reluctance in recommending a healthy lifestyle because they consider medications to be solely responsible for effective treatment and enhanced well-being
Health care professionals lack motivation for convincing the patient to a lifestyle change.
Lack of effective communication with an interdisciplinary team for change.
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For the evaluation of the project outcomes, dates will be set to review outcomes in the change stages.
Attitude of the HCPs after 2nd month of the intervention
Attitude of HCPs after 3rd month of the intervention
Attitude of the HCPs after the 6th month of intervention
PICOT Question
Action Plan
Quadruple Aim
References
Improvement in the healthcare professional’s perceptions regarding lifestyle modifications.
Increase in the productivity of healthcare institutions through adherence to a healthy lifestyle as a non-pharmacological approach.
Reduce healthcare expenditure by less utilization of medications.
Reduce the mortality rates which increases organizational efficiency.
Is a 6-month (T) educational session on the significance of the inclusion of lifestyle modification in MI treatment regimen (I) effective in changing pharmacotherapy alone practice (C) by healthcare professionals (P)?
To bridge the gap between clinical practice and evidence-based guidelines, an educational intervention will be implemented in the action plan for healthcare professionals’ adoption of lifestyle modification as a non-pharmacological approach.
Hello everyone. My name is Almarie and in this video I’ll be communicating a plan to discuss research and clinical practice. For this presentation, different databases were used to collect evidence-based practices including Google Scholar, PubMed, and various community organizations such as American Heart Association guidelines for secondary MI prevention and Center for Disease Control and Prevention. The research of Heidenreich et al. (2022) increased the value by incorporating AHA guidelines for the prevention of heart failure as a non-pharmacological approach. The article by Hopstock and other researchers (2021) provided value and relevance to the implementation strategy by increasing the professionals’ education regarding lifestyle modifications. As this article highlights the importance of healthy lifestyle modifications for post-MI durations along with medication adherence by healthcare professionals. Another article by Piekarz et al. (2022) evaluated medication efficiency along with a non-pharmacological approach for the secondary prevention of acute myocardial infarction. For increasing, healthcare professionals’ perceptions regarding the recommendation of lifestyle modification and providing continuous care in the MI the relevancy provided through the study by Chen et al. (2022) to improve the health outcomes in patients with education about these modifications.
Now I’ll explain why the Action Plan is reasonable and realistic?
The action plan can be implemented by educating professionals with reasonable and realistic tools of the web-based authentic portals and prevention programs focused on non-pharmacological interventions. The action plan based on the EBP for the prevention of a second heart attack or other CVD complications includes healthy lifestyle modifications related to diet and healthcare professionals counselling for the adoption of these modifications along with pharmacotherapy. For practice change, healthcare professionals need to understand the importance of lifestyle modifications after MI.
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I will now discuss the actions required to overcome the barriers
All the above-mentioned barriers can be reduced through effective educational sessions regarding healthy lifestyle and their advantages. Counselling patients and their families through the active involvement of healthcare professionals such as nurses, cardiologists, and individuals who benefit from these modifications can also overcome the barriers.
Alignment with the Quadruple Aim
To optimize the performance of healthcare institutions, a quadruple aim was developed (Arnetz et al., 2020). The outcomes of the proposed action plan aligned with the quadruple aim as the plan
Improve the healthcare professionals’ perception regarding lifestyle modifications
Increase the productivity of healthcare institutions through adherence to a healthy lifestyle as a non-pharmacological approach.
Reduce healthcare expenditure by less utilization of medications.
Reduce the mortality rates which increases organizational efficiency.
