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Applying The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care create a written proposal for these components of an evidence-based practice solution.

My research question is ‘Can improved patient education related to their specific disease process, medications, diet, exercise, as well as early symptom recognition help to reduce 30-day readmissions in heart failure patients.

Implementation plan for the proposed evidence-based practice solution including:

Description of key stakeholders, Proposed timeline.

The evaluation plan for the proposed evidence-based practice solution including:

At least two goals written in the SMART format.

Description of types of internal and external data necessary to collect

Description of the timeline for data collection

Description of methods for data analysis

Plan for sustained practice change including:

Description of at least two resources needed to sustain permanent change

Description of at least two key indicators for continuous quality improvement

Plan for reinfusion if needed

Please use this template:

Practice issue, Research question, Evidence retrieval, Evidence Appraisal, Plan for implementation, Plan for evaluation and plan to sustain practice change

1 Answer

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Final answer:

The proposed evidence-based practice solution for reducing 30-day readmissions in heart failure patients includes a description of key stakeholders and a proposed timeline for implementation. The evaluation plan includes SMART goals, data collection methods, and data analysis techniques. The plan for sustained practice change involves necessary resources and key indicators for continuous quality improvement, with a plan for reinfusion if needed.

Step-by-step explanation:

The key stakeholders involved in the implementation of the proposed evidence-based practice solution would include the healthcare providers and staff directly involved in caring for heart failure patients, such as physicians, nurses, dietitians, and exercise specialists. Additionally, the patients themselves and their family members would also be considered key stakeholders.

Proposed timeline:



The proposed timeline for implementing the evidence-based practice solution would involve multiple stages. In the initial stage, the healthcare team would gather relevant educational materials and resources for patient education. This could take approximately 2-3 weeks. The next stage would involve developing a structured educational program for heart failure patients, which may take another 2-3 weeks. The implementation phase would then begin, with healthcare providers incorporating patient education into their regular care practices. This phase could span several months to ensure all heart failure patients receive the necessary education.

Evaluation plan:



Goals in SMART format:

1. Increase patient knowledge about their specific disease process, medications, diet, exercise, and early symptom recognition by 30% within 3 months.
2. Reduce 30-day readmission rates in heart failure patients by 20% within 6 months.

Types of internal and external data necessary to collect:
- Pre- and post-education knowledge assessments for patients
- 30-day readmission rates for heart failure patients

Timeline for data collection:
- Pre-education knowledge assessments: Baseline data collection before implementing the educational program
- Post-education knowledge assessments: Data collection immediately after the completion of the educational program
- 30-day readmission rates: Ongoing data collection for at least 12 months

Methods for data analysis:
- Pre- and post-education knowledge assessments can be analyzed using statistical tests to compare the mean scores and determine if there is a significant improvement
- 30-day readmission rates can be analyzed using statistical tests, such as chi-square analysis, to compare the rates before and after implementation of the educational program.

Sustained practice change:



Resources needed for sustained practice change:
- Ongoing access to updated educational materials and resources for patient education
- Regular training and education for healthcare providers to ensure they have the knowledge and skills to deliver effective patient education

Key indicators for continuous quality improvement:
- Regular monitoring of patient knowledge levels through assessments and surveys
- Tracking and analyzing 30-day readmission rates to identify any trends or areas for improvement

Plan for reinfusion if needed:
If the evaluation data shows that the proposed evidence-based practice solution is not achieving the desired outcomes, a plan for reinfusion could involve reassessing the educational program, making necessary revisions, and ensuring all healthcare providers are properly trained in delivering the updated intervention.

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