This assignment is designed to help you identify evidence-based practice models and barriers and will be graded according to the Guidelines and Rubric for Models and Barriers below.
My topic: Medication Related Fall Prevention
My institution: University of Miami Sylvester Cancer Center
My role: Nurse Manager for Chemo Infusions
Subtitle or Section:
Cite specific examples of barriers or potential barriers you have encountered specific to EBP in your particular institution.
How might you begin to overcome those barriers? List 4 ways.
Identify a model you think might work in your institution. Why?
How to solve
MDC Health & Medical Medication Related Fall Prevention Essay
Introduction:
In recent years, evidence-based practice (EBP) has become an essential aspect of healthcare provision, particularly in the field of medicine. As medical college students, it is crucial to develop a deep understanding of EBP models and the barriers that may hinder their implementation. This assignment focuses on the topic of Medication Related Fall Prevention and aims to identify barriers specific to the University of Miami Sylvester Cancer Center, discuss ways to overcome these barriers, and propose a suitable model for implementation.
Answer:
Cite specific examples of barriers or potential barriers you have encountered specific to EBP in your particular institution.
1. Limited availability of evidence: One common barrier to EBP in our institution is the limited availability of high-quality evidence specifically addressing Medication Related Fall Prevention in the context of cancer care. As a nurse manager for chemo infusions, I have often found it challenging to access relevant research studies and guidelines specific to our patient population. This lack of evidence makes it difficult to implement evidence-based interventions and practices.
2. Resistance to change: Another significant barrier encountered in our institution is resistance to change among healthcare professionals. Many of our staff members have been practicing in a certain way for years, and introducing new evidence-based interventions can be met with resistance and skepticism. This resistance can hinder the adoption and implementation of evidence-based practices, including those related to Medication Related Fall Prevention.
3. Time constraints: Healthcare professionals in our institution often face time constraints due to the complex and demanding nature of patient care in a cancer center. Allocating time for literature review, critically appraising research studies, and implementing evidence-based interventions can be challenging. This lack of dedicated time for EBP activities can act as a barrier to effectively implementing Medication Related Fall Prevention strategies.
4. Lack of interdisciplinary collaboration: In our institution, there is a need for improved interdisciplinary collaboration between healthcare professionals involved in patient care. Often, medication decisions and fall prevention strategies are implemented solely by physicians and nurses, neglecting the valuable contributions of pharmacists, physical therapists, and other healthcare professionals. This lack of collaboration hinders the comprehensive application of evidence-based practices and can impede the success of Medication Related Fall Prevention initiatives.
How might you begin to overcome those barriers? List 4 ways.
1. Increase accessibility to evidence: To overcome the barrier of limited availability of evidence, the institution can establish a dedicated team responsible for conducting literature reviews to identify relevant studies. This team can summarize the evidence and disseminate it through internal platforms, ensuring healthcare professionals have easy access to up-to-date guidelines and research.
2. Education and training: To address resistance to change, providing education and training sessions on the importance of EBP and its impact on patient outcomes can be beneficial. These sessions can help healthcare professionals understand the value of evidence-based practices and provide them with the necessary knowledge and skills to implement change effectively.
3. Time management strategies: Implementing time management strategies, such as dedicating specific time slots for EBP activities, can help overcome the barrier of time constraints. Allocating protected time for literature review, research appraisal, and implementation planning can prioritize EBP and facilitate its integration into daily practice.
4. Promote interdisciplinary collaboration: Facilitating interdisciplinary collaboration can be accomplished by establishing regular meetings or forums where healthcare professionals from different disciplines come together to discuss Medication Related Fall Prevention strategies. Including pharmacists, physical therapists, and other relevant professionals in decision-making processes and care planning can enhance the comprehensive implementation of evidence-based interventions.
Identify a model you think might work in your institution. Why?
Based on the identified barriers and the specific context of the University of Miami Sylvester Cancer Center, the Promoting Action on Research Implementation in Health Services (PARIHS) model could be an effective approach to implementing Medication Related Fall Prevention strategies. This model focuses on three key elements: evidence, context, and facilitation.
The PARIHS model emphasizes the importance of considering the available evidence, the context in which the interventions will be implemented, and the role of facilitation in supporting the change process. This model aligns with the identified barriers, as it provides a structured framework to address limited evidence availability, resistance to change, time constraints, and lack of interdisciplinary collaboration.
By utilizing the PARIHS model, the institution can conduct a thorough assessment of the evidence related to Medication Related Fall Prevention, identify contextual factors influencing implementation, and provide the necessary facilitation and support to healthcare professionals. This model encourages the active involvement of stakeholders, fosters collaboration, and emphasizes the importance of leadership in driving change. Thus, the PARIHS model holds promise for achieving successful implementation of evidence-based practices, specifically focusing on Medication Related Fall Prevention at the University of Miami Sylvester Cancer Center.
