Evidence-Based Practice Proposal – Section C: Solution Description.

Posted: December 12th, 2022

Evidence-Based Practice Proposal – Section C: Solution Description.


Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria:
1.Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. Evidence-Based Practice Proposal – Section C: Solution Description.


If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing.
2.Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
3.Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement.
4.Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed. Evidence-Based Practice Proposal – Section C: Solution Description.
5.Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Note: After submitting the assignment, you will receive feedback from the instructor. Use this feedback to make revisions for your final paper submission. This will be a continuous process throughout the course for each section. Evidence-Based Practice Proposal – Section C: Solution Description.

Evidence-Based Solution Description to Identified Nursing Practice Problem of Under-utilizing Non-pharmacologic Preventive and Management Strategies like Exercise in Hypertension
Section C: Solution Description
In the problem statement in the first part of this change proposal, it was clearly stated that the management of hypertension in the organization is lacking in the use of exercise as a proven hypertension management and treatment strategy. An examination of evidence-producing research however confirmed that this is a tested though not often prescribed form of treatment of the condition. Evidence-Based Practice Proposal – Section C: Solution Description.To implement this treatment modality, it will then have to be integrated into the organization’s standard operating procedures or SOPs. Its prescription will thereafter become part of the organizational culture. Sushma et al. (2011) carried out a scientific research study with the aim of assessing the outcome of “isotonic aerobic exercise” on blood pressure. Isotonic aerobic exertion is simply walking or strolling. Theirs was a strong randomized controlled trial (RCT) of 84 hypertensive subjects. They were aged between 35 and 65 years. The study group underwent isotonic exercise while the control group did not do any exercise throughout the duration of the study. The results were overwhelmingly positive. With the isotonic aerobic exertion or walking, the study group showed a reduction in not only blood pressure, but also the blood sugar level and the body mass index or BMI. The study’s recommendation was that aerobic exercise should be part and parcel of modifiable lifestyle alteration in the management of hypertension and the prevention of complications (Sushma et al., 2011). Later findings by Byrd (2014), Kaplan (2016), and MacDonald & Pescatello (2018) are in congruence and agreement with these of Sushma et al. (2011).
This intervention requires absolutely no resources to implement. The only thing it requires is a change in patient management practices and of the mentality of the nurses and clinicians. It is a realistic solution and if anything may only require a session of continuous medical education (CME) to integrate into care.
Consistency with Organization Culture and Expected Outcomes
In the assessment of the organizational culture and organizational readiness for change, it was discovered that the interdepartmental and interpersonnel communication was great. This augurs well with the implementation of this solution. To overcome the subtle resistance to change of the departmental supervisors, these evidence-laden findings can be presented to the top management who can then drive the policy change. The expected outcomes from the implementation of this problem solution are an expected reduction in morbidity and an improved quality of life for the hypertensive patients. Both of these are measurable outcomes from both the inpatient and outpatient data. Objective measures will include periodic blood pressure measurement while subjective measures will entail history from the patients themselves about their feeling of well-being. Evidence-Based Practice Proposal – Section C: Solution Description.
Method of Outcome Achievement and Outcome Impact
Achievement of the outlined outcomes above will first and foremost require official integration of exercise as part of the management protocol of hypertension in the organization. This means including it in the management SOP for hypertension. The staff will then undergo an hour or two of CME on the benefits of aerobic exercise on hypertension management. This way, a checklist can be formulated which will incorporate exercise alongside drug treatment as the gold standard of patient care in hypertension. The main barrier to eliminate is the resistance to change by junior management staff (supervisors). The assumptions made are that the patients will actually follow the advice and perform the recommended aerobic exercises. This may require follow up. The major outcome impact will be in the quality of patient care which will tremendously improve. Evidence-Based Practice Proposal – Section C: Solution Description.

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