Running head: EVIDENCE BASED PRACTICE

EVIDENCE BASED PRACTICE

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EVIDENCE BASED PRACTICE

Abstract

The research paper aims at providing the evidence based proposal which describes the

ways of preventing wound after heart injury. While no one can completely prevent any form of

heart injury from happening, there is the potential to assess the patient’s risk level for falls

accurately. Using Bell Hinder Scale for preventing stern wound infections after an open heart

injury wound infections after the heart injury. Working closely with the Bell Hinder team to

implement mechanisms of reducing formation of wound after heart injury. The paper also gives a

vivid description on implementations of the topic under discussion and any changes given.

Evidence-Based Practice

           Before implementing evidence-based practice within an organization, one needs to have

completed the organizational culture and the readiness assessment. The results of this assessment

will help in providing the required picot questions. Based on the results of the Organizational

Culture and Readiness Assessment, the EBP is one of the main pillars nurses use in effectively

running the health facilities. On the other hand, at the national government, the leaders are

entitled to provide support to the evidence-based practices. This can be done by providing

education to the staff. In addition, they need to support and encourage the evidence-based

practiced nurses at their institution. At any given organization, there are always variously

advanced practice nurses need to have a good translation of the EBP to access essential

information regarding improvement of the patient’s services. There are also libraries which are

accessible to all members of the organization. The libraries are available for employees to access

information so that they can provide quality services to the patients. To be precise, the mentoring
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program is essential to the organization because it is used as a tool kit to drive members in the

right direction and give the best services to the patients (CDC 2016).

Furthermore, there is a dedicated mentoring program, which is vital to both the mentors

and the mentees. Within the organization, there are interdependent teams which are dedicated to

helping the EBP at all levels. Inter-dependent teams help drive EBP. The, mentioned teams, in

this case, include physician champions, nurse champions, educators and administrators. These

individuals help generate decisions in practice. The organization metrics are also important

basing on the size of the organization. Many of the organization believe that sharing any form of

practice will eventually help out the nurses in carrying out the daily activities. Sharing is mainly

done in peer groups within the organization. The outcomes will also be discussed and be shared

within these peers. 

When the PICOT question has been developed, one will be in a position to search for the

evidence (HD Nursing 2016). The (P) in this case will stand for Hospitalized medical-surgical

patients, (I) implementation of the Bell Hinder Scale for preventing wound after heart injury

instead of (C) current use of falls bundles (O) decrease the rate of heart injury (T) during the

patient’s hospital stay. In this case, the leaders need to use the evidence-based practice to support

the staffs. Research has aloes proved that the inpatient in component also affects the rate at

which services are provided in the health facility. In addition, some study has also shown that the

themes which are associated with successful implementation through providing education,

training and leadership support in general. This has helped in reducing the attitude of many

individuals towards wounds found on the heart (AHRQ 2014). The team helps in identifying the

risk factors of the patients. The current scale used, the Schmid Scale in identifying all the risk

factors for preventing wound injury in the heart. The Bell Hinder Scale has been evaluated and
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validated for use in clinical practice (Callis, 2016). Bell Hinder scale not only identify

interventions to help decrease the potentiality for the wound after heart injury, but also

recommend interventions to reduce the risk of injury from falls in the plan of care. By following

the recommendations in the plan of care, not only will the fall rate decrease, but the rate of heart

injury will also decrease. The wound bundle that is currently being used is no longer valid, as the

patient population has changed. Therefore, replacing the current practice is not necessary at all.

Bell Hinder Scale is, therefore, accurate for this research proposal. It has been used in the

evidence-practice and proved working in the organization. 

Evidence-Based Practice: Solution Description

           Preventing wound after heart injury needs to be done with a lot of strategies, for example,

professional teams need to work closely together in this such matter, and they need the assistance

of specific tools to assist in the work. On the other hand, the care team must also work together

with the aim of providing patients safety. The proposed solution for this proposal can be

accomplished by the use of a Bell Hinder scale to prevent the risk of the wound after heart

injury. Within the organization, there are interdependent teams which are dedicated to helping

the EBP at all levels. Inter-dependent teams help drive EBP (AHRQ 2014). The mentioned

teams, in this case, include physician champions, nurse champions, educators and administrators.

These individuals help generate decisions in practice. The organization metrics are also

important basing on the size of the organization. Many of the organization believe that sharing

any form of practice will eventually help out the nurses in carrying out the daily activities.

Sharing is mainly done in peer groups within the organization

Proposed Solution
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Bell Hinder scale is used to prevent wound after heart injury. Research has proven that the risk

management related to prevention of heart injury for many years. In addition, the program which

identifies al the risk factors related to the problem (AHRQ 2015). 

The HD Falls Program has also provided the solutions to prevent any signs of the wound by

utilizing three evidence-based elements: the elements includes predict, avoid and sustain. The

HD program Risk Assessment Scale (HDS) is used to assess patients using several criteria which

have allowed many individuals to predict and analyze plans of the organization.  

Conclusively, working closely with the Bell Hinder team to implement mechanisms of

reducing formation of wound after heart injury. The paper also gives a vivid description on

implementations of the topic under discussion and any changes given. In addition, before

implementing evidence-based practice within an organization, one needs to have completed the

organizational culture and the readiness assessment. The results of this assessment will help in

providing the required picot questions, On the other hand, at the national government; the leaders

are entitled to provide support to the evidence-based practices. This can be done by providing

education to the staff. 

  
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References

 Agency for Healthcare Research and Quality (AHRQ). (2014). Never events. Patient Safety

Network. Retrieved from https://psnet.ahrq.gov/primers/primer/3/never-events

Agency for Healthcare Research and Quality (AHRQ). (2015). New tools help health providers

reduce wound after heart injury. Retrieved from http://www.ahrq.gov/patients-

consumers/patient-involvement/patients-risk-of-falls.html

Callis, N. (2016). Original Article: falls prevention: Identification of predictive heart injury

issues. Applied Nursing Research,  2953-58. doi: 10.1016/j.apnr.2015.05.007

Centers for Disease Control (CDC). (2016). Important facts about falls. Retrieved from

http://www.cdc.gov/HomeandRecreationalSafety/Falls/adultfalls.html

HD Nursing. (2016). Home, About. Retrieved from http://hdnursing.com/