Propose an Innovative Solution Using the Steps of the IOWA Model

Propose an evidence-based solution aligned with an evidence-based practice question

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.

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
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

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Evidence-Based Practice Solution: Improving Patient Adherence to Medication Regimens

Problem Statement:

Poor medication adherence is a significant issue that contributes to adverse health outcomes, increased healthcare costs, and decreased quality of life.

Evidence-Based Practice Question:

  • PICOT Question: In adult patients with chronic illnesses, how does a patient-centered medication education intervention compared to standard care improve medication adherence?

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Implementation Plan

Key Stakeholders:

  • Healthcare providers (physicians, nurses, pharmacists)
  • Patients and their caregivers
  • Hospital administration
  • Quality improvement team

Proposed Timeline:

Phase Activities Timeline
1. Planning Develop an implementation team, review evidence, and create a detailed implementation plan. 2 months
2. Implementation Train healthcare providers, develop patient education materials, and implement the intervention. 4 months
3. Evaluation Collect baseline and post-intervention data, analyze data, and disseminate findings. 6 months
4. Sustainment Integrate the intervention into routine practice, monitor outcomes, and make adjustments as needed. Ongoing

Evaluation Plan

Goals:

  1. Increase medication adherence rates by 20% within six months of implementation.
  2. Reduce hospital readmission rates by 10% within one year of implementation.

Data Collection:

  • Internal Data:
    • Patient demographics
    • Medical records
    • Medication administration records
    • Hospital readmission rates
  • External Data:
    • Evidence-based guidelines
    • Best practice standards

Data Collection Timeline:

  • Baseline data collection: Before implementation
  • Post-intervention data collection: Six months and one year after implementation

Data Analysis Methods:

  • Descriptive statistics (e.g., frequencies, percentages)
  • Inferential statistics (e.g., t-tests, chi-square tests)

Sustaining Practice Change

Resources:

  1. Dedicated Staff: Allocate dedicated staff to oversee the implementation and evaluation of the intervention.
  2. Budgetary Support: Secure adequate funding for training, education, and ongoing evaluation.

Key Indicators for Continuous Quality Improvement:

  1. Medication adherence rates
  2. Hospital readmission rates

Reinfusion Plan: If the intervention is not achieving the desired outcomes, the following steps can be taken:

  1. Re-evaluate the Intervention: Assess the fidelity of implementation and identify any barriers to success.
  2. Modify the Intervention: Make necessary adjustments to the intervention, such as tailoring the education materials or increasing the frequency of follow-up.
  3. Strengthen the Evaluation: Improve data collection and analysis to identify areas for improvement.
  4. Seek Additional Resources: Obtain additional funding or staffing to support the intervention.

By implementing this evidence-based practice solution, we can improve patient outcomes, reduce healthcare costs, and enhance patient satisfaction.

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