A Theory Or Model Which Can Be Used As A Framework For A Future Evidence-Based Project
identify a theory or model which can be used as a framework for a future evidence-based project
Content Requirements:
Review literature regarding issues or concerns within your selected area of advanced practice nursing.
Select a theory or model which is relevant to your selected area of advanced practice nursing.
Offer a meaningful context for evidence-based practice surrounding the issue or concern which you identified.
Identify and describe a theory or model, and explain its relevance to the issues or concerns within your selected area of advanced practice
Explain how the theory or model can be used as a framework to guide evidence-based practice to address the issue or concern, and discuss the unique insight or perspective offered through the application of this theory or model.
Sample Solution
Area of Focus: Transitional Care for Heart Failure Patients
Issue/Concern: Heart failure (HF) patients are at high risk for hospital readmission after discharge. Readmissions are costly and disruptive to patient well-being.
Theory/Model: The Chronic Care Model (CCM) by Wagner et al. (1998)
Meaningful Context for EBP: Transitional care programs that bridge the gap between hospital discharge and outpatient follow-up care have shown promise in reducing hospital readmissions for chronic illnesses like HF. The CCM provides a framework to design and evaluate such programs.
Full Answer Section
Description of the Chronic Care Model (CCM): The CCM is a healthcare systems framework designed to improve care for patients with chronic conditions. It identifies six key elements that contribute to effective chronic disease management:- Health Care System:The system should be designed to support self-management and provide proactive, coordinated care.
- Community Resources:Access to community resources like social support services and medication adherence programs is crucial.
- Self-Management Support:Patients should be empowered to manage their condition through education and self-monitoring tools.
- Delivery System Design:The healthcare system should be organized to provide efficient chronic disease management.
- Clinical Information Systems:Electronic health records and data sharing are essential for coordinated care.
- Decision Support:Clinicians should have access to evidence-based guidelines and decision support tools.
- Self-Management Support:The CCM emphasizes patient education and self-monitoring skills, crucial for managing HF symptoms and preventing complications.
- Delivery System Design:The model promotes redesigning care delivery to include regular follow-up appointments, telehealth monitoring, and medication management support.
- Community Resources:The CCM highlights the importance of integrating community resources like patient support groups and medication assistance programs.
- Clinical Information Systems:Effective communication and data sharing between hospitals and outpatient providers are vital for coordinated care.
- Intervention:Developing and implementing a program that includes patient education, self-management support, telehealth monitoring, and collaboration with community resources.
- Evaluation:Measuring the program's impact on hospital readmission rates, patient self-management skills, and healthcare costs.