Current healthcare organization (Behavioral health hospital-adults

Full Answer Section

    Readiness for change: The organization is ready for change. There is a recognition of the need to reduce the use of restraint, and there is support for implementing evidence-based practices. Slide 3: Problem or Opportunity for Change Current problem: The use of restraint in the behavioral health hospital is high. In the past year, there have been an average of 10 restraint incidents per month. Circumstances surrounding the need for change: The overuse of restraint is a concern for several reasons. First, it can be traumatic for patients. Second, it can increase the risk of injury to both patients and staff. Third, it is not an effective way to manage patient behavior. Scope of the issue: The problem of restraint overuse is widespread in behavioral health hospitals. A study published in the Journal of the American Psychiatric Nurses Association found that 64% of behavioral health nurses reported using restraint in the past year. Stakeholders involved: The stakeholders involved in this change initiative include patients, staff, and administrators. Patients have a right to be treated in a safe and humane manner. Staff are responsible for providing care to patients and for keeping themselves safe. Administrators have a responsibility to ensure that the hospital is operating efficiently and effectively. Risks associated with change implementation: There are some risks associated with implementing change in a healthcare organization. One risk is that staff may be resistant to change. Another risk is that the change may not be implemented effectively. Slide 4: Proposed Evidence-Based Change EBP idea: Implement a program to reduce the use of restraint in the behavioral health hospital. The program will include the following components:

• Training for staff on the use of non-restraint techniques
• Development of policies and procedures that support the use of non-restraint techniques
• Implementation of a monitoring and evaluation system to track the use of restraint and to identify areas for improvement

Evidence: There is a growing body of evidence that supports the use of non-restraint techniques. A study published in the Journal of Clinical Psychiatry found that a non-restraint program reduced the use of restraint by 60%. Slide 5: Knowledge Transfer Plan Knowledge creation: The first step in the knowledge transfer plan is to create knowledge about the evidence-based practice. This can be done by conducting a literature review, speaking with experts, and visiting other organizations that have implemented successful restraint reduction programs. Knowledge dissemination: Once knowledge has been created, it needs to be disseminated to staff. This can be done through training sessions, workshops, and email updates. Organizational adoption and implementation: The final step in the knowledge transfer plan is to support the adoption and implementation of the evidence-based practice in the organization. This can be done by providing staff with resources, removing barriers to change, and celebrating successes. Slide 6: Dissemination Strategy Dissemination strategy: I will disseminate the results of my project to an audience by presenting my findings at the hospital's annual quality improvement conference. This conference is attended by all staff members, and it provides a forum for sharing best practices. Rationale for dissemination strategy: I selected this dissemination strategy because it will allow me to reach a large audience of stakeholders. It will also give me the opportunity to interact with staff and answer their questions about the evidence-based practice. Slide 7: Measurable Outcomes Measurable outcomes:

• Reduce the number of restraint incidents by 50% in the first year
• Increase staff satisfaction with the use of non-restraint techniques
• Improve patient outcomes

Conclusion The implementation of an evidence-based program to reduce the use of restraint in the behavioral health hospital is a feasible and desirable change. The program has the potential to improve patient safety, staff satisfaction, and patient outcomes. I am confident that the proposed dissemination strategy will be effective in reaching stakeholders and supporting the adoption and implementation of the program.  

Sample Solution

   

Slide 1: Title Slide

Title: Recommending an Evidence-Based Practice Change: Reducing the Use of Restraint in a Behavioral Health Hospital

Subtitle: A PICOT-Based Presentation

Presenter: [Your Name]

Slide 2: About the Organization

Organization: Behavioral health hospital for adults

Culture: The culture of the organization is supportive of change. There is a strong commitment to providing quality care to patients, and staff are open to new ideas.