PSYC6530 Clinical Research Project

PSYC6530 Clinical Research Project

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PSYC6530 Clinical Research Project

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PSYC6530 Clinical Research Project

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Course Code: PSYC6530
University: The University Of Newcastle

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Country: Australia

Question:
Discuss about the Systematic Implementation Of Healthcare.
 
 
Answer:
Objectives
Healthcare topic attributes to the systematic implementation of healthcare safety standards across the emergency department settings. The safety standard – 3 focuses on the development of proactive strategies and systematic interventions for preventing the establishment of healthcare associated infections in the treated patients (ACSQHC, 2012). This safety standard advocates the requirement of utilizing aseptic techniques and antimicrobial interventions for reducing Mrs. Betty’s risk of developing a nosocomial infection. The safety standard – 4 emphasizes the requirement of safe prescription and dispensing of medicines with the systematic utilization of an efficient medication management system (ACSQHC, 2012). The implementation of this evidence-based standard would prevent the inappropriate administration of medication to Mrs Betty that might result in the development of clinical complications.
Audience
The hospital quality and safety committee members include the chief medical officer, patient safety officer, registered head nurses, administrative heads, chief operating officer and department heads of emergency medicine, infectious diseases, pathology, surgery, medicine, pharmacy, obstetrics/gynaecology, radiology, psychiatry and ancillary services.
 
Outline for Audience

The hospital administration requires stringently undertaking protective measures in the context of safeguarding the health and wellbeing of the treated patient in the emergency care setting.
The healthcare teams must regularly administer the organizational performance of the entire hospital with the objective of ascertaining the appropriate implementation of the National Health and Safety Standards for reducing the risk of traumatic events with the treated patients in the emergency care settings.
The healthcare teams in concordance with the hospital administration should undertake appropriate infection control strategies for reducing the predisposition of the treated patients towards acquiring the pattern of nosocomial infections and associated health adversities. Utilization of environmental disinfection methods and safe disposal practices by the healthcare teams would reduce the frequency of occurrence of infectious conditions across the hospital environment.
The healthcare teams require undertaking proactive measures with the objective of monitoring the incidents of patient falls in the hospital settings. The systematic utilization of various tools, techniques and medical equipment for reducing the risk of patient falls and resultant injuries would suffice the requirement of protecting the somatic health of the treated patients in the emergency care settings. Nurse professionals must require accessing the pattern of mental health of the treated patients in the context of reducing their risk of experiencing falls and associated injuries.
Nurse professionals should also record the therapeutic regimen of the treated patients in the context of avoiding the risk of missing therapeutic dosages or inappropriate administration of medication regimen in the emergency care settings.

Presentation Format
The presentation format requires the systematic utilization of power point intervention for the effective display of the healthcare safety concerns in front of the selected audience (Murray, 2010). A systematic power point presentation is a recommended methodology deployed for capturing the attention of the viewers. The presentation notes prove to be an effective means of conveying the healthcare safety and quality concerns for retrieving the desirable outcomes (Murray, 2010).
Methodology
The methodology (requiring deployment) for the assessment of the level of understanding (regarding health and safety concerns) of the target audience attributes to the systematic administration of questionnaires. Indeed, the medical community utilizes questionnaires on a wide scale for retrieving the answers of various research questions. The results obtained from questionnaires prove to be sensitive in relation to the target population (Artino, Rochelle, Dezee, & Gehlbach, 2014).
 
Interview Schedule (Focussed Questions)

To what extent do you think the requirement of undertaking protective measures for the treated patients in the emergency care setting is justified?
In your opinion what evidence-based measures require implementation while treating the vulnerable elderly patients in the context of reducing their risk of falls and associated injuries?
Do you think the existing emergency care settings are well equipped in terms of effectively undertaking the treatment and care of the elderly patients?
What proactive measures in your opinion require administration while handling the medical emergencies with the mentally challenged elderly patients?
Systematic partnering of the nurse professional with the family members of the treated patient is necessarily warranted for reducing the risk of patient’s traumatic episodes. Do you really agree with this statement?
To what degree the implementation of National Safety and Quality Health Service Standards can streamline the healthcare process and associated outcomes in the emergency care settings?
The healthcare teams in the emergency department remain overburdened due to additional workload in the context of shortage of staff. Do you really agree with the feasibility of placing vulnerable patients at accessible locations in emergency care settings?
The systematic recording of patient’s medication information substantially reduces the risk of occurrence of healthcare adversities. Do you favour this statement?

Barriers to the change in clinical practice
The absence of an evidence-based healthcare system is considered as the greatest barrier to the establishment of a positive change in the clinical practice management. An effective control over the medical interventions is necessarily required in the context of safeguarding the health and wellness of the treated patients (Baradaran-Seyed, Nedjat, Yazdizadeh, Nedjat, & Majdzadeh, 2013). The group thought culture proves to be another significant barrier that hinders the safe and effective medical management across the emergency care settings. Medical practitioners resultantly fail to follow the clinical guidelines under the influence of patient’s recommendation of continuing the previously prescribed treatment regimen (Austad, Hetlevik, Mjølstad, & Helvik, 2016). This substantially increases the risk of the patient towards experiencing clinical complications following the treatment administration. The absence of an efficient electronic healthcare record system in the emergency care settings substantially reduces the quantity of evidence required for undertaking the process of medical decision-making (Keiffer, 2015). This resultantly hinders the integration of medical practice guidelines with the emergency care patient encounter. The absence of well-defined disease specific protocols leads restricts the customization of healthcare interventions in accordance with the disease manifestations experienced by the patient population (Taba, et al., 2012). This substantially elevates the length of patient’s stay in the emergency care settings that reciprocally increases the work burden of the healthcare teams. The absence of familiarity of the nursing professionals with healthcare guidelines and ethical conventions reduces the effectiveness of healthcare interventions that reciprocally lead to the development of adverse patient outcomes (Fischer, Lange, Klose, Greiner, & Kraemer, 2016). The increased workload of the nurse professionals considerably reduces their self-efficacy and motivation towards the systematic establishment of elevated healthcare outcomes in the emergency department settings. The non-utilization of patient-centred and holistic healthcare interventions in the emergency care setting increases the risk of development of co-morbid states and associated clinical complications among the treated patients (Austad, Hetlevik, Mjølstad, & Helvik, 2016). The absence of thorough understanding of the treatment challenges and medication history of the treated patients (by the nurse professionals) elevates their risk of experiencing adverse healthcare outcomes in the emergency care settings. The absence of training sessions and educational interventions for the registered nurse professionals in the context of promoting the pattern of their clinical reasoning, critical thinking as well as meaningful assessment of the complex patient scenarios elevates the risk of occurrence of patient fatalities in the emergency care setting (Papathanasiou, Kleisiaris, Fradelos, Kakou, & Kourkouta, 2014).
 
Facilitators to the change in clinical practice
The greater understanding of the roles and responsibilities of nursing professionals in the treated patients increases their trust and confidence on the clinical interventions administered by the treating nurses in the emergency care setting (Doetzel, Rankin, & Then, 2016). This increases the scope of enhancement of medical decision-making by the nurse professionals (in coordination with the treated patients) in the context of effectively dealing with complex medical emergencies. The pattern of optimism in the registered nurse professionals despite the existence of the additional work load is another significant attribute that effectively facilitates the enhancement of healthcare outcomes in emergency department settings (Kirk, Sivertsen, Petersen, Nilsen, & Petersen, 2016). The pre-configuration of patient care goals substantially facilitates the reduction in patient admissions to the inpatient wards from the emergency department settings (Hullick, et al., 2016). These patient care goals require formulation while evaluating the risks of the treated patients in terms of experiencing falls/injuries and infections during their length of their stay in the emergency care settings. The establishment of an effective feedback mechanism for recording the concerns and opinions of the healthcare professionals as well as the treated patients and their family members assists in reducing the frequency of healthcare adversities in emergency department (Reddy, Zegarek, Fromme, Ryan, & Schumann, 2015). The feedback system generates a rational requirement for improving the efficiency of the healthcare system in the context of reducing the risk of acquisition of nosocomial infections, post-treatment complications and traumatic episodes among the treated patients.
 
Influence of barriers/facilitators on the recommended change in Betty’s Healthcare
The absence of appropriate fall prevention protocols in the emergency department setting would substantially hinder the implementation of measures warranted for reducing the risk of Betty’s falls in the emergency care setting (Loganathan, Ng, Tan, & Low, 2015). The deficient space in the emergency care setting and inappropriate patient to beds ratio further constraints the rational implementation of systematic mechanisms for controlling the risk of Betty’s traumatic episodes during the length of her stay in the emergency care facility. The nurse professional as well as the healthcare team require understanding the social networks, transportation matters and individual perceptions and culture of the treated patient in the context of preventing the pattern of her traumatic episodes in the emergency care setting (Calhoun, et al., 2011). Betty’s healthcare change would require systematic customization of medical interventions in accordance with her individualized treatment needs and the level of mental wellness. The administration of healthcare education sessions to the Mrs Betty in the emergency department would substantially reduce the pattern of her misconception of healthcare barriers and infectious conditions (Yousafzai, Janjua, Siddiqui, & Rozi, 2015). She will resultantly comply with the infection prevention approaches and other preventive interventions thereby reducing the risk of development of contagious conditions in the emergency care setting. The hospital administration therefore, requires configuring effective healthcare policies and conventions while considering the barriers and facilitators that could effectively hinder or promote the recommended modification in Betty’s healthcare. The healthcare conventions should be constructed in a manner to systematically enhance the willingness of the healthcare teams in terms of responding to the critical healthcare requirements of the elderly patient in the healthcare setting (Rutkow, Taylor, Paul, & Barnett, 2017). These conventions must promote the development of a supportive environment for effectively facilitating the administration of evidence-based healthcare interventions in the context of safeguarding the pattern of health and wellness of the critically ill elderly patient in the emergency care setting. This will eventually decrease the length of patient’s stay in the emergency care facility and concomitantly reduce the risk of occurrence of post-treatment complications
 
Bibliography
ACSQHC. (2012). NSQHS Standards. Australia: Australian Commission on Safety and Quality in Health Care. Retrieved from https://www.safetyandquality.gov.au/wp-content/uploads/2011/09/NSQHS-Standards-Sept-2012.pdf
Artino, A. R., Rochelle, J. S., Dezee, K. J., & Gehlbach , H. (2014). Developing questionnaires for educational research: AMEE Guide No. 87. Medical Teacher, 36(6), 463-474. doi:10.3109/0142159X.2014.889814
Austad, B., Hetlevik, I., Mjølstad, B. P., & Helvik, A. S. (2016). Applying clinical guidelines in general practice: a qualitative study of potential complications. BMC Family Practice. doi:10.1186/s12875-016-0490-3
Baradaran-Seyed, Z., Nedjat, S., Yazdizadeh, B., Nedjat, S., & Majdzadeh, R. (2013). Barriers of Clinical Practice Guidelines Development and Implementation in Developing Countries: A Case Study in Iran. International Journal of Preventive Medicine, 340-348. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3634174/
Calhoun, R., Meischke, H., Hammerback, K., Bohl, A., Poe, P., Williams, B., & Phelan, E. A. (2011). Older Adults’ Perceptions of Clinical Fall Prevention Programs: A Qualitative Study. Journal of Aging Research. doi:10.4061/2011/867341
Doetzel , C. M., Rankin , J. A., & Then , K. L. (2016). Nurse Practitioners in the Emergency Department: Barriers and Facilitators for Role Implementation. Advanced Emergency Nursing Journal, 43-55. doi:10.1097/TME.0000000000000090
Fischer, F., Lange, K., Klose, K., Greiner, W., & Kraemer, A. (2016). Barriers and Strategies in Guideline Implementation—A Scoping Review. Healthcare (Basel), 4(3). doi:10.3390/healthcare4030036
Hullick, C., Conway, J., Higgins, I., Hewitt, J., Dilworth, S., Holliday, E., & Attia, J. (2016). Emergency department transfers and hospital admissions from residential aged care facilities: a controlled pre-post design study. BMC Geriatrics. doi:10.1186/s12877-016-0279-1
Keiffer, M. R. (2015). Utilization of Clinical Practice Guidelines: Barriers and Facilitators. Nursing Clinics of North America, 50(2), 327-345. Retrieved from https://www.sciencedirect.com/science/article/pii/S0029646515000262?via%3Dihub
Kirk, J. W., Sivertsen , D. M., Petersen , J., Nilsen , P., & Petersen , H. V. (2016). Barriers and facilitators for implementing a new screening tool in an emergency department: A qualitative study applying the Theoretical Domains Framework. Journal of Clinical Nursing, 25(19-20), 2786-2797. doi:10.1111/jocn.13275
Loganathan, A., Ng, C. J., Tan, M. P., & Low, W. Y. (2015). Barriers faced by healthcare professionals when managing falls in older people in Kuala Lumpur, Malaysia: a qualitative study. BMJ Open, 5(11). doi:10.1136/bmjopen-2015-008460
Murray, K. (2010). Broadcasting Your Microsoft PowerPoint Presentation. USA: Fair Trade Digital Exchange.
Papathanasiou, I. V., Kleisiaris, C. F., Fradelos, E. C., Kakou, K., & Kourkouta, L. (2014). Critical Thinking: The Development of an Essential Skill for Nursing Students. Acta Informatica Medica, 283-286. doi:10.5455/aim.2014.22.283-286
Reddy, S. T., Zegarek, M. H., Fromme, H. B., Ryan, M. S., & Schumann, S. A. (2015). Barriers and Facilitators to Effective Feedback: A Qualitative Analysis of Data From Multispecialty Resident Focus Groups. Journal of Graduate Medical Foundation, 214-219. doi:10.4300/JGME-D-14-00461.1
Rutkow , L., Taylor , H. A., Paul, A., & Barnett , D. J. (2017). Perceived Facilitators and Barriers to Local Health Department Workers’ Participation in Infectious Disease Emergency Responses. Journal of Public Health Management and Practice, 23(6), 644-650. doi:10.1097/PHH.0000000000000574
Taba, P., Rosenthal, M., Habicht, J., Tarien, H., Mathiesen, M., Hill, S., & Bero, L. (2012). Barriers and facilitators to the implementation of clinical practice guidelines: A cross-sectional survey among physicians in Estonia. BMC Health Services Research. doi:10.1186/1472-6963-12-455
Yousafzai, M. T., Janjua, N. Z., Siddiqui, A. R., & Rozi, S. (2015). Barriers and Facilitators of Compliance with Universal Precautions at First Level Health Facilities in Northern Rural Pakistan. International Journal of Health Sciences, 9(4), 388-399. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4682593

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