In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.
See instructions attached.
Evaluation Table
MY PICOT
Population: Older adults with cardiovascular disease
Intervention: Engagement in lifestyle interventions
Comparison: Standard care without structured lifestyle interventions
Outcome: Cardiovascular health outcomes
Time frame: Within a specified period (e.g., 6 months to 1 year)
|
Full APA formatted citation of selected article. |
Article #1 |
Article #2 |
Article #3 |
Article #4 |
|
Ayatollahi, H., Mirani, N., Nazari, F., & Razavi, N. (2018). Iranian healthcare professionals' perspectives about factors influencing the use of telemedicine in diabetes management. World Journal of Diabetes, 9(6), 92–98. https://doi.org/10.4239/wjd.v9.i6.92 |
Jepma, P., Snaterse, M., Du Puy, S., Peters, R. J. G., Scholte op Reimer, W. J. M. (2021). Older patients’ perspectives toward lifestyle-related secondary cardiovascular prevention after a hospital admission—a qualitative study. Age and Ageing, 50(3), 936–943. https://doi.org/10.1093/ageing/afaa283 |
Alageel, S., Gulliford, M. C., Wright, A., Khoshaba, B., & Burgess, C. (2020). Engagement with advice to reduce cardiovascular risk following a health check programme: a qualitative study. Health Expectations, 23(1), 193-201. |
Halloway, S., Wilbur, J., Schoeny, M. E., et al. (2020). Feasibility of a Lifestyle Physical Activity Intervention to Prevent Memory Loss in Older Women With Cardiovascular Disease: A Mixed-Methods Approach. Canadian Journal of Nursing Research, 52(4), 278-289. https://doi.org/10.1177/0844562119856233 |
|
|
Evidence Level * (I, II, or III)
|
Level III |
Level III |
Level III |
Level III |
|
Conceptual Framework Describe the theoretical basis for the study ( If there is not one mentioned in the article, say that here).** |
Not mentioned |
Not mentioned |
Not mentioned |
Not mentioned |
|
Design/Method Describe the design and how the study was carried out (In detail, including inclusion/exclusion criteria). |
This study used quantitative method. It used Likert scale questionnaire |
Qualitative approach through the use of semi-structured interviews |
Qualitative study. Used individual semi-structured interviews |
Mixed-methods approach was used Combined quantitative measures with qualitative data |
|
Sample/Setting The number and characteristics of patients, attrition rate, etc. |
The study did not mention the sample size |
The study involved older cardiac patients which is in line with my picot question on Older adults with cardiovascular disease |
The study did not mention the sample size |
The study did not mention the sample size |
|
Major Variables Studied List and define dependent and independent variables |
Dependent: Factors influencing the use of telemedicine in diabetes management. Independent: Perspectives of healthcare professionals. |
Dependent: “Social factors, and self-worth of older cardiac patients regarding lifestyle-related secondary preventions post-hospital admission” (Jepm, et al., 2021) |
Dependent: “Factors that influence participation in and compliance with medications and lifestyle modification programs among people at medium or high risk of CVD” (Alageel, et al., 2020) |
Dependent: “Feasibility, acceptability, and preliminary effects of lifestyle physical exercise interventions to prevent memory decline in elderly women with cardiovascular conditions” (Halloway, et al., 2020). |
|
Measurement Identify primary statistics used to answer clinical questions ( You need to list the actual tests done). |
Likert scale questionnaire |
Semi-structured interviews |
Semi-structured interviews |
The method used was mixed-methods approach. |
|
Data Analysis Statistical or Qualitative findings ( You need to enter the actual numbers determined by the statistical tests or qualitative data). |
Statistical analysis of Likert scale responses |
Qualitative thematic analysis of interview transcripts |
Thematic analysis of interview transcripts |
Quantitative and qualitative data analysis, including concept analysis and thematic identification |
|
Findings and Recommendations General findings and recommendations of the research |
Elements shaping telemedicine application in the context of diabetes care were analyzed based on the healthcare professionals' views. |
Older cardiac patients expressed various factors influencing their attitudes and social influences towards lifestyle modifications |
Various factors influencing participation and compliance with CVD risk management interventions were identified |
Feasibility and preliminary effects in the competence and initial manifestations of life physical exercises programs for the prevention of women memory disease in the elderly |
|
Appraisal and Study Quality Describe the general worth of this research to practice. What are the strengths and limitations of study? What are the risks associated with implementation of the suggested practices or processes detailed in the research? What is the feasibility of use in your practice? |
The study provides valuable insights into healthcare professionals' perspectives on telemedicine in diabetes management, but the lack of sample details and conceptual framework limits its generalizability and depth |
The study offers rich insights into factors influencing lifestyle modifications among older cardiac patients, contributing to patient-centered care, but lacks sample details and a conceptual framework |
This research adds to the understanding of factors influencing participation in CVD risk management programs, but lacks sample details and a conceptual framework |
The mixed-methods approach enhances understanding of intervention feasibility, but the study lacks sample details and a conceptual framework, limiting its generalizability and depth. |
|
Key findings
|
Factors influencing allow healthcare providers to determine telemedicine's role diabetes management are from their side |
Various factors influencing older cardiac patients' attitudes towards lifestyle modifications |
Factors influencing participation and compliance with CVD risk management interventions |
Feasibility and preliminary effects show initial findings of test-based programs of physical workouts to decrease memory decline in women who are 60 and over with cardiovascular diseases. |
|
Outcomes
|
Understanding healthcare professionals' perspectives on telemedicine in diabetes management |
Insights into factors influencing older cardiac patients' attitudes towards lifestyle modifications |
Identification of factors influencing participation and compliance with CVD risk management interventions |
Assessment of feasibility and preliminary results of lifestyle activities intervensions to prevent memory impairment in elderly women suffering from cardiovascular disease. |
|
General Notes/Comments |
According to this study, when healthcare professionals overlooks patients needs, this can be devastating which need to be addressed in future. |
Older patients can effectively use lifestyle interventions to improve cardiovascular health. |
This article gives good interventions for helping address compliance with CVD risk management interventions |
This article gives good interventions for helping address memory decline in elderly women with CVD |
Part 3B
MY PICOT
Population: Older adults with cardiovascular disease
Intervention: Engagement in lifestyle interventions
Comparison: Standard care without structured lifestyle interventions
Outcome: Cardiovascular health outcomes
Timeframe: Within a specified period (e.g., 6 months to 1 year)
Older adults with cardiovascular disease
By the recommendation of research based on monitoring results, I suggest using the logical lifestyle intervention plan for older adults with cardiovascular disease. This recommendation is supported by findings from multiple studies that evidence based. According to Williamson, (2009) “Evidence-based practice (EBP) is an approach that enables psychiatric mental health care practitioners as well as all clinicians to provide the highest quality of care using the best evidence available”.
Jepma and colleagues (2021), a group that looked at the attitudes of older patients related to lifestyle and secondary cardiovascular prevention using a qualitative study. Social factors play a crucial role in designing a lifestyle plan meant to fit the distinctive social needs and feelings of older cardiac patients. On the other hand, Alageel et al discussed patients' attitudes towards the recommendations to minimize cardiovascular risks made after health check-ups. This research group highlighted the worthiness of individually tailored methods to take into account the factors that lead to participation and adherence in cardiovascular disease risk reduction strategies amongst people who are either medium or high risk of CVD.
Halloway et al. (2020) studied the implementability of a physical activity intervention in lifestyle modifications that prevented cognitive decline in elderly women with heart disease. In their case study, they advocate for mixed approaches methods that entail analyzing individual calibration of lifestyle adjustments to be & better achievements of cardiovascular health, and vice versa.
Justification
Careful lifestyle modifications with customized designs are the heart of the strategy for the best cardiovascular health results among older adults diagnosed with CVD. These approaches consider what people need through the inclusive approach as the preferred mode of treatment and ensure that every program is fit for the requirements of the patients. Tailored lifestyle interventions will bring satisfaction to older adults with CVD, as they will tackle the needs and challenges on a personal basis so that engagement is high, adherence is improved, and therefore, better cardiovascular health outcomes are generated (Fineout-Overholt, et al, 2011).
Conclusion
In conclusion, the integration of ingenuous lifestyle approaches, which was determined through a thorough appraisal of research, is a recommended solution to the issue. Through lifestyle choice personalized approaches by healthcare providers may help older adults with cardiovascular disease to address their complex demands for optimum outcomes and general stay.
References
Alageel, S., Gulliford, M. C., Wright, A., Khoshaba, B., & Burgess, C. (2020). Engagement with advice to reduce cardiovascular risk following a health check programme: a qualitative study. Health Expectations, 23(1), 193-201.
Ayatollahi, H., Mirani, N., Nazari, F., & Razavi, N. (2018). Iranian healthcare professionals' perspectives about factors influencing the use of telemedicine in diabetes management. World Journal of Diabetes, 9(6), 92–98. https://doi.org/10.4239/wjd.v9.i6.92
Halloway, S., Wilbur, J., Schoeny, M. E., et al. (2020). Feasibility of a Lifestyle Physical Activity Intervention to Prevent Memory Loss in Older Women With Cardiovascular Disease: A Mixed-Methods Approach. Canadian Journal of Nursing Research, 52(4), 278-289. https://doi.org/10.1177/0844562119856233
https://doi.org/10.1111/hex.12991
Jepma, P., Snaterse, M., Du Puy, S., Peters, R. J. G., Scholte op Reimer, W. J. M. (2021). Older patients’ perspectives toward lifestyle-related secondary cardiovascular prevention after a hospital admission—a qualitative study. Age and Ageing, 50(3), 936–943. https://doi.org/10.1093/ageing/afaa283
Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15(3), 202-207.
Fineout-Overholt, E., Williamson, K. M., Gallagher-Ford, L., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: following the evidence: planning for sustainable change. AJN The American Journal of Nursing, 111(1), 54-60.
Critical Appraisal Tool Worksheet Template
© 2023 Walden University, LLC 2
,
To Prepare:
· Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
· Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
· Consider the best method of disseminating the results of your presentation to an audience.
The Assignment: (Evidence-Based Project)
Part 4: Recommending an Evidence-Based Practice Change
Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:
· Briefly describe your healthcare organization, including its culture and readiness for change.
· Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
· Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
· Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
· Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
· Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
· Add a lessons learned section that includes the following:
· A summary of the critical appraisal of the peer-reviewed articles you previously submitted
· An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)