Barriers and Facilitators Clinical Practice - Assignment

Added on -2020-11-23

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Project part B
TABLE OF CONTENTSSECTION 1: Literature Review ......................................................................................................1Introduction......................................................................................................................................1Review.............................................................................................................................................1Conclusion ......................................................................................................................................4SECTION 2 : PROJECT PLAN .....................................................................................................4Project outline: ...........................................................................................................................4Target audience: .........................................................................................................................4Recommendations and suggestions: ..........................................................................................5Presentation format: ...................................................................................................................5Feedback approach: ....................................................................................................................5SECTION 3: PRESENTATION .....................................................................................................5SECTION 4: EVALUATION OF FEEDBACK ..........................................................................12REFERENCES .............................................................................................................................14
SECTION 1: Literature Review IntroductionFor regularly improving the quality of health care services and to meet the national safetystandards it is essential that clinical practices must involve the changes. According to Peterson &et.al., (2015), advancements in the clinical practices leads to the better and desired output relatedto health quality of individuals. In the case study of Ysabel Green it was observed that nationalsafety standard of partnering with consumer was not followed. Due to this Ysabel and herhusband both were very troubled and confused about the clinical procedures which were goingon. It affected the psychological state of the patient as well. This literature review will analysethe barriers and facilitators involved in changing clinical practices for further improvement(Clinton & LaCross, 2017). It will also evaluate the impact of these factors on clinical practicesin case of Ysabel's care. ReviewDiCenso, Guyatt & Ciliska (2014) states that, it is critical task for the healthcareprofessionals to implement changes in their clinical practices. However, for sustaining thequality healthcare it is required that these changes must be supported as per demand. Forinstance, Ysabel and her husband were not included in any of the decision making during hertreatment. If they were also involved in decision making then, probably her health conditionwould have been more qualitative. In the given case study the quality of health services provided is not effective. It does notfollow the standards of national safety. To avoid such incidences in future it is necessary forhealth care providers to consider the need for change in their clinical practices (Dang &Dearholt, 2017). These changes will enable the health institutes to keep the patient safety at thepriority and to follow all necessary standards of safety and quality. In the view of Jun, Kovner &Stimpfel (2016), changes in clinical practices will help professionals to identify the needs of theirpatients so that appropriate treatment can be provided to them with minimum risks. However,there are certain factors which influences the ways to implement changes in clinical practices. Barriers of implementing changes in clinical practices: There are several factors which acts asbarriers to the changes. Gap between research and implementation:1
There are instances when health professionals find it difficult to adopt the changes. Forexample in case of Ysabel nurses assumed that there is no need to involve patient and her familyin decision making to provide them information regarding the treatment procedure. Suchapproach always prohibits the demand to implement changes in the clinical practices. Accordingto Williams, Perillo & Brown (2015), clinical practice provides the standards for design,performance, analysis and monitoring of clinical trials. It is very complex process for theindividuals to adopt changes which can be implemented in all the above processes. The costlimitations and feasibility servers as important barriers before implementing changes. Forinstance clinical trials may require informing decisions and status of patient but they may nothave system or application for supporting it (Edvardsson, Watt & Pearce, 2017). The newimplementation will require budget consideration as well as approval from the management. Lack of cooperation from top management and fellow members: Whenever some changes are proposed they are highly criticised by the peer groups orother health organisations. It is usually considered that these changes are not required or willbring risk and are not useful. Hence, health groups discourage these clinical changes and doesnot show positive response towards their implementation. Chamberlain, Pollock & Fulbrook,(2018) states that the innovations and changes cannot be helpful in achieving goals if they are notaccomplished by all participants with same efforts. When clinical practices require amendmentsthen it is necessary that all associated groups such as patients, nurses and other health carersequally cooperate with it. For instance when patients want to participate in decision making ofclinical trials but if nurses does not allow them or guide them with information then patient willnot be able to participate and hence no clinical changes will be observed (Tobiano & et.al.,2015). Information constraints: As per the discussion in Trevena & et.al., (2017) nurses maywant toprovide information to patients but they do not have much information. Hence, they are unable tofollow healthcare standards. Thus changes must be made in clinical approaches so that nursesalso have awareness regarding the health status of their patient. Barriers related to management and decision making within health organisations: This issignificant barrier related to the above mentioned issue. Health organisation are satisfied withtheir structure and procedures. They believe that there is no need to implement these changes and2

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