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Evidence Based Practice Proposal PDF

   

Added on  2020-05-11

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1Running head: EVIDENCE-BASED PRACTICE PROPOSALEvidence-Based Practice ProposalName of student:Name of university:Author note:

EVIDENCE-BASED PRACTICE PROPOSALBackground of the problemAsthma is a chronic inflammatory disorder of the airways in which the airflow isobstructed in an inappropriate manner. Chronic inflammation is suffered in the bronchialmucosa, and the hyperreactive airways lead to bronchoconstriction. The disease ischaracterised by recurring and variable symptoms and bronchiospasms. The symptoms ofasthma include coughing, wheezing, chest tightness and shortness of breath. The episodesmight occur a few times in a day of a few times in a week depending on the patient. Asthmais brought about by a combination of environmental and genetic factors. Since there are nomeasures for curing asthma, it is a cause of concern in patients presenting with it (Brown etal., 2016). Asthma is one of the most commonly occurring in children. Asthma is children is aserious concern and has drawn the attention of health care service provider who aims to bringin novice strategies to combat the issue. Firstly, paediatric asthma leads to considerablemorbidity along with high frequencies of sleep disturbances, school absence, emergencyvisits, and restrictions of physical activity. Healthcare utilisation is an issue, and care settingsface considerable problem in addressing the health needs of the patients. Further, paediatricasthma is related to reduced lung function growth, and it is known that lung function at a veryyoung age determines lung function in adult life. Optimal quality treatment for the patients isdifficult and there lies a major concern for long-term prognosis (Sleath et al., 2014).Stakeholders and change agentThe healthcare organisation that would be benefiting from the proposed evidence-based practice change is Harris Health System, United States. The Harris Health System is awell-reputed integrated healthcare system caring for the residents of Harris County, Texas. Itis a fully accredited healthcare institution in the County holding designation of Patient-

EVIDENCE-BASED PRACTICE PROPOSALCentred Medical Home given by the National Committee for Quality Assurance and is one ofthe largest systems to deliver high quality care services. The system includes 19 communityhealth centres, five school-based clinics and five same-day clinics apart from other servicessuch as two full-service hospitals and a speciality hospital. The mission of the organisation isto bring improvement in the health of the community by the provision of high-qualityhealthcare to the residents and by training given to healthcare professionals. The vision is tobuild up a healthier community (harrishealth.org, 2017). The proposed evidence-based practice change would be beneficial for Harris HealthSystem in how paediatric asthma would be addressed in the patient population. The primestakeholders who would be benefitted from the change are the nurses who are responsible forproviding care to the paediatric population. In the present times, the role of specialist nursesin chronic disease management has widened, and nurses now are a valuable member of thecommunity health professionals caring for the paediatric population. Nurses attached to thecare unit of Harris Health System work as autonomous practitioners and are responsible formanaging the caseloads of paediatric asthma patients. A change in practice regardingmanagement and prevention of paediatric asthma would be beneficial for this population asthey would be provided with the opportunity to reduce incident rates of hospital admissionsof paediatric patients with asthma and frequent visits to the clinics by the parents of thepaediatric patients. PICOT questionThe PICOT question that is considered for the proposed research on prevention andmanagement of paediatric asthma is-

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