HSH725 Research Literacy for Health Practice- Essay
Added on - 23 Feb 2020
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Running head: RESEARCH AND HEALTH PRACTICEResearch and health practiceName of the student:Name of the University:Author’s note
1RESEARCH AND HEALTH PRACTICEPatient falls and injuries in hospital setting is major challenge to health care quality andpatient safety. Fall is associated with negative issues with reduced mobility for patients, poorfunctioning and poor quality of life (Staggs et al. 2014). Hence, fall leads to dissatisfaction ofpatients with care and it is risk to the reputation of the organization too. This essay focused on ahospital in Sydney, which is experiencing high fall rates since the past one year. As a researchmanager, the review of the process and structure present in the hospital has revealed that poorcommunication between inter-professional team has been the major contributor to falls andadverse events. In relation to this problem, the essay recommends evidence practice toimplement best practice for inter-professional communication during fall management. Theessay also highlights the barrier or enablers that may make implementing the best practice easyor difficult. It also discusses about the ethical implications of the implementing the best practiceevidence in clinical setting.Part 1:In a private hospital in Sydney, poor inter-professional communication has been found tobe the major reason for adverse events and high fall rate in patient. This is a serious issuebecause the nursing staffs and other health care team are expected to engage in adequateassessment of fall risk in patient and collaborate with the team to follow safety protocols andcontrol measures needed for individual patient (Williams et al., 2016). However, lack of clarityamong team members regarding the fall prevention practices and poor collaboration method hasbeen the reason for conflict and confusion between staffs. Either the fall risk assessment processis missed or the actions needed after fall risk assessment process is not communicated to allstaffs dealing with one particular patient. Hence, patient safety and quality of care at the hospitalhas been compromise due to poor communication regarding fall management practices amongthe interprofessional team. The main communication problem is that health care team has been afailure in communicating with all relevant individuals regarding fall management practices andprotocol that needs to followed for patients.Brock et al. (2013) has also emphasized that ineffective communication among inter-professional health care staff is the major reason for medical error and patient injuries. Therefore,finding the best evidence based approach to team collaboration during fall management practicesfor the hospital is necessary to reduce fall rate and maintain safety of patient during hospital stay.
2RESEARCH AND HEALTH PRACTICEBased on the analysis of peer-reviewed journal article, one best practice that can be used by theinter-professional team to communicate about fall risk and management is adapting the SBAR(Situation-Background-Assessment-Recommendation) tool in clinical setting (Andreoli et al.,2010). The reliability of this evidence and approach to the organization problem is high becausethe research tested the tool on two teams experience high fall incidence in their clinical setting.The SBAR tool used situation briefing model to enhance team communication aroundhigh priority issues needed for fall prevention and management (Beckett and Kipnis 2009). Thesituation (S) element of the tool will give an idea about the changes in patient status andtreatment plan or procedure for particular patient. The Background (B) component of the toolwill describe the background to the patient issue such as the diagnosis of illness, risk factor offall and the reasons for specific action to prevent fall. After this, the assessment (A) element inthe tool can direct staffs to conduct adequate assessment to identify physical health relatedchanges in patients and their need for ADLs or functional support. Finally based on theassessment, the recommendation part will clearly give the idea regarding taking the final courseof action for the benefit of patient. The best practices based evidence also explained about thebest approach needed to successfully implement SBAR and improve communication amonginterprofessional team. This included giving education to all staffs regarding breaking downcommunication process to promote safety, using system approach to safety culture andincreasing their competence in using the SBAR tool to enhance communication process(Andreoli et al., 2010). Hence, this evidence-based solution has the potential to address thecommunication related problem at the hospital and reduce fall rates and injuries.While implementing the SBAR tool as best practice to enhance communication related tofall risk and management among interprofessional team, the motivation of staffs and theircommitment to adapt the change might act as the enabler in the change process. This is becausemotivates individuals are more likely to accept the change and adapt new practices in their dailypractice. The psychological traits like the external environment around the health care staffsmight maximize the effectiveness of the new practice. For example, a culture of safety facilitatesall members to contribute to patient safety and comply to all norms to achieve the desiredoutcome (Randmaa et al. 2014). This also reflects that best practice can be successfullyimplemented if systems approach to change is followed in hospital.