Nursing Project Essay Example | Topics and Well Written Essays - 2750 words

Nursing Project - Essay ExampleThe evidence definitely supports the engagement of this program and s presented in this paper.Continuous quality problems and spiraling costs in healthc ar have lead to widespread interest in solutions that are strong and well supported. Evidence establish practice has taken hold as an answer to the problem that makes sense (Coleman, 2003) EBP is well-nightimes viewed as an ideology, however, as utmost as practice goes its goal is to supplement professional decision making with the latest research. It is sometimes argued today that to treat someone with a practice that the susceptibility has not been shown is not ethical (Kind,2007). That would leave many healthcare treatments today as unethical. This paper will discuss nursing transition to evidence based practice in the realm of patients and transitioning. The question would be, What are the most effective interventions for improving care coordinationMany Medicare dollars are spent on a comminut ed percentage of beneficiaries with chronic conditions and those people are in and out of the hospital many times, many within short periods of time. The ca white plagues of this are numerable but some of them are inadequate care, poor communication among primary caregivers, specialists, and patients, weak adherence by patients, and failure to catch problems early. There are three types of intervention being looked at closely at this time to try to solve these problems.Transitional Care, ego managed education intervention, and coordinated care interventions are being considered as effective but requiring further study (Coleman, 2003). Transitional care is first engaged in the hospital, followed intensely emplacement-discharge and receives comprehensive post discharge instructions on medications, ego care and symptom recognition. Reminder calls are made to assure that the patients follow up with primary care providers as required.Effective transitional care is targeted for patien ts with circumstantial diseases such as CHF. This is guided by APNs and is usually a twelve week intervention that is highly structured with protocols (ncga.gov.) It requires a one year post discharge follow-up. Statistically it has shown to reduce hospitalizations by 34% and lower overall costs by 39%. APNs in this case are the transitional coaches and in that respect are tools given up for cross site communication. Self management education is a term used for collaboration with patients and families to identify patient goals, improve self management, expand sense of self efficacy, and assess mastery of skills (ncga.gov). Much of this is done in group sessions of limited duration. The targeted patients are usually forty or elder and have heart disease, lung disease, stroke or arthritis. There are usually seven weekly group sessions on exercise, symptom management, techniques, nutrition, fatigue and sleep management, use of medications, dealing with emotions, communication and p roblem solving. Statistics show that these patients have 1/3rd fewer hospital stays. Coordinated care on the other hand is considered precept patients about self care, medications, how to communicate with problems, monitor patients symptoms, well-being, and adherence between office visits and advise patient on when to see their physician. A full report is given to the patients physician (ncga.gov). This would also include arranging for social support