Introduction To Evidence-Based Practice For Cpnes: Identify The Problem/Opportunity

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Introduction to Evidence-Based

Practice for CPNEs


Identify the Problem/Opportunity
IMPROVE and Evidence-Based
Practice Methodology
PROBLEM REMEDY VALIDATE
IDENTIFY MEASURE
ANALYSIS OPERATIONALIZE EVALUATE

Ask the Find Best Evaluate Apply the Evaluate


Question Evidence Evidence information Outcomes

• Identify need • Develop search • Appraise literature • Make practice • Develop control
strategy for quality of recommendations plan
• Develop problem evidence
statement • Search literature • Confirm practice • Track metrics for
• Formulate clinical • Screen potential changes 30/60/90/120 days
questions • Review existing solutions
guidelines • Develop • Refine/update
• Identify • Brainstorm implementation practice change
stakeholders • Map current state potential plan
barriers/root • Review guideline
• Select team • Update
• Identify best causes every three years
• Determine scope practices communication
plan
• Develop • Select metrics
communication
plan
Our scenario
Should our hospital have an animal-assisted therapy
program (pet therapy)?

Can help reduce anxiety and pain in hospitalized


patients and those having procedures
We would like to impact pain without medication if
possible

Can improve patient satisfaction scores


We need to improve our scores around pain
control and communication (10% decrease
since June 30, 2017)

Can improve quality of life for patients while


hospitalized

Helps both adult and pediatric patients


Identify the problem/opportunity
 What is wrong/our opportunity?

 Who is affected (customers)?

 When is it occurring (time-frame)?

 Where is it occurring (system-wide or localized)?

 What is the impact on the organization (supported by data)?


Problem/Opportunity Statement

MUSC would like to implement a pet therapy program


as an alternative technique to alleviate anxiety and pain
for adult and pediatric patients because our patient satisfaction
score for pain control has decreased by 10% since June 30, 2017.
Empathize: What is it?
• Observe:
what are they
doing (behavior)

• Engage:
hear what they
are saying

• Immerse:
Find out what
they are feeling
How do stakeholders feel? What do you see stakeholders
doing?
How do stakeholders
- Sad, lonely if they don’t have family or pet with
them What do you see
- Complaining about their pain level
feel?
- Anxious or stressed about a procedure stakeholders
- Asking family to stay as long as doing?
possible
- Getting tense, edgy, nervous when clinical staff
prep them for a procedure

WhatWhat is the need?


is the need?
A pet therapy program to help relieve stress and pain
Who are
Who are the the
stakeholders?
Adult and pediatric patients
stakeholders?
What do you hear stakeholders ProblemProblem orStatement
or Opportunity
saying?
What do you hear Opportunity
(actionable statement)

Children and adults need to feel less pain,


- I am afraid to have this procedure done
stakeholders saying?
- My pet helps calm me down when I am upset
Statement
sadness and loneliness when they are in the
hospital because these things impact their pain
hospital because these things impact their pain
(actionable
scores statement)
and patient satisfaction.
Problem/Opportunity Statement
• Actionable statement
• Provides unique vision
• Establishes project
scope

• Guides your project


• Specific users

• Insights and needs

• Provides reference for evaluating solutions

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