Plan to evaluate implementation | Nursing homework help
EBP Evaluation Plan
A. Baseline Data
The proposed EBP project aims to improve pain management in elderly patients with osteoarthritis in a long-term care facility. The baseline data was collected through a chart review of 100 elderly patients diagnosed with osteoarthritis who were receiving pain management in the facility. The review found that 70% of the patients had uncontrolled pain despite receiving pain medications, while the remaining 30% reported inadequate pain relief. In addition, it was observed that there was a lack of standardized pain assessment tools and interventions in place, and that the nursing staff reported inadequate knowledge and skills in pain management.
B. Outcome Indicators
The outcome indicators for the proposed EBP project are:
- Improvement in pain management practices
- Increase in the use of standardized pain assessment tools
- Reduction in the prevalence of uncontrolled pain in elderly patients with osteoarthritis
- Increase in the number of elderly patients with osteoarthritis reporting adequate pain relief
- Improvement in nursing staff knowledge and skills in pain management
C. Outcome Measures
The outcome measures for each of the outcome indicators are as follows:
- Improvement in pain management practices will be measured by the number of patients receiving evidence-based pain management interventions, such as non-pharmacological interventions, use of opioids as per the WHO analgesic ladder, and monitoring and documentation of pain intensity and adverse effects of medications.
- Increase in the use of standardized pain assessment tools will be measured by the percentage of patients assessed using a validated pain assessment tool such as the Numeric Rating Scale or the Wong-Baker FACES Pain Rating Scale.
- Reduction in the prevalence of uncontrolled pain in elderly patients with osteoarthritis will be measured by the percentage of patients reporting a pain score of less than 4 out of 10 on the Numeric Rating Scale.
- Increase in the number of elderly patients with osteoarthritis reporting adequate pain relief will be measured by the percentage of patients reporting a pain score of less than 4 out of 10 on the Numeric Rating Scale and a patient satisfaction survey.
- Improvement in nursing staff knowledge and skills in pain management will be measured by pre and post-intervention surveys and evaluation of the implementation of evidence-based pain management interventions.
D. Data Collection Strategies
The data will be collected at baseline and post-intervention, which will be six months after the implementation of the EBP project. The data will be collected by the nursing staff who will be responsible for the implementation of the project. A pain management audit tool will be used to collect data on pain management practices, use of standardized pain assessment tools, and documentation. Pain scores will be collected from patients using a Numeric Rating Scale, and a patient satisfaction survey will be conducted. Pre and post-intervention surveys will be conducted to evaluate the knowledge and skills of the nursing staff in pain management.
In conclusion, the proposed EBP project aims to improve pain management in elderly patients with osteoarthritis in a long-term care facility. The evaluation plan includes baseline data, outcome indicators, outcome measures, and data collection strategies. The post-implementation data will be compared with the baseline data to determine the effectiveness of the project. The results of the evaluation will be used to identify areas for improvement and guide future practice.