Evidence-Based Practice Proposal – Section D Solution Description


Write a paper of 825 words (not including the title page and reference page) paper for your proposed evidence-based practice project solution. Address the following criteria:
1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your PICOT before continuing.

2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.

3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the PICOT.

4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed.

5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Upon receiving feedback from the instructor, refine “Section D: Solution Description” for your final submission. This will be a continuous process throughout the course for each section.

Evidence-Based Practice Proposal – Section D: Solution Description
100.0 %
Solution Description
100.0 %
Describe the proposed solution (or intervention). Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources. Explain the expected outcomes of the project. Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Describe the impact the outcomes will have. Proposed solution is presented in detail, consistent with current evidence and is heavily supported by evidence. The ways in which the proposed solution is consistent with the organization or community culture and resources is explained, and details and examples are provided. Warranted conclusions are drawn. The expected outcomes are explained in-depth. A detailed outline of how the outcomes will be achieved is developed and describes the impact the outcomes will have on one or all of the following indicators (as appropriate): quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise. Clarity and specificity of comprehension are demonstrated, and all relevant information is synthesized. Coverage extends beyond what is needed to support subject matter. Writer is clearly in command of standard, written, academic English.
100 %
Total Weightage

Evidence Based Proposal-Problem Description
Pediatric Asthma Education
Background information
Asthma is amongst the leading chronic disorders in childhood. The inflammatory diseases cause the restriction of airways leading to shortness of breath, continuous coughing, and wheezing and chest pain. Unfortunately, when the disorder affects children, it limits most of their activities. Health care utilization and costs are highly incurred in the management of the condition. According to CDC, approximately 7 million children suffer from asthma (CDC, 2015). The condition is chronic to children because of their small airway as compared to adults. Airflow test is used to test for asthma and children are not able to blow heavy enough to the tube. Furthermore, infants are not even able to describe the feeling thus parents and caregiver should be given adequate education on asthma. Usually, the disorder is affiliated with exacerbations which result in emergency hospitalizations. The disease causes approximately 4000 deaths annually. Children performances in schools are detrimentally affected due to high cases of absenteeism. Poor controlled and undiagnosed asthma in children can become life threating leading emergency hospitalization, parents missing work and pain to children which they are not able to explain (Clark et al., 2015). The impact of asthma is illustratable by contributing the highest number of hospitalization and absenteeism in school in comparison to other chronic diseases.
Stakeholders and change agents
? Patient, parents and their family.
? Asthma nurse educators
? Nursing administrator, Evidence-based scholars program
? Medical Doctors, Registered Nurses, Respiratory therapist, social workers and pharmacist.

PICOT question
Amongst hospitalized children suffering from asthma (P), does asthma evidence-based educational program for children, their parents, and caregivers by a registered asthmatic nurse educator (I) compared to regular acquittal from hospital (C) leads to: Improved awareness of asthma and its irritants, improved loyalty to day-to-day medicine usage plan and rescue strategy, aaugmented school turnout since less time is spent in hospitals, improved eminence of life (O), within a six month period (T).

Purpose and Objectives
1. To improve health outcomes of children through initiating self-management education since the research indicates education plays a principal part in the management of asthmatic condition in the youngster.
2. Stress incorporation of principles of evidence-based practice in the care process and improvement of standards
3. To lead in the creation of an asthma self-management program that consistently provides education to patients and parents through accessing the concern of the patient and putting the family at the center. This is because parents carry the obligation of ensuring the children adhere to correct asthmatic measures.
4. Ensure there is an active partnership between all partakes of the self-management program to the efficient manage asthmatic condition.
Supportive Rationale
Early treatment of Asthma in children can immensely lead to a reduction in the breathing problems; asthma flares up and challenges associated with asthma. Evidently asthma conditional can be regulated by using a developed evidence-based program that keeps track of the symptoms and adjustment of treatment. Nurses partake in helping most children under the age of 5 thus they should be well conversant with an appropriate evidence-based program that will ensure that children are kept in a good health state. According to, Liu & Feekery, (2001), asthma education fervently reduced the asthma-related problems from short term to long term problems. Parents? anxiety was significantly reduced as well as children morbidity. An interactive setting education such as face to face with a parent was a key to reduction of both morbidity and stress in parents. Self-management education can be provided to parents and caregiver every time they visit hospital by nurses to learn to how to handle children in cases of emergency and also this will reduce panics to parents.
The team of nurses, social workers, and pharmacists can use the evidence-based program to deliver sound information on asthma to children using various teaching method. Increasing knowledge of children on asthma can enable them to reduce their asthmatic condition effectively using inhalers correctly and avoiding irritants which may stimulate asthma. Significant reduction in hospitalization and emergency can be managed through synergetic efforts of nurse and all stakeholders in the diseases. Prioritization of evidence-based program that emphasizes increased education of parents and children on control and self-management. A significant number of researchers results in efficient health outcome in patients as well as healthcare (Melnyk & Fineout-Overholt, 2014). The nursing fraternity can assist in the acceleration of adoption of this evidence-based practice through accepting the treatment measure based on high empirical literature evidence.
Research strategies
A comprehensive database search was completed from the following database search Medline, Cochrane Central Register of Controlled Trials, CINAHL, National Guideline Clearinghouse, Ovid and Cochrane Database of Systematic Reviews. Articles published in English between 1990 to 2005 were analyzed through a search of the keywords used in the search were Systematic Reviews; Randomized controlled trials Self-management, Grade school children, Pediatric asthma education, and Self-monitoring. There were 75 results after carrying out the search.Screening of abstract was undertaken resulting in ten studies applied to pediatric asthma education relating educational programs, self-monitoring behaviors, self-efficacy, and self-management with some interventions.Moreover, these research comprised one cohort descriptive study, five randomized control trials (RCT), three systematic reviews and one qualitative study.

CDC. (2015, April 22). CDC?s national asthma control program. Retrieved September 2, 2016, from https://www.cdc.gov/asthma/nacp.htm
Clark, N. A., Demers, P. A., Karr, C. J., Koehoorn, M., Lencar, C., Tamburic, L., & Brauer, M. (2015). Effect of early life exposure to air pollution on development of childhood asthma (Doctoral dissertation, University of British Columbia).
Liu, C., & Feekery, C. (2001). Can asthma education improve clinical outcomes? An evaluation of a pediatric asthma education program. Journal of Asthma, 38(3), 269?278. Doi: 10.1081/jas-100000114
Melnyk, B., & Fineout-Overholt, E. (Eds.). (2014). Evidence-based practice in nursing and healthcare: A guide to best practice (3rd Ed.). Philadelphia: Lippincott Williams and Wilkins.