eight steps to integrating evidence-based practice into the clinical environment.

Integrating Evidence-Based Practice

Write a 1000-1500 word essay addressing each of the following
points/questions. Be sure to completely answer all the questions for
each bullet point. There should be two main sections, one for each
bullet below. Separate each section in your paper with a clear heading
that allows your professor to know which bullet you are addressing in
that section of your paper. Support your ideas with (2) sources (1
outside source and the textbook) using citations in your essay. Make
sure to cite using the APA writing style for the essay. The cover page
and reference page in correct APA do not count towards the minimum word
amount. Review the rubric criteria for this assignment.

Part 1:

Describe the eight steps to integrating evidence-based practice into
the clinical environment. What barriers might you face in implementing a
new practice to address your research topic (as identified in Module
1)? Describe strategies that could be used to increase success including
overcoming barriers. 

Part 2: 

Describe six sources of internal evidence that could be used in providing data to demonstrate improvement in outcomes.

Assignment Expectations:

Length: 1000 – 1500 words
Structure: Include a title page and reference page in APA format. These
do not count towards the minimum word count for this assignment. Your
essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references
for all resources utilized to answer the questions. A minimum of one (1)
scholarly source and the textbook are required for this assignment.

Below is what was discussed in Module 1 

Clinical Question

 In terminally ill patients and their families (P), how does the
provision of educational programs to demystify benefits of hospice care
(I) as compared to informal community education (C) influence their
ability to increased awareness of the best options and benefits of
hospice care (O) within a period of hospital stay (T)? 

Justification for the Clinical Problem

 This paper describes a hospice educational program for terminally
ill patients. The main focus of this study is the lack of accurate and
inconsistent information on the benefits and options of hospice care.
There is a large gap of eligibility, philosophies and knowledge
concerning hospice care for patients facing end of life transition. Most
studies that have been carried out on the topic have either been biased
or provided less detailed information on the importance of creating
awareness of the benefits of hospice care for terminally ill patients.
Lack of knowledge about the importance of hospice care has led to
increased number of people living their last days without receiving the
benefits of this service (Garcia, 2018). 

 Most families learn about the benefits of hospice care care when it
is too late for the patient. In addition, the families learn about the
advantages of the service once the patient has already been admitted in
the program. The main reason for enrolling their terminally ill patients
to the program is not because they know its benefits but for the lack
of another option. The significance of this study is to help patients
and families to enroll in hospice care early enough in the course of a
life limiting illness for them to receive comfort care and experience
easier transition. 

 According to Tofthagen, Guastella, & Latchman, 2019), the need
for palliative and hospice care program has increased as people are
living with complex diseases with no cure and population ages. The study
suggests more hospice care professionals will be needed in the near
future to meet the increasing demand for the services (Tofthagen,
Guastella, & Latchman, 2019). Lack of knowledge on the importance of
these services has resulted in families keeping terminally ill patients
at their homes. The authors of this study suggest that providing
educational programs to communities could help reduce the number of
terminally ill patients who are not receiving these services (Tofthagen,
Guastella, & Latchman, 2019). 

 Another study conducted in 2020, found out that healthcare
professionals in the hospice care setting can only provide effective
services to patients if there is a conceptual framework to guide
practice and education (Dyess et al., 2020). The study suggests that
most people are unable to access hospice care because of lack of
knowledge. “The framework builds on theoretical caring to convey
elements of relational, holistic and compassion; articulates
inter-professional tenets for guiding values; and aligns with constructs
for palliative and hospice best practices” (Dyess et al., 2020). The
study suggests that such a framework invites leaders as well as
clinicians to develop educational programs to promote awareness about
hospice services. 

 According to Allo et al., (2016), healthcare professionals do not
have exposure to provide quality home based care. This is as a result of
lack of enough education among healthcare practitioners to attend to
home-based patients. The study suggests that participation in patient
home visits is an effective way to provide education in communities
about the benefits of hospice care (Allo et al., 2016). This approach
does not cause any form of distress to both patients and their families.
As a matter of fact, families who participated in this study were quick
to enroll their patients to hospice care (Allo et al., 2016).

 In another study conducted in 2019, the authors argue that most
terminally ill patients do not have access to hospice services due to
lack of knowledge in the communities (Livingstone, Welstand & Ryan,
2019). However, such patients would enroll to hospice care services if
they were aware of its benefits. Livingstone, Welstand & Ryan,
(2019), found out that the fears associated with end of life include not
being able to stay at home, burden to the family and also fear of
undignified death. Most terminally ill patients would therefore enroll
to such programs to reduce these fears if they had enough knowledge. 

Article that Best Supports the Topic

 In a study conducted in 2018, the authors argue that hospice care is
a service that has been widely misunderstood and underutilized (Garcia,
2018). Communities are not aware of hospice services. This results in
increased suffering for patients having life limiting illnesses.
Misconceptions by communities also lead to the lack of enrolling
terminally ill pati

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