Need assistance and review please of all but help with Synthesis of Evidence, Evaluation Plan, Implementation Plan,

Need assistance and review please of all but help with Synthesis of Evidence, Evaluation Plan, Implementation Plan, and 2 additional references. Also would be helpful to include information to make table and where to find relatable graphics.

 

 

PICOT: In nursing primary care patients, compared to in-person patient visits, what is the impact of telehealth on patient outcomes over a 6-month period?

 

Synthesis of Evidence:

•from review of literature •one paragraph

 

 

Project Team

•Identify members of EBP project team (by profession and/or role, not by name) 

•Includes stakeholders for change in practice

  1. Primary care providers
  2. Nursing staff
  3. IT department
  1. Primary care providers, including nurses, case managers, and doctors, should collaborate to develop policies and procedures for telehealth visits. This ensures their participation in the implementation process and addresses their unique requirements and concerns.
  2. Make sure to involve the nurses participating in telemedicine visits and provide them with proper training and tools to contribute effectively. Also, request their feedback and suggestions to improve telehealth workflows continuously.
  3. Collaborate with the IT department to establish the technical foundation and infrastructure for telehealth implementation. Work closely with them to address technical issues and seamlessly integrate telehealth into existing systems.

 

Barriers

•Identify anticipated barriers to change (both cultural and organizational)

Hospital change process barriers anticipated:

 

1.  Organizational Culture

2. Expected response to change.

3. Leadership

  

  1. The hospital culture is conservative, resistant to change, and prioritizes in-person care.
  2. Healthcare professionals and employees may hesitate to use telehealth due to concerns about quality of care, technology literacy, and job displacement.
  3. Implementing telehealth may pose challenges for a leader in obtaining buy-in and support from other healthcare professionals and workers.
  1. Organizational Culture
  2. Expected response to change.
  3. Leadership
  1. Promote the benefits of telehealth, including improved patient convenience, greater access to care, and the potential for cost savings. Involve hospital management and stakeholders to enhance patient outcomes and healthcare delivery.
  2. Offer comprehensive telehealth training and support to healthcare professionals. Emphasize the benefits of telehealth, including increased patient care efficiency and flexibility, through open communication and ongoing education.
  3. Take a proactive approach to promote telehealth adoption. Communicate openly and honestly with healthcare professionals, resolving their concerns and providing regular updates on implementation progress. Establish a multidisciplinary team with the help of hospital executives and key stakeholders to oversee the implementation process.

 

Facilitation Plan

•Leadership plan (how will you lead the EBP team?)

•Strategies to facilitate change and overcome barriers

  1. Patients
  2. Hospital officials
  3. Healthcare professionals
  4. Insurance companies

 
  1. Involve patients in the telemedicine process by clearly explaining its benefits and addressing their questions and concerns. Solicit their feedback when designing telehealth services to meet their preferences better.
  2. Involve hospital officials in the change process by outlining the benefits of telehealth, addressing their concerns, and gaining implementation support.
  3. Collaborate with healthcare professionals to incorporate their expertise in telehealth implementation. Seek their input on processes, rules, and procedures to ensure successful integration into their practice.
  4. Ensure insurance companies’ payment rules are compatible with telehealth. Adjust policies to encourage use and fair compensation.

 

Evaluation Plan

•How will you measure the outcome of the change you propose?

•How will outcomes be measured on an ongoing basis?

 

Implementation Plan

How will you roll this out at your institution? Include: •Time line •Plans for education •Roles for team members •Marketing •Equipment needs (including any costs associated with change)

 

 

 

References

•Include a Minimum of 5 references (have 3 need additional 2 please, must be within past 5 years)

Armaignac, D. L., Saxena, A., Rubens, M., Valle, C. A., Williams, L.-M. S., Veledar, E., & Gidel, L. T. (2018). Impact of Telemedicine on Mortality, Length of Stay, and Cost Among Patients in Progressive Care Units. Critical Care Medicine, 46(5), 728-735. https://doi.org/10.1097/ccm.0000000000002994‌

Butzner, M., & Cuffee, Y. (2021). Telehealth Interventions and Outcomes Across Rural Communities in the United States: Narrative Review. Journal of Medical Internet Research, 23(8), e29575. https://doi.org/10.2196/29575

‌Madabhushi, V., McLouth, C. J., King, R., Bhakta, A., Beck, S., & Patel, J. A. (2022). Age and Medicare Insurance are Barriers to Telemedicine Access—A Quality Improvement Project. The American Surgeon, 000313482210742. https://doi.org/10.1177/00031348221074234

 

 

Graphics & Tables

Images at least 3 Use images ≥ 150 dpi.

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