(Author, Department, University,
Corresponding Address and email)
How does conduct a "time-out" before starting a surgery is essential for preventing wrong-site, wrong-procedure or wrong-person surgery?” (e.g. National Guideline Clearinghouse).
A time-out procedure is performed before starting a surgical procedure. Moreover, repeat time-out is prescribed for position changes or multiple procedures. Time-out is considered as the final safety stop prior to the surgical procedure to confirm the correct patient, procedure, and site. Every member of the surgical team has to stop any kind of activity before starting a procedure and take part in the process. Members of the team may include surgeon, student(s), resident(s), scrub, anesthesia care clinician, and circulator. No member is allowed to keep on working on his or her own activities. It has been reported that if any member of the surgical team does not take active participation in the time out process, the scalpel or cutting or incising tool is not provided to the surgeon until the member is replaced with any other member, who would actively take part in the time out process and, and the process is properly completed (Card et al., 2014).
Identify a theoretical model to guide clinical decision making and EBP practice implementation from both the practitioner and organizational perspectives.
Nursing scholars have worked on several evidence-based practice (EBP) models to help in the implementation of clinical decision making as well as research findings. These models help in breaking down the complex problems in the clinical practice. One of those models is ACE Star Model. The Academic Center for Evidence-Based Practice (ACE) developed this model to achieve the goal of quality health and its improvement. This model helps in rigorous systematic review process and addresses translation as well as implementation of the EBP. Steps in this model include finding a new knowledge or research, summary of the research evidence after thorough review, converting or translating the evidence into clinical practice, integrating the recommended change into clinical practice, and evaluation of the impact and contribution of the practice change in quality improvement. This model has successfully been used in both educational and clinical settings. On a further note, both individual practitioners as well as health care organizations can use this model to help in practice change in different health care settings (Schaffer, Sandau, & Diedrick, 2013).
Provide a rationale for your selection of a specific model to guide the implementation and sustainability of EBP.
ACE Star model consists of five steps including (Stevens, 2013):
Discovery of knowledge and representation of primary research studies,
Evidence summary presented in a comprehensive and systematic manner, i.e. systematic review,
Translation of the evidence into guidelines and action, i.e. evidence-based guidelines,
Practice integration, and
Process and outcome evaluation.
This model can help in the implementation and sustainability of the practice change, as it has an implementation and evaluation plan. In the five different steps of the model, forth step deals with the integration of the evidence into practice, i.e. evidence-in-action, which is related to the implementation plan. Moreover, in the fifth step of the model, measures or evidences are analyzed and/or evaluated for their success in a health care setting, thereby helping in sustaining the EBP. Therefore, fifth step is related to evaluation plan. This model can also be used as a guide to incorporate EBP into nursing program. It is also easy to understand by staff nurses, as it is similar to the nursing process. Overall, ACE Star Model can help in implementation and sustainability of EBP.
References
Card R, Sawyer M, Degnan B, Harder K, Kemper J, Marshall M, Matteson M, Roemer R, Schuller-Bebus G, Swanson C, Stultz J, Sypura W, Terrell C, Varela N. (2014). Perioperative protocol. Health care protocol. Retrieved from https://www.guideline.gov/content.aspx?id=48408
Schaffer, M. A., Sandau, K. E., & Diedrick, L. (2013). Evidence‐based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209.
Stevens, K. (2013). The impact of evidence-based practice in nursing and the next big ideas. The Online Journal of Issues in Nursing, 18(2).
