In this discussion we will talk about out expected change outcomes and implantation process outcomes. We will focus on our outcomes management. The principles supporting outcomes management (OM) ascribed by Ellwood included emphasizing practice standards that providers can use to select interventions, measuring patient functional status, well-being, and disease-specific clinical outcomes, pooling outcome data on a massive scale, analyzing and disseminating outcomes, in relation to the interventions used, to appropriate decision makers and stakeholders (LoBiondo-Wood, Haber, 2014, pg. 225) Expected Change Outcomes Our expected outcome would be patients with COPD who practice relaxation techniques versus not using relaxation techniques would see an improvement in their dyspnea and anxiety in a years time. Our goal would to be better control our patients COPD and decrease exacerbations and dyspnea. Also, to decrease the scores on the patients PHQ-9 and GAD-7 questionnaires. In doing so we would have less re-admissions to hospitals and a better quality of life. Our measurable goal would to have a decrease in admission to the hospital for COPD exacerbations. This would be measured by looking at how many times a patient was admitted to the hospital in the previous year and try to decrease this number. Then we would compare it to how many times she was hospitalized after educating them on relaxation techniques to see if the number of admissions decreased Implementation Process Outcomes The implementation process will be that every nurse will be doing both the education and screenings by the first week once we make the change in practice. The nurse manager will ensure that all nurses are educated on the relaxation techniques and screenings, and that they are being done with every COPD admission. By the second appointment for the COPD patients, our patients will be screened on performing the relaxation techniques correctly, PHQ-9, GAD-7 questionnaires, and if the patient has been to the hospital for a COPD exacerbation. We will continue to do these screenings at every appointment. We will see our COPD patients every 3 months to evaluate. We will see them at the end of the year and compare their current numbers to their numbers in the beginning of the year. Our nurses will have quarterly meetings to ensure everyone is teaching their relaxation techniques correctly and are doing their questionnaires. Specific barriers that we could run into is nursing staff rushing through the demonstration of the relaxation techniques and rushing the patients during their PHQ-9 and GAD-7questionsairs. This will be eliminated by giving the nurses more time when checking in COPD patients. Reference LoBiondo-Wood, G., & Haber, J. (2014). Nursing research: Methods and critical appraisal for evidence-based practice (8th ed.). St. Louis, MO: Mosby Elsevier. ISBN-13: 978-0-323- 10086-1
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