Evidence-based research model for acute and chronic diseases
Nursing concerns have been reported in the literature on acute and chronic care (Dewing, 2007). Evidence-based literature revealed that nursing education improves the wellness of patients (Kerr, 2007). However, clinical reports revealed that health care need is a growing concern in nursing practice. Surveys revealed that patients with acute and chronic diseases die because of the poor management plan (Fleminger, 2002). For example, a post-surgery care survey revealed that patients contact infections from caregivers and nurses. As a result, these patients die after a successful operation. The evidence-based research model for acute and chronic diseases is a nursing program that combines health practice with clinical experience and management. Thus, health practitioners with field experience align with research educators to improve the wellness of acute and chronic patients.
Description of the evidence-based research model for acute and chronic diseases
The evidence-based research model includes clinical decision-making, integrated care procedures, evidence collection & analysis, nursing care delivery, and evaluation. As a result, the model relies on professional nursing ethics and practice to improve patients’ wellness. The team is supervised by the head personnel who collect recommendations for evidence-based research. The list of approved nursing areas must be reviewed by the board members. Upon approval, the implementation unit transmits the recommendations to each nursing unit. The members of each team must be registered nurses with a community health center. The target group will be selected based on the recommendations of the implementation unit. Patients with acute and chronic diseases will be the focus group. The nursing team will collect and analyze clinical practice that improves patients’ wellness. However, the clinical recommendations will be based on different kinds of literature on acute and chronic disorders. The team unit comprises 20 nurses with clinical attachments. Patient history, health care challenges, and recovery plan will be evaluated based on the evidence-based model.
Nurse-led and nurse-managed care: A primary health care program influences the effectiveness of the management plan. As a result, the model will align with community-based programs to improve health. Surveys revealed that health practitioners administer nursing intervention plans based on clinical recommendations. However, the implication of these recommendations varies with location and region. As a result, the evidence-based model aligns field experience with the nurse-led plan to ensure positive results. The nursing practice that affects the recovery process for chronic diseases will be avoided to improve the quality of life. Thus, nurses will collaborate with field practitioners to test the effectiveness of different health intervention programs.
Continuity of care across settings: The recommendations from field nurses will be tested on the sample population. The outcome will be reviewed to ensure a positive impact on patients with chronic diseases. Consequently, a transition team will supervise the long-term implementation plan to encourage continuity. Factors that affect the evidence-based results will be eliminated to improve the health care program. As a result, the recommendations will be transmitted to the research unit, policymakers, and clinical center to improve healthcare delivery.
Partnership and collaboration: The evidence-based model depends on partnership and collaboration. As a result, team members depend on the cordial relationship between patients and physicians. Health care education will stimulate a positive response from patients, nurses, and resident doctors. Consequently, the public and private partnerships will enhance the evidence-based research program.
Technology: Innovative approaches that improve health care delivery have been reported in various nursing models (Funk, Hollnberger, & Geroldinger, 2007). By implication, technology enhances the communication channels for research-based practice. The effectiveness of the research team depends on communication skills, cost of implementation, and management process. However, technology facilities for the smooth transition of the evidence-based management plan. As a result, patients’ health records, literature on chronic diseases, nursing experience, and outcomes can be assessed on the Internet. Thus, evidence-based practice and implementation plans can be transferred from accessed at different levels of clinical practice.
Development/implementation team for the evidence-based research model for acute and chronic diseases
The model framework must be executed based on the nursing practice and guidelines. As a result, each component must align with nursing ethics. The components of the model include clinical decision-making, integrated care procedures, evidence collection & analysis, nursing care delivery, and evaluation. Each unit will be supervised by a registered nurse. However, the nurse practitioner must be selected based on professionalism, rank, previous research records, and experience. The team supervisors will select 4 competent nurses from or her location. The nurses can be volunteers for the project to reduce the cost of implementation. Each unit supervisor will operate based on the job description. However, the lead supervisor will head the project unit. The lead supervisor will collect and transmit portfolio assignments to the unit head for implementation. Thus, technology, partnership, collaboration, continuity, and nurse-led intervention plan will integrate the model components.
Evaluation of the evidence-based research model for acute and chronic diseases
The monitoring unit will test the efficacy of the model based on patients’ wellness reports. As a result, the patient’s history and recovery pattern will be collected, analyzed, and documented for clinical decision-making. The survey findings will be reviewed to test the effectiveness of the research model in patients with acute and chronic diseases. However, the lead supervisor must recommend solutions to the challenges encountered in various health centers.
References
Dewing, J. (2007). Values underpinning help, support and care: Older people and mental health nursing. Blackwell, England: Oxford Press.
Fleminger, S. (2002). Remembering delirium. British Journal of Psychiatry 16(8), 180-185.
Funk, W., Hollnberger, H., & Geroldinger, J. (2007). Physostigmine and anesthesia emergence delirium in preschool children: A randomized blinded trial. European Journal of Anesthesiology 25(1), 37–42.
Kerr, D. (2007). Understanding learning disability and dementia: Developing effective interventions. London, England: Jessica Kingsley.