NR505 Week 7 Recommendation for an Evidence-Based Practice Change PowerPoint Presentation

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NR505 Week 7 Recommendation for an Evidence-Based Practice Change PowerPoint Presentation Instructions

Requirements

In Week 7, students will create a PowerPoint slide show with notes pages discussing their PICOT question, literature review, and recommendations for change. In Week 8, students will create a Kaltura recording of the presentation for the Peer Discussion thread. Have a look at NR506 Week 1 Discussion: Barriers to Practice.

Criteria for Content

Students will synthesize the information they have gathered during the course to formulate a presentation advocating for a practice change in relation to an area of interest to NP practice.

Creating a Professional PowerPoint Presentation Download Creating a Professional PowerPoint Presentation

In a PowerPoint Presentation, address the following.

  1. Title Slide
  2. Introduction (1 slide): Slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered.
  3. Practice Issue (1-3 slides): Describe the area of interest and practice issue/problem related to NP practice selected in week 2. Explain why the issue/concern is important to nurse practitioner practice and its impact on health outcomes. Provide speaker notes. Provide scholarly references to support your ideas.
  4. PICOT Question (1 slide): Provide the PICOT question developed in week 2. Describe each element of your PICOT question in one or two sentences, being sure to address all the following:
    1. P-Population and problem – What is the nursing practice concern or problem and whom does it affect?
    1. I–Intervention – What evidence-based solution for the problem would you like to apply?
    1. C–Comparison – What is another solution for the problem? Note that this is typically the current practice, no intervention at all, or alternative solutions.
    1. O–Outcome – Very specifically, how will you know that the intervention worked? Think about how you will measure the outcome.
    1. T–Time frame – What is the Timeframe involved for the EBP initiative or the target date of completion?
  5. Literature review (2-4 slides):Summarize the literature review completed in week 5. Discuss themes and special concerns. Discuss any unique insight or perspective offered from the literature. Provide speaker notes. Speaker notes and/or slides include citations from scholarly nursing literature which support the assertions presented.
  6. Recommendations (3 slides):
    1. Slide 1: Identify the evidence-based recommendation for the identified practice change. Speaker’s notes should fully explain the recommended change and rationale for the change. Provide support from scholarly references to support the recommendation.
    1. Slide 2: Identify the key stakeholders impacted by the recommended change. Speaker’s notes add detail.
    1. Slide 3: Analyze the recommendation in terms of fit, feasibility, and appropriateness as discussed by Dang and Dearholt (2018), ch. 8. Speaker’s notes add detail. *Note: information regarding stakeholders, fit, feasibility, and appropriateness may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas.
  7. Conclusion: (1 slide)Slide provides summary points of presentation. Speaker’s notes provide final comments on the topic.
  8. References:Reference elements provided in APA format, may use bullets. Hanging indents not required.

Preparing the Presentation

  1. Application: Use Microsoft Power Point to create the presentation. Submit as a .ppt or .pptx file.
  2. Length: The PowerPoint presentation should be between 9-13 total slides (excluding title and reference slides).
  3. Speaker notes should be used and include in-text citations when applicable. Use the Notes Page view feature in PowerPoint to include speaker notes.
  4. Submission: Submit the PowerPoint file to the Week 7 Dropbox.

Best Practices in Preparing the Presentation

The following are best practices in preparing this presentation:

  1. Review directions thoroughly.
  2. Follow submission requirements.
  3. Make sure all elements on the grading rubric are included.
  4. Follow rules of grammar, spelling, word usage, and punctuation consistent with formal, scientific writing.
  5. Review the Creating a Professional Presentation located in Course Resources.
  6. Correctly cite and reference ideas and information that come from scholarly literature.
  7. Abide by Chamberlain University academic integrity policy.

NR505 Week 7 Recommendation for an Evidence-Based Practice Change PowerPoint Presentation Example

Implementation of Multimodal Pain Management in Primary Care

This presentation will explore the issue of chronic pain management in primary care settings, focusing on the implementation of a multimodal pain management strategy. Chronic pain is a prevalent challenge that contributes to the reduction of patient’s quality of life and rising healthcare expenses (Pandelani et al., 2023; Morcillo-Muñoz et al., 2021). Chronic pain management is particularly important in the primary care setting, where most patients present themselves for treatment.

As primary care providers, nurse practitioners also have an important function in assessing, planning, and initiating the appropriate multimodal pain intervention programs that also incorporate pain psychosocial factors. As for the practice issue, we will state the PICOT question, compare the findings to the literature, and provide evidence-based suggestions for change. While presenting this information, I will underscore the necessity to utilize multimodal analgesia to enhance the patient experience and achieve better outcomes (Skelly et al., 2020; Sturgeon et al., 2024)​.

Practice Issue: Chronic Pain Management

●Chronic pain is prevalent, with a global estimate of 21% prevalence among patients and, more notably, among women, according to Pandelani et al. (2023). Chronic pain is, however, often poorly managed due to these education deficits in providers and an overemphasis on the management of chronic pain with the use of pharmacologic interventions only (Pandelani et al., 2023; Morcillo-Muñoz et al., 2021).

●Importance to NP Practice: It is pivotal to study the role of a nurse practitioner (NP) in the management of chronic pain. Due to their role, they can readily bring systematic pain management plans beyond the usual drug administration. They may involve a combination of cognitive behavioral therapy and physical therapy, as well as teaching the patient about pain management (Sturgeon et al., 2024). These strategies are crucial to offering comprehensive care that metaphorically manages pain by addressing the physical and psychological realms of its existence.

●Impact on Health Outcomes: The management of chronic pain utilizing various modalities has been found to produce, to a large extent, healthier outcomes. Such approaches improve patients’ quality of life and level of functioning and decrease patients’ reliance on different HCSs and their expenses (Walsh et al., 2022; Li & Hapidou, 2021). In addition, evidence-based pain management approaches also lessen possible secondary issues like depression and anxiety, which are also suggestive of improved health status (Skelly et al., 2020)​.

PICOT Question

PICOT Question: In primary care settings, how does the implementation of a multimodal pain management strategy by nurse practitioners (I) compared to the current practice of primarily pharmacological treatment (C) affect pain levels, functionality, and patient satisfaction (O) over a 12-month period (T)?

The PICOT question addresses how a multimodal pain management strategy implemented by nurse practitioners can improve pain levels, functionality, and patient satisfaction over a 12-month period compared to pharmacological treatment alone. This approach aims to provide a comprehensive treatment plan addressing both physical and psychological aspects of chronic pain.

Literature Review: Key Findings

Research consistently indicates that multimodal interventions are highly effective in the management of chronic pain. Falkhamn et al. (2023) report substantial enhancements in emotional health, physical functionality, and pain levels. Morcillo-Muñoz et al. (2021) emphasize the importance of combining psychological support with physical therapies to achieve superior results compared to pharmacological treatments alone. Sturgeon et al. (2024) emphasize the importance of patient education and self-management strategies in managing chronic pain. They demonstrate that patients who are well-informed are more likely to engage in behaviors that improve their overall well-being.​

Literature Review: Specific Concerns

The literature highlights several special concerns in chronic pain management. Pandelani et al. (2023) note the higher prevalence of chronic pain among women, stressing the need for gender-specific treatment approaches. Falkhamn et al. (2023) demonstrate the long-term benefits of multimodal interventions, with sustained improvements observed over a 12-month period. However, Walsh et al. (2022) identify significant barriers to implementation, including a lack of provider education and challenges in integrating these strategies into standard practice. Addressing these concerns is crucial for the successful adoption of multimodal pain management strategies.

Evidence-Based Recommendations

The recommended change for the practicum is to introduce IMMRPs in primary care practice environments. These programs should incorporate forms of therapy like cognitive-behavioral therapy and physical therapy in addition to typical pharmacological treatments. Patient education and self-management interventions are also critical components of management. Research studies have provided strong support for this rationale for implementing this change. Falkhamn et al. (2023) demonstrated that IMMRPs improve pain, mobility, and mood status, with positive effects sustained for one year or more.

In a study conducted by Morcillo-Muñoz et al. (2021), the authors demonstrated that non-pharmacological treatments, when combined with medication, are more effective than the use of the drug alone. Additionally, the long-term outcomes and efficacy of these programs have been well-supported, demonstrating their usefulness in controlling chronic pain on a long-term basis. The adaptation of these evidence-based strategies will also ensure optimal patient-centered care, with enhanced health outcomes and decreased utilization of the healthcare system by patients who require multiple treatments and care.

Key Stakeholders

Effective multimodal pain management programs will affect several stakeholders in Implementing Multimodal Pain Management Programs (IMMRPs). Nurse practitioners (NPs) are imperative for the provision and oversight of such multifaceted pain management approaches that comprise pharmacologic and nonpharmacologic interventions (Sturgeon et al., 2024). The major beneficiaries arising from this issue are the patients who are likely to benefit from better control of their pain, enhanced mobility and improved overall quality of life (Pandelani et al., 2023).

Leadership within healthcare organizations must advocate for the implementation by providing the appropriate funding, workforce infrastructure, and training (Falkhamn et al., 2023)​. This can be achieved through bringing in policies and guidelines that make it easier for patients in the primary care units to access and implement IMMRPs (Walsh et al., 2022). In this regard, physical therapists and psychologists are essential since antipsychotic treatment requires the input of physical therapists and cognitive-behavioral therapists as non-pharmacological components of treatment (Morcillo-Muñoz et al., 2021)​​. Instructors are critical in preparing NPs and other clinicians for these new paradigms of biopsychosocial and multimodal pain care (Sturgeon et al., 2024)​.

Analysis of Fit, Feasibility, and Appropriateness

●Fit: Implementing Multimodal Pain Management Programs (IMMRPs) fits well within the goals of primary care, which include providing holistic, patient-centered care. These programs effectively address both the physical and psychological aspects of chronic pain, making them well-suited for comprehensive primary care management (Sturgeon et al., 2024)​​.

●Feasibility: While implementing IMMRPs requires additional training and resources, the existing infrastructure in many primary care settings can support these programs. The evidence shows that with appropriate training and allocation of resources, the implementation of these programs is feasible and sustainable (Falkhamn et al., 2023)​​.

●Appropriateness: IMMRPs are highly appropriate for managing chronic pain in primary care settings. They are evidence-based, incorporating both pharmacological and non-pharmacological treatments, and are centered around improving patient outcomes and satisfaction. These programs are particularly suitable for patients with chronic pain who require comprehensive and continuous care (Morcillo-Muñoz et al., 2021)​

Conclusion

In conclusion, chronic pain management is a crucial aspect of primary care, requiring effective and comprehensive strategies. Multimodal pain management programs (IMMRPs) have been shown to be more effective than pharmacological treatments alone, offering significant improvements in pain levels, functionality, and patient satisfaction. Successful implementation of these programs relies on the collaboration of nurse practitioners, patients, healthcare administrators, policymakers, physical therapists, psychologists, and educators. The evidence supports the long-term benefits and feasibility of IMMRPs, making them a valuable addition to primary care practices.

References

•Falkhamn, L. M., Stenberg, G., Enthoven, P., & Stålnacke, B.-M. (2023). Interdisciplinary multimodal pain rehabilitation in patients with chronic musculoskeletal pain in primary care—a cohort study from the Swedish quality registry for pain rehabilitation (SQRP). International Journal of Environmental Research and Public Health, 20(6), 5051–5051. https://doi.org/10.3390/ijerph20065051

•Li, Y. (Cindy), & Hapidou, E. G. (2021). Patient satisfaction with chronic pain management: Patient perspectives of improvement. Journal of Patient Experience, 8, 237437352110078. https://doi.org/10.1177/23743735211007834

•Morcillo-Muñoz, Y., Castellano, M. H. J., Exposito, F. J. D., Sanchez-Guarnido, A. J., Alcantara, M. G., & Baena-Parejo, M. I. (2021). Multimodal interventions to improve the management of chronic non-malignant pain in primary care using participatory research. Clinics and Practice, 11(3), 561–581. https://doi.org/10.3390/clinpract11030072

•Pandelani, F. F., Nyalunga, S. L. N., Mogotsi, M. M., & Mkhatshwa, V. B. (2023). Chronic pain: Its impact on the quality of life and gender. Frontiers in Pain Research, 4. https://doi.org/10.3389/fpain.2023.1253460

•Skelly, A. C., Chou, R., Dettori, J. R., Turner, J. A., Friedly, J. L., Rundell, S. D., Fu, R., Brodt, E. D., Wasson, N., Kantner, S., & Ferguson, A. J. R. (2020). Noninvasive Nonpharmacological Treatment for Chronic Pain: A Systematic Review Update. Agency for Healthcare Research and Quality (US). PubMed. https://pubmed.ncbi.nlm.nih.gov/32338846/

•Sturgeon, J. A., Cooley, C., & Minhas, D. (2024). Practical approaches for clinicians in chronic pain management: Strategies and solutions. Best Practice & Research Clinical Rheumatology, 101934–101934. https://doi.org/10.1016/j.berh.2024.101934

•Walsh, S., G. Lorimer Moseley, Gray, R., Gillam, M., Gunn, K., Barker, T., Tran, K., Tesfahun Eshetie, & Jones, M. (2022). Use of behavioral activation to manage pain: A systematic scoping review. BMJ Open, 12(6), e056404–e056404. https://doi.org/10.1136/bmjopen-2021-056404