Assignment-Evidence-Based Practice Proposal – Section C: Solution Description

Evidence-Based Practice Proposal – Section C: Solution Description

Write a paper of 500-750 words for your proposed evidence-based practice project solution. Address the following criteria:

1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, if it may be too costly, or if there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your problem statement before continuing.
2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the problem statement.
4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations that may need to be addressed.
5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, or professional expertise.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Solution

Introduction

Different scholarly studies have shown that trauma-informed care will be more effective in the treatment of trauma among both children and adults compared to traditional approaches. This paper will explore the implementation of trauma informed acre in a healthcare department and the expected outcomes.

Proposed Solution

Some of the traditional treatment approaches to trauma include techniques such as eye movement desensitization and reprocessing and prolonged exposure therapy (Bartlett et al., 2016). These methods are therefore not effective in children as they may require the client to have a certain level of emotional, mental, and cognitive maturity. Some children may also not understand the processes of the traditional trauma treatment approaches, which makes its treatment ineffective among children. The alternative to traditional trauma treatment approaches is trauma-informed care. Trauma-informed care, therefore, involves the therapists taking time to understand the traumatic events of a patient and offering support services to help deal with the trauma (Jankowski et al., 2019). Trauma-informed care is, therefore, more patient-centered and comprehensive and also allows the therapist to take more control of the treatment without depending on the level of understanding of the patient. Trauma-informed care can therefore provide better outcomes for children (Maynard et al., 2019).

Different scholarly studies have therefore shown that trauma-informed care will be more effective in the treatment of trauma among both children and adults compared to traditional approaches such as eye movement desensitization and reprocessing, and prolonged exposure therapy (Brown et al., 2017; Bartlett et al., 2016; Jankowski et al., 2019). Trauma-informed care involves the therapists taking time to understand the traumatic events of a patient and offering support services to help deal with the trauma. Trauma-informed care will be more patient-centered and comprehensive and also allows the therapist to take more control of the treatment without depending on the level of understanding of the patient. Trauma-informed care would therefore provide better outcomes for children (Maynard et al., 2019).

The intervention to introduce Trauma-informed care in the health department is realistic with only the adoption of the right change management model such as Lewin’s change management model being utilized.

Organization Culture

As the health department has a clan culture that supports changes, service delivery, teamwork, setting of clear objectives, communication, and cooperation, the implementation of Trauma-informed care will be easy. The health department also has adequate resources in terms of finances and human resources to effectively implement trauma-informed care interventions.

Expected Outcomes

The expected outcomes for the implementation of trauma-informed care interventions in the healthcare department would include improved holistic well-being among children who have gone through trauma. Such interventions would therefore help promote effective neurodevelopment of the children and avoid emotional, social, and cognitive development challenges. The target children would also adopt fewer health risk behaviors growing up.

Method to Achieve Outcomes

The outcomes of introducing trauma-informed care interventions in the health department to improve the holistic well-being among children who have gone through trauma will be achieved by the trauma-informed care implementation team. The trauma-informed care implementation team will utilize Lewin’s change management model of unfreezing, changing, and refreezing across the health department (Hussain et al., 2018). The change management model will make the implementation of trauma-informed care interventions seamless in the health department.

The specific barriers that will need to be assessed and eliminated in the implementation of trauma-informed care interventions in the health department include the decentralized decision-making model currently in the department and the lack of effective planning. The trauma-informed care implementation team will provide a centralized decision-making organ to implement change in the department and also take up all the planning roles in implementing the change.  The limitations that will need to be in the implementation of trauma-informed care interventions in the healthcare department include resistance to change. Such limitations will be addressed by following Lewin’s change management model.

Outcome Impact

The implementation of trauma-informed care interventions in the healthcare department will greatly improve the quality of care provided to children that have gone through traumatic experiences. According to Maynard et al. (2019), trauma-informed care interventions are more patient-centered compared to other interventions to reduce trauma. Trauma-informed care interventions will therefore improve patient-centered quality care in the health department. Trauma-informed care interventions will also improve the efficiency of treating children that have gone through traumatic experiences. Trauma-informed care interventions will also promote a conducive environment for both the target patients and care providers involved in treatment processes.

Conclusion

Different scholarly studies have shown that trauma-informed care will be more effective in the treatment of trauma among both children and adults compared to traditional approaches. The intervention to introduce Trauma-informed care in the health department is realistic with only the adoption of the right change management model such as Lewin’s change management model being utilized. The outcomes of introducing trauma-informed care interventions in the health department to improve the holistic well-being among children who have gone through trauma will be achieved by the trauma-informed care implementation team.

References

Bartlett, J., Barto, B., Griffin, J. L., Fraser, J., Hodgdon, H., & Bodian, R. (2016). Trauma-informed care in the Massachusetts child trauma project. Child Maltreatment, 21(2), 101–112. https://doi.org/10.1177/1077559515615700

Brown, J. D., King, M. A., & Wissow, L. S. (2017). The central role of relationships with trauma-informed integrated care for children and youth. Academic Pediatrics, 17(7), S94–S101. https://doi.org/10.1016/j.acap.2017.01.013.

Hussain, S. T., Lei, S., Akram, T., Haider, M. J., Hussain, S. H., & Ali, M. (2018). Kurt Lewin’s

change model: A critical review of the role of leadership and employee involvement in organizational change. Journal of Innovation & Knowledge, 3(3), 123–127. doi:10.1016/j.jik.2016.07.002

Jankowski, M. K., Schifferdecker, K. E., Butcher, R. L., Foster-Johnson, L., & Barnett, E. R.

(2019). Effectiveness of a Trauma-Informed Care Initiative in a State Child Welfare System: A Randomized Study. Child maltreatment, 24(1), 86–97. https://doi.org/10.1177/1077559518796336.

Maynard, B. R., Farina, A., Dell, N. A., & Kelly, M. S. (2019). Effects of trauma‐informed

approaches in schools: A systematic review. Campbell Systematic Reviews, 15(1-2). https://doi.org/10.1002/cl2.1018.