I‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ NEED A RESPONSE TO THIS DISCUSSION: HEALTH CARE ORGANIZATI

I‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍ need a response to this discussion: Health care organization’s goal is to deliver care that is patient centered and evidence based. Patient-centered means being responsive to the patient’s preferences, needs, and values. This may or may not conflict with evidence-based standardized processes of delivering effective and efficient care. Engle and researchers recommend multidisciplinary, multidirectional approaches to communication and care to be both patient-centered and evidence-based. They recommend utilizing a model called the organization transformation model (OTM) to be used as a framework. It consists of five elements: improvement initiatives, impetus to change, leadership commitment to quality, intraorganizational boundaries integration, and alignment between organization goals and resources. Barriers to evidence-based practices and patient-centered care include lack of time, lack of interest, and lack of knowledge to interpret statistical analysis. For organizations, barriers include low management priority, problems with dissemination, accessing resource and evidence constraints, hardships in managing innovations and inadequate systems for both professional and personal development. Engle and researchers also propose possible opposition to care that is both evidence-based and patient-centered due to standardization and customization of medical practice around patient preferences. He argues that providers may see evidence-base practice guidelines as limiting professional autonomy. Also, patient-centered care measures such as surveys frequently do adequately reflect the quality of care received by the patient. Due to the challenges of providing care to patients with acute stages of mental illness, it is difficult to implemen‌‍‍‍‌‍‍‌‌‍‍‍‌‍‍‍‍‌‍‍t care that is both evidenced-based practice and patient-centered at my current practice environment. The main problem at my current practice environment is the lack of funding, time, and staff. The hospital does not adequately separate patients due to acuity and would frequently mix psychotic and manic patients with others that are depressed or have anxiety that is triggered by other patient’s behavior. One complaint that many patients have is that they want their own room however, the hospital is not built that way, and everyone has a roommate which leads to arguments and fights. One issue with the rooms are transgendered patients who have to room with other based on genitalia versus the gender they identify with which is not patient-centered care. To keep costs down, the hospital gives the bare minimum of snacks and limits how much is given to each unit. Because psychotropics such as Zyprexa, can cause patients to be hungrier, this can also lead to care that is not patient-centered and can even trigger patients. The hospital can solve this problem by conducting a meeting in which the voice of the floor staff can be heard. Staff can advocate the patient’s needs to management to see if any policies can be changed. Reference: Engle, R. L., Mohr, D. C., Holmes, S. K., Seibert, M. N., Afable, M., Leyson, J., & Meterko, M. (2019). Evidence-based practice and patient-centered care: Doing both well. Health care management review, 46(3), 174–184. Advance online publication. Fink, R., Thompson, C. J., & Bonnes, D. (2005). Overcoming barriers and promoting the use of research in practice. The Journal of nursing administration, 35(3), 121–129.