Comment Thomas


Why is understanding the health care system at the local level important to consider when planning an EBP implementation? Conduct research and solicit anecdotal evidence from your course mentor that you will take into consideration for your own change project.


It is very important to understand the health care system at the local level because you need to know the surroundings and the area. The hospital I go to with my mentor is in the country and the nurse to patient ratio is sometimes higher than the bigger hospitals and the staffing isn’t always great because of the location. So, when you are trying to help cut back on the number of falls it is important to understand the area because you will have to know that staffing will always be an issue because of the area of the hospital and the size of the hospital. Falls are a huge problem in every hospital and when someone tries to make a change it will be incredibly hard for them. But when the hospital is a small hospital it is going to be really hard because of staffing issues and lack of nurses and funds. I read an article that stated the amount of patients to falls is slightly higher in smaller more rural areas 6-1,000 at the big hospitals and 6.3-1,000 at the smaller hospital. (Linda,2017) So, knowing the local health care is very important to understand so one can make sure they put that in the plan.





Linda H. Aiken, PhD, RN. October 23, 2017. Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction.

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