Custom «Evidence-Based Practice Change Plan» Sample Essay

Custom «Evidence-Based Practice Change Plan» Sample Essay


First, the question at hand concerns whether prophylactic antibiotics reduce the recurrence of recurrent UTI in children as compared to the absence of prophylactic antibiotics treatment. The initial results have indicated that the presence of prophylactic antibiotics is needed to prevent and cure the infection (Williams & Craig, 2011). Therefore, this paper intends to discuss a change in the treatment practice without the use of such prophylactic medications to help all involved stakeholders to treat recurrent UTI in children.

A Description of the Change to be Implemented

To implement the practice change, it is important to enumerate that the absence of prophylactic antibiotics leads to better outcomes reducing the recurrence rate of UTI in children. The change is aimed to evade the utilization of prophylactic antibiotics. For it to be fully attained, the following strategies can be utilized as opposed to the use of prophylactic antibiotics:

  • Advising a circumcision for boys to reduce the risk of UTI to 0.18%, which is ten times greater in the first six months;
  • Increasing a fluid intake;
  • Prescribing the use of cranberry as a preventive and treatment measure;
  • Informing parents of the signs and symptoms of recurrence to help achieve better treatment outcomes.

The Rationale for the Change

Implementing the change in practice above is significant because of the nature of results that will be attained both over the long and short terms as compared to the use of prophylactic antibiotics, which can have many side effects. Circumcision is a fundamental preventive approach in boy children since it is effective in patients susceptible to recurrent UTI. Furthermore, the use cranberry is effective as well, because it has a low transient effect on reducing urinary PH. An increase in a fluid intake is significant since it ensures the safety of the child through the excessive urination process leading to the removal of waste products.  Educating parents on the issue helps physicians in question to be alerted on time to offer the needed precaution and treatment measures as a way of dealing with the recurrent UTI in children (Williams & Craig, 2011). 

The Stakeholders Affected by the Change

It is apparent that a number of stakeholders are going to be affected by the recommended change. They are parents, physicians and all those individuals, such as government officials and non-governmental organizations, associated with health issues.

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Ways of Disseminating the Evidence, Educating the Stakeholders and Gaining Approval of the Change

To disseminate the evidence effectively, educate the stakeholders and to gain approval of the change, a teaching plan will have to be utilized in this case. It is fundamental because it will entail a discussion about the proposed change at length with all associated stakeholders, and it is where their contributions will be put into consideration. Through the community healthcare teaching plan, the stakeholders will be able to comprehend the importance of the change, and ultimately approve it (Robinson, Finlay, Lang, & Bortolussi, 2015).

The Proposed Timeline for the Change

The change will be expected to take place in a period of six months as a way of permitting the involved stakeholders to move with it. During this timeline, the first month will entail teaching the stakeholders on the importance of the proposed change and benefits that can be attained. The second and third months will entail advertising the change to the entire community based on helping children with recurrent UTI. The fourth and fifth months will involve distributing the blueprint to the relevant authority for approval. Lastly, the sixth month will be based on practicing the change that has been made.

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Ways of Evaluating the Effectiveness of the Change

On matters associated with analyzing the effectiveness of the change, the results of treatment will be compared with the utilization of the drug considering the recovery criteria and the time taken to fully treat the patient. Thus, the results will help understand the effectiveness of the proposed change in treating the disease in question.

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