Chapter 5: Reflection Integrate clinical reasoning with organizational, patient-centered, culturally appropriate strategies to plan, deliver, and evaluate-evidence-based practice.

   The capstone enabled the student to research best evidence-based practice to develop a safe search contraband management while using a standardized protocol to deliver patient-centered care that is measurable. The contraband management process included areas that focus on patient-centered-care employing the evidence-based practice. The performance improvement area involves the participation of participants in at least one performance improvement project (PI) that is clearly defined to a clinical practice area and focuses on one of the national patient safety goals established by the joint commission. The Joint Commission standards are the highest standards of an objective evaluation process to help health care organizations assess,, measure, and improve performance centered on their patients. The student applied the PDSA cycle to the project for evaluation. The PDSA cycle is an organized plan which allows the project leader to plan, do, study and act on a change within the clinical focus area.  According to the Improvement of Health Institute, the PDSA cycles is a model for improvement by providing a framework for developing, testing, and implementing change leading to improvement. (“Plan-Do-Study”, 2018).

 Construct inter professional teams to communicate, coordinate, collaborate, and consult with other health professionals to advance a culture of excellence.

            The capstone allowed for the design of an organization and leadership team that promotes high-quality care through constructing interprofessional team to communicate, coordinate, collaborate, and consult with other health professionals to advance a culture of excellence.  Abela-Dimech et al. (2017) suggested that the education of the staff, patient, and family is the key to keeping unsafe items from entering the units. Plsek and Greenhalgh advised because complex adaptive systems require that, for organizations to maintain equilibrium and survive, the organizations must respond to an ever-changing environment as (cited by Wojciechowski et al., 2016, p.1). Moreno-Poyato et al. (2016) agreed that the therapeutic connection from patient to staff or staff to patient is the bedrock for maintaining safety in psychiatric hospitals. Wykes et al. (2018), suggested that educating the staff about safety improves the perception of the environment, hence benefitting both staff and patient to maintain safety. A study conducted by Olsson, Audulv, Strand, and Kristiansen (2015) revealed that most of the patients on the inpatient psychiatric setting want to have a safe, trusting relationship with staff. The support of the senior leaders was necessary to ensure that the capstone project was implemented and carried out. The collaboration, coordination, and communication of the various stakeholders were vital to the success of the project. The implementation of the contraband management search process allowed the leaders to provide safe, high-quality practice for best patient care and outcome.

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Credible Sources