My proposal will, directly and indirectly, impact the financial, quality, and clinical aspects when developing the evidence-based change proposal. For instance, my proposal will have a direct financial impact when implementing the strategic measures to prevent and control tuberculosis, such as the equipment and personnel cost for regular and continuing screenings for inmates in the early stages of the infection (CDC, 2012). Secondly, given the high infection rates for tuberculosis among inmates (Lambert et al., 2016), correctional facilities will have to invest in proper environmental control systems to prevent the spread of airborne infections. The indirect financial impact will be that with time, the spread of tuberculosis among the inmates will drop, hence saving cost for further treatment.
One direct clinical aspect that will be impacted will be the time to not only implement the changes but also educate the inmates. Due to security concerns, nurses will only be able to hold sessions with a limited number of patients simultaneously. It will, therefore, take a lot of time to cover the entire correctional facility, including the inmates, guards, and on-site practitioners. The indirect impact is that once completed, all stakeholders at the correctional facility will have all the foundational knowledge required to protect themselves and others from tuberculosis and will be able to pass the information on to new entrants.
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Finally, a quality aspect of the change proposal would be that the material needs to be evidence-based. Additionally, since the target audience would benefit mainly by individuals with little to no background in health care, communication and education need to be done in a clear manner, avoiding medical jargon, and easily understandable. Part of the education will also require nurses who have excellent communication skills to enable them to answer any upcoming questions adequately. Cognitive aids and graphics would also be used as communication tools. Finally, the effectiveness of the change proposal can later be determined, as part of evidence-based practice, with a follow-up study.
References
CDC. (2012, September 1). Tuberculosis(TB) . Retrieved from Center for Disease Control and Prevention: https://www.cdc.gov/tb/topic/populations/correctional/default.htm
Lambert, L. A., Armstrong, L. R., Lobato, M. N., Ho, C., France, A. M., & Haddad, M. B. (2016). Tuberculosis in Jails and Prisons: United States, 2002−2013. American Journal of Public Health, 106 (12), 2231-2237. doi:https://dx.doi.org/10.2105%2FAJPH.2016.303423
