Question:

Please describe the background of this problem.

Tell the story and explain why the issue is important.

Identify the change agents and stakeholders.

Who or what organizations may be affected or benefit from this proposal?

You can list the interested parties (patients, students, Joint Commission, etc.

Be specific and precise in describing the purpose of the project and its objectives.

The objective should state what the goal is.

This is a reaffirmation of the question, providing focus.

In order to determine the expected changes in practice, measurement must be done before and after the evidence is implemented.

Supportive arguments should be given to support the idea that the problem or concern is important enough for nurses to resolve using relevant professional literature.

Make a list of references to help you ensure that the appropriate literature is available to support your evidence based practice project.

Answer to Question: NUR 699 Evidence Based Practice Project

Suicide is at an alarming level all over the world. According to WHO, it’s most prevalent in Eastern Europe or Asia.

Lithuania has the highest suicide rates, with 28.6 people dying per 100,000 according to statistics from 2012.

Global Health Observatory (GHO), data from the WHO, shows that in 2015, there was a staggering 788,000 suicides (Bertolote & Friedmann, 2015). This is a standard rate at 10.7 per 100 000 people.

This shows that suicide thoughts in people have increased, and they need medical professionals’ assistance.

Every individual has a life that has value and meaning.

It can have a significant impact on one’s family members as well as the community.

Suicidal thoughts are common among people suffering from depression.

There is little information available about the practice of suicidal calling to telephone counselling services.

Telecare nurses were previously trained to help suicidal callers via telephone triage.

It improves the mental state of suicidal phone callers by reducing suicidal intent and ideation. Telecare management can also be used to manage pain and depression. This is where great reforms in the healthcare system can be made.

Issue

Telecare nurses face a lot of challenges when dealing with suicide calls. Callers can have very different mental health and may even be able to call for help.

There are many levels of crisis that nurses must manage with people who may be having suicidal thoughts.

Sometimes, victims might become paralysed and lose consciousness before dialling back or the call is disconnected.

Callers can threaten to hurt or kill themselves or engage with risky activities.

These actions can lead to serious consequences for one’s health and life.

Suicidal callers tend to be ambivalent toward death. If pain can only be reduced, it is possible for the person to live again.

These warning signs warn that suicide can lead to destruction and cause harm to both the caller as well as their loved ones.

Suicide is a leading cause for death among young people.

The trauma of losing loved ones can also cause suicide in survivors’ families.

This shows that suicide is an important public health issue and that it must be dealt with immediately.

Suicidal callers often make distress calls to telecare providers for counselling or emotional support.

To manage suicide callers and troubled veterans, telecare management must train front-line staffers, such as telecare nurse, to ensure that they can handle them (Middleton Gunn Bassilios & Pirkis, 2014).

For the management of suicidal callers, trained professionals are required.

They can recognize signs and symptoms and offer support.

Stakeholders

The specialized training of telecare staff nurses in managing telecare nurses is done by many stakeholders.

This training includes five key stakeholders.

These key stakeholders include the healthcare organisation, telecare company, nursing professionals, nurses, educational provider and trainer (Berge (2016)).

Telecare nurses are trainees that are trained by psychological trainers and psychologists to assess the mental health of suicide callers.

These telecare professionals include researchers and nurses who have developed the skills and knowledge to use technology for the care and well being of suicidal calls.

Telecare organizations need information from other stakeholders, including nurse managers. Nurse managers can motivate nurses for the specialized training by showing transformation leadership.

They will determine the timeframe and plan for recruitment, training plans, and miscellaneous.

Organisations

This practice shift can have a positive impact on the whole healthcare system and telecare management.

Telecare nurses could collaborate in managing suicidal patients. This would make it easier to control suicides within the organization.

In general, this will make the healthcare system more efficient and reduce suicide rates. Telecare nurses would also be able to provide remote services delivery.

As it could help with suicidal thinking and provide a meaningful life, the benefits would also be shared with their families.

Patients would be comforted by the counselling provided to them for their emotional problems and suicidal thoughts.

This reform would have a significant impact on the whole healthcare system and be a major one (Moss, 2014.

Parties that are interested

These interested parties include suicide callers, their relatives, counselling agencies as well police and youths (students).

This training will help not only those who attempt suicide but also their family members. It will prevent suicide attempts and provide them an independent lifestyle.

The training could also benefit counselling agencies, police teams, and young students (primarily youths), because it will help create awareness among them, prevent suicides, and act on it.

The goal of the project was to improve the management of suicidal calls by providing telecare nursing training.

Telecare nurses provide specialized training that lasts for a month and aims to help with high suicidal attempts.

The project is designed to help manage suicidal callers through telecare nurse training. It also aims at reducing suicide attempts.

Refer toBerge, M. S. (2016).

How can we understand partnership working?

Telecare Projects: Some experiences.

Social Policy & AdministrationBertolote, J. M., & Fleischmann, A. (2015).

An overview of suicide epidemiology. Suicidologi, 7(2).Hutchinson, M., & Jackson, D. (2013).

The transformational leadership of nursing: toward a more critical interpretation.

Nursing inquiry, 20(1).Middleton, A., Gunn, J., Bassilios, B., & Pirkis, J. (2014).

A systematic review and analysis of all research related to frequent calls to crisis line helplines.

Journal of Telemedicine and Telecare. 20(2), 89-98.Moss, E. L. (2014, October).

“Just one telephone call away”: Transforming the nursing profession through Telecare, Telephone Nursing Triage and Telecare. In Nursing forum (Vol. 49, No. 4, pp. 233-239).Novoa, L. B., Silva, P. R., & Torres, R. (2016).

Local Telecare Service – The public-private collaboration for the building of a community of stakeholders.

International Journal of Integrated Care, 16(6).