Evaluating Organizational Change: Overview of Postpartum Conditions

Evaluating Organizational Change
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Evaluating Organizational Change
Overview of Postpartum Conditions
Clinical practice guidelines for patients with various medical conditions have been formulated after conduction of research for different diseases (NCCIH, 2018). Practice guidelines consist of recommendations developed for healthcare professionals concerning the provision of care to patients with specific ailments. The guidelines should be based on the best available practical experience and research evidence. Clinical practice guidelines are defined as statements containing recommendations, aimed at optimizing the care of the patient, and are guided by evidence-based research and evaluation of the benefits and limitations of alternative health care options (NCCIH, 2018). Clinical guidelines for postpartum play a significant role in care for women and infants. Although a considerable number of women and infants do not experience unusual hardships after pregnancy, some undergo an important course during the postpartum time and may experience health issues, which can persist for a long time, affecting their physical, social, and mental lives. For instance, some women report cases of headaches, back pain, tiredness, cesarean and perineal pain as well as hemorrhage after pregnancy. Others experience complications such as sore nipples, urinary tract diseases, and breast engorgement. In some few cases, women undergo depression, which is usually associated with social and physical problems. It has been proven that infants of women suffering from postpartum depression are more likely to experience some problems such as delayed language development than those from parent free of this condition. Therefore, postpartum problems and complications can affect both the mother and the baby. Effective postpartum management plays a key role in preventing both short and long-term repercussions of undetected and ineffectively managed problems (World Health Organization, 2017). Evidence-based research has a potential to increase consistency of healthcare, impact on policy and improve the care of the patients.
Postpartum Hemorrhage
This paper will evaluate the clinical guideline for prevention and treatment of postpartum hemorrhage among the women using tranexamic acid. The practice guideline that will be discussed has been designed by the World Health Organization (WHO), and it is particularly recommended for physicians (World Health Organization, 2017). Postpartum hemorrhage (PPH) is among the leading causes of deaths and disabilities related to pregnancy and birth. However, effective prevention and treatment interventions exist and can immensely reduce the burden associated with this medical condition. The primary objective of this medical practice guideline is to offer a framework for execution of interventions that have been proven effective in lowering the adverse effects of PPH. The Guideline contains recommendations for the use of tranexamic acid to prevent or treat PPH (World Health Organization, 2017). Tranexamic acid has antifibrinolytic properties and acts to inhibit the conversion of plasminogen to plasmin. Some studies have confirmed its increased effectiveness in the prevention of bleeding after delivery. It has been proven effective in reducing blood loss in various gynecology disorders such as myomectomy, menorrhagia, and hysterectomy. Postpartum hemorrhage is a disorder that is characterized by the loss of more than 500 milliliters of blood in obstetric births and more than 1000 milliliters in surgical births (Sentilhes et al., 2015).
Care Providers and Healthcare Practice Guideline
As indicated above, the health care system guideline summarizes and evaluates the best available research evidence on a particular health condition with the aim of helping providers in making informed decisions. Clinical practice guidelines for postpartum health conditions such as PPH are primarily made for the physicians, but there has been increasing recognition of their importance for nurses and allied health professionals (AHPs) (World Health Organization, 2017). In instances where nurses and AHPs have been mandated with the management of patient illnesses, clinical practice guidelines play a crucial role, and nurse-led management has been proven to increase the likelihood of guideline adherence as well as improved physician-led care. This Postpartum Medical guideline plays a fundamental role in helping physicians in their decision-making concerning various medical aspects of PPH. They assist them in diagnosis, treatment, and management of various postpartum complications accompanying PPH such as excessive bleeding, pain, and depression among other disorders. For nurses, practice guideline may help in the detection of some conditions early after birth, which can help to reduce the impact they may have on mothers and their infants. For instance, detecting postpartum PPH is important as the patient is treated early, which improves the overall outcome for both the mother and infant as well as reduces mortality and morbidity rate (World Health Organization, 2017). Pharmacists are partial users of this practice guideline. They can use it to evaluate treatment and prevention options available so that they can design drugs that will meet the patient needs. Also, practice guidelines can help pharmacists to keep up with the current advances and development in the therapeutic field. However, it is worth to note that implementation of practice guideline is not a simple task due to difficulties associated with changing practice. Providing the practice guideline does not guarantee its use because various environmental and organizational factors influence its implementation.
Research Used
Formulation of healthcare practice guidelines is one of the ways of translating health research into professional health practice (World Health Organization, 2017). Designing clinical practice guideline involves a thorough evaluation of the best available resources to create the most effective guideline for healthcare providers, who will use the summarized knowledge to serve a specific group of clients. Guideline development is a process that consists of some phases, which include identification of topic depending on the area of interests. The second phase is referred to as the specification of purpose, ...