The Financial, Quality, and Clinical Aspects Necessary to Develop Evidence-Based Change

The Financial, Quality, and Clinical Aspects Necessary to Develop Evidence-Based Change

There are three key areas that should be considered in the process of developing the evidence-based change proposal. These are: financial, quality, and clinical aspects. The proposed evidence-based solution centers on initiatives that can help to effectively promote disease prevention and control among marginalized groups. Marginalized groups in this case include racial minorities, mentally challenged persons, the disabled, the elderly, military veterans, drug users, commercial sex workers, the poor, and those who come from very remote areas (Pega et al., 2017; Baah et al., 2019). These groups bear a great disease burden as a result of social and economic disadvantages that deter them from accessing healthcare services (Baah et al., 2019). It is believed that the proposed change can help to improve the health outcomes of the affected people.

Each of the three aspects mentioned above can be directly and indirectly impacted by the evidence-based proposal. To begin with, one of the financial aspects that need to be taken into account during the development of the proposal is how to reduce the cost of healthcare services among the targeted groups. It is evident that most of the marginalized people are impoverished. As a result, they cannot afford some health care services due to lack of financial resources (O’Donnell et al., 2016; Baah et al., 2019). Any effective nursing practice should aim at provision of quality care services at a low cost (Nelson, 2014). The current evidence-based practice can help to reduce the cost of care among the marginalized populations by ensuring that many people are covered through health insurance. This can enable them to access various healthcare services.

In terms of quality consideration, one of the aspects that should be emphasized on is how to ensure that the targeted populations access quality healthcare services for improved patient outcomes. Quality healthcare involves services that help to minimize readmission to hospitals, improve the quality of life, and reduce the rate of mortality (Nelson, 2014; Samonte & Vallente, 2018). Provision of this kind of care is one of the goals of nursing practice (Nelson, 2014). The proposed change project can help to ensure that the marginalized communities receive quality services by putting in place measures that that help to control and prevent disease in an effective way. For example, it can help to ensure that the communities access important health information. The project can also enable the marginalized groups to receive patient-centered care. This form of care helps to promote patient satisfaction. This in turn is important for better patient outcomes.

On its part, one of the clinical aspects that have to be considered in the development of the evidence-based project is how to make healthcare services accessible to majority of the targeted people. Many of the marginalized groups reside in remote areas where they are underserved by healthcare facilities. These areas also lack enough healthcare personnel (O’Donnell et al., 2016). As a result, some of the marginalized communities are less likely to access even the basic healthcare services. Ensuring that every person is able to access healthcare is another important goal or aim of nursing practice (Nelson, 2014). The propose project at hand can help to promote the establishment of more healthcare facilities in the marginalized areas. The project can as well ensure that these areas have enough healthcare workers. By doing so, this project can help to ensure that many people from the marginalized groups can easily access a wide variety of healthcare services for their different conditions.


Baah, F. O., Teitelman, A. M., & Riegel, B. (2019). Marginalization: Conceptualizing patient vulnerabilities in the framework of social determinants of health – An integrative review. Nurs Inq., 26 (1): e12268. doi: 10.1111/nin.12268.

Nelson, A. M. (2014). Best practice in nursing: A concept analysis.  International Journal of Nursing Studies, 51 (11).DOI:10.1016/j.ijnurstu.2014.05.003

O’Donnell, P., Tierney, E., O’Carroll, A., Nurse, D., & MacFarlane, A. (2016). Exploring levers and barriers to accessing primary care for marginalised groups and identifying their priorities for primary care provision: a participatory learning and action research study. Int J Equity Health, 15 (197).

Pega, F., Valentine, N. B., Rasanathan, K., Hosseinpoor, A. R., Torgersen, T. P., Ramanathan, V., Posayanonda, T., Röbbel, N., Kalboussi, Y., Rehkopf, D. H., Dora, C., Montesinos, E., & Neira, M. P. (2017). The need to monitor actions on the social determinants of health. Bulletin of the World Health Organization, 95 (11), 784–787.

Samonte, P. R. V., & Vallente, R. U. (2018). Evidence-based practice (EBP). Salem Press Encyclopedia. Retrieved from

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