1-Evidence-based practice is what keeps the health care system up-to-date with technology and best-practices; these practices help improve patient outcomes. The first article that I read was research about improving the procedures for collecting and testing urine specimens. In the study, they observed how the collection method was carried out and how long it took for the specimen to reach the laboratory for testing. It was determined that not only were the collection methods flawed but the specimens were sitting too long at room temperature; both influenced the test results. Having contaminated specimens were producing unreliable test results and people were getting a wrong diagnosis with a wrong treatment plan. This study helped identify the major problems along with creating solutions to those problems: mid-stream clean catch, using straight-catheters, proper way to get a specimen from an indwelling-catheter, and appropriate time for the specimen to sit at room temperature. This research article helped improve patient outcomes because it increased the accuracy of the test results which yielded a more specific diagnosis; appropriate treatments increased patient outcomes. In our facility when we collect a urine specimen we keep the specimen in the refrigerator and call the labs for a stat pick-up.
The second article that I read was on improves patient outcome fall prevention in 65+ adults. A prevalent safety issue is injuries that occur from Falls. Elderly and frail have a higher risk of falls that can lead into hip-fractures or even death. Accidental falls can result from an unsafe environment or environmental risk factors for example low blood pressure, dehydration, impaired mobility, unstable gait to name a few. To prevent/reduce the risk for falls staff need to maintain awareness of the environmental safety. I work in an Assisted living facility we have Fall-Risk Assessment tool that we use for each of our residents. But our main intervention is communication with staff and residents. We ensure that there is no trip hazard, we lower the bed to the lowest position when they are in bed, check their rooms and facility for potential safety issues, have mats on the floors next to their bed.
2-Two areas of nursing practice that have been under scrutiny in my facility involve Catheter Associated Urinary Tract Infections (CAUTIs) and Standard precautions. Both seem like basic concepts, but in nursing, sometimes the “basics” get swept to the back of your mind when you are focusing on other issues involved in patient care. Both of these concepts are integral parts of patient safety, which is and should be our number one priority.
In the healthcare setting, the use of an indwelling catheter can be a necessity on many occasions. As nurses, it is imperative that we assess the need carefully for catheter placement, as well as continuously assess the need for the catheter to remain in place. According to a study put forth by BMC Health Services Research, “Urinary tract infection (UTI) as the most common healthcare-associated infection accounts for up to 36% of all healthcare-associated infections. Catheter-associated urinary tract infection (CAUTI) accounts for up to 80% of these” (Vicki, Michelle, & Andrew, 2017). According to this study, the aims of reducing CAUTIs is multifaceted. First and foremost, reduce inappropriate urinary catheterization and duration of catheterization (Vicki et al., 2017). Secondary is that when the use of an indwelling catheter is needed, ensure hand hygiene is performed, sterile technique is maintained and proper perineal care is performed regularly. It is also imperative that the medical staff caring for this patient is continually assessing the need for the catheter to remain in place and that it is removed as soon as possible (Vicki et al., 2017). In my facility, our protocol calls for perineal care to be performed at least once a shift and as necessary when soiled, as well as assessing the continuation of need at least once per shift. The goal in our facility is to have indwelling catheters removed within three days of placement.
The second area of nursing practice that is being stressed by my facility is adherence to standard precautions. We are all aware of what standard precautions are and how important they can be to protect not only ourselves, but our patients as well. “Health workers are exposed to diverse types of agents in the work environment, such as viruses, bacteria, fungi, protozoa, and ectoparasites. Occupational exposure might be caused by accidents with sharps, splashes of blood in mucous membranes, inhalation of aerosols, or larger particles” (Barsalobres, Vieira, Fleck, da Silva Canini, Malaguti-Toffano, & Gir, 2016). In this study that was put out by Brazilian Health Care Programs, the reasoning many healthcare professionals did not exercise proper use of personal protective equipment include “including low risk perception, perception of a poor safety climate at the work environment, conflict between providing the patient with the best care service or protecting themselves from exposure, and the belief that precautions are unnecessary in some situations” (Barsalobres et al., 2016). Another reason mentioned in the study was the understanding of the risk of contamination. In my facility, it is mandatory to utilize standard precautions such as hand washing or the use of antibacterial hand scrub before and after touching a patient as well as when soiled. It is mandatory for us to use gloves, gowns, masks, goggles and face shields on high risk patients. This has changed my practice by making me more aware of the “bad habits” that one can get into. In my facility, we have signs outside of each patient room that state “foam in, foam out” as a reminder to wash our hands and be more mindful of standard precautions in general.
Reference:
Vicki P, Michelle G, Andrew S, et al. Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study. BMC Health Services Research, Vol 17, Iss 1, Pp 1-9 (2017) [serial online]. 2017;(1):1. Available from: Directory of Open Access Journals, Ipswich, MA. Accessed August 30, 2018.
Barsalobres Bottaro, B., Vieira Pereira, F. M., Fleck Reinato, L. A., da Silva Canini, S. M., Malaguti-Toffano, S. E., & Gir, E. (2016). ADHERENCE TO STANDARD PRECAUTIONS BY NURSING PROFESSIONALS: A LITERATURE REVIEW. Journal Of Nursing UFPE / Revista De Enfermagem UFPE, 10(3), 1137-1142. doi:10.5205/reuol.8702-76273-4-SM.1003201625
3-The ability to utilize evidence-based practices is key to improving patient outcomes on every level. This is as true now as it was at the beginning of our industry. Many practices that we take for granted today and assume to be merely common sense originally were developed from intensive research. For instance, hand hygiene while commonly dismissed as obvious can have critical importance in a health care setting. A study done in Saudi Arabia from October 2006 to December 2011, proved this after improving hand hygiene compliance from a baseline of 38% to 85% and realizing the rate of Staphylococcus aureusdecreased from 0.42 in 2006 to 0.08 in 2011 (Al-Tawfig, Abed, Al-Yami, & Birrer, 2013). This was just one of the sicknesses that was prevented in many patients. There were many others. With information like this easily available it is astounding that any nurse would fail to meet compliance standards today.
Another instance of an evidence-based practice improving patient outcome is the practice of rooming-in. This is when a newborn baby and mother stay together in the same room during their stay rather than utilizing a separate nursery. Once again this seems trivial enough to be obvious, but it is a fairly recent trend in mother-baby healthcare that has numerous benefits. These benefits include encourage breastfeeding, giving the mother ample opportunity to ask providers about proper care techniques, and allowing the mother to develop a better understanding of their newborn’s behavior (Shrivastava, Shrivastava, & Ramasamy, 2013). While the industry movement towards rooming-in is still ongoing, it is gaining traction. As a mother-baby nurse, I intend to advocate for this change.
References
Al-Tawfiq, J. A., Abed, M. S., Al-Yami, N., & Birrer, R. B. (2013). Promoting and sustaining a hospital-wide, multifaceted hand hygiene program resulted in significant reduction in health care-associated infections. American Journal of Infection Control, 41(6), 482-486. doi:10.1016/j.ajic.2012.08.009
Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013). Fostering the practice of rooming-in in newborn care. Journal of Health Sciences, 3(2), 177. doi:10.17532/jhsci.2013.85
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/in Uncategorized /by developer1-Statistics are extremely important in every research/study conducted and are even important in our everyday lives. Statistics can be used in many ways, some might use it to prove a new procedure should be used due to evidence based research, some might use it to evalute cause and effect, and some might even use it to sway the populations opinion or views on a certain topic. Statistics can absolutely be used for the betterment of the community or it is be used negatively (whether it is intentional or not). There are many different examples of statistics being used inappropriately. Statisticshowto gives great examples of statistics being used in a negative way:
Statisticshowto (2014) Misleading statistics examples in advertising and the news. Retrieved from http://www.statisticshowto.com/misleading-statistics-examples/
2-The misuse of statistics is common in society trying to influence or drive certain agendas in many fields such as healthcare, sports, politics, advertisement and many others. For the Prime Minister Benjamin to classify statistics as a form of lie, he was not further from the truth, but there is a pre-condition, which should address how researchers are applying the given statistics. When done openly and without bias, while avoiding errors, would increase, the validity and accuracy of conclusions made from the study.
3-Statistics involves mathematical procedures, which involves all the details from conducting a certain research to the conclusion of the research. It starts with raw data collected, compiling of such data, analyzing the data, drawing conclusions before representation. Misuse of statistical data sets happens when researchers and those conducting the study mishandle the data either willingly or unwillingly. Errors made during the process of research end up bringing about mistakes in conclusion while intentional errors are supposed to help spread a certain bias as noted in your hotel advertisement.
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/in Uncategorized /by developer1-Evidence-based practice is what keeps the health care system up-to-date with technology and best-practices; these practices help improve patient outcomes. The first article that I read was research about improving the procedures for collecting and testing urine specimens. In the study, they observed how the collection method was carried out and how long it took for the specimen to reach the laboratory for testing. It was determined that not only were the collection methods flawed but the specimens were sitting too long at room temperature; both influenced the test results. Having contaminated specimens were producing unreliable test results and people were getting a wrong diagnosis with a wrong treatment plan. This study helped identify the major problems along with creating solutions to those problems: mid-stream clean catch, using straight-catheters, proper way to get a specimen from an indwelling-catheter, and appropriate time for the specimen to sit at room temperature. This research article helped improve patient outcomes because it increased the accuracy of the test results which yielded a more specific diagnosis; appropriate treatments increased patient outcomes. In our facility when we collect a urine specimen we keep the specimen in the refrigerator and call the labs for a stat pick-up.
The second article that I read was on improves patient outcome fall prevention in 65+ adults. A prevalent safety issue is injuries that occur from Falls. Elderly and frail have a higher risk of falls that can lead into hip-fractures or even death. Accidental falls can result from an unsafe environment or environmental risk factors for example low blood pressure, dehydration, impaired mobility, unstable gait to name a few. To prevent/reduce the risk for falls staff need to maintain awareness of the environmental safety. I work in an Assisted living facility we have Fall-Risk Assessment tool that we use for each of our residents. But our main intervention is communication with staff and residents. We ensure that there is no trip hazard, we lower the bed to the lowest position when they are in bed, check their rooms and facility for potential safety issues, have mats on the floors next to their bed.
2-Two areas of nursing practice that have been under scrutiny in my facility involve Catheter Associated Urinary Tract Infections (CAUTIs) and Standard precautions. Both seem like basic concepts, but in nursing, sometimes the “basics” get swept to the back of your mind when you are focusing on other issues involved in patient care. Both of these concepts are integral parts of patient safety, which is and should be our number one priority.
In the healthcare setting, the use of an indwelling catheter can be a necessity on many occasions. As nurses, it is imperative that we assess the need carefully for catheter placement, as well as continuously assess the need for the catheter to remain in place. According to a study put forth by BMC Health Services Research, “Urinary tract infection (UTI) as the most common healthcare-associated infection accounts for up to 36% of all healthcare-associated infections. Catheter-associated urinary tract infection (CAUTI) accounts for up to 80% of these” (Vicki, Michelle, & Andrew, 2017). According to this study, the aims of reducing CAUTIs is multifaceted. First and foremost, reduce inappropriate urinary catheterization and duration of catheterization (Vicki et al., 2017). Secondary is that when the use of an indwelling catheter is needed, ensure hand hygiene is performed, sterile technique is maintained and proper perineal care is performed regularly. It is also imperative that the medical staff caring for this patient is continually assessing the need for the catheter to remain in place and that it is removed as soon as possible (Vicki et al., 2017). In my facility, our protocol calls for perineal care to be performed at least once a shift and as necessary when soiled, as well as assessing the continuation of need at least once per shift. The goal in our facility is to have indwelling catheters removed within three days of placement.
The second area of nursing practice that is being stressed by my facility is adherence to standard precautions. We are all aware of what standard precautions are and how important they can be to protect not only ourselves, but our patients as well. “Health workers are exposed to diverse types of agents in the work environment, such as viruses, bacteria, fungi, protozoa, and ectoparasites. Occupational exposure might be caused by accidents with sharps, splashes of blood in mucous membranes, inhalation of aerosols, or larger particles” (Barsalobres, Vieira, Fleck, da Silva Canini, Malaguti-Toffano, & Gir, 2016). In this study that was put out by Brazilian Health Care Programs, the reasoning many healthcare professionals did not exercise proper use of personal protective equipment include “including low risk perception, perception of a poor safety climate at the work environment, conflict between providing the patient with the best care service or protecting themselves from exposure, and the belief that precautions are unnecessary in some situations” (Barsalobres et al., 2016). Another reason mentioned in the study was the understanding of the risk of contamination. In my facility, it is mandatory to utilize standard precautions such as hand washing or the use of antibacterial hand scrub before and after touching a patient as well as when soiled. It is mandatory for us to use gloves, gowns, masks, goggles and face shields on high risk patients. This has changed my practice by making me more aware of the “bad habits” that one can get into. In my facility, we have signs outside of each patient room that state “foam in, foam out” as a reminder to wash our hands and be more mindful of standard precautions in general.
Reference:
Vicki P, Michelle G, Andrew S, et al. Avoiding inappropriate urinary catheter use and catheter-associated urinary tract infection (CAUTI): a pre-post control intervention study. BMC Health Services Research, Vol 17, Iss 1, Pp 1-9 (2017) [serial online]. 2017;(1):1. Available from: Directory of Open Access Journals, Ipswich, MA. Accessed August 30, 2018.
Barsalobres Bottaro, B., Vieira Pereira, F. M., Fleck Reinato, L. A., da Silva Canini, S. M., Malaguti-Toffano, S. E., & Gir, E. (2016). ADHERENCE TO STANDARD PRECAUTIONS BY NURSING PROFESSIONALS: A LITERATURE REVIEW. Journal Of Nursing UFPE / Revista De Enfermagem UFPE, 10(3), 1137-1142. doi:10.5205/reuol.8702-76273-4-SM.1003201625
3-The ability to utilize evidence-based practices is key to improving patient outcomes on every level. This is as true now as it was at the beginning of our industry. Many practices that we take for granted today and assume to be merely common sense originally were developed from intensive research. For instance, hand hygiene while commonly dismissed as obvious can have critical importance in a health care setting. A study done in Saudi Arabia from October 2006 to December 2011, proved this after improving hand hygiene compliance from a baseline of 38% to 85% and realizing the rate of Staphylococcus aureusdecreased from 0.42 in 2006 to 0.08 in 2011 (Al-Tawfig, Abed, Al-Yami, & Birrer, 2013). This was just one of the sicknesses that was prevented in many patients. There were many others. With information like this easily available it is astounding that any nurse would fail to meet compliance standards today.
Another instance of an evidence-based practice improving patient outcome is the practice of rooming-in. This is when a newborn baby and mother stay together in the same room during their stay rather than utilizing a separate nursery. Once again this seems trivial enough to be obvious, but it is a fairly recent trend in mother-baby healthcare that has numerous benefits. These benefits include encourage breastfeeding, giving the mother ample opportunity to ask providers about proper care techniques, and allowing the mother to develop a better understanding of their newborn’s behavior (Shrivastava, Shrivastava, & Ramasamy, 2013). While the industry movement towards rooming-in is still ongoing, it is gaining traction. As a mother-baby nurse, I intend to advocate for this change.
References
Al-Tawfiq, J. A., Abed, M. S., Al-Yami, N., & Birrer, R. B. (2013). Promoting and sustaining a hospital-wide, multifaceted hand hygiene program resulted in significant reduction in health care-associated infections. American Journal of Infection Control, 41(6), 482-486. doi:10.1016/j.ajic.2012.08.009
Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013). Fostering the practice of rooming-in in newborn care. Journal of Health Sciences, 3(2), 177. doi:10.17532/jhsci.2013.85
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/in Uncategorized /by developer1-Professor, I honestly think my manager is original in the sense that she is both professional and business like, yet human and compassionate. I am referring to the fact that she is not afraid to “jump in” and provide nursing care when the unit in need of an extra hand. I have not heard of another unit in “my” hospital where managers are like my manager. When it comes to listening to nurses and their suggestions, I know of at least one other unit that is managed in a similar way. I feel lucky.
2-you talk about that at your place of work; beverages are not allowed at the nurses’ station only in the break room. That too was true at my place of work, however we recently implemented a hydration station at the nurses’ station, which gives us a place to contain our beverages. There are however specific rules, for example they have to be in a proper beverage container, containing a lid, they have to have the name of the nurse and current date, or else it will get thrown out. According to United States Department of Labor and OSHA (n.d.), they do not have a prohibition against having beverages at the nurses’ station, all they require is that it is not near blood or infectious material and because of that we do have a weekly audit of the hydration station, which verifies that we are in compliance with OSHA. Just a thought. Thank you for sharing.
Reference
Occupational Safety and Health Administration [OSHA]. (n.d.). Requirements for Covered Beverages at the Nurses’ Station. Retrieved from
https://www.osha.gov/laws-regs/standardinterpretations/2006-05-17-1
3-in our critical care unit, we have units champions; we have cardiovascular champions, foley catheter champions, infectious disease champions, and they too are encouraged to review evidenced-based practice, present their ideas to the unit educator and unit manager for review and if it turns out to be something that is feasible, they are encouraged to present it to staff. Not too long ago, we had our cardiovascular champions give a brief presentation on transvenous cardiac pacing, and what is needed at the bedside to assist the physician during insertion.
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/in Uncategorized /by developer1-Experimental research involves a variable that can be manipulated. With this type of experiment, participants can be randomly assigned to either the control group or treatment group. It often demonstrate a cause-and-effect relationship.
On the contrary, nonexperimental research involves a variable that cannot be manipulated or change. The variable is controlled and has to remain constant. Participants will not be randomly assigned to either the control or treatment group. This type of experiment does not demonstrate a true cause-and-effect relationship but instead, relies on observation and correlation.
For instance, in 2013, New England Journal of Medicine released an article on what was believed to have been an experimental study. The article suggested that Mediterranean diet lowers the chance of heart attack, stroke, and other cardiovascular diseases by 30%. Mediterranean diet has been recommended since for general prevention. However, it was retracted in 2018 after it was reported that 14% of the participants were not randomly assigned to either a control or treatment group. Married couples were put into the same group and even participants from an entire village was placed into a single group. All this was never reported in the paper.
References:
Yu, C. (2018). Experiment and Non-experiment. Retrieved from http://www.creative-wisdom.com/teaching/WBI/doe.shtml
Bonds-Raacke, J.M., & Raacke, J.D. (2014). Nonexperimental Research Methods from Research Methods: Are You Equipped?.Retrieved from https://he.kendallhunt.com/sites/default/files/uploadedFiles/Kendall_Hunt/Content/Higher_Education/Uploads/Bonds_Raacke_Research_2e_Ch4.pdf
2-Experimental research is when the researcher manipulates or controls the independent variable. Experimental research normally is used when the researcher has a specific question or hypothesis (Price et al, 2017). This is done to identify a cause and effect relationship, normally conducted with an experimental group and placebo or non-manipulated group. An example of this is to determine effects of certain medications such as pain relievers. Half of the group will receive a pain pill to manage their pain symptoms while the other half will receive a placebo pill. The expected results should be that the half who received the placebo pills did not experience pain relief.
Non-experimental research is when the research lacks manipulation or control of the independent variable (Price et al, 2017). Variables are usually measured as they naturally occur and the researcher relies on observation and interactions through case studies, surveys, or correlations. It is also used when the conditions of the experimental research is not met. An example of this is to study if there is a correlation between crime rates and poverty levels. A researcher would not manipulate or control any variables of this research but rather would observe and take data as it naturally occurs.
Grove, & Burns. (2011). Understanding nursing research. Retrieved from https://evolve.elsevier.com/cs/product/9781455770601
Price, P. C., Jhangiani, R. S., Chiang, I. A., Leighton, D. C., & Cuttler, C. (2017, August 21). What is Non-Experimental Research. Retrieved from https://opentext.wsu.edu/carriecuttler/chapter/overview-of-non-experimental-research/
3-Experimental research designs: This type of research is controlled in order to find an answer. This type of research can deliver evidence and prove a cause and its effect. Statistics Solutions states, “..they typically involve the manipulation of variables and random assignment of participants to conditions. A traditional experiment may involve the comparison of a control group to an experimental group who receives a treatment (i.e., a variable is manipulated). When done correctly, experimental designs can provide evidence for cause and effect. Because of their ability to determine causation, experimental designs are the gold-standard for research in medicine, biology, and so on” (Statistics Solutions, 2018).
Experimental research is tightly controlled and i may contain groups who are taking a placebo for instance, and the other group actually taking a medicine. An example would be testing if a medication causes birth defects. One group will take the medication while pregnant, and other group will be given a sugar pill and having them believe it is an actual medication. This can prove what happens to the actual group taking the medication and also the group not taking the medication and come to a conclusion based on results.
Nonexperimental research designs: This type of research is not controlled. This type of research is typically observational. This information is grasped after the fact and known as “retrospect” because it is studying things that have already occured and sometimes more prone to bias. A journal on research study designs gives the following example: “..an investigator may be interested in the average age, sex, most common diagnoses, and other characteristics of pediatric patients being transported by air. They may be interested in the prevalence of a clinical presentation pattern or a specific symptom for a given disease. In such studies, the research question would be focused on prevalence rates, or such, rather than causality. They may propose some associations but cannot effectively prove them” (Air Medical Journal, 2007).
Some examples of nonexperimental research designs are:
Reference:
Air Medical Journal. 2007. Research Study Designs: Non-Experimental. Retrieved from
https://www.airmedicaljournal.com/article/S1067-991X(06)00309-9/pdf
Statistics Solutions. 2018. Research Designs: Non-experimental vs. Experimental. Retrieved from https://www.statisticssolutions.com/research-designs-non-experimental-vs-experimental/
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/in Uncategorized /by developer· 1-ProQuest Nursing & Allied Health Source: this source offers a wide range of materials in nursing, allied health, alternative and complementary medicine, and the likes. It has over 860 titles in full text and over 12,000 full-text dissertations indicative of arduous nursing scholarships. Additionally, it gives access to online reference books, training tools, and evidence-based nursing material from The Joana Briggs Institute. It’s a good source for training videos and cultural reports that helps with creating a better understanding of patient care.
· CINAHL Complete is one of the most reliable databases for nursing. It offers research tools and access to nursing and allied journals. It is comprised of more than 1300 journal titles and covers over fifty specialties in nursing. Also, it offers continuing education modules, research instruments, and evidence-based care sheets.
I believe these databases will help me find the best research articles for my EBP proposal.
2-The GCU Library offers very many sources and databases of information from which nurses can be able to get nursing information. The university has databases that they get peer reviewed journal articles. These databases include the CINAHL Complete and Cochrane Library (Grand Canyon University, n.d.). These two databases are well known for having scholarly articles and journals that are very good in evidence based practice. These databases are specifically for nursing and health sciences. These databases are very good sources of information and evidence based practice papers than other sources for certain reasons. One is that they guarantee scholarly articles that are peer reviewed. The sources only provide materials and articles that have been peer reviewed. These means that the information that they provide to the reader is credible and can be used in the practice. Peer reviewed scholarly articles show that the information in the journal has been reviewed by other experts in the field and therefore the information can be used in a research or in a hospital setting.
Another reason as to why these databases are better is that they are more specific to subject and topic. This means that no time is wasted in search of information that is to be used in the research or practice. At times, the researcher has to go very many volumes of journals so as to be able to find some information (Dvorkin & Sylvester, 2018). However, these databases are specific in that they provide information on certain disciplines of nursing and health sciences. This means that they are more specific to subject. Another advantage of using these sources is that they offer a wide range of options. They have very many articles from which a nurse can choose from and they can get credible information from any of them. This means that not only is the source credible it is also reliable and one can depend fully on it.
References
Dvorkin, J., & Sylvester, K. (2018). Sources: Credible and Incredible. Critical News Literacy, 108-119. doi:10.4324/9781351030069-10
Grand Canyon University. (n.d.). Journal Databases. Retrieved from http://library.gcu.edu/Database/Subject?subject=Nursing_And_Health_Sciences
3-One of the reasons I believe that academic databases are better than open web searches and Google Scholar is the fact that medical research contains a lot of qualitative data, some of which are stored in raw form. Such raw data would likely be in audio-visual forms, though some may be transcribed into text and pictures (Cleland, Harrild & Moffat, 2013). Research databases store these types of data in one place; the researcher has the option to separate them. The same cannot be said of Google search; though Google searches these days can return YouTube videos, such returned results can contain non-academic videos which can distract the researcher. Ironically, a lot of academic videos I’ve watched are YouTube videos, but they do not come up in YouTube searches because other non-academic videos beat them to the top ranks. This is very frustrating for a researcher who may be working with limited time.
References
Cleland, J., Scott, N., Harrild, K., & Moffat, M. (2013). Using databases in medical education research: AMEE Guide No. 77. Medical Teacher, 35(5), e1103–e1122. https://doi-org.lopes.idm.oclc.org/10.3109/0142159X.2013.785632
4-Two barriers that may hold the nursing practice from achieving the Institute of Medicine goal of 90% of practice being evidence-based by 2020 are time/knowledge and resistance (Oncology Nursing Society, 2019). A lack of time prevents clinicians from critiquing and apprising evidence-based practice resulting in a lack of knowledge related to the evidence-based practice that needs to be implemented (Oncology Nursing Society, 2019). Also, resistance can be met when trying to change the culture of an organization, although evidence-based practice is the standard now, and hopefully less resistance will be seen in the future (Oncology Nursing Society, 2019). These barriers can be overcome by engaging the appropriate stakeholders and gaining administrative support (Oncology Nursing Society, 2019).
References
Oncology Nursing Society. (2019). Overcome Barriers to Applying an Evidence-Based Process for Practice Change. Retrieved from https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-change
5-“By the year 2020, 90 percent of clinical decisions will be supported by accurate, timely, and up-to-date clinical information, and will reflect the best available evidence. We feel that this presents a tangible focus for progress toward our vision, that Americans ought to expect at least this level of performance, that it should be feasible with existing resources and emerging tools, and that measures can be developed to track and stimulate progress” , a goal stated by IOM for Healthy People 2020 . Statics currently shows only 15 percent of that goal being meet. Evidence-based practice integrates the best evidence from well-designed studies with clinicians’ expertise, patient assessments, and patients’ own preferences, leads to better, safer care; better outcomes; and lower health care costs. Yet despite the fact that nurses report that engaging in EBP leads to greater professional satisfaction, a survey amongst nurses in the United States found that they we’re not consistently using it. ” Ohio State University (OSU), Columbus, conducted a descriptive survey of a random sample of 1,015 members of the American Nurses Association. The results showed that only 34.5% of respondents (350) agreed or strongly agreed that their colleagues consistently used EBP in treating patients. Although a majority (76.2%) felt it was important for them to have more education and skills in EBP, most found educational opportunities wanting, as they did access to knowledgeable mentors, resources, and tools needed to use EBP”, (AJN,2012).Two major barriers found were the lack of time and the other was just that people didn’t support the lack of time can be adressed is to schedule days when employees are of for an EBP training. doing training during shift can be hectic at times. When there’s a special time put aside for just this people may be more likely to fully engage istead of listening thinking about unfinished work during the shift. With the lack of support barrier, I believe sometimes people are quick to turn things down when they do not understand it. With the time set aside to train people about EBP , gaining more information and getting educated on the approach may enlighten people, therefore making them more open to engge in change.
References
Barriers to Implementing Evidence-Based Practice Remain… : AJN The American Journal of Nursing. (n.d.). Retrieved from https://journals.lww.com/ajnonline/Fulltext/2012/12000/Barriers_to_Implementing_Evidence_Based_Practice.11.aspx
Institute of Medicine (US) Roundtable on Evidence-Based Medicine. (2013, January 01). Institute of Medicine: Roundtable on Evidence-Based Medicine. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK52847/
6-I agree Caylee, Education is one of the major reason that nurses may be relunctant to paticipate in EBP approach. Some nurses have been working for 10-20 years and EBP may be fairly new. “People educated 20 years ago didn’t learn an EBP approach to care,” she says, adding that educators still spend more time teaching students how to do rigorous research than they do teaching them how to use research in practice”(AJN,2012). Evidence-based practice is an expected core competency of all health care clinicians regardless of discipline. Use of evidence-based practice means integrating the best research with clinical expertise and patient values to achieve optimal health outcomes. As a result of educational deficiencies related to the incorporation of EBP into educational settings, the American Association of Colleges of Nursing, the association that guides baccalaureate and graduate nursing education curricula, identified“scholarship for evidence-based practice” as an essential of baccalaureate nursing education (Wnters, 2012).
References
Barriers to Implementing Evidence-Based Practice Remain… : AJN The American Journal of Nursing. (n.d.). Retrieved from https://journals.lww.com/ajnonline/Fulltext/2012/12000/Barriers_to_Implementing_Evidence_Based_Practice.11.aspx
Winters, C. A., & Echeverri, R. (2012). Teaching Strategies to Support Evidence-Based Practice. Critical Care Nurse, 32(3), 49-54. doi:10.4037/ccn2012159
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Please Answer Question Reference From 2013 2018 Please Do The Best Thanks 19070981
/in Uncategorized /by developerDescribe one internal and one external method for the dissemination of your EBP project results. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your results to both of these groups. How will your communication strategies change for each group?
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Please Answer Question Reference From 2013 2018 Please Do The Best Thanks 19070983
/in Uncategorized /by developern order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice.
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Please Answer Question Reference From 2013 2018 Please Do The Best Thanks 19085137
/in Uncategorized /by developerSustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.
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Please Answer Question Reference From 2013 2018 Please Do The Best Thanks 19094209
/in Uncategorized /by developerDiscuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?
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Please Answer The Following Discussion Question Please Be Certain To Answer The Three Questions On This Week Dq And To Provide A Well Developed And Complete Answer To Receive Credit
/in Uncategorized /by developerThbate Rages On
The entry-into-practice debate in the United States continues to be one of the oldest and hottest professional issues nurses face as we enter the second decade of the 21st century. It appears that little progress has been made since 1965 in creating a consensus to raise the entry level into professional nursing practice, although experts do not agree even on that issue. Your neighbors ask you for information about considerations for selection of an appropriate nursing education program for their child.
1. Your neighbor is confused because both ADN and BSN schools preparing graduates for RN licensure meet similar criteria for state board approval and have roughly the same number of nursing coursework units. How would you summarize the arguments for changing or not changing the nursing entry level?
2. There is current evidence-based research that explores the impact of registered nurse educational level on patient outcomes. What does the current evidence-based research conclude about the impact of RN educational level on patient outcomes?
3. Achieving the BSN as the entry degree for professional nursing practice will take the best thinking of our nursing leaders. What will it require in order to successfully achieve the BSN as the entry degree for professional nursing practice?
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