Monica Bullock    4 posts   Re: Topic 2 DQ 2  After learning about evidenced based practice in the work place and nursing practice I feel like my organization is making an effort to shift nursing practice. In dialysis a patient is complicated and they come in with many co morbities. On top of disease they come with many life issues such as no housing, minimal insurance, and a fixed income. In order for a dialysis patient to have a good patient outcome the staff must work as an interdisciplinary team to ensure success (Desai, 2008). Many practices in dialysis are based on evidenced based practice, for example fluid management and access care. I feel like my organization does a good job in educating staff about practices and changes in practice. Knowledge is list as one of the top reasons to effectively incorporate evidence into clinical practice (Garner, 2016). We have a lot of online training, but it would be helpful to have more continued education in person with our educators. I see the efforts of incorporating evidence based practice, but the struggle is the time to read and look over the information provided. On a typical day there is minimal down time making it difficult to do the online training and reading the information provided for the topic. On days off the information is not accessible, not saying that anyone would want to look at work related stuff on their days off. Allowing may be off the floor time to read and study the materials would be beneficial.  Gardner, J. K., Kanaskie, M. L., Knehans, A. C., Salisbury, S., Doheny, K. K., & Schirm, V. (2016). Implementing and Sustaining Evidence Based Practice Through a Nursing Journal Club. Applied Nursing Research, 31, 139–145. https://doi-org.lopes.idm.oclc.org/10.1016/j.apnr.2016.02.001     Desai, A. A., Bolus, R., Nissenson, A., Bolus, S., Solomon, M. D., Khawar, O., … Spiegel, B. M. (2008). Identifying best practices in dialysis care: results of cognitive interviews and a national survey of dialysis providers. Clinical journal of the American Society of Nephrology : CJASN, 3(4), 1066–1076. doi:10.2215/CJN.04421007

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Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement.

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                   Discussion: Nurses as Leaders in Health Care Reform

As health care delivery in the United States continues to evolve, either through mandates, improved technologies and training, or other drivers, nurses remain at the forefront in facilitating the success of new initiatives. In 2010, the Institute of Medicine formed a committee of experts to address the following question: “What roles can nursing assume to address the increasing demand for safe, high-quality, and effective health care services?” In the final report of the committee, The Future of Nursing: Leading Change, Advancing Health, the authors stated:

This report offers recommendations that collectively serve as a blueprint to (1) ensure that nurses can practice to the full extent of their education and training, (2) improve nursing education, (3) provide opportunities for nurses to assume leadership positions and to serve as full partners in health care redesign and improvement efforts, and (4) improve data collection for workforce planning and policy making. (p. 10)

For this Discussion, you will focus on the research recommendations presented by the committee concerning the role of nurses as leaders. The committee members believe that answers to these research questions are needed to advance the profession of nursing and to further expand their role in health care reform and improvement.

                                                      To prepare:

Review Chapter 7 in The Future of Nursing: Leading Change, Advancing Health report (attached bellow). 

Focus on the information in Box 7.3, “Research Priorities for Transforming Nursing Leadership.”

Select one of the research priorities listed in Box 7.3 that is of particular interest to you and applicable to your career interests. Consider the benefits and challenges of researching and addressing this priority in nursing. 

Using the Walden library, identify two to three current articles that address your selected research priority. Consider the current state of research efforts on this priority.

Reflect on how the research findings for your area of priority impact nurses as leaders in organizations and health care reform. Why is research on this priority important?

Post a description of the priority you selected and the benefits and challenges of further researching this area. 

Provide an overview of the articles you found (using appropriate APA citations) relating to this priority, and highlight any key findings.

 Explain how continued research in this area could strengthen the ability of nurses to lead in both individual organizations and as advocates of health care reform.

IMPORTANT: FOLLOW EVERY INSTRUCTION, CHECK EVERY DOCUMENT ATTACHED BELLOW TO COMPLETE THE ASSIGNMENT. FREE OF PLAGIARISM.

MY PROFESSION/ESPECIALIZATION IS : PSYCHIATRIC  MENTAL HEALTH NURSE PRACTITIONER

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Me    5 posts   Re: Topic 2 DQ 2  Great post Dorothy also as a general rule, every policy should be reviewed every one to three years. But most experts recommend reviewing policies annually. Policy review doesn’t have to be as daunting a task as it sounds. By reviewing policies and procedures the organization is able to incorporate the current evidence-based practice and wed off the old ones.  Also, outdated policies can leave the organization at risk. old policies may fail to comply with new laws and regulations. They may not address the new systems or technology  Violations of the nursing standard of care can result in the actions against the individual, survey deficiencies especially if the nurse does not follow the facility policies and procedures in rendering the care. It is the facility responsibilities to educate staff and update their policies according to the new literature on Evidenced-Based Practice  Health care organizations need to consider multiple strategies to facilitate and promote evidence-based practice. Managerial support. facilitation and a culture that is receptive to changes are essential  Reference  K Gerrish, J Clayton-Journal of nursing management 12(2),114-123,2004  https://doi.org/10.1016/S1526-4114(11)60159-5Terri O’Brien    10 posts   Alimatu – substantive credit and APA 

Please work on the below recommendation 

 Alimatu,  You have a reference but the reference does not match either of the citations in your post and the two citations you posted do not have references at the bottom of your post.  Please recopy your post and correct this so I can give you substantive credit for the post.  Thank you.  Professor O’Brien

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Kimberly Morris    1 posts   Re: Topic 9 DQ 2  One potential barrier that may prevent my evidence-based practice proposal from continuing its enthusiasm is the fact that the community in which I will be presenting may lose interest in the topic of lead. Because this topic has been brought to the forefront due to a recent crisis, once the initial public health hazard has been taken care of, the community may go back to being ignorant or not caring about the topic. One way in which I can battle this is to stress the fact that elevated blood lead levels are not an acute problem for the general public but instead they are a chronic problem. While the initial threat of elevated blood lead levels in children due to the public water change in Flint has passed, there are still may ways in which children can obtain lead. Pointing this out and stressing this in my education will hopefully allow me to continue an active interest within the community.  Another barrier I can see would be a one-size-fits-all approach to my chosen topic. Evidence-based practice changes are scientific based and often people take a strict adherence to the guidelines set forth within these proposals (Surface, 2009). These guidelines may not always fit with the audience you are working with and should be a revolving set of guidelines based on research and evidence. Just like my topic – 25 years ago obtaining elevated blood lead levels from imported toys and food items was not a big problem but in today’s global economy it has become an area of concern.  Reference  Surface, D. (2009). Understanding evidence-based practice in behavioral health. Social Work Today, Vol. 9.  No. 4. P. 22. Retrieved from https://www.socialworktoday.com/archive/072009p22.shtml

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