Anne Kolsky 3 posts Re: Topic 10 DQ 2 Importance of EBP for BSN-RN Sustainability of evidence-based practice has waned. One thing I have noticed in my workplace is that people (including myself) tend to take the path of least resistance. “It’s easier to…” My mentor and I have had many conversations about this. It’s easier to just give a ‘Band-Aid or bag of ice’ then take the time to assess the situation and treat appropriately. Another example, comparing my last workplace to current, one striking difference is stock medications. We did not give out or stock any kind of medication in the former. My new workplace not only stocks but does not require a doctor’s order to administer. Although it is more work, I insist on an order for stock medications. I also call the parent before giving, as appropriate. It is my license and it is for the safety of the students that are at stake. I have already had conversations with staff and nursing staff about these practices. Although they know the risks, they are choosing to keep status quo for themselves. Of 6 nurses on staff, there is one other that holds similar practice. She stated at our last meeting that “Kids come down asking for a Tylenol, just to get out of class.” She made it clear that without an order and parent permission, she will not give out any medications. Another difference noted is charting practices. Currently, other nurses use a one word drop down menu to chart. SOAP notes are not done consistently. I will continue to make notes. I will continue to chart more fully. It has saved my skin more than once when a student, a teacher, or even a parent will claim that “the nurse didn’t do anything.” It gives such good data for what is trending with that student, why wouldn’t one want to do that? I understand that the office is super busy, but so is the courtroom. I’m not here to make friends, I’m here to do my job. Another practice I will continue to implement, but with a new perspective, are the various screenings given to students. I will make a more concerted effort to make sure the student and family is aware of all the services available. In my former workplace, I compiled a list of resources for families. I need to make a new one for this community. I have a new perspective towards screenings and a fuller understanding of how important these are in the bigger picture. In the study by Meyer, et al., (2019) of 1,600 clinicians only 51 reported no obstacles to implementing new treatments. The biggest obstacles reported related to time, cost, location for training, demographic mismatch with resources and difficulty finding resources. New trainees are not given evidence-based training nor supervision experiences, either. Participants in the study requested greater access to existing resources. Handouts, journals, training modules, and workshops (Meyer, et al., 2019). Meyer, A. E., Reilly, E. E., Daniel, K. E., Hollon, S. D., Jensen-Doss, A., Mennin, D. S., … Teachman, B. A. (2019). Characterizing evidence-based practice and training resource barriers: A needs assessment. Training and Education in Professional Psychology. doi:10.1037/tep0000261.supp (Supplemental)
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Dq1 Week5
/in Uncategorized /by developerDescribe the error in the conclusion. Given: There is a linear correlation between the number of cigarettes smoked and the pulse rate. As the number of cigarettes increases the pulse rate increases. Conclusion: Cigarettes cause the pulse rate to increase.
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Dq10 1 Response 19367017
/in Uncategorized /by developerRe: Topic 10 DQ 1 When disseminating my research and results, one journal I might look at presenting it through is Nursing for Women’s Health. Nursing for Women’s Health is the official clinical practice journal of Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN). The mission of this journal is to “improve outcomes for women and newborns through the dissemination of clinical scholarship” (Association for Women’s Health, Obstetric, and Neonatal Nurses [AWHONN], 2019). This journal focuses on evidence based practice (EBP) research for obstetrics, women and neonates. One type of manuscript that Nursing for Women’s Healthpublishes is original research with a clinical focus (AWHONN, 2019). This category would align with my project. Nursing for Women’s Health is well read among obstetric (OB) nurses, so placing it within this journal would give access to other OB nurses around the country who could glean from my OB triage project. A health care conference where I might disseminate my project is the “Round Table for OB Nurse Managers” in Minnesota.This is a yearly event where Minnesota OB nurse managers gather and share ideas and processes that are helpful in their respective OB units. This is a great avenue for dissemination as many of the OB managers that come are from rural Minnesota areas like mine and also a good number of these hospitals also use the Excellian electronic medical record platform, so the OB triage order set developed would be easily transferrable.As the project gets implemented and reassessed and evaluated for adjustments, I believe it would be beneficial to other facilities in their OB triage process. Reference Association for Women’s Health, Obstetric, and Neonatal Nurses. (2019). AWHONN Journals. Retrieved from https://www.awhonn.org/page/AWHONNJournals
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Dq10 1 Response
/in Uncategorized /by developerAnne Kolsky 3 posts Re: Topic 10 DQ 1 Professional Journal A good journal to begin the quest to reach the capstone short term and long-term goals would be the Journal of Early Childhood Research by SAGE journals. It meets all the criteria for scholarly research and acceptance of research. It is an international peer-reviewed forum for childhood research that bridges across disciplines. It applies theory and research gleaned from empirical and theoretical research related to learning and development in the early childhood years. It is particularly helpful for policymakers and practitioners working in complementary and related fields (SAGE, 2019). Conference The Early Childhood Summit 2020 would be a fantastic conference to speak at. It is billed as the largest early childhood conference (at least in the State of Arizona). It would have been even more appealing if it was offered during a Minnesota winter. It is geared for professionals, stakeholders and supporters of early childhood education and health. It invites those in education, health professions, tribal representatives, business and community leaders, school administrators, university and college faculty, and state and local policymakers. Topics included impacts, health and development, language and literacy, empowering leaders, public awareness and engagement, strengthening families, teaching and learning toolboxes and tribal communities. All together there are more than 80 sessions to choose from and several exhibitors on deck. The line-up of main speakers is lacking a health care professional, so signing up to speak would be a terrific opportunity to develop collaborations, teach others about the need to partner, and implement services First Things First. (2019). Early childhood summit 2020. Retrieved from https://summit.firstthingsfirst.org/ SAGE journals. (2019). Journal of early childhood research. Retrieved from https://journals.sagepub.com/home/ecr
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Dq10 2 Response
/in Uncategorized /by developerDorothy Troutman 1 posts Re: Topic 10 DQ 2 Evidence-based practice is foundational to the BSN-prepared nurse because it allows us to provide the highest level of care to our patients. One way that I will continue to integrate evidence into my practice will be to read journal articles, and publications from the Association of Women’s Health, Obstetrical and Neonatal Nursing. This will allow me to have the most up to date information on caring for women in my field. One obstacle that may challenge my ability to implement the information I learn would be our hospital policies. To overcome this, I will actively participate in hospital committees and focus groups to change the policies at the hospital. Another way that I will integrate evidence-based practice into my care will be to attend conferences that focus on labor and delivery. One challenge that may come up is that other nurses in my unit may not attend the same conferences. The way I can overcome this obstacle would be to ask permission to present the information to our labor and delivery unit. If the information is presented to all of the nurses at the hospital, we will have a better chance of changing necessary practices to make sure we are providing the best care to our patients. Farokhzadian, Khajouei, and Ahmadian (2015) discuss common barriers to implementing evidence-based practice. Some of those barriers include: inability of nurses to distinguish quality of research, lack of resources, and difficulty finding time to read or attend conferences. Reference Farokhzadian, J., Khajouei, R., & Ahmadian, L. (2015). Evaluating factors associated with implementing evidence-based practice in nursing. Journal of Evaluation in Clinical Practice, 21(6), 1107–1113. doi:10.1111/jep.12480
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Dq10 2
/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?(My EBP is on hand washing)
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Dq102 Response 19368781
/in Uncategorized /by developerDorothy Troutman 1 posts Re: Topic 10 DQ 2 Evidence-based practice is foundational to the BSN-prepared nurse because it allows us to provide the highest level of care to our patients. One way that I will continue to integrate evidence into my practice will be to read journal articles, and publications from the Association of Women’s Health, Obstetrical and Neonatal Nursing. This will allow me to have the most up to date information on caring for women in my field. One obstacle that may challenge my ability to implement the information I learn would be our hospital policies. To overcome this, I will actively participate in hospital committees and focus groups to change the policies at the hospital. Another way that I will integrate evidence-based practice into my care will be to attend conferences that focus on labor and delivery. One challenge that may come up is that other nurses in my unit may not attend the same conferences. The way I can overcome this obstacle would be to ask permission to present the information to our labor and delivery unit. If the information is presented to all of the nurses at the hospital, we will have a better chance of changing necessary practices to make sure we are providing the best care to our patients. Farokhzadian, Khajouei, and Ahmadian (2015) discuss common barriers to implementing evidence-based practice. Some of those barriers include: inability of nurses to distinguish quality of research, lack of resources, and difficulty finding time to read or attend conferences. Reference Farokhzadian, J., Khajouei, R., & Ahmadian, L. (2015). Evaluating factors associated with implementing evidence-based practice in nursing. Journal of Evaluation in Clinical Practice, 21(6), 1107–1113. doi:10.1111/jep.12480
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Dq102 Response 19368803
/in Uncategorized /by developerKimberly Morris 2 posts Re: Topic 10 DQ 2 Over the past couple decades, nursing has taken a turn becoming more knowledge driven (Stevens, 2013). We are now expected not only to just care for our patients but also educate them and increase their health outcomes by recognizing and knowing what care would be best for them. We are now supposed to make recommendations to providers where before we just made sure patients were comfortable and their needs were met. Because the role of the nurse is changing and becoming a much more active participant in patient care, it is important for the nurse to continue to seek new information and advanced practices by utilizing evidence-based practices. One way in which I will continue to integrate evidence into my practice is by using the literature review strategy. Our facility is currently doing a literature review four step problem solving on falls. We have currently had a large number of patient falls on our floor and we are doing evidence-based research to see if we can find a practice which would work for us to help decrease the number of falls. The second way I will integrate evidence would be to continue to read and research on my own time. If there is a topic which I feel I need to be educated on, I will look at journal articles or attend conferences or trainings to help increase my knowledge of the subject. This will help me in patient care and will give me necessary information to increase the health outcomes of my patients. If I notice an area within my department in which I feel we need to be better educated or I come across information which could be of interest to my coworkers, I will share this information with them in our weekly huddle or our monthly staff meetings. If I start doing this, maybe it would encourage others to do the same, thus encouraging increased use of evidence-based practice. Obstacles which would challenge this is lack of interest from my coworkers. If they do not buy in to the idea of sharing knowledge, then they will not listen or learn. But I feel we have a team which is always looking at how to grow and how to become better. The manager of our floor is a driving force behind this. She is continually wanting us to move forward in our careers and encouraging us to learn and become better nurses. She is a great manager and encourager. Reference Stevens, K. (2013). The impact of evidence-based practice in nursing and the next big ideas. The Online Journal of Issues in Nursing. Vol. 18, No. 2, Manuscript 4. doi:10.3912/OJIN.Vol18No02Man04
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Dq102 Response
/in Uncategorized /by developerAnne Kolsky 3 posts Re: Topic 10 DQ 2 Importance of EBP for BSN-RN Sustainability of evidence-based practice has waned. One thing I have noticed in my workplace is that people (including myself) tend to take the path of least resistance. “It’s easier to…” My mentor and I have had many conversations about this. It’s easier to just give a ‘Band-Aid or bag of ice’ then take the time to assess the situation and treat appropriately. Another example, comparing my last workplace to current, one striking difference is stock medications. We did not give out or stock any kind of medication in the former. My new workplace not only stocks but does not require a doctor’s order to administer. Although it is more work, I insist on an order for stock medications. I also call the parent before giving, as appropriate. It is my license and it is for the safety of the students that are at stake. I have already had conversations with staff and nursing staff about these practices. Although they know the risks, they are choosing to keep status quo for themselves. Of 6 nurses on staff, there is one other that holds similar practice. She stated at our last meeting that “Kids come down asking for a Tylenol, just to get out of class.” She made it clear that without an order and parent permission, she will not give out any medications. Another difference noted is charting practices. Currently, other nurses use a one word drop down menu to chart. SOAP notes are not done consistently. I will continue to make notes. I will continue to chart more fully. It has saved my skin more than once when a student, a teacher, or even a parent will claim that “the nurse didn’t do anything.” It gives such good data for what is trending with that student, why wouldn’t one want to do that? I understand that the office is super busy, but so is the courtroom. I’m not here to make friends, I’m here to do my job. Another practice I will continue to implement, but with a new perspective, are the various screenings given to students. I will make a more concerted effort to make sure the student and family is aware of all the services available. In my former workplace, I compiled a list of resources for families. I need to make a new one for this community. I have a new perspective towards screenings and a fuller understanding of how important these are in the bigger picture. In the study by Meyer, et al., (2019) of 1,600 clinicians only 51 reported no obstacles to implementing new treatments. The biggest obstacles reported related to time, cost, location for training, demographic mismatch with resources and difficulty finding resources. New trainees are not given evidence-based training nor supervision experiences, either. Participants in the study requested greater access to existing resources. Handouts, journals, training modules, and workshops (Meyer, et al., 2019). Meyer, A. E., Reilly, E. E., Daniel, K. E., Hollon, S. D., Jensen-Doss, A., Mennin, D. S., … Teachman, B. A. (2019). Characterizing evidence-based practice and training resource barriers: A needs assessment. Training and Education in Professional Psychology. doi:10.1037/tep0000261.supp (Supplemental)
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Dq12 19367035
/in Uncategorized /by developerRe: Topic 1 DQ 2 Great post also in 2010 the Institute of Medicine(IOM) issued the Future of Nursing leading changes in Advancing Health (Institute of Medicine, 2010a)The report not only informs and highlightes the needs for changes in nursing education to meet the changing face fo healthcare but also recommends the nursing profession increase the number of registered nurses (RNs) with bachelors degree in nursing (BSN) to 80% by the year 2020(IOM,2010a).The increase in complexity of care is one of the many reasons driving the IOM recommendation.(NursingLicense.org,2016)with facilities believing that the associate degree nurses are well trained to manage the day -to -day task but healthcare today requires more than what is taught in ADN program. Need APA RERENCE AND INTEX CITATION FOR THIS RESPONSE
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Dq13
/in Uncategorized /by developerBased on the previous post answer these questions.
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