Professional nursing organizations are designed for the patient’s safety and quality care as well as ensuring nurses are competent and safe to perform quality and safe patient care (Helbig, 2018).  For example, (ANA) American Nurse Association is a professional organization with goals of improving health care and setting standards for nursing practice improving the nursing  profession and supporting nurses (ANA, n.d.c).  Another is the (NCSBN) National Council of State Boards of Nursing which was created to protect the public from incompetent nurses and require knowledge, skill, and independent decision making in order to be licensed as an RN.  There are also others like the (IOM) Institute of Medicine which protects and informs the public and focuses on suggestions to improve health care (Helbig, 2018), and the (TJC) The Joint Commission which is an organization that identifies issues of patient safety within health care organizations and then designs a plan to correct the issues (The Joint Commission [TJC], 2017).  All of these organizations advocate for patients and their safety while creating standards of practice for the nursing profession and push for change within the health care system while giving suggestions of how to give safe quality care to patients.

 I am thankful for these organizations and what they are doing for us as nurses and for the patients we care for.  This allows best safe practice and gives guidelines to follow to ensure competent nurses give safe quality care.

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Re: Topic 2 DQ 1  Workplace violence in the health industry is greater than any other sector of employment, in fact the Federal Bureau of Statistics reports that violence in the healthcare is “3.8 times higher than all of private industry.” (Wolfe, 2018) In fact, the National Nurses United, the largest union of registered nurses reported workplace violence rates increased by 110% from 2005 to 2014. Examples of workplace violence include direct physical assaults (with or without weapons), written or verbal threats, physical or verbal harassment, and homicide (Occupational Safety and Health Administration OSHA, 2015). Nurses in the Emergency Room are at greatest risk for violence. Three out of four nurses routinely experience acts of verbal and physical violence, including, hitting, kicking, yelling and cursing from patients and visitors according to the January 2015 issue Journal of Emergency Nursing.  Statistically violence in emergency rooms is on the rise, however, our organization has specifically seen a drastic increase of violence in the emergency room. Long wait times due to failing healthcare systems, patients suffering from mental health issues and substance abuse are contributing factors. Law enforcement in our county readily bring patients who are altered on drugs or suffering from mental health issues to our facility because other hospitals mental health services have shrunk or they have removed the programs their services and other hospitals require them to stay with the patient while we readily accept them and dismiss the officers, making our hospital the easier and more time efficient option for them. Because of the growing higher population of older adults in our specific area due to several large senior living communities and long term care/rehab facilities within the vicinity of our campus, we see a large number of patients that suffer from situations and diseases that alter the mental status of the individual.  The implications are devastating. Nurses who experience violence in the workplace often suffer emotional, psychological, physical and professional consequences. Nurses often experience symptoms of post-traumatic stress after a violent incident. They may avoid talking about the event, have flashbacks, feel fearful angry, frustrated or helpless, they may also avoid patients or situations that may trigger all of these feelings. Nurses lose cognitive focus after a violent event. (Gillespie et al, 2010). Workplace violence is very costly. It is estimated that it costs billions of dollars a year. (Higazee and Rayan, 2017). Not to mention loss of work for the professional due to injury. Some nurses choose to leave the profession all together.  Busby,G. ( Jan, 2017). Incidence and Costs of Workplace Violence. Journal of Emergency Nursing. Vol. 41. Issue 1.  Gillespie,G.L., Gates, D.M., Miller, M. & Howard, P.K. (2010). Violence Against Healthcare workers in the Pediatric Emergency Department. Advanced Journal Emergency Nursing Journal. 32 (1), p.68-82  Higazee, M.Z.A., Rayan, A. (2017). Consequences and Control Measures of Workplace Violence among Nurses. Journal of Nursing and Health Studies.Vol.2 No.3:22.  OSHA (2015). Caring for our Caregivers. Preventing Violence a Roadmap for Healthcare Facilities. Retrieved o https://www.osha.gov/Publications/OSHA3827.pdfn October 20, 2019 from  Wolfe, E., (3 Oct. 2018). Violence Against Emergency Staffers Seen as Increasing. Fairwarning reports. Retrieved on October 20, 2019, from https://www.fairwarning.org/2018/10/violence-emergency-rooms-workplace-physicians-nurses/

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Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your EBP project. Do you plan to use this technology? If not, what are the barriers that prevent its use?

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Discuss 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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Continuous quality improvement (CQI) is the responsibility of all nurses and is vital when addressing the challenges of the health care industry. Provide an example of how you would apply CQI in your current or past position.

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