· 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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1-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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1-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:

1. “Anyone      remember Colgate’s claim that 80% of dentists recommended the      brand? You won’t be seeing that slogan again, at least not in the UK.      Consumers were led to believe that 80% of dentists recommended Colgate      while 20% recommended other brands. It turns out that when dentists were      surveyed, they could choose several brands — not just one. So other brands      could be just as popular as Colgate. This completely misleading statistic      was banned by the Advertising Standards Authority”
2. “In      2009 and 2010, Reebok made the following claims about its EasyTone and      RunTone shoes: Lab tests “proved” that the shoes work “your hamstrings and      calves up to 11% harder and tone your butt up to 28% more than regular      sneakers … just by walking!”. The figures turned out to be complete      garbage. The FTC stated that Reebok needed to pay a settlement of $25      million for deceptive advertising.”
3. “Perhaps      the most famous case ever of misleading statistics in the news is the case      of Sally Clark, who was convicted of murdering her children. She was      freed after it was found the statistics used in her murder trial were      completely wrong.”

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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HEALTH CONCERN: DOMESTIC VIOLENCE 

A Explain how the health concern is linked to a health inequity or health disparity within the target population.

1. Identify specific data to support the health inequity or disparity conclusion.
2. Discuss the primary community and prevention resources currently inplace to address the health concern.
3. Discuss the underlying causes of the health concern. 

B Discuss the evidence­ based practice associated with the selected primary prevention topic.

1. Identify data about the selected primary prevention topic from the local (PALM BEACH COUNTY), state (FLORIDA, and/or national level. 

C. Develop a community health nursing social media campaign strategy that will convey your health message and address the primary prevention topic by doing the following:

1. Describe your social media campaign objective. 

2.Recommend two population­ focused social marketing interventions to improve the health message related to your chosen primary prevention topic.

a. Discuss the rationale for your recommendations. Identify the appropriate social media platforms you will use to communicate with the target population.
b. Discuss the benefits of each chosen social media platform insupporting preventative healthcare. 

D Discuss how the target population will benefit from your health message. 

 Describe best practices for implementing social media tools for health marketing. 

E. Create a social media campaign implementation plan by doing the following: 1. Identify stakeholder roles and responsibilities in implementing the plan. 

2. Discuss potential public and private partnerships that could be formed to aid in the implementation of your campaign. 

3. Create a specific timeline for implementing your campaign.
4. Explain how you will evaluate the effectiveness of the campaign. 

a. Identify the measurable tools necessary to evaluate the campaign.

5. Discuss the costs of implementing your campaign. 

F. Reflect on how social media marketing supports the community health nurse’s efforts to promote healthier populations.
1. Reflect on how your social media campaign could apply to your future nursing practice. 

G. Acknowledge sources, using in­text citations and references, for content that is quoted, paraphrased, or summarized. 

H. Demonstrate Professional communication in the content and presentation of your submission. 

 

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Comment 1

Diane Black is a register nurse who represents Tennessee in Congress.  Mrs. Black was the first woman to chair the influential House Budget Committee. She serves on the House Ways and Means Committee and was quick to establish herself as a leader.  She is focused on dismantling the president’s health care law and advancing true market-based, patient-centered reforms that will bring down the rising cost of care by increasing private sector competition and consumer choice.Her goal was to reform the U.S. tax code which has not been initiated in over twenty five years. She was selected to chair the Ways and Means Education and Family Benefits Tax Reform Working Group during the 113th Congress.  During her career as a nurse, she saw a loophole in the Patient Protection and Affordable Act (PPACA)that allowed some higher paid middle class Americans to receive Medicaid benefits. She pointed out that the PPACA, unintentionally, would allow a couple who made close to $60,000 in income to qualify to receive Medicaid benefits. This loophole would allow for individuals whose incomes were up four hundred percent of the federal poverty level to also qualify to receive Medicaid benefits. The PPACA set a new income formula to calculate the income levels and make the determination for Medicaid eligibility. This formula did not include incomes received from all Social Security benefits including Supplemental Security Income, Supplemental Nutrition Assistance Program (food stamps), Temporary Assistance to Needy Families, and public housing.  After her election to Tennessee representative, Mrs. Black started lobbying to change the bill H.R 2576. She made her claim that Medicaid should only be used for those who are in the most need and Medicaid needed to get back in line with all other public assistance. Mrs. Black made her claim to Congress that by passing her bill that America would save $13 billion dollars over ten years. She made it clear that they would be saving this money without taking away any benefits from anyone who currently has Medicaid. Mrs. Black’s bill was passed and signed into law. She was the first member of Congress to have legislation signed into law that repeals the health care provision in Obamacare.

Comment 2

Congresswoman Mrs. Deb Soholt is some of the current nurses who are currently serving in Congress. Mrs. Deb Soholt is an RN and also a senator in South Dakota (American Nurses Association, 2015). She is a Senate for South Dacota congressional District 14 before joining politics.
She had sponsored several bills that have influenced health care. For example, “the Senate Bill 61 is to update, revise, and repeal certain provisions relating to nurse practitioners and nurse midwives” (South Dakota Legislature, n.d.). The bill can help redefine the role and function of nurse practitioners and nurse midwives to change the health care delivery and resolve the health provider shortage. Health care can be more accessible and affordable.
The nurse role gives the legislators the ability to understand and recognize nursing and health care issues. Therefore, the legislators who are also nurses can use the political power to alter and guide the direction of health care delivery in an optimal way. Health policies at the state level impact the health and safety of the state’s residents, as well as lead the nursing and other health professions’ scope, practice, and performance through the state’s professional practice acts (Cherry & Jacob, 2016) “The federal government’s role in health care includes significant funding for health and disease prevention and research; supplemental funding for education for health professionals, including nurses and physicians; and paying for individual health care services “(Cherry & Jacob, 2016, pg. 400). Therefore, the legislators in the federal level will focus on these categories to shape health care delivery.
She firmly believes that there is a strong need for more healthcare professionals in Congress. After all, health care is at the forefront of many political debates. Since she was the nurse, she sees the importance of having lawmakers with the healthcare background, that way the issues could better be addressed. In 2011 she was the first to engage in the debate on the Affordable Care Act.

Comment 3

The legislator that I consider to answer the above question is Erin Murphy. Murphy has a long career advocating on legislation related to health care and childcare issues.  As a nurse, Murphy serves as state representative in the Minnesota of Representatives. The new elected representative participated on the Health and Human Services Finance Committee.

In that capacity, she was instrumental and active to help craft reforms to “Minnesota’s health care system that aimed to expand access to affordable coverage and care” (Diane, S., 2017).  The legislator has worked on various health care reforms such as women’s health, affordable childcare, and expanding access to health care for school employees.

One of the bills that Murphy sponsored and supported is the “Health Care Homes.” This specific bill is part of a “statewide health care reform initiative” (2017). The legislation embraces and endorses a health care strategy that focuses primarily on prevention, self-management, and community services. This health care model guarantees better outcomes and quality of life people with chronic and acute health conditions.    

 

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