please, write one paragraph response to the following discussion by using one reference from peer-reviewed Nursing Journal not older than 5 years.

How Client’s Values Are Used to Provide Framework of Care

One of the most important things to remember when providing care for an individual is to listen. Being a patient advocate means that not only are you providing care, but you are also keeping the patient and their family involved in the care. Client centered care is an approach that values the patient as a whole and not just focusing on the health issues that needs to be addressed. Communication is key because it gives the opportunity for the patient to voice their concerns and to state what makes them comfortable which gives them autonomy. In order to have a proper plan that will deliver positive outcomes there needs to be exchange of dialogue between the patient and the healthcare provider, this will aide in creating the best plan of care. The values and beliefs of the patient need to be acknowledged because it can make the process of care more satisfying. When healthcare professionals are culturally competent it provides building blocks to create a plan of care that will be of great quality. This means that the provider will take into consideration that patient’s values and beliefs when deciding what treatments meet that needs (Henderson, Horne, Hills, & Kendall, 2018).  

References

Henderson, S., Horne, M., Hills, R., & Kendall, E. (2018). Cultural competence in healthcare in

the community: A concept analysis. Health & Social Care in the Community, 26(4), 590–

603. https://doi-org.db03.linccweb.org/10.1111/hsc.12556

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Please, write one paragraph response to the following Discussion by using one reference from peer-reviewed Nursing Journal not older than 5 years.

Evidence based practice plays a major role in nursing, EBN is any practice that relies on scientific evidence for guidance and decision making. Organizations with forthcoming leadership reinforce staff will boost the use of evidence based practice. Informal and formal leadership is necessary across all organizational levels and nursing roles when implementing evidence based practice (Huber, 2018). Nurse Managers can ease and support EBP work in ways like setting up unit expectations, discussing the importance of EBP, promote staff questioning, track progress and much more. Encouraging nurse to attend project work conferences will promote the use of evidence based practice. Economics do affect nursing practice

 We all agree that finding a large amount of research support Evidence based practice ameliorate quality and safety of health care which amplify health outcomes and decreased variation I care and reduces costs. A lot of money is spent on healthcare in the United States than any western country. Nurse’s work 12 hours shift, patient are awaken every 2-4 hours for vitals, patient with indwelling catheter ends up with infection. In the United States EBP has been the Triple Aim in healthcare. EBP has been found to license clinicians and result in higher job satisfaction. Although it has brought many positives outcomes it is not used throughout the United States or the rest of the world due to multiple barriers that have continued to persist over the past decades. Study shows there is a gap between the research evidence available and the implementation of it in clinical practice. The reason for that is because clinicians can overwhelmed with information or lack skills to assess information , sometimes it is reviewed but not apply to clinical decision-making (Stephen-Haynes,2014). Not having many research evidence available, nurses tend to make decisions based what was already available and not any updated information. While sometimes it provides positive outcomes, sometimes it ends on costing the facility when the effects are not so positive. Patients are concerned about achieving better outcomes while controlling the cost of medications and treatment. It can cause patient not to seek help until it’s too late. The more research we find the more we can implement into our practice and the more it can decreased cost for patients and also the hospitals.

In summary we talked how evidence-based practice (EBP) improves healthcare quality, patient outcomes, and cost reductions, and abundance barriers persist in healthcare settings that need to be rapidly overcome. We talk about how the cost of treatment affects nursing care and how clinicians sometimes may not review any new research due to being burn out.

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Complete a rough draft of the transitions paper and then the actual paper. The guidelines for this paper are in the attached paper (in the RUA:transitions paper folder). You can use the library website (library.chamberlain.edu) to research your articles. This paper needs to be in APA format. You can use your APA manual for assistance. I have also created an APA files folder with some resources. In addition, the Purdue Owl website for APA is a great resource too: https://owl.english.purdue.edu/owl/resource/560/01/

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ITS IMPORTANT TO MEET THE COMPETENCES. PLEASE READ THE COMPETENCES !

Write 8-10 pages in which you identify a major patient-safety issue within your own organization and use evidence-based best practices and technology to develop a plan to improve the safety issue.

Quality improvement and patient safety are central to the nursing leadership role.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 2: Safety and Quality Practices – Incorporate concepts of patient safety, clinical management, and quality improvement to improve patient outcomes.            
  • Describe a patient safety issue and compare currently used organizational processes for handling this issue with concepts, principles, and practices that contribute to quality improvement and patient safety.
• Competency 3: Nursing Research and Informatics – Incorporate evidence-based practice interventions (for example, information systems and patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.            
  • Recommend evidence-based interventions, including technology, to address specific patient-safety issues.
• Competency 4: Policy, Finance, and Regulations – Understand the scope and role of policy, finance, and regulatory environments in relationship to individual and population outcomes.            
  • Analyze the legal and ethical consequences of not addressing patient-safety issues.
• Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.            
  • Write coherently to support a central idea in appropriate APA format with correct grammar, usage, and mechanics as expected of a nursing professional.
• Competency 6: Organizational and Systems Management – Apply knowledge of organizational behavior, nursing theory, and systems (micro- and macro-) as appropriate for the scope and role of one’s own practice.            
  • Describe strategies to overcome specific organizational barriers to change.

Assessment Instructions 

Preparation

As you prepare for this assessment, complete the following:

1. Before you begin, examine your organization’s history of safety in a specific area and how your organization addresses patient safety issues. If possible, consult with a key stakeholder in the organization (such as an administrator) to better understand specific patient-safety concerns and how the organization is working to resolve the concerns. This person should also be able to discuss some of the organizational barriers impacting the patient safety issue.
2. Next, look at the basic concepts, principles, and practices that contribute to organizational quality improvement and patient safety. Review the literature for best practices and how technology might be used to improve the issue.
3. Finally, be sure to consider the legal and ethical implications associated with the safety issue, as well as possible organizational barriers to change.

Directions

As you construct this assessment, address each point as completely as possible:

• Describe a patient-safety issue within your organization, comparing the way your organization addresses the issue with the concepts, principles, and practices that contribute to quality improvement and patient safety.
• Analyze the legal and ethical consequences of not addressing the issue.
• Recommend evidence-based interventions, including technology, to address the patient-safety issue.
• Describe strategies to overcome specific organizational barriers to change, based on your knowledge of the organization.

Additional Requirements

• Format: Include a title page and reference page. Use APA style and formatting.
• Length: Ensure your completed assessment is 8–10 pages in length, not including the title page and reference page.
• References: Cite at least five current scholarly or professional resources.
• Font: Use double-spaced, 12-point, Times New Roman font.

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