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?
Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.
Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?
In order to evaluate an evidence-based practice project, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice.
Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction?
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?
Please respond to the content you have read in Craigie, Chapter 5 & 6.
1) What does Craigie define as the 3 “C’s” of a mission statement? What is the benefit of personal spiritual well-being? What is the key approach to support personal spiritual well-being?
What are the two methodologies that direct us to personal purpose? Why is defining and cultivating day-to-day awareness of purpose vital for us as providers?
2) Why is cultivating our own qualities of character important? What is positive psychology, what does it contribute to cultivating meaning? How do we discover personally meaningful qualities of character? How do we nurture and grow qualities of character?
you have to read chapter 5 and 6 answer above questions
https://mgh.sharefile.com/d-sfa5f50e104f4ac8a.
Compare and contrast two change theories, and determine which theory makes the most sense for implementing your specific EBP project. Why? Has your mentor used either theory, and to what result?
The biggest challenge to implementing evidence-based practice (EBP) within the organization according to my mentor is resistance from physicians and upper administration. She explains numerous individuals want to continue the path that they have always used. With change comes conflict. Overcoming the barriers experienced by the organization with implementing evidence-based nursing into practice has started by updating the policies and procedures to reflect current evidence-based practice measures. The nursing managers, directors, and quality/risk team hold meetings to review and revise practice standards to demonstrate present evidence-based nursing practice. When it comes to executing new policies, there is a level of opposition from nursing staff and providers alike. A possible solution as described by Straka, Brandt, and Brytus, (2013), could be monthly 30-minute lunch and learn continuing education sessions. These meetings would review topics such as searching and understanding literature, and leading staff through practice change (Straka et al., 2013). Getting staff to support EBP is also important to resolving the current issues. O.A.S.I.S. which means open your eyes, ask questions, search the literature, implement the findings and share the results is explained by Straka et al. (2013) to inspire nurses to examine clinical problems and examine the literature for best practices. Empowering staff is key to getting them to endorse an EBP culture. Reference Straka, K. L., Brandt, P., & Brytus, J. (2013). Brief Report: Creating a Culture of Evidence-Based Practice and Nursing Research in a Pediatric Hospital. Please see instructors comments below and make corrections . APA REFERENCE MUST INCLUDE DOI OR RETRIEVED FROM WITH INTEX CITATION
Alimatu – Sustantive credit Alimatu For substantive credit, please incluide ALL information regarding yoru reference as currently it is incomplete.
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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