During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.
The biggest problem or issue is staffing. The turn-over rate is incredibly high and there is never enough staff to provide satisfactory patient care.
Kristen Warrell
9:15am Oct 24 at 9:15am
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Professor and Class,
According to Stevens (2013) the literature identifies 47 EBP models which can be broken down into 4 thematic groups. The first group, “EBP, Research Utilization, and Knowledge Transformation Processes,” (Stevens, 2013) includes a framework currently in use known as the ACE Star Model of Knowledge. This model helps guide nurses to translate evidence into practice. The evidence summary (Point 2 of the star) combines all the available research in order to determine the strength of the results. For example, a systematic review will aid in determining the overall value of the research before it can be translated into practice guidelines. Determining the value of the research is fundamental to determining whether the evidence is strong enough to support changes to best practice.
It is important to integrate both EBP and patient/family preferences so that research is guided by patient outcomes. By gaining knowledge regarding the perceptions and attitudes of the patient we can better determine the efficacy of changes to practice guidelines (Bakker & Mau, 2012). After all, if the evidence does not improve the overall perspective of care from the patient’s point of view then the overall quality of healthcare for the patient is compromised – despite what the standard metrics may show.
It is the nurse’s responsibility to determine patient/family practice and teach them about the evidence in cases where their practice may not match the research. Sometimes, what we, as nurses, may view as non-compliance from our patients is simply a matter of education. When we explain to our patients the “why” of a recommendation, I believe they are more likely to actively participate in their care.
Bakker. D., & Mau, J. (2012). The nursing model of care: Don’t forget the patient perspective. Nursing Management, 43(10), 8-11. DOI: 10.1097/01.NUMA.0000419488.26804.8c.
Stevens, K. R. (2013). The impact of evidence-based practice in nursing and the next big ideas. The Online Journal of Issues in Nursing, 18(2), Manuscript 4. Doi: 10.3912/OJIN.Vol18No02Man04
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Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these, and discuss why it is important for you to work on these skills if you want to present your findings in a more formal setting.
My Strength – Not reading verbatim, having personality, and making eye contact
What I need to improve on – I tend to say um alot and i tend to get nervous
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.
Describe one internal and one external method for the dissemination of your EBP project results. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your results to both of these groups. How will your communication strategies change for each group?
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?
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?
Name two different methods for evaluating evidence. Compare and contrast these two methods.
What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.
One solution would be to stop hiring anybody just to have a warm body available. Maybe advertise job openings in different places, attend career fairs, or visit and recruit from nursing schools. Also, offer better pay rates, benefits, and/or bonuses.
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