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NR 451 Week 1 Discussion Question 2 Nurse' Role in EBP Chamberlain

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NR 451 Week 1 Discussion 2 Nurse's Role in EBP (graded)
NR 451 RN Capstone Course - Chamberlain College of Nursing

Evidence based practice dates back to Florence Nightingale, yet it took a long time for nurses to
conduct nursing research. Why is it important for nurses to have their own body of knowledge?
Give a specific example of how bedside nurses contribute to nursing research?



Class, you may begin posting in this TD on Sunday, May 3, 2015 for credit




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(an instructor response)

Collapse Mark as Read Introductory Post Instructor Card Email this Author
4/22/2015 11:11:05 AM

Considering the nurse's role in evidence-based practice - what are the responsibilities of the nurse
in evidence-based practice, and what are some ways the work environment can be structured or
modified to encourage the use of EBP?



Again. please share examples from your practice if you can so that we can learn from each other.




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Collapse Mark as Read RE: Introductory Post Jillian Hoover Email this Author 5/6/2015
2:58:44 PM

Professor and Class,

,As Plato said, "necessity is the mother of invention." As the nurse's working environment is already
structured improvements can be made by the application of knowledge that is learned by caring for
patients everyday. However, the workplace is not especially conducive to implementing EPB. As a
medical surgical nurse, there have been many EPB projects stared on our floor. Education on these
subjects are not what it should be, especially with staff coming and going as frequently as they do on
med-surg floors. When those who are expected to implement the EBP do not understand or see the
benefit of changing their routine, it is hard to motivate them to become part of the EBP team.



Jillian




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(an instructor response)

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5/7/2015 2:47:33 PM

Good discussion regarding the nurses role in EBP Jillian - you have shared a good example of the
need for strong leadership in utilizing EBP and providing the motivation to do so.




Respond

Collapse Mark as Read RE: Introductory Post Lisa Hunt Email this Author 5/6/2015
8:52:31 PM

Hello all,



The role of the BSN prepared nurse in research is to have a basic understanding of the process,
understand the elements of EBP and to join with team member on the research team. EBP allows
the nurse to have guidelines for best practice and ensures that we as nurses are giving care that has
been proven effective. A nurses responsibility is to be aware of EBP and participate. We have a
responsibility to our patients to be informed of best practices. In my organization it is best practice
to do bedside report. It was found that bedside reporting not only allows the nurse to see the
patient as they are receiving report but includes the patient in the plan of care and allows the
patient to be an active member of the team. Much resistance was met because the nurses felt
uncomfortable if the patient had a room mate. We had many barriers to cross but kept emphasizing
it was best practice and gave the reasoning to why. Bedside reporting is also an expectation of

,Magnet. Bedside reporting allows the nurse to see the patient, check lines, patient safety, and most
of all the patient can be an active participant in his care.



Reference



Houser, J. (2015). Nursing research: Reading, using, and creating evidence (3rd ed.). Sudbury, MA:
Jones & Bartlett



Lisa




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(an instructor response)

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5/7/2015 2:48:54 PM

Good discussion of how utilization of EBP leads to best practices in patient care Lisa - you have given
a good example regarding the use of bedside reporting.




Respond

Collapse Mark as Read RE: Introductory Post Saynetta George Email this Author
5/6/2015 10:34:30 PM

Hello Professor Card and class,



EBP is a tool used for improvement of outcomes in the healthcare arena. It is used in an effort to
provide safe and efficient care to our client's. When nurses learn to provide care based on evidence,
our patient's thrive. The evidence shows us that keeping an IV inserted within the same vein for
longer than 72 hrs can lead to infection. If we rotate the site the evidence shows that the vein will
heal and infection from prolonged use is lowered. If we use EBP to determine ways our work

, environment can be structured we would learn that evidence is a great thing. Maybe we would be
less inclined to shy away from it. I realize that some providers are in a mentality if that's the way we
always do it, however, this philosophy does not make this safe practice.



An example in my work environment is EBP shows us that encouraging our members to visit their
providers before displaying signs and symptoms of disease saves our company money, and our
members lives. Meaning, if I encourage my member to have a pap smear, or a mammogram, or a
prostate exam, these are screenings used for preventive measures. If this exams are normal the
person can be seen again in the next year. The evidence shows that annual screenings lower
hospitalization rates, chronic illnesses, and possible expensive ED visits. Evidence supports
screenings, education, and participation in ones own health can make a significant impact on health.



Renee




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(an instructor response)

Collapse Mark as Read RE: Introductory Post Instructor Card Email this Author
5/7/2015 2:50:59 PM

Good discussion of how EBP is used to improve patient outcomes Renee - thanks for sharing your
example regarding preventive screening to lower rates of hospitalization and chronic disease.




Respond

Collapse Mark as Read RE: Introductory Post Saynetta George Email this Author
5/7/2015 8:28:40 PM

Hi Professor Card,



Thank you very much! We have been monitoring our client's wellness visits and we have had a 16%
increase in these screenings because we offer incentives and a program where nurses speak to the
client's regarding the importance of being screened for diseases depending upon the age of the
client. Thank you again. Have a great evening.

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