NR-500 Week 5 Discussion Topic, Evidence-Based Practice

NR-500 Week 5 Discussion Topic, Evidence-Based Practice After reviewing lesson 5 in this week, it is noted that evidenced-based practice (EBP) is derived from the values of patient, expert experiences, research and literature (CCN, lesson 5, 2019). In nursing practice, the goal is to provide the highest quality of patient care and enhanced patient safety (Melnyk, Fineout-Overholt, Stillwell, & Williamson, 2010). I am pursuing Master of Science in nursing with a specialty track of Family Nurse Practitioner (FNP) because I believe that this specialty track will help sharpen my critical thinking and knowledge in primary care settings. One of my goal is to provide the best quality of advanced health care services to those acutely ill or chronically ill population in my community. As a future advance nurse practitioner, I will continue to strive to improve my advanced nursing skills and primary care knowledge by participating in clinical research’s and continuing educations so that I will be able to influence, promote excellence and be the leader in creating positive change in my patient’s health. As a current practicing registered nurse at an acute rehab hospital, I have worked and interreacted with different patients who experienced obstacles with their healthcare. I wanted to work as a nurse practitioner in the internal medicine group for the chronically ill or acutely ill adult population because of the lifelong therapeutic connection, unlimited evidence-based learning experiences that I will gain and carry throughout my advance nursing practice. Also, I wanted to continue to work as a clinical instructor because it is my passion to share my knowledge that I gained from the evidence-based nursing practices and clinical skills expertise to all hopeful and future nursing students. In addition, seeing my students learn new skills and pertinent evidenced-based knowledge excites me knowing that I am part of their success in becoming the best version of a nurse. Evidenced based practice (EBP) has been the backbone of nursing profession. For example, evidence-based practice shows that in an acutely ill patient who needs indwelling catheter or intermittent catheterization due to neurogenic bladder disorder it is important to follow aseptic technique during catheter insertion to prevent infection and optimized patient quality of life (Schreiber, 2016). As medical technology advancement continues to move forward, medical management is also evolving. It is important for the Nurse practitioner working within the internal medicine services to continue to use current evidenced based practice to provide safe and optimal health care. Also, NP’s need to keep in mind that every patient is unique and functions to the fullest and to the best of their ability. For a chronically ill patient who suffers congestive heart failure (CHF), they define health as being able to maintain normal cardiac function without fluid overload, and not being short of breath with daily activities. Nurse practitioner must consult patient individually so that he or she will be able to identify the health care needs of each patient and to be able to formulate a mutually agreed upon plan of care. Furthermore, nurse practitioner as well as other health care provider must be committed in providing the best patient care and continue to incorporate EBP in their daily patient interactions and clinical settings. References Chamberlain College of Nursing (2019). Chamberlain College of Nursing Master’s of Science. Lesson 5. Scholarship and Evidence-Based Practice: A Process for Change. Retrieved from Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: The seven steps of evidence-based practice: Following this progressive, sequential approach will lead to improved healthcare and patient outcomes. American Journal of Nursing, 110(1), 51–53. Schreiber, M. L. (2016). Evidence-Based Practice. Peritoneal Dialysis: Understanding, Educating, and Adhering to Standards. MEDSURG Nursing, 25(4), 270-274. Instructor response Hello Dr KO, You made a great point on the continues changes of EBP. Variations of practices of EBP decreases by standardizing nursing care. Catheter related UTI is a good example of EBP use. Nurses follows hospital's Foley catheter policy and procedure, in which EBP expresses the importance of aseptic technique to prevent cross-contamination and infection. Also, EBP identified the importance of keeping foley catheter in placed for a shorter period of time to prevent bacteria growth and decrease infection rate. In my current job it is a common practice not to keep patient on Foley catheter for a long period of time. Even though, EBP is introduced during nursing school throughout professional nursing practice, there are nurses who doesn’t use or apply the EBP in their daily work. Skela-Savič, Hvalič-Touzery & Pesjak (2017) nurses agreed that using EBP is very beneficial to patient and to the nursing profession. They also identified that nurses who tend to have increased number of patients, high acuity or short staff are the ones that omits the use of EBP or at times uses "short cuts" to perform EBP procedures. Reference Skela-Savič, B., Hvalič-Touzery, S., & Pesjak, K. (2017). Professional values and competencies as explanatory factors for the use of evidence-based practice in nursing. Journal of Advanced Nursing, 73(8), . doi:10.1111/jan.13280