NR 452 DISCUSSION LATEST UNIT

NR451 Week 1 Discussion latest unit Establishing Evidence-Based Practice in a Nursing Setting (graded) In your course on evidence-based practice (NR439), you learned that research generates the evidence upon which you base your practice. Think about how research and EBP can influence your practice. How does a nurse contribute to nursing research in your current or previous nursing setting? How do you utilize research through EBP in this setting? What is a problem you see in your current or previous clinical practice that could be addressed by an EBP project? What are some solutions you would propose for the problem? Respond Topic responses Discussion Search Collapse All More Sort By:      Instructor Roberts Instructor Roberts 10/22/2016 5:17:20 PM Establishing EBP in Nursing Hi Everyone, **you may begin posting in this TD on Sunday October 23rd for credit** Assessment of the work environment is the essential first step to take before any change is made. Meaningful changes must always be based upon evidence. We can look to the words of Florence Nightingale for the foundation of evidence based practice when she stated “what you want are facts, not opinions” (Nightingale 1895, quoted in American Nurses Association, 2010, p.15). Not only do nurses have to look at the facts (data), but the data has to be examined critically to evaluate how it will apply to the particular situation being questioned. The John Hopkins Nursing Evidence-based practice model (Dearholt & Dang, 2012) provides a good structure for this task. I look forward to your critical evaluation of your workplaces to determine the direction of your project and the changes that you will be working on making to increase the quality of patient care! American Nurses Association (2010).Nursing: Scope and standards of practice. (2nd ed). Silver Spring, MD: American Nurses Association. Dearholt, S. L., & Dang, D. (2012). Johns Hopkins nursing evidence-based practice: Model and guidelines (2nd ed.). Indianapolis, IN: Sigma Theta Tau International. ReplyShow Less Lesline Joseph Lesline Joseph 10/23/2016 11:35:06 AM Establishing Evidence-Based Practice in a Nursing Setting Hello Professor and Class, Implementing EBP is a priority in the healthcare profession and nurses should have the knowledge and skills in implementing it in whichever practice settings they are in. In my previous nursing setting, caring for the patient at bedside on a daily basis is one way we utilize research through EBP to ensure positive patient outcome. Some of the challenges faced were shortage of nurses and work overload, inadequate access to the internet, reluctance by seasoned nurses to changes, language barriers, patients unwillingness to change their routine, lack of incentives and low priority by management on research and educational training. In order to effectively put evidence into practice communication and working together as a team, with everyone working toward the same goal is important, management should ensure that the nursing units are adequately staffed or hire more nurses with advanced degrees, provide the necessary resources such as, access to computers on nursing units, offer incentives (tuition reimbursement) for continuing education, provide interpreters for patients with language barriers and offer educational information to patients who are resistant to changes. The practice of nursing is founded on nursing knowledge, and nursing knowledge is generated and disseminated through reading, using, and creating nursing research. Evidence-based practice is important in nursing because outcomes is improved, care is more efficient and effective, and errors are reduced when nurses use evidence as a standard of care. (Houser, J.2015). Lesline. References: Houser,J. (2015). Nursing Research: using, and creating evidence (3rd ed.). Sudbury, MA: Jones & Bartlett. Reply EditShow Less Colleen Brusven Colleen Brusvenreply to Lesline Joseph 10/23/2016 5:44:07 PM RE: Establishing Evidence-Based Practice in a Nursing Setting Lesline, Working at the bedside is a sort of research gathering opportunity every shift, isn't it? If we can look at each patient encounter with an open mind we can evaluate what is working, what is strained, and what we need to re-evaluate. According to our CCN week 1 (2016) lesson, "Whenever an issue seems to be a problem, one of the first steps in addressing the issue is assessment of the presence, extent, and seriousness of the issue" (Baseline Assessment of a Problem, para 1). Keeping this evaluation tool in mind, each concern we come across can be assessed right then and there. As discussed by Finout-Overholt, Baldwin, and Greenberg (n.d.), "In Step 1 of the EBP process, asking the searchable, answerable question, clinicians must consider using a standardized format" (para 3). Colleen References: Chamberlain College of Nursing. (2016). Lesson 1: RN Capstone Course. Retrieved October 23, 2016, from Fineout-Overholt, E., Baldwin, C., & Greenberg, E. (n.d.). Using Evidence-Based Practice for Clinical Decision Making in the Holistic Nursing Process. Retrieved October 23, 2016, from ReplyShow Less Instructor Roberts Instructor Robertsreply to Lesline Joseph 10/24/2016 1:39:04 PM RE: Establishing Evidence-Based Practice in a Nursing Setting Hi Lesline, Good discussion here. What is a specific problem that you would like to focus on for your Capstone project? Do you have an EBP committee that you can take ideas to and work on positive change? ReplyShow Less Lesline Joseph Lesline Josephreply to Instructor Roberts 10/24/2016 4:56:38 PM RE: Establishing Evidence-Based Practice in a Nursing Setting Hello Professor Roberts, I work with elderly community-based clients, some are visually and hearing impaired and falls and safety is a big problem in the homes of these clients. We do not have an EBP committee, but I believe that our Director and Assistant Director will be open to whatever suggestions and recommendations we offer. Lesline Reply EditShow Less Instructor Roberts Instructor Robertsreply to Lesline Joseph 10/30/2016 10:01:54 PM RE: Establishing Evidence-Based Practice in a Nursing Setting Hi Lesline, Thanks for your response. It is always great to have support from your leadership/management. ReplyShow Less Janice Young Janice Youngreply to Lesline Joseph 10/29/2016 9:40:31 AM RE: Establishing Evidence-Based Practice in a Nursing Setting Class I think that sometimes EBP is not hampered by the nursing shortage but is inspired by it. For example patient education, EBP would necessitate that we educate patients in a manner that is most effective. This education would utilize practices that are new to nursing and would be more effective, practices like teach back and stoplights. These are new to patient education but may lead to a better understanding of patients concerning their illness and not necessarily take more time or nurses to accomplish. An article in the Journal of Clinical Nursing illustrates how ineffective our patient education is currently. As for self-care confidence, participants were less confident in regard to keeping themselves free from HF symptoms and doing something to relieve their symptoms. This may indicate that the patient sample in the present study had low levels of self-care management. Self-care confidence is the level to which patients think about their ability to perform self-care decision-making. (Tsai, Waaang, Lee, Tsai, & Chen, 2014) Necessity is the mother of invention. When resources are limited nurses are inspired to discover how to do a better job with the resources that are available. EBP hopefully is the tool we look to. Works Cited Tsai, P., Waaang, R., Lee, C., Tsai, L., & Chen, H. (2014). Determinants of Self-Care Decision-Making in Hospitalised Patients with Heart Failure. JHournal of ClinaL Nursing, . ReplyShow Less Angeli Christian Angeli Christianreply to Janice Young 10/29/2016 9:45:47 PM RE: Establishing Evidence-Based Practice in a Nursing Setting Hi Janice and class, Down in South Texas, we have waves of nursing shortages depending on oil prices and what infrastructure is next to be built. This time for us it is it will be the building of new Corpus Christi Harbor Bridge and the influx of people moving in from expensive and colder states or so-called "Winter Texans" becoming permanent residents. In Corpus Christi, we have one ADN program and the on