Description

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

Patient experience
Population health
Costs
Work life of healthcare providers

REQUIRED RESOURCE:

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160

Assignment_Rubric

WRITE A BRIEF ANALYSIS OF THE CONNECTION BETWEEN EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM. YOUR ANALYSIS SHOULD ADDRESS HOW EVIDENCE-BASED PRACTICE MIGHT (OR MIGHT NOT) HELP REACH THE QUADRUPLE AIM, INCLUDING EACH OF THE FOUR MEASURES OF:

· PATIENT EXPERIENCE
· POPULATION HEALTH
· COSTS
· WORK LIFE OF HEALTHCARE PROVIDERS—

Excellent 77 (77%) – 85 (85%)The analysis clearly and accurately addresses in detail how evidence-based practice either supports or does not support the Quadruple Aim.

The analysis accurately and thoroughly explains in detail how the four measures of patient experience, population health, costs, and work-life of healthcare providers either supports or does not support the Quadruple Aim.

The analysis provides a complete, detailed, and specific synthesis of two outside resources reviewed on the four measures supporting or not supporting the Quadruple Aim. The response fully integrates at least two outside resources and two or three course-specific resources that fully support the analysis provided with credible and detailed examples.

Good 68 (68%) – 76 (76%)

The analysis accurately addresses how evidence-based practice either supports or does not support the Quadruple Aim.

The analysis accurately explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim.

The analysis provides an accurate synthesis of at least one outside resource reviewed on the four measures supporting or not supporting the Quadruple Aim. The response integrates at least 1 outside resource and two or three course-specific resources that may support the analysis provided and may include some detailed examples.

Fair 60 (60%) – 67 (67%)

The analysis inaccurately or vaguely addresses how evidence-based practice either supports or does not support the Quadruple Aim.

The analysis inaccurately or vaguely explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim.

The analysis provides an inaccurate or vague analysis of the four measures supporting or not supporting the Quadruple Aim with a vague or inaccurate analysis of outside resources. The response minimally integrates resources that may support the analysis provided and may include vague or inaccurate examples.

Poor 0 (0%) – 59 (59%)

The analysis inaccurately and vaguely addresses how evidence-based practice either supports or does not support the Quadruple Aim or is missing.

The analysis inaccurately and vaguely explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim or is missing.

WRITTEN EXPRESSION AND FORMATTING—PARAGRAPH DEVELOPMENT AND ORGANIZATION:
PARAGRAPHS MAKE CLEAR POINTS THAT SUPPORT WELL-DEVELOPED IDEAS, FLOW LOGICALLY, AND DEMONSTRATE CONTINUITY OF IDEAS. SENTENCES ARE CAREFULLY FOCUSED—NEITHER LONG AND RAMBLING NOR SHORT AND LACKING SUBSTANCE. A CLEAR AND COMPREHENSIVE PURPOSE STATEMENT AND INTRODUCTION IS PROVIDED WHICH DELINEATES ALL REQUIRED CRITERIA.—

Excellent 5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

Good 4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment is stated yet is brief and not descriptive.

Fair 3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time.

Purpose, introduction, and conclusion of the assignment is vague or off topic.

Poor 0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.

No purpose statement, introduction, or conclusion was provided.

WRITTEN EXPRESSION AND FORMATTING—ENGLISH WRITING STANDARDS:
CORRECT GRAMMAR, MECHANICS, AND PROPER PUNCTUATION.—

Excellent 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.

Good 4 (4%) – 4 (4%)

Contains a few (one or two) grammar, spelling, and punctuation errors.

Fair 3.5 (3.5%) – 3.5 (3.5%)

Contains several (three or four) grammar, spelling, and punctuation errors.

Poor 0 (0%) – 3 (3%)

Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

WRITTEN EXPRESSION AND FORMATTING—THE PAPER FOLLOWS CORRECT APA FORMAT FOR TITLE PAGE, HEADINGS, FONT, SPACING, MARGINS, INDENTATIONS, PAGE NUMBERS, RUNNING HEAD, PARENTHETICAL/IN-TEXT CITATIONS, AND REFERENCE LIST.—

Excellent 5 (5%) – 5 (5%)Uses correct APA format with no errors.

Good 4 (4%) – 4 (4%)

Contains a few (one or two) APA format errors.

Fair 3.5 (3.5%) – 3.5 (3.5%)

Contains several (three or four) APA format errors.

Poor 0 (0%) – 3 (3%)

Contains many (five or more) APA format errors.

NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

Week 1 Discussion Assignment

Where in the World Is Evidence-Based Practice? March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world. When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP. In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP. To Prepare: • Review the Resources and reflect on the definition and goal of EBP. • Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

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• Explore the website to determine where and to what extent EBP is evident. By Day 3 of Week 1 Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples. By Day 6 of Week 1 Respond to at least two of your colleagues on two different days by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts. Submission and Grading Information Grading Criteria To access your rubric: Week 1 Discussion Rubric Post by Day 3 and Respond by Day 6 of Week 1 To participate in this Discussion: Week 1 Discussion ________________________________________ Assignment: Evidence-Based Practice and the Quadruple Aim Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs. More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions. To Prepare: • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources. • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare. • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery. To Complete: Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim. Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of: • Patient experience • Population health • Costs • Work life of healthcare providers By Day 7 of Week 1 Submit your anaylsis. Submission and Grading Information To submit your completed Assignment for review and grading, do the following: • Please save your Assignment using the naming convention “WK1Assgn+last name+first initial.(extension)” as the name. • Click the Week 1 Assignment Rubric to review the Grading Criteria for the Assignment. • Click the Week 1 Assignment link. You will also be able to “View Rubric” for grading criteria from this area. • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open. • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay. • Click on the Submit button to complete your submission. Grading Criteria To access your rubric: Week 1 Assignment Rubric Check Your Assignment Draft for Authenticity To check your Assignment draft for authenticity: Submit your Week 1 Assignment draft and review the originality report. Submit Your Assignment by Day 7 of Week 1 To submit your Assignment: Week 1 Assignment To go to the next module: Module 2 NURS 6052: Essentials of Evidence-Based Practice Sample answer EBP and Quadruple Aim Quadruple Aim was introduced with the aim of embracing a comprehensive approach to improving healthcare. It was upgraded from Triple Aim due to the adoption of better work life of the clinicians (Bodenheimer & Sinsky, 2014). There is a connection between evidence-based practice and Quadruple Aim since they both focus on enhancing patient care, reducing the cost of treatment, enhancing health outcomes and improving the work life of nurses. One of the pillars of Quadruple Aim is improving the patient experience. It refers to enhancing the quality of healthcare and eliminating complications that may arise during medical procedures (Zimmerman, 2017). The strategies for improving the patient experience will be drawn from a synthesis of research studies. For example, healthcare facilities have reduced hospital-acquired infection by using evidence-based practice. Population health is another pillar of Quadruple Aim. It involves enhancing the quality of health of the population by embracing healthy behaviors such as regular exercise or healthy eating habits (Zimmerman, 2017). They also involve community participation in preventing diseases such as fatal outbreaks by keeping clean surroundings. It is essential to know that health organizations have embraced evidence-based practice to reduce the cost of treatment. Quadruple Aim focuses on reducing the cost of healthcare (Melnyk & Fineout- Overholt, 2011). It emphasizes an accurate prediction of diseases and eliminates cases of misdiagnosis that could lead to unnecessary treatment. The fourth pillar of Quadruple Aim is improving the work life of nurses by boosting the satisfaction of the health workers and preventing cases of burnouts. Evidence-based practice has shown that nurses who work for long hours tend to make medical mistakes (Maughan & Yonkaitis, 2017). Research indicates that nurses should eat healthy food, take regular exercises and maintain a sober mind, take friendly shifts, and rest to prevent stress during work.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

NURS 6052- week 2 discussion- Literature Searches

Order Description

see attached doc

Literature Searches
An important step in the EBP process is reviewing the current body of literature to better understand the subject or topic in which you are interested. By conducting a review of the literature, you are building foundational knowledge about the topic; later, you can use this background to build new insights. Developing a strong grasp of a topic can only be garnered by taking the time to thoroughly search for relevant information and resources.
For this Discussion, you will practice searching the literature to find evidence on a specific topic.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.
To prepare:
Choose a simple search term(s) relating to a topic of your PICOT question. (PICOT model—patient/population, intervention/issue, comparison, and outcome)
Review the information on the evidence hierarchy discussed in Chapter 2 of the course text, in the article, “Facilitating Access to Pre-Processed Research Evidence in Public Health,”
Conduct a literature search in the Library on your selected topic using the databases that you reviewed. Use at least one database for each of the three levels of filtered information and at least one unfiltered database. Record the number of hits that you find at each level of the hierarchy of evidence.
Select one article from the results at each level of the hierarchy. Compare the articles based on the quality and depth of information. What would be the value of each resource if you were determining an evidence-based practice?
Post on or before Day 3 a summary of your search. Describe what topic you selected, the search term(s) that you used, and the number of results found at each level of the hierarchy. Compare the types of information found in the articles from different levels and the value of the information from each level. Highlight a useful tip that you could share with your colleagues about conducting an effective literature search.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.
References
Robeson, P., Dobbins, M., DeCorby, K., & Tirilis, D. (2010). Facilitating access to pre-processed research evidence in public health. BMC Public Health, 10, 95.
Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
o Chapter 2, “Evidence-Based Nursing: Translating Research Evidence into Practice” (Review pages 27–34)

NURS 6052-Week 3-Essentials of Evidence-Based Practice Essay.

intervention. The environment provides internal and external stimuli. The stressors provoke a

response, which is demonstrated in the form of behavior. All surgery requires a level of

adaptation. RAM encompasses six steps in the nursing process. The first is the assessment of

behavior; second is the nursing diagnosis followed by goal setting, intervention, and evaluation.

The model requires assessment in the following adaptive modes:NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

• Physiological mode

• Self-concept mode

• Role function mode

• Interdependence mode

Cliff successfully underwent a right below-knee amputation, without no postoperative

complication. Cliff has demonstrated adaptive behaviors throughout his hospital admission,

although Cliff will be presented with different social, psychological and physical stressors as he

adjusts to a different lifestyle because of Cliff surgery.

Importance of an Established model

Established model help to conceptualize moving evidence into practice. It also assists in focusing

efforts derived from clinical problems or from ideas to the actual implementation of the practice.

This model promotes an organized approach to evidence-based practice prevents incomplete

implementation and can maximize the use of time and resources. (Polit & Beck,2017)

Week 4: Nursing Research for Evidence-Based Practice

Alice: Would you tell me, please, which way I ought to go from here?
The Cat: That depends a good deal on where you want to get to.
Alice: I don’t much care where.
The Cat: Then it doesn’t much matter which way you go.
—Lewis Carroll, Alice in Wonderland

Effective research begins with the careful formulation of a research question. Because this question will guide the entirety of the research process, it is important for the question to be specific, answerable, meaningful, and manageable. The question, “What is the cure for cancer?” is extremely significant, but it is not specific or manageable enough to promote effective research. Conversely, the question, “Are individuals who play the violin on Fridays in March more likely to contract hepatitis?” is very specific but lacks clinical significance. In order for research to generate meaningful, precise findings, researchers must begin by carefully crafting a question. In addition, researchers must also explore ethical concerns related to the question that they select. Taking the time to craft a relevant, well-constructed question will enable the researcher to have an unambiguous focus as he or she proceeds.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

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This week, you examine different models for developing a researchable question and reflect on the ethical considerations of research. You also formulate a research question using the PICOT model.

Reference:
Carroll, L. (1865). Alice in wonderland. London, UK: Macmillan.

Learning Objectives

Students will:

Analyze ethical aspects of research studies
Evaluate the significance of a health care issue to nursing practice
Develop an answerable PICOT question for an EBP study

Photo Credit: [JGI/Jamie Grill]/[Blend Images]/Getty Images

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

REQUIRED READINGS

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 3, “Key Concepts and Steps in Qualitative and Quantitative Research” (for review)

Chapter 4, “Research Problems, Research Questions, and Hypotheses”This chapter focuses on the steps in planning a study to generate evidence. These include developing a research question, identifying variables, articulating a problem statement, and generating hypotheses.

Chapter 7, “Ethics in Nursing Research”In this chapter, the focus is on the ethical dilemmas that occur when planning and conducting research and the ethical principles that have been enacted for protecting study participants.

Fouka, G., & Mantzorou, M. (2011). What are the major ethical issues in conducting research? Is there a conflict between the research ethics and the nature of nursing? Health Science Journal, 5(1), 3–14.
Retrieved from the Walden Library databases.
This article describes a literature review conducted to determine the most important ethical issues that nurses encounter when undertaking or participating in research. The authors detail the results of the review and make recommendations for solving some of the problems highlighted.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

Newcomb, P. (2010). Evolving fairness in research on human subjects. Journal of Child and Adolescent Psychiatric Nursing, 23(3), 123–124.
Retrieved from the Walden Library databases.
In this article, the author describes some of the ethical controversies that may arise in conducting research in human subjects, especially with respect to ownership of genes. The author also stresses the importance of educating research subjects and their families about the ultimate purpose of research.

Yakov, G., Shilo, Y., & Shor, T. (2010). Nurses’ perceptions of ethical issues related to patients’ rights law. Nursing Ethics, 17(4), 501–510.
Retrieved from the Walden Library databases.
The authors of this article detail a study conducted to determine how nursing staff deal with ethical issues in relation to the law. The article emphasizes the difficulty staff had in distinguishing between legal and ethical problems. The authors make several recommendations to deal with legal and ethical problems.

Delwiche, F. (2008). Anatomy of a scholarly research presentation in the health sciences. Retrieved from http://dana.uvm.edu/Anatomy/
This presentation highlights the primary components of scholarly research articles. The presentation details the distinguishing factors of scholarly journals, the peer-review process, and the definition of “primary literature.”

American Nurses Association. (2001). Code of ethics for nurses with interpretive statements. Retrieved from http://nursingworld.org/DocumentVault/Ethics-1/Code-of-Ethics-for-Nurses.html
This website provides the code of ethics for nurses to be used in carrying out their responsibilities. There is also a detailed explanation of each provision.

Document: Literature Review Summary Table Template (Word document)
Note: You will use this document to complete the Project throughout this course.

MEDIA

Laureate Education (Producer). (2012a). Anatomy of a research study. Baltimore, MD: Author.
This multimedia piece explains the “anatomy” of both quantitative and qualitative research studies. In addition, there is a brief quiz at the end of the tutorial to measure knowledge about research articles.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

Laureate Education (Producer). (2012d). Evidence-based practice and research. Baltimore, MD: Author.
Note: The approximate length of this media piece is 6 minutes.
In this video, Dr. Marianne Chulay talks about the significance of evidence-based practice and research in nursing. She explains how nurses should apply research findings to health care decisions to improve outcomes.
–Downloads–
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Laureate Education (Producer). (2012h). Overview of evidence-based practice. Baltimore, MD: Author.
Note: The approximate length of this media piece is 5 minutes.
In this video, Dr. Kristen Mauk explains evidence-based practice and its importance to nursing. She also provides a brief overview of the process of conducting original research.
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OPTIONAL RESOURCES

National Institutes of Health Office of Extramural Research. (2011). Protecting human research participants. Retrieved from http://phrp.nihtraining.com/users/login.php
This website provides a course on ethical research for those involved in research in human subjects. The course supplies basic concepts, principles, and issues relevant to protecting research participants.

University of Oxford. (2005). PICO: Formulating an answerable question. Retrieved from http://learntech.physiol.ox.ac.uk/cochrane_tutorial/cochlibd0e84.php

Discussion: Ethical Dimensions of Research Studies

In the best-selling book, The Immortal Life of Henrietta Lacks (Skloot, 2010), the author highlights the true story of an African-American woman who died in 1951 from cervical cancer. What makes her story unique is that prior to her death, cells from her tumor were removed and successfully grown in a petri dish. This was the first time scientists were able to successfully replicate cells outside the body, and it is estimated that billions of Lacks’ cells have been used in medical research. However, Henrietta Lacks was never asked for permission to take a sample and her family was never made aware of the widespread use of her cells. Although the culturing of her cells has been pivotal for advancing research, strong ethical concerns later arose about using these cells without patient or family approval.

This week’s readings describe historical examples of unethical research, such as a study of syphilis among African-American men in which treatment was withheld and a study in which live cancer cells were injected into elderly patients. Today, stricter controls that seek to protect study participants are placed on researchers, but breaches still occur. Careful attention must be given toward preventing unethical behavior. In this Discussion, you explore ethical considerations and issues in research.

To prepare:

Select a current health-related case involving research ethics. (If none come to mind, browse the Internet to familiarize yourself with recent cases.)
As you review the case that you have selected, reflect on the ethical principles discussed in “What Are the Major Ethical Issues in Conducting Research?” article found in this week’s Learning Resources. Which principles were breached in the case you have identified?

BY DAY 3

Post a description of the case that you selected and the ethical issues involved. Analyze the ethical principles that were breached by the researchers or organizations in your selected case as well as the possible cause of the breach(es). Suggest how the research might have been conducted differently to avoid or minimize the ethical problems. Discuss how research can be done on sensitive issues while still protecting the rights of the research subjects.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

WK5-Nursing Research for Evidence-Based Practice

CONDUCTING RESEARCH REVIEW 5

bedsores during their hospital stay and in home-based long-term care. The fact that these

pressure-relieving materials help in distributing the pressure exerted on the skin surface evenly

and are often made of soft materials to reduce the friction; they ensure that hospitalized patients

are affected by pressure sores. The studies revealed that pressure ulcers are primarily caused by

lack of regular adjustment of resting position after every 2 hours in critically ill patients. Also,

some of the studies denoted that bedsores are common in aging populations and the period of

hospital stay was a predictor for such a hospital-acquired condition. Collectively, the studies

reached a common conclusion that use of pillows and other pressure-relieving objects was better

in preventing and treating pressures sores in hospitalized patients, compared to the method of

keeping a clean and dry skin.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

NURS 6052 Week 6 Assignment (Walden)

Critique Template for a Qualitative Study

NURS 5052/NURS 6052

Week 6 Assignment: Application: Critiquing Quantitative, Qualitative, or Mixed Methods Studies (due by Day 7 of Week 7)

What is a critique? Simply stated, a critique is a critical analysis undertaken for some purpose. Nurses critique research for three main reasons: to improve their practice, to broaden their understanding, and to provide a base for the conduct of a study.

When the purpose is to improve practice, nurses must give special consideration to questions such as these:

• Are the research findings appropriate to my practice setting and situation?

• What further research or pilot studies need to be done, if any, before incorporating findings into practice to assure both safety and effectiveness?

• How might a proposed change in practice trigger changes in other aspects of practice?

To help you synthesize your learning throughout this course and prepare you to utilize research in your practice, you will be critiquing a qualitative, quantitative, or mixed-methods research study of your choice.

If the article is unavailable in a full-text version through the Walden University Library, you must e-mail the article as a PDF or Word attachment to your Instructor.

Nurs 6052 -Week 7 Assignment

Main Post

According to( Laureate Education,2013), qualitative research provides a medium in which rich

information can be obtained. The focus of quantitative research evaluates an inquiry from the

views and realities of the participants who have experienced the concept of interest. (Polit &

Beck,2017).There are several characteristics for qualitative study design which include flexibility

(the ability to adjust to new information as data is collected, triangulation(merger of many data

collection strategies), holistic(aimed at understanding the whole picture), intense involvement of

the researcher and ongoing data analysis(Polit & Beck,2017).In this discussion, I examine a

qualitative research article, determining the research that was used, evaluate the appropriateness

of the design and ethical issues.

An article by Iccha Basnyat on 2015 about structural violence in Healthcare. This article

describes the structural violence as a social limitation to access to resources. The commercial sex

workers in Kathmandu, Nepal has limited access to healthcare. This limitation is common to

women in Nepal particularly those who no longer married or separated. The study chose 35

women who are without a husband for various reasons(death, divorce, divorce). The decision to

become sex workers to take care of their children. In the thematic study analysis was utilized to

find patterns within the data. The data identified consists of social stigma as a sex worker,

limited access to health care, and feeling that sex work is the only option they have for

employment. The women are over risking her health means to provide for their children.

Ostracising this stigma can help women that are in a harsh predicament.

Appropriateness of the researc

Polit and Beck defined thematic narrative analysis as the researcher keeping each participants

entry as a whole without fragmenting it (2017). The author had participants describe their

experience in their own words, transcribed the meeting into English with an interpreter, analysed

the data for similarities and reviewed the data with the participants to ensure it was reflective of

their experience.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

Ethical issues

In this study, Basnyat directly addressed ethical consideration. She received approval from her

university institutional review board, a letter authorizing her utilization of the clinic for data

collection and obtain informed consent from all participants.the right f confidentiality provided

to each participant and has the right to withdraw from the study at any time. During the

research,t have compensated the equivalent of 2 U.S dollars.

In this weeks media presentation, Dr. Mauk describes qualitative research as richness in data that

is not easily obtained through quantification. The themes in the study on how society views

social workers, how sex workers felt about themselves, and their situation. This helped to collect

data, and there could be a quantitative analysis of how many felt stigmatized or numerical data

on what percentage had children to support. Moreover, the data can provide us with a

quantitative analysis of how effective a treatment is in curing a disease. A qualitative study gives

us insight in that participants may not participate in the treatment due to it being against their

culture, painful, or other aberrant characteristics.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

6052Wk8Initial Discussion

NURS 6052 – Essentials of Evidence-Based Practice

Week 8 Initial Discussion Post

Planning for Data Collection

Evidence-based practice is a theory that consists of using research to guide decision

making in clinical and nursing settings. For research to be reliable and have validity a significant

amount of data collection must first be collected. Whether your research project is using

quantitative, qualitative, or mixed-methods design it is essential to determine what types of

information is needed. Due to the emphasis on patient satisfaction in the healthcare world at this

time, it is important to evaluate how that care is being delivered (Krietz, Winters & Pedowitz,

2016). In this post, I will discuss using a survey method to obtain information representative of

the population within a clinic setting.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

In the example, I am a nurse working in a suburban primary care facility which sees

thousands of patients annually. To make better clinical decisions regarding patient care and

satisfaction, five questions have been created to elicit feedback. The questions are as follows:

1. Did you feel the wait time to be seen in the office was appropriate?

2. During your visit, did you feel the nurses and staff listened to your concerns and

treated you with courtesy and respect?

3. Did the provider spend enough time listening, discussing care, and answering your

questions?

4. Based on your experience today, would you recommend our clinic to someone you

know?

5. In your opinion, what could our clinic have done better?

To obtain structured data that is self-reported and applicable to the clinic’s objectives it is

vital to determine which instrument would work best for the clientele. Self-report methods are

able to extract information from patients that might otherwise be difficult to get (Polit & Beck,

2017). Allowing the freedom to report their experiences and feelings increases confidence in the

clinic’s desire to meet their needs. If researchers know what data they want to obtain, a

structured approach with some open-ended and closed questions can garner the information

needed to make significant changes (Polit & Beck, 2017). Using a mixture of questions is an

attempt to include all patients.

For this scenario, the questionnaire is a sampling of both types of questions and is the

most popular method (Keough & Tanabe, 2011). The study will be given to individuals 18 and

over. The questionnaire and a pen will be given to the patient by the nurse prior at the start of

their appointment with the physician. An explanation of the questionnaire will be provided with

instructions to return their questionnaire to the drop-box on the countertop in the room after their

exam. The goal for participation is 500 patient responses over a six-month time period.

Responses will be collected and responses logged into the computer on Fridays by the nurse

manager. After the 6-month period, results will be calculated and staff will be informed of the

results and clinical implications for patient care.

Implementing change processes requires the support of clinical staff and providers. Since

patient care is seen as an essential component of healthcare, working together as a staff to create

a warm, friendly, and improved patient experience is the ultimate objective (McNicholas et al.,

2017). With good leadership and teamwork, the clinic can attain staff satisfaction and patient

satisfaction simultaneously.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

Discussion board group post for week 9

Statistical Methods in Qualitative Research

Statistical

Method

What is measured by this method Circumstances for Use Examples of use in Research

Studies

Qualitative

Content Analysis

Analyzes narrative data, and in-depth

interviews. Can evaluate large volumes

of data with intent to identify recurring

themes and patterns. Attempts to break

down elements of data into clusters.

May be concurrent or sequential (Polit

&Beck, 2017).

Good method for evaluating

personal histories,

perspectives, experiences.

Best method for studying

personal, sensitive situations

(Sauro, 2015).

Examples of this methodology

include evaluation of the

experience of a rape victim, what

it feels like to have an abortion,

how it feels to have lived through

a disaster.

Ethnographic

analysis

Evaluates cultural phenomena, patterns,

perspectives. Requires “participant

observer” technique. No preconceived

hypothesis. May take months or years

to complete. Maps and flowcharts are

tools to help illustrate findings (Polit &

Beck, 2017).

Method to “acquire a deep

understanding of the culture

being studied” (Polit & Beck,

2017 p. 538).

An example of ethnographic

analysis could include a research

study with ethnographers

integrating with Native Americans

living on a reservation while

observing everyday life seeking

to extrapolate overlying cultural

issues.

Phenomenologic

Analysis

Attempts to understand the essence of

experiencing a particular phenomenon

by observation, interviews, and outside

research. Descriptive analysis

Method for understanding

individual perspectives of

experiencing a certain

phenomenon. Seeks to

extrapolate commonalities

and themes among subjects

(Sauro, 2015).

Conducting interviews with

persons who have experienced

hallucinations, with the intent to

understand their perspective and

experience of the phenomenon,

is an example of this method of

research.

Grounded Theory

Analysis

Aim is to provide theories and

explanations for phenomena based on

previously coded information Uses

interviews and previous accepted

research. Unlike Qualitative content

analysis, which seeks to break down

information, Grounded theory strives to

put information back together (Polit &

Beck, 2017).

Method for development of

theories, Could be used meta-

analyses or systematic

reviews.

An example of a grounded theory

analysis is” Beck’s (2002) model

of mothering twins” as cited in

Polit & Beck (2017).

Focus Group

Analysis

Analyzes group data in relation to a

specific topic. Group interviews,

recordings, and field notes .are

instruments for conducting this type of

research.

May be used for evaluation of

a potential survey tool,

consensus on a new product.

Researchers seek to

extrapolate recurring themes.

An example of a focus group

analysis might be to evaluate

perceptions of a new product

being marketed to test for general

consensus of its desirability.

Quasi-statistics: a tabulation of the frequency with which certain themes or insights are supported by the

data

Qualitative content analysis: analysis of the content of narrative data to identify prominent themes and

patterns among the themes

Domain analysis: 1

of 4 levels of data analysis, domains are units of cultural knowledge, are broad

categories that encompass smaller ones. Ethnographers identify rational patterns among terms in the

domains are used by members of the culture. Ethnographer focuses on the cultural meaning of terms and

symbols used in a culture

Taxonomic analysis: second level of data analysis, ethnographers decides how many domains the

analysis will encompass. Taxonomy is then developed to illustrate the internal organization of a domain

and the relationship among the subcategories of the domain

Taxonomy: a system of classifying and organizing terms

Componential analysis: relationships among terms in the domains are examined; ethnographer

analyzes data for similarities and differences among cultural terms in a domain.

Theme analysis: cultural themes are uncovered; domains are connected in cultural themes, which help

to provide a holistic view of the culture being studied. The discovery of cultural meaning is the outcome.

Holistic approach: researchers view the text as a whole and try to capture is meanings

Selective approach: researchers highlight or pull out statements or phrases that seem essential to the

experience under study

Detailed approach: researchers analyze every sentence

Hermeneutic circle: signifies a methodological process in which to reach understanding, there is

continual movement between the parts and the whole of the text being analyzed

Exemplars: illuminate aspects of a paradigm case or theme

Substantive codes: substance of the topic under study is conceptualized through substantive codes.

Substantive codes are either open or selective

Open coding: used in the first stage of the constant comparative analysis,

captures what is going on in the data. May be actual words stated by participant. In open coding,

data are broken down into incidents and their similarities and differences are examined. Raw

data interpreted

Three Levels of Open Coding: Levels I, II, III

Level I codes: in vivo codes, derived directly from the language of the

substantive area and have vivid imagery

Level II codes: Researchers constantly compare new level one codes to

previously identified ones and then condense them into broader level II

codes

Level III codes: theoretical constructs, most abstract, add scope beyond local

meanings

Core category: pattern of behavior that is relevant and/or problematic for participants

Selective coding: can have 3 levels of abstraction, researchers code only those data that are related to

the core variable

Basic social process (BSP): evolves over time in two or more phases, all BSP’s are core variables, but

not all core variables have to be BSPs

Emergent fit: prevents individual substantive theories from being “respected little islands of knowledge

Axial coding: analyst codes for context

Paradigm: used as an analytical strategy to help integrate structure and process

Central category: core category, which is the main theme of the research

Initial coding: pieces of data (words, lines, segments, incidents) are studied so the researcher begins to

learn what the participants view as problematic

Focused coding: the analysis is directed toward using the most significant codes from the initial coding

Congruent methodological approach: analyzes interaction data in the same manner as a group or

individual data

Sociograms: can be used to understand the flow of conversation as it goes around the members of the

focus group

Incubation: process of living the data, a process in which researchers must try to understand their

meanings, find their essential patterns, and draw legitimate, insightful conclusions

Conceptual files: physical files in which coded excerpts of data relevant to specific categories are placed

Themes: involves the discovery nor only of commonalities across participants but also of natural variation

and patterns in the data

Metaphors: figurative comparisons used to evoke a visual or symbolic analogy

Quasi-statistics: involves a tabulation of the frequency with which certain themes or relations are

supported by the data

Qualitative content analysis: can vary in terms of an emphasis on manifest content or latent content

and in the role of induction.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

Within a qualitative data analysis there is not statistical tests, because qualitative research is

based on thoughts, open ended questions, interpretations and interviews not numerical values. Data

within qualitative research is understood and analyzed during the entirety of the process.

“Researchers interpret the data as they read and reread them, categorize and code them,

inductively develop a thematic analysis, and integrate the themes into a unified whole,” (Polit &

Beck, 2017, p.549). There is not a step by step understanding of how the process occurs of

interpreting the data, researchers “live” within the data by understanding the meanings, looking for

patterns, draw valid, discerning conclusions. An additional importance of understanding of the facts

is having the inventiveness to find the “aha” meaning of the information and discovery of the

meanings of the facts gained (Polit & Beck, 2017).

The importance of the interpretation is just as important as the validity of the data.

Thorough and sensible researchers have a high standard of their data interpretation by dissecting

themselves, peers and outside reviewers. It is vital that the qualitative researchers consider possible

different explanations or meanings other than their own (Polit & Beck, 2017).

It is important nurses to understand statistical data because this is a large part of the work

nurses base the practice on is evidence based, which means understanding the research behind the

reason of the practice is important to understand. According to Hayat, it is important to understand

the difference between statistical significance and clinical importance, researchers tend to use

statistics to claim proof and scientific breakthrough. Significance testing can be used to decide which

data may be considered evidence to support a practice change (2010). “Judgment and subjectivity

are necessary and part of the decision-making process. Statistical significance is not a measure of

importance; it is a subjective and qualitative construct. Researchers conducting quantitative

analyses should quantify the magnitude of an effect. The value of the data collected should be

assessed by examining study design, bias, and confounding variables, as well as meaningfulness of

the results to the topic under study,” (Hayat, 2010, p.222). Nurses must consider this and have an

understanding when utilizing statistical methods to base their practice changes.

NURS 6052- week 10- application, Project part 3

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Course Project: Part 3—Translating Evidence Into PracticeIn Part 3 of the Course Project, you consider how the evidence you gathered during Part 2 can be translated into nursing practice.Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.To prepare:

Consider Parts 1 and 2 of your Course Project (dear writer, I have past and copied the parts 1 and 2 at the end of this paper, please review and use them). How does the research address your PICOT question?
With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.
Explore possible consequences of failing to adopt the evidence-based practice that you identified.
Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?

To complete:

In a 3- to 4-page paper:

Restate your PICOT question and its significance to nursing practice.
Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles.
Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.
Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?

This part of the Course Project is due by Day 7 of Week 10. It should be combined with the other two components of the Course Project and turned in as your Portfolio Assignment for this course.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

Note: In addition, include a 1-page summary of your project.

For this final iteration, you will need to:

Submit your paper to Grammarly and Turnitin through the Writing Center. Based on the Grammarly and Turnitin reports, revise your paper as necessary.
Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The School of Nursing Sample Paper provided at the Walden Writing Center provides an example of those required elements (available from the Walden University website found in this week’s Learning Resources). All papers submitted must use this formatting.

References

Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

Please use 4 more references

* Use the following format. Please also include titles for each paragraph so the paper is easier to follow and understand

Introduction paragraph.

The last phrase of the paragraph should say: “the purpose of this paper is to examine…”
Body
Summary
- It should start with “the purpose of this paper was to analyze …”NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

Main
Similar Questions

Report Issue

In this Discussion, you focus on how to create an organizational culture that supports evidence-based practice.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

To prepare:

Review the information in this week’s Learning Resources. Examine the various suggestions for promoting an organizational culture that embraces the use of EBP.
Reflect on your own organization’s (or one in which you have worked) support of evidence-based practice. Examine how culture and policies impact the adoption of changes to practice based on evidence. What barriers exist?
Consider the models and suggestions for promoting evidence-based practice featured in this week’s Learning Resources. Identify models and suggestions that would work well in your organization.
Reflect on the significance of evidence-based practice in health care. What responsibility do nurses have to promote EBP and change practices to better reflect evidence and research findings?
Reflect on how nurses can disseminate findings from evidence-based practice research.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

Post in 24 hrs , 1 page discussion paper : an evaluation of your organization’s use of EBP and how it is furthered or hindered by organizational culture and policies.

Describe how you could disseminate the findings.

Propose a strategy for strengthening the culture of EBP within the organization.

Discuss a nurse’s responsibility to further the use of EBP, providing a rationale supported by specific information from the Learning Resources.NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

References/Resources

Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
- Chapter 28, “Disseminating Evidence: Reporting Research Findings”

Aitken, L. M., Hackwood, B, Crouch, S., Clayton, S., West, N., Carney, D., & Jack, L. (2011). Creating an environment to implement and sustain evidence based practice: A developmental process. Australian Critical Care, 24(4), 244–254. Retrieved from the Walden Library databases. NURS 6052 Week (1-11) – Essentials of Evidence-Based Practice Essay.

Nurs 6052 Assignment

Nurs 6052 week 1 Assignment

Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
• Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)
Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01
Note: You will access this article from the Walden Library databases.
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126
Note: You will access this article from the Walden Library databases.
Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
Note: You will access this article from the Walden Library databases.

ORDER HERE A PLAGIARISM-FREE PAPER HERE

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2. Retrieved from http://download.lww.com/wolterskluwer_vitalstream_com/PermaLink/NCNJ/A/NCNJ_165_516_2010_08_23_DGSODKGNM_1651_SDC516.pdf
Note: You will access this article from the Walden Library databases.
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021. Retrieved from https://sigmapubs.onlinelibrary.wiley.com/doi/full/10.1111/wvn.12021
Note: You will access this article from the Walden Library databases.
Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160. Retrieved from https://qualitysafety.bmj.com/content/qhc/24/10/608.full.pdf
Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Find the best library databases for your research. Retrieved September 19, 2018, from https://academicguides.waldenu.edu/az.php

Required Media
Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.

Accessible player
________________________________________
Discussion: Where in the World Is Evidence-Based Practice?
March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.
When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.
In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.
To Prepare:
• Review the Resources and reflect on the definition and goal of EBP.
• Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
• Explore the website to determine where and to what extent EBP is evident.
By Day 3 of Week 1
Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.
By Day 6 of Week 1
Respond to at least two of your colleagues on two different days by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.
Submission and Grading Information
Grading Criteria

To access your rubric:
Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 1

To participate in this Discussion:
Week 1 Discussion

________________________________________
Assignment: Evidence-Based Practice and the Quadruple Aim
Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.
More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.
To Prepare:
• Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
• Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
• Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.
To Complete:
Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.
Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:
• Patient experience
• Population health
• Costs
• Work life of healthcare providers
By Day 7 of Week 1
Submit your anaylsis.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
• Please save your Assignment using the naming convention “WK1Assgn+last name+first initial.(extension)” as the name.
• Click the Week 1 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Week 1 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:
Week 1 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:
Submit your Week 1 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 1

To submit your Assignment:
Week 1 Assignment

To go to the next module:
Module 2

NURS 6052: Essentials of Evidence-Based Practice

Sample answer

EBP and Quadruple Aim
Quadruple Aim was introduced with the aim of embracing a comprehensive approach to improving healthcare. It was upgraded from Triple Aim due to the adoption of better work life of the clinicians (Bodenheimer & Sinsky, 2014). There is a connection between evidence-based practice and Quadruple Aim since they both focus on enhancing patient care, reducing the cost of treatment, enhancing health outcomes and improving the work life of nurses. One of the pillars of Quadruple Aim is improving the patient experience. It refers to enhancing the quality of healthcare and eliminating complications that may arise during medical procedures (Zimmerman, 2017). The strategies for improving the patient experience will be drawn from a synthesis of research studies. For example, healthcare facilities have reduced hospital-acquired infection by using evidence-based practice.
Population health is another pillar of Quadruple Aim. It involves enhancing the quality of health of the population by embracing healthy behaviors such as regular exercise or healthy eating habits (Zimmerman, 2017). They also involve community participation in preventing diseases such as fatal outbreaks by keeping clean surroundings. It is essential to know that health organizations have embraced evidence-based practice to reduce the cost of treatment. Quadruple Aim focuses on reducing the cost of healthcare (Melnyk & Fineout- Overholt, 2011). It emphasizes an accurate prediction of diseases and eliminates cases of misdiagnosis that could lead to unnecessary treatment. The fourth pillar of Quadruple Aim is improving the work life of nurses by boosting the satisfaction of the health workers and preventing cases of burnouts. Evidence-based practice has shown that nurses who work for long hours tend to make medical mistakes (Maughan & Yonkaitis, 2017). Research indicates that nurses should eat healthy food, take regular exercises and maintain a sober mind, take friendly shifts, and rest to prevent stress during work. Nurs 6052 Assignment

EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

To Prepare:

· Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.

· Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

· Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

· Patient experience

· Population health

· Costs

· Work life of healthcare providers

Evidence-Based Practice and the Quadruple Aim

The Triple Aim was aimed at increasing the effectiveness of healthcare organizations. This was to be achieved by improving the quality of care provided to patients and the population while reducing the cost of care. However, very little attention was given to the well-being of healthcare workers. And that is why the improvement of work-life of healthcare workers was added to form the Quadruple Aim. Inclusion of evidence-based practices in the Quadruple Aim considerably impacts it. This is because Lavenberg et al. (2019) say that the inclusion of evidence-based care practices involves the addition of scientifically tested and proven methodologies. Thus, it improves the efficiency and the effectiveness. This paper will look at the connection between the Quadruple Aim and evidence-based practices.

The inclusion of Evidence-based practices has been shown to affect the experience of patients in various ways. For instance, according to EBP, healthcare workers are supposed to thoroughly clean their hands and change some personal protective equipment like gloves when moving from one patient to the other. This is aimed at curtailing the spread of hospital-acquired infections. Moreover, when healthcare workers are updated on current treatment protocols, they provide up to date care and thus increase the probability of positive patient outcomes. Inclusion of EBP like interprofessional collaboration (IPC) has been shown to reduce the occurrence of medical errors and increase the quality of services provided to patients (Lavenberg et al., 2019). IPC also promotes the inclusion of patients in their management. This improves patients’ experiences as it enables to air out their grievances and preferences (Reeves et al., 2017).

Numerous direct and indirect effects can result from the inclusion of EBP in population health. For instance, the inclusion of EBP provides a chance for public health workers to promote best practices in their work. This can be seen in the targeted vaccination of populations at risk of being exposed to a specific disease. For example, the vaccination of healthcare workers and intravenous drug users against hepatitis B. When it comes to population health, Lhachimi et al. (2016) say that EBP enables efficient use of scarce resources to prevent diseases. There is a need to raise more finances and adequate time provided to allow for optimal utilization of EBP in population health.

EBP has significantly impacted the cost of care. The cost of care has reduced while the quality of services has improved. For instance, estimation and analysis of the cost of care provide an avenue for https://writerbay.net/orderthe most crucial course of actions to be taken when providing care. According to Eaton et al. (2017), EBP eliminates the repetition of some laboratory tests, and thus promotes cost effective use of the laboratory. EBP have a significant impact on the practice of clinicians. This is because evidence-based practices like interprofessional collaboration have been shown to empower clinicians by providing a level playing field for all physicians. This, in turn, increases their morale and job satisfaction. However, for this to be successful, healthcare professionals have to be trained in evidence-based practices. There is a need to speed up the development of evidence-based practices. This will help reduce the duration of time between carrying out of research and implementation of research findings.

Conclusion

Evidence practices have been shown to improve the quality of care provided to patients and improve the job satisfaction of healthcare workers. EBP has also been shown to reduce the cost of care and promote population health. Even though evidence-based practices can help achieve the Quadruple Aim in an organization, there various barriers that have to be sorted out that slow down the implementation of evidence-based practices.

To ensure patient care’s safety, high quality, and cost-effectiveness, nurses base their practice on sound and tested evidence. Students will better understand evidence-based practice (EBP) and how it interacts with and is aligned with research and quality improvement in this course. Students will learn how to search for evidence using databases and apply their knowledge of research methodologies to critically appraise literature. Additionally, they will look for ways to improve their synthesis and integration skills to determine whether a change in practice is necessary based on evidence. Students will examine the complexities of leading and mentoring change within an organization to improve nursing practice by analyzing implementation, evaluation, and dissemination strategies.

Prerequisites

MSN Nurse Practitioner Specializations

NURS 6002N or NURS 6003N

MSN Other Specializations

NURS 6002 or NURS 6003

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Question of interest: “For critically ill patients, does monitoring Stoke Volume yield more accurate or more appropriate diagnostic/ assessment information than Central Venous Pressure during fluid resuscitation?”

To Complete:

Write a 3- to 4-page paper that includes the following information:

A synopsis of your area of interest, identification of the problem you’ve chosen, and explanation of the significance of this problem for nursing practice

The five questions you generated, as well as a description of how you evaluated their feasibility.

Your preliminary PICOT question, as well as a description of each PICOT variable pertinent to your inquiry

At least 10 keywords that could be used to conduct a literature search for your PICOT question, as well as a rationale for your choices.

Nurses base practice on sound and tested evidence to ensure the safety, high quality, and cost-effectiveness of patient care. This course provides students the opportunity to gain a better understanding of the development and relationship of nursing theory, research, and practice. Through a variety of online activities and coursework, students explore the role of nursing theory in both research and practice. They examine research literature to differentiate and critique various research designs, including quantitative, qualitative, and mixed-method models; appraise statistical data; and analyze evidence. Acquired knowledge helps students to critically evaluate research to make decisions about use of findings to enhance practice.

NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 1 Assignment

Evidence-Based Practice and the Quadruple Aim

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.

Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

Patient experience

Population health

Costs

Work life of healthcare providers

Week 2 & 3 Assignment

Evidence-Based Project

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.

Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you used keywords to search on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

The full citation of each peer-reviewed article in APA format.

A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Week 5 Assignment

Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Develop a PICO(T) question to address the clinical issue of interest for the Assignment.

Use the key words from the PICO(T) question you developed and search at least four different databases in the Library to identify at least four relevant peer-reviewed articles at the systematic-reviews level related to your research question.

Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four peer-reviewed articles you selected.

Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

Week 7 Assignment

Evidence-Based Project, Part 4: Critical Appraisal of Research

Realtors rely on detailed property appraisalsâ€”conducted using appraisal toolsâ€”to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use appraisal tools to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

Review the Resources and consider the importance of critically appraising research evidence.

Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

Review and download the Critical Appraisal Tools document provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Critical Appraisal Tools document. Be sure to include:

An evaluation table

A levels of evidence table

An outcomes synthesis table

Part 4B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

Week 9 Assignment

Evidence-Based Project, Part 5: Recommending an Evidence-Based Practice Change

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

Reflect on the four peer-reviewed articles you critically appraised in Module 4.

Reflect on your current healthcare organization and think about potential opportunities for evidence-based change.

The Assignment: (Evidence-Based Project)

Part 5: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)

Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

Add a lessons learned section that includes the following:

A summary of the critical appraisal of the peer-reviewed articles you previously submitted

An explanation about what you learned from completing the evaluation table (1 slide)

An explanation about what you learned from completing the levels of evidence table (1 slide)

An explanation about what you learned from completing the outcomes synthesis table (1 slide)

Week 11 Assignment

Evidence-Based Capstone Project, Part 6: Disseminating Results

The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.

To Prepare:

Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.

Consider the best method of disseminating the results of your presentation to an audience.

To Complete:

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

Be sure to incorporate any feedback or changes from your presentation submission in Module 5.

Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

RE: Discussion – Week 1

The healthcare organization website that I reviewed was the Agency for Healthcare Research and Quality (AHRQ). The AHRQ conducts research using evidence-based practice (EBP) to improve practice guidelines and healthcare organizations’ quality of care. The AHRQ uses EBP to develop credible reports that are publicly accessible. AHRQ’s mission is founded on using EBP to uphold it’s core competencies of “health systems research, practice improvement, and data and analytics” (Agency for Healthcare Research and Quality, 2019). The AHRQ aims to provide EBP guidance to organizations to improve the quality and safety of the care provided. NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice

In the AHRQ website, there is an abundance of reliable articles backed up by EBP. I was able to find several articles listed under the research tab relating to medication error prevention, primary care, and chronic care research. A study that used the AHRQ guidelines under their research methods incorporated the SHARE Approach suggested by the AHRQ to improve shared decision-making (SDM) amongst healthcare providers and patients. The SHARE approach follows five SDM steps to guide decisions related to patients’ plan of care (Hargraves, I., Fournier, A., Monton, V., & Bierman, A., 2020). The study concluded that employing the SHARE approach positively impacted communication among patients and physicians.

A second study used the AHRQ’s Health Literacy Universal Precautions Toolkit to perform a brown bag medication review to increase medication adherence. Patients were required to bring all their medications to their medical appointment and received teaching on each of their medications (Murtha, E., Elder, B., & Faragher, M., 2019). This study showed that using the AHRQ’s toolkit resulted in significant health outcomes and consistent adherence to medication regimens.

Since I was unaware of AHRQ’s existence, my perception of this organization did not change. Nevertheless, I will undoubtedly use AHRQ as a reliable source of information for future research. I also found it beneficial to have free access to hundreds of reports in the AHRQ website. NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice Overall, after reviewing the number of research studies conducted, I am impressed with the number of evidence-based findings produced, which can improve the quality of healthcare provided to patients in the U.S.A.

References

Agency for Healthcare Research and Quality (AHRQ) (2019). AHRQ’s Core Competencies. https://www.ahrq.gov/cpi/corecompetencies/index.html

Hargraves, I., Fournier, A., Monton, V., and Bierman, A. (2020). Generalized shared decision-making approaches and patient problems: Adapting AHRQ’s SHARE Approach for purposeful SDM. Patient education and counseling.https://doi.org/10.1016/j.pec.2020.06.022

Murtha, E., Elder, B., & Faragher, M. (2019). Brown bag medication review: Using AHRQ’s brown bag medication tool. Journal of Nursing Care Quality, 35(1), 58-62.DOI: 10.1097/NCQ.0000000000000399 NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice

According to Melnyk et. al., (2014), evidence-based practice (EBP) has been widely adopted in the clinical setting because it improves healthcare safety, reliability, quality, and patients outcomes. EBP also reduces the overall cost of care. However, to effectively implement EBP, healthcare organizations and caregivers must cultivate the spirit of inquiry, ask clinical questions, search for quality evidence, assess the evidence, implement that evidence and evaluate the results or outcomes before sharing (Melnyk and Fineout-Overholt, 2018). This procedure is evident in the healthcare organization website reviewed in this discussion post.

Hence, the healthcare organization website I reviewed is known as the Center for Evidence and Practice Improvement (CEPI). CEPI is an organization to conducts and supports research work and synthesize evidence on care delivery and improvement. The organization’s mission is to generate evidence to make healthcare higher quality, safer, equitable, more accessible, and affordable (Center for Evidence and Practice Improvement, 2014). The organization’s philosophy is centered on generating new knowledge, synthesizing evidence, translating research on what works in healthcare delivery, and encourages practice improvement across the clinical setting. It is evident that EBP appears in the organization’s mission and core philosophy (Center for Evidence and Practice Improvement, 2014).

So, CEPI’s work is centered on five divisions. One of the categories is the “evidence-based practice center program,” which generates evidence synthesis by undertaking systematic evidence appraisals or reviews using rigorous and robust methodologies (Center for Evidence and Practice Improvement, 2014). The organization also advances evidence evaluation and synthesis approaches to ensure unbiased reviews and scientific rigor (Center for Evidence and Practice Improvement, 2014). The information I have found on the website has made me understand that EBP can only be a practical care delivery approach or model unless implemented appropriately (Crabtree et al., 2016). For example, healthcare organizations should focus on the value of data to produce knowledge from rigorously synthesized research NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

References

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. Retrieved February 28, 2021 from doi:10.1111/win.12126.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5-15. Retrieved February 28, 2021 from https://doi.org/10.1111/wvn.12021.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Evidence-based practice is a conscientious way of providing health care through a problem-solving approach to clinical practice that incorporates the best evidence from well-designed studies, patient values and preferences, and clinical expertise in patient care decision-making (Titler, 2008). Health care agencies, government agencies, and national professional organizations support evidence-based practice (EBP). Studies continue to show improved outcomes when the best evidence is used to deliver patient care.

Healthcare Organization website reviews

The healthcare organization that I chose is Advent Health Systems, Florida. The organization’s mission and promise are to help you feel whole through compassionate care and world-class expertise (Advent Health, 2021).

EBP Utilization

Evidence-based practice (EBP) is one such technique and is quickly gaining popularity due to its potential to handle clinical issues and provide better patient care effectively. The care plans are based on hard science, data, and the latest research at advent health. Advent health uses EBP in various day-to-day operations. They provide excellence in patient care through improvement projects and research data to compare the patient outcomes with other hospitals. EBP enables nurses to evaluate the research to understand the risks or effectiveness of a diagnostic test or treatments.

Grounding Of EBP

Advent health website says clinical trials are the mainstay of evidence-based care. The Advent Health team conducts hundreds of clinical trials each year; currently, more than 550 clinical trials underway at Advent Health, which gives access to exclusive recent treatment options to improve whole-person treatment. I work at CVICU always gets passionate about clinical trials based on cardiovascular research. It is essential that nurses follow evidence-based practice; recently, there was a clinical trial, oxygen requirement of COPD patients after cardiac surgery in my ICU. Many clinicians are concerned about worsening hypercarbia and respiratory failure when oxygen is administered to this group of patients. EBP shows that patients should receive the necessary amount of oxygen to maintain an oxygen saturation just above 90% (B. Ibanez et al., 1970).

Another evidence-based practice for patient safety is recommending a strict transfusion protocol for cardiac surgery patients with hemoglobin levels below 7 g/dL. Blood transfusions are reasonable and lifesaving if the patient exhibits hemodynamic instability. The study shows that blood transfusion in cardiac surgical patients can lead to increased short-and long-term mortality, organ injury, stroke, myocardial infarction, sepsis, surgical site infections, and increased use of health care resources with prolonged intensive care hospital stays (Patel & Murphy, 2017).

Perception of Healthcare Organization

By reviewing this website, goals and evidence-based practice have positively changed my perception of this organization. I like the CREATION life principles of this organization Choice, Rest, Environment, Activity, Trust, Interpersonal Relationships, Outlook, and Nutrition — designed to improve health and happiness by living a balanced life. Also, they are committed to providing the best and quality care for their patients based on evidence-based practice (Advent Health, 2021).

Conclusion

Clinicians can achieve tremendous outcomes in patients care through EBP. Still, they often fail to share their experiences with colleagues and their own or other health care organizations, which can lead to needless duplication of effort and perpetuates clinical approaches that are not evidence-based.

References

A Leader in Whole-Person Health Care. AdventHealth. (2021). https://www.adventhealth.com/.

B. Ibanez, S. J., PT. O’Gara, F. G. K., WJ. Powers, A. A. R., A. Kobayashi, A. C., CM. Morkane, H. M. K., Meyhoff, C. S., … RAC. Siemieniuk, D. K. C. (1970, January 1). Oxygen administration for postoperative surgical patients: a narrative review. Journal of Intensive Care. https://jintensivecare.biomedcentral.com/articles/10.1186/s40560-020-00498-5.

Patel, N. N., & Murphy, G. J. (2017, June 21). Evidence-Based Red Blood Cell Transfusion Practices in Cardiac Surgery. Transfusion Medicine Reviews. https://www.sciencedirect.com/science/article/abs/pii/S0887796317300470.

Titler, M. G. (2008, April). The Evidence for Evidence-Based Practice Implementation. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. https://www.ncbi.nlm.nih.gov/books/NBK2659/.

Evidence-Based Nursing

The evidence-based practice incorporates the greatest research proof with clinical knowledge and patient standards (Li et al., 2019). It implies that when health specialists make a treatment pronouncement with their client, they ground it on their medical knowledge, the client’s inclinations, and the best existing proof. EBP is significant due to its purpose to offer the most effective nursing care that is accessible, intending to enhance patient results. Patients presume to obtain the most nominal care grounded on the paramount accessible evidence (Lehane et al., 2018, p. 107). The healthcare organization that I select to evaluate for evidence-based practice information is the American Academy of Medical-Surgical Nurses.

I noticed that evidence-based practice data is contained on the American Academy of Medical-Surgical Nurses’ website. American Academy of Medical-Surgical Nurses has a practice tab on the website and professional publications for a broad range of health-related matters that are made by applying evidence-based practice research information easily accessible (Academy of Medical-Surgical Nurses, 2021). The website also has data gathering tools that the American Academy of Medical-Surgical Nurses uses to gather and scrutinize data on modern subjects that influence the association (Gigli et al., 2020). American Academy of Medical-Surgical Nurses seems to be grounded in evidence-based practice by applying the technique to back up the information related to the health matters that are accessible on the website and publications.

American Academy of Medical-Surgical Nurses’ duties are focused on the various section. One of the section is the “practice,” which holds evidence fusion by making methodical evidence evaluations or assessments by applying difficult and vigorous practices. American Medical-Surgical Nursing uses too much research to base their investigations and back up their publication, which is very rich in knowledge (Academy of Medical-Surgical Nurses, 2021). Observing the American Academy of Medical-Surgical Nurses’ work and publication, I gain enough confidence as the work is dully validated.

References

Academy of Medical-Surgical Nurses. (2021). Practice | Academy of Medical-Surgical Nurses (AMSN). Www.Amsn.Org. https://amsn.org/practice

Gigli, K. H., Davis, B. S., Ervin, J., & Kahn, J. M. (2020). Factors Associated With Nurses’ Knowledge of and Perceived Value in Evidence-Based Practices. American Journal of Critical Care, 29(1), e1–e8. https://doi.org/10.4037/ajcc2020866

Lehane, E., Leahy-Warren, P., O’Riordan, C., Savage, E., Drennan, J., O’Tuathaigh, C., O’Connor, M., Corrigan, M., Burke, F., Hayes, M., Lynch, H., Sahm, L., Heffernan, E., O’Keeffe, E., Blake, C., Horgan, F., & Hegarty, J. (2018). Evidence-based practice education for healthcare professions: an expert view. BMJ Evidence-Based Medicine, 24(3), 103–108. https://doi.org/10.1136/bmjebm-2018-111019

Li, S., Cao, M., & Zhu, X. (2019). Evidence-based practice. Medicine, 98(39), e17209. https://doi.org/10.1097/md.0000000000017209

American Association of Critical-Care Nurses website review

The American Association of Critical-Care Nurses (AACN) is a not-for-profit health care organization established in 1969. The directors are critical and acute care nurses who provide professional and personal support to the patients and communities (“About American Association of critical-care nurses – AACN,” n.d.). AACN has evolved over the years. In the 1970s, they changed the organization’s name fromthe American Association of Cardiovascular Nurses (AACN) to the American Association of Critical-Care Nurses. The change was an effort to acknowledge a broader diversity in critical illnesses. As they continued their growth, they obtained credentialing approvals for certification and certification renewals for critical care registered nurses (CCRN) in the United States (“Complete history of American Association of critical-care nurses – AACN,” n.d.).

In the 1980s, they started the Critical Care Nurse Clinical Practice Journal to provide current, evidence-based information on acutely and critically ill patients’ bedside care. Subsequently, they initiated the Clinical nurse specialist (CNS) specialty certification for CNS educated at the master’s level to improve care delivery for all age groups (“Complete history of American Association of critical-care nurses – AACN,” n.d.). In the twenty-first century, the AACN released the Standards of Professional Performance for the Critical Care Clinical Nurse Specialists. Essentials of Critical Care Orientation (ECCO), Progressive Care Certified Nurse (PCCN) specialty certification, and Basic ECG Interpretation are learning resources implemented in that era (“Complete history of American Association of critical-care nurses – AACN,” n.d.).

EBP utilization

The American Association of Critical-Care Nurses has proven to employ evidence-based practice (EBP) in its operations. Primarily through the educational programs provided. The information is visible on the website, as most of their programs, webinars, and journals are accessible online. The standard of conduct, mission statement, privacy, and policy statements are other locations on their website promoting EBP. They also dedicate a section with a list of evidence-based practices under the Clinical resources menu on their website (“AACN levels of evidence,” n.d.).

The AACN firmly promotes EBP.

The AACN promotes EBP and guides nursing care in a safe work environment. I believe they firmly practice under EBP because they are an accredited nurse organization. Moreover, they posted the levels of evidence on their website outlining their methodologies for ascertaining research base resources (“AACN levels of evidence,” n.d.).

My perceptions of the AACN

I have been a member of the AACC since 2017. from time to time, I purchase courses that are relevant to my career development. Therefore, I knew that that the organization is credible and displays examples of professional ethics. My perception of this organization has been positive for over three years. They are a model and a guide to the nursing profession and healthcare industry. Over the years, acute and critical care professional nurses look towards AACN for expert knowledge, recommendations, and motivation to deliver quality care (“About American Association of critical-care nurses – AACN,” n.d.).

References

AACN levels of evidence. (n.d.). https://www.aacn.org/clinical-resources/practice-alerts/aacn-levels-of-evidence

About American Association of critical-care nurses – AACN. (n.d.). https://www.aacn.org/about-aacn

Complete history of American Association of critical-care nurses – AACN. (n.d.). https://www.aacn.org/about-aacn/complete-history-aacn

Definition and Goal of Evidence-Based Practice

Evidence-based practice is a paradigm and lifelong problem-solving approach to clinical decision making that involves the conscientious use of the best available evidence with one’s own clinical expertise and patient’s values and preferences to improve outcomes for individuals, groups, communities, and systems (Melnyk, B. M., & Fineout-Overholt, E., 2018). The goals of evidence-based practice are to enhance healthcare quality, improve patient outcomes, reduce costs, and empower clinicians. These goals are known as the quadruple aim in healthcare (Melnyk, B. M., & Fineout-Overholt, E., 2018).

Healthcare Organization Website Review

The professional healthcare website I chose to review was the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN). The AWHONN is devoted to making a difference in the lives of women and newborns. They are committed to the health of women and newborns. Evidence-based practice is demonstrated in the mission statement “Empower and support nurses caring for women, newborns, and their families through research, education, and advocacy (AWHONN, 2020).” The goals of this organization are to promote diversity and inclusion in our organization and profession, advocate for critical issues that impact nursing care to women and newborns while developing collaborations with other communities and organizations, maximize the member experiences, advance AWHONN as the trusted leader in research, education, and evidence-based practice, and invest in people, technology, and facilities to advance the mission of the organization (AWHONN, 2020). These goals demonstrate evidence-based practice.

EBP Utilization

This organization uses EBP in every aspect of its work. They are constantly collaborating with researchers and professionals in women’s care and newborn care to provide the best evidence-based practices and recommendations for care. An example of this would be the “Go the Full 40” campaign (AWHONN, 2020). Many women think of their pregnancy as only 9 months, however, a full pregnancy is completed at the end of the 40th week or the 10^th month. Many providers feel like this is the appropriate amount of time for mother and child. The AWHONN website includes a tool that can be shared with expecting mothers. The goals of the initiative are met when all women who are expecting are informed and supported in their pregnancy. The program ensures all women receive care that facilitates the physiologic processes of labor and birth. Another example would be the publication of the Healthy Mom, Healthy Baby magazine (AWHONN, 2020). This gives expecting mothers and new mothers information that they may not be able to obtain from other sources. These goals and initiatives are dedicated to sharing information learned from research and are used to collaborate with other initiatives.

Grounding of EBP

This organization is grounded in EBP. Many professionals associated with AWHONN are well respected in the women and newborn care community and are healthcare experts in the field. The information and research associated with AWHONN are considered as one of the best information websites available. The information is held in such high regard that policies and procedures in healthcare facilities are based on the research and recommendations that the organization releases.

New Perception of Healthcare Organization

I had always held the AWHONN to high standards. After reading more on the website, it became clear to me that this was an exceptional website for information and education. This website is an evidence-based practice. For example, the learning material to the magazine subscription. I cannot begin to name everything included but look for yourself. It is an eye-opener. As nurses and providers in healthcare, we must stay informed of what is happening in our areas of practice, and we must stay informed of what is happening within the organizations in which we are members (Laureate Education, 2018). This website covers it all.

References

AWHONN (2020). Association of Women’s Health, Obstetric and Neonatal Nurses.https://www.awhonn.org

Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research[Video file]. Baltimore, MD: Author.

Healthcare Organization Website Review & Evidence-Based Practice Utilization

Evidence-based practice helps the quality of healthcare, reduces costs, empowers clinicians, and improves patient outcomes (Melnyk & Fineout-Overholt, 2018). The Healthcare Organization that I have reviewed is the Florida Health Department in Polk County. The evidenced-based practice (EBP) is shown on the initial About Us tab on the home screen. Within this screen, it tells you their mission, vision, values, and has a link that takes you to their strategic plan and goals for the year 2019-2022 (Florida Health Department of Polk County, 2019). Their mission is “to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts” (Florida Health Department of Polk County, 2019). Their Vision statement is “to be the healthiest state in the nation” (Florida Health Department of Polk County, 2019). They use the ICARE acronym which stands for innovation, collaboration, accountability, responsiveness, and excellence” (Florida Health Department of Polk County, 2019).

Grounding of Evidence-Based Practice

The Florida Health Department in Polk County is grounded when it comes to evidenced-based practice. They use Mobilizing for Action through Planning and Partnership (MAPP) using four different assessment themes to support and form their EBP; these themes are the forces of change, community theme and strengths, local public health system assessment, and community health status (Florida Health Department of Polk County, 2012). MAPP was created by the National Association of County and City Health Officials (NACCHO) in support of the Centers for Disease Control and Prevention (CDC) and performed every three to five years (Florida Health Department of Polk County, 2012).

New Perception of Healthcare Organization

This website gives more information and links than I had expected. All of this information would be extremely helpful to educate patients and the community to utilize this EBP to improve health within themselves, the community, and much more. I know as a Nurse I am supposed to be very resourceful but I can honestly say I continue to be amazed on the new information and resources I have obtained in less than a week of starting this class. One example of being amazed is I did not know that Polk County has a strategic plan that they layout with goals every four years, they find out the needs of the community and what they need to work on have it displayed in lay terms for the public to read; this is a WOW, did not know this (Florida Health Department of Polk County, 2019).

References

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4^th ed.). Philadelphia, PA: Wolters Kluwer.

Florida Health Department of Polk County. (2019). About Us. Retrieved from http://polk.floridahealth.gov/about-us/index.html

Florida Health Department of Polk County. (2012). Mobilizing for Action through Planning & Partnerships. Retrieved from http://www.floridahealth.gov/provider-and-partner-resources/community-partnerships/floridamapp/state-and-community-reports/polk-county/_documents/polk-cha.pdf

Florida Health Department of Polk County. (2019) Strategic Plan 2019-2022. Retrieved from http://polk.floridahealth.gov/about-us/_documents/Polk_StrategicPlan.pdf

Grounding of EBP

EBP is defined as the conscientious use of current best evidence concluded from a systematic search for and critical appraisal of the most relevant and best research (Melnyk & Fineout- Overholt 2018). Supporting evidence can be implemented in clinical practice through rigorous research (external), or through quality improvement projects or outcome management (internal). In my opinion, healthcare institutions should adhere to EBP clinical practice guidelines when caring for all patients across the lifespan.

In the year 2000, the Institute of Medicine released a report that 100.000 patients die a year due to medication errors (Boller 2017). In an effort to provide safer and more effective care a subsequent report was released by IOM that focused on five core competencies: patient centered care, interprofessional collaboration, EBP, quality improvement and informatics (Boller 2017). Incorporating EBP has reinvented how we care for patients, and like any new concept has created barriers. Nurses, physicians, and healthcare professionals contribute barriers to EBP due to lack of knowledge or skill, cultures steeped in tradition, lack of belief, and overwhelming patient loads to name a few (Melnyk & Fineout- Overholt 2018). To overcome barriers, it is essential for healthcare organizations to establish and incorporate an organizational culture and system- wide readiness to implement EBP (Melnyk & Fineout- Overholt 2018.

EBP Utilization

EBP is the fundamental goal standard of nursing. Adopting and implementing EBP is essential to ensure optimal patient outcomes and quality of care (Kim, et al 2016). According to an article release on Worldviews of Evidence- Based Nursing, higher levels of education and advanced practice nurses had stronger EBP beliefs and greater EBP implementation (Kim, et al 2016). As we prepare to advance our careers in nursing leadership it is most important as healthcare professionals that we develop a way to incorporate current EBP similarly to the commitment of lifelong learning to promote high quality care and improve patient outcomes.

Healthcare Organization Website Review and Perception

The Joint Commission (TJC) is a non-profit organization that accredits and certifies more than 21,000 health care organizations in the Unites States. TJC provides a standard to healthcare organizations to achieve high-quality cost-effective care and reduce harm to patients. I believe the work and contributions of TJC is supported by EBP through Targeted Solutions Tools (TSTs), workshops, and online programs led by experts to highlight performance barriers to improve the safety of patients. National patient safety goals are recognized by stakeholders and experts and assessed yearly for quality and safety improvement to be sure that care is updated and relevant to current health care issues. TJC also releases reports that are accessible on the website to remain current with expectations that are accompanied with rationale and references. My perception of TJC has not changed I consider their contributions the gold standard for healthcare organizations and nursing to improve patient care and outcomes.

References

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Week 1 Discussion

The selected organization is the American Nurses Association (ANA). ANA is an organization that was established to lead as well as shape the future of nursing and healthcare in America. The organization provides nurses with ethics that inform their practice. The assessment of the information contained in the website of ANA shows it to support evidence-based practice. Evidence-based practice is seen in its certifications, articles, books, and courses. The certification that ANA offers supports evidence-based practice in nursing (ANA, n.d.-c). For example, the certification in general nursing seeks to ensure that the nurses have adept knowledge and skills in applying best evidence into the decisions made in caring diverse populations. The courses that ANA offers also supports evidence-based practice. For example, courses such as osteoarthritis management, epilepsy care, and nasogastric tube management that the organization offers advocates the use of evidence-based data. Lastly, the organization publishes articles that relate to evidence-based practice (ANA, n.d.-a). An example can be seen in its article that focuses on the use of cardiac resynchronization therapy to reduce readmissions among patients with heart failure.

The assessment of the website of the organization shows that its work is grounded on evidence-based practice. The organization utilizes evidence-based practice interventions to accredit its nurses. The organization also advocates the use of evidence-based practices in nursing practice. The ANA provides opportunities for continued professional development for nurses that are evidence-based (ANA, n.d.-b). Based on the above, it can be argued that the work of ANA is grounded on EBP. The information that I discovered from the organization’s website has changed my perception of the health organization. The information has made me understand the critical role that ANA plays in ensuring professionalism in nursing. The information has also made me understand the organization’s role in advocating for evidence-based practice.

References

ANA. (n.d.-a). American Nurses Association. ANA. Retrieved February 26, 2021, from https://www.nursingworld.org/ana/

ANA. (n.d.-b). ANA Continuing Education. ANA. Retrieved February 26, 2021, from https://www.nursingworld.org/education-events/ana-continuing-education/

ANA. (n.d.-c). Nursing certifications: Our Certifications | ANCC. ANA. Retrieved February 26, 2021, from https://www.nursingworld.org/our-certifications/

Main Discussion Post #1

When you think of a healthcare organization that promotes patient safety and quality evidence-based care, what is the first organization that comes to mind? For me, many healthcare organizations like the Joint Commission (TJC), Agency for Healthcare Research and Quality (AHRQ), and Centers for Medicare and Medicaid Services (CMS) come to mind. These organizations are central to utilizing evidence-based practice (EBP) to achieve a high-quality patient outcome. This discussion thread will review the Joint Commission’s impact on quality evidence-based practice (EBP) care and my perception of the benefit of using TJC.

Healthcare Organization Website Review

This discussion thread’s chosen organization website review is TJC, an organization that accredits hospitals for their high-quality and safe care. TJC has a long-standing claim of helping hospitals like my workplace transform into high-reliability organizations where zero harm is the norm (TJC, n.d.). BY achieving TJC’s accreditation, hospitals can further improve outcomes for their patients through certification programs. TJC provides standardized core performance measure sets for hospital operations for improving healthcare quality.

Through TJC’s accreditation process, my workplace learns state-of-the-art performance-improvement strategies in delivering safe and efficient care. TJC also provides invaluable education through online education services and interactive web-based tools that TJC provides us. My workplace also provides an entire online education section on the hospital’s intranet dedicated to TJC’s standard measures.

Utilization and Grounding of EBP

My workplace is a good ambassador for the use of EBP. Like many experts like Melnyk et al. (2019, p. 328), the nursing leaders at my workplace identified quality values of applying EBP to improve patient outcomes. The nursing managers ensure that EBP measures are aligned to our care to enhance an effective, safe, and efficient care delivery. At my workplace, the nursing managers cultivate a culture where nurses can safely implement EBP measures. The hospital makes sure that resources like safety databases and enough computers and space are available for nurses to review the care they provide. Our nursing leader empowers us by allowing the nurses to review, question, and apply EBP measures within their scope.

New Perception of Healthcare Organization

My perception of TJC remained the same from day one when the organization was known as the Joint Commission and Accreditation of Healthcare Organization (JCAHO). Their mission continues to improve health care and ensuring that hospitals excel in providing safe and effective care of the highest quality. Even with the name change, the mission remains the same! TJC has long-standing quality measures that hold hospitals like my workplace accountable for health-related outcomes. They do so by offering an unbiased assessment of the hospital’s patient care and safety.

References

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2

The Joint Commission. (n.d.). Who we are. Retrieved from https://www.centerfortransforminghealthcare.org/?_ga=2.74874452.719431498.1614739573-1477116417.1613390888

Introduction

In healthcare, we strive to provide top-tier service to our patients. Using evidence-based practice is the standard practice within healthcare in order to protect and promote our patients’ health. Evidence-based practice is used as we, as healthcare professionals, make leaping medical advances through research and studies. By keeping up with the most recent evidence-based practice, we are able to give our patients the best possible care NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

Healthcare Organization Review

The website I chose to review is the Centers for Disease Control (CDC). The CDC website provides us with the most up-to-date information regarding various diseases such as the most recent Coronavirus. The CDC is known as the nation’s health protection agency – keeping the country in the loop regarding emerging diseases and outbreaks. According to the website, “[the] CDC saves lives and protects people from health threats” (CDC, 2021).

EBP Utilization

NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice The CDC website is a reputable source for current news and updated information regarding various diseases. It states that this organization “is the nation’s leading science-based, date-driven, service organization,” which is exactly what evidence-based practice is. The CDC has many prevention programs guided by evidence-based practice such as the Advisory Committee on Immunization Practices (ACIP), which is run by medical and public health experts that together develop recommendations on how to use vaccines and control diseases in the United States. They have most recently updated the recommended vaccines for both children and adults as of October 2020 (CDC, 2021).

Conclusion

When looking for reputable resources regarding healthcare, the CDC website is always a safe bet. The goal of the CDC is to promote health and prevent outbreaks in the United States. Therefore, the use of evidence-based practice is a must; to stay current in research and inform the surrounding population of potential health threats. Finding that this website uses EBP did not change my view, as I know that they are the standard for updated information for the US.

Centers for Disease Control and Prevention (2021, January). CDC Organization. https://www.cdc.gov/about/organization/cio.htm

Centers for Disease Control and Prevention (2021, March). Advisory Committee on Immunization Practices (ACIP). https://www.cdc.gov/vaccines/acip/index.html

Module 1: Evidence-Based Practice and the Quadruple Aim (Week 1)

Laureate Education (Producer). (2018). Evidence-based Practice and the Quadruple Aim [Video file]. Baltimore, MD: Author.

Due By	Assignment
Week 1, Days 1-2	Read the Learning Resources. Compose your initial Discussion post.
Week 1, Day 3	Post your initial Discussion post. Begin to compose your Assignment.
Week 1, Days 4-5	Review peer Discussion posts. Compose your peer Discussion responses. Continue to compose your Assignment.
Week 1, Day 6	Post two peer Discussion responses.
Week 1, Day 7	Wrap up Discussion. Deadline to submit your Assignment.

Learning Objectives

Students will:

Evaluate healthcare organizations for evidence-based practices
Analyze the relationship between evidence-based practice and the Quadruple Aim in healthcare organizations

Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01

Note: You will access this article from the Walden Library databases.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126 NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice

Note: You will access this article from the Walden Library databases.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021

Note: You will access this article from the Walden Library databases.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160

Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Required Media

Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.

Discussion: Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

To Prepare:

Review the Resources and reflect on the definition and goal of EBP.
Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

By Day 6 of Week 1

Respond to at least two of your colleagues on two different days by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 1

To participate in this Discussion:

Week 1 Discussion

Assignment: Evidence-Based Practice and the Quadruple Aim

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

Patient experience
Population health
Costs
Work life of healthcare providers

By Day 7 of Week 1

Submit your anaylsis.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK1Assgn+last name+first initial.(extension)” as the name.
Click the Week 1 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 1 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 1 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment Draft for Authenticity

Submit your Week 1 Assignment Draft and review the originality report

Submit Your Assignment by Day 7 of Week 1

To participate in this Assignment:

Week 1 Assignment

Next Module

Module 2: An Introduction to Clinical Inquiry and Research Methodologies (Weeks 2-3)

Laureate Education (Producer). (2018). Research Methodologies [Video file]. Baltimore, MD: Author.

Due By	Assignment
Week 2, Days 1-4	Read the Learning Resources. Begin to check your knowledge with the Quiz.
Week 2, Days 5-6	Continue to check your knowledge with the Quiz.
Week 2, Day 7	Final day to complete Quiz. Begin to compose your Assignment.
Week 3, Days 1-6	Continue to compose your Assignment.
Week 3, Day 7	Deadline to submit your Assignment.

Learning Objectives

Students will:

Differentiate between quantitative, qualitative, and mixed-method research methodologies
Analyze the relationship between peer-reviewed articles and clinical issues
Analyze research ethics related to clinical issues and peer-reviewed research
Analyze the aims of research studies presented in peer-reviewed articles
Analyze research methodologies described in peer-reviewed articles
Analyze strengths, reliability, and validity of research methodologies in peer-reviewed research
NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice

Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)

Chapter 21, “Generating Evidence Through Quantitative and Qualitative Research” (pp. 607–653)

Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information and Libraries Journal, 26, 91–108. doi:10.1111/j.1471-1842.2009.00848.x

Note: You will access this article from the Walden Library databases.

Hoare, Z., & Hoe, J. (2013). Understanding quantitative research: Part 2. Nursing Standard, 27(18), 48–55. doi:10.7748/ns2013.01.27.18.48.c9488

Note: You will access this article from the Walden Library databases.

Hoe, J., & Hoare, Z. (2012). Understanding quantitative research: Part 1. Nursing Standard, 27(15), 52–57. doi:10.7748/ns2012.12.27.15.52.c9485

Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.-b). Evaluating resources: Primary & secondary sources. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/evaluating/sources

Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean

Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics

Walden University Library. (n.d.-i). Quick Answers: What are filtered and unfiltered resources in nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/73299

Document: Matrix Worksheet Template (Word Document)

Required Media

Centers for Research Quality. (2015a, August 13). Overview of qualitative research methods [Video file]. Retrieved from https://youtu.be/IsAUNs-IoSQ

Centers for Research Quality. (2015b, August 13). Overview of quantitative research methods [Video file]. Retrieved from https://youtu.be/cwU8as9ZNlA

Laureate Education (Producer). (2018). Review of research: Anatomy of a research study [Mutlimedia file]. Baltimore, MD: Author.

Schulich Library McGill. (2017, June 6). Types of reviews [Video file]. Retrieved from https://youtu.be/5Rv9z7Mp4kg

Quiz: Is It Quantitative, Qualitative, or Mixed Methods?

An effective understanding and application of research requires an understanding of the underlying methodologies employed. This quiz will assess your understanding of the quantitative, qualitative, and mixed-method research methodologies NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

To Prepare:

Review the research methodology terms and concepts presented to you this week.

By Day 7 of Week 2

Submit your Quiz.

Note: You may submit your Quiz as many times as you like until Day 7 of Week 2.

Submission Information

Submit Your Quiz by Day 7 of Week 2

To submit your Quiz

Week 2 Quiz

Assignment: Evidence-Based Project, Part 1: Identifying Research Methodologies

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

The full citation of each peer-reviewed article in APA format.
A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice
A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

By Day 7 of Week 3

Submit your Evidence-Based Project.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK3Assgn+last name+first initial.(extension)” as the name.
Click the Week 3 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 3 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Due to the nature of this assignment, your instructor may require more than 5 days to provide you with quality feedback.

Grading Criteria

To access your rubric:

Week 3 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment Draft for Authenticity

Submit your Week 3 Assignment Draft and review the originality report

Submit Your Assignment by Day 7 of Week 3

To submit your Assignment:

Week 3 Assignment

Next Module

To go to the next module:

Module 3: Advanced Clinical Inquiry and PICO(T) Questions (Weeks 4-5)

Laureate Education (Producer). (2018). The Value of Clinical Inquiry [Video file]. Baltimore, MD: Author.

Due By Assignment

Week 4, Days 1-2

Read the Learning Resources.
Compose your initial Discussion post.

Week 4, Day 3

Post your initial Discussion post.
Begin to compose your Assignment.

Week 4, Days 4-5

Review peer Discussion posts.
Compose your peer Discussion responses.
Continue to compose your Assignment.

Week 4, Day 6

Post two peer Discussion responses.
Continue to compose your Assignment.

Week 4, Day 7
Wrap up Discussion.

Week 5, Days 1-6
Continue to compose your Assignment.

Week 5, Day 7
Deadline to submit your Assignment.

Learning Objectives

Students will:

Create an answerable research question using the PICO(T) question format

Apply effective search strategies to identify relevant peer-reviewed and systematic reviewed research

Analyze strategies to increase rigor and effectiveness of database searches for PICO(T) questions

Analyze levels of evidence in peer-reviewed research

Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

Chapter 2, “Asking Compelling Clinical Questions” (pp. 33–54)

Chapter 3, “Finding Relevant Evidence to Answer Clinical Questions” (pp. 55–92)

Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. https://doi.org/10.18438/B8WS5N

Note: You will access this article from the Walden Library databases.

Library of Congress. (n.d.). Search/browse help – Boolean operators and nesting. Retrieved September 19, 2018, from https://catalog.loc.gov/vwebv/ui/en_US/htdocs/help/searchBoolean.html

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010a). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. doi:10.1097/01.NAJ.0000368959.11129.79

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009). Evidence-based practice: Step by step: Igniting a spirit of inquiry. American Journal of Nursing, 109(11), 49–52. doi:10.1097/01.NAJ.0000363354.53883.58

Note: You will access this article from the Walden Library databases.

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010b). Evidence-based practice, step by step: Searching for the evidence. American Journal of Nursing, 110(5), 41–47. doi:10.1097/01.NAJ.0000372071.24134.7e

Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

Walden University Library. (n.d.-c). Evidence-based practice research: CINAHL search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/cinahlsearchhelp

Walden University Library. (n.d.-d). Evidence-based practice research: Joanna Briggs Institute search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/jbisearchhelp

Walden University Library. (n.d.-e). Evidence-based practice research: MEDLINE search help. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/library/healthevidence/medlinesearchhelp

Walden University Library. (n.d.-f). Keyword searching: Finding articles on your topic: Boolean terms. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/boolean

Walden University Library. (n.d.-g). Keyword searching: Finding articles on your topic: Introduction to keyword searching. Retrieved September 19, 2018, from http://academicguides.waldenu.edu/library/keyword/searching-basics

Walden University Library. (n.d.-h). Quick Answers: How do I find a systematic review article related to health, medicine, or nursing? Retrieved September 6, 2019, from https://academicanswers.waldenu.edu/faq/72670

Walden University Library. (n.d.-i). Systematic review. Retrieved January 22, 2020, from https://academicguides.waldenu.edu/library/healthevidence/types#s-lg-box-1520654

Required Media

Laureate Education (Producer). (2018). Searching the Evidence [Video file]. Baltimore, MD: Author.

Discussion: Searching Databases

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.

Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.

Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.

By Day 3 of Week 4

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

By Day 6 of Week 4

Respond to at least two of your colleagues on two different days and provide further suggestions on how their database search might be improved.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 4 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 4

To participate in this Discussion:

Week 4 Discussion

Assignment: Evidence-Based Project, Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.

Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.

Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 2: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.

Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

By Day 7 of Week 5

Submit Part 2 of your Evidence-Based Project.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK5Assgn+last name+first initial.(extension)” as the name.

Click the Week 5 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the Week 5 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK5Assgn+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 5 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment Draft for Authenticity

Submit your Week 5 Assignment Draft and review the originality report

Submit Your Assignment by Day 7 of Week 5

To participate in this Assignment:

Week 5 Assignment NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice

Due By	Assignment
Week 4, Days 1-2	Read the Learning Resources. Compose your initial Discussion post.
Week 4, Day 3	Post your initial Discussion post. Begin to compose your Assignment.
Week 4, Days 4-5	Review peer Discussion posts. Compose your peer Discussion responses. Continue to compose your Assignment.
Week 4, Day 6	Post two peer Discussion responses. Continue to compose your Assignment.
Week 4, Day 7	Wrap up Discussion.
Week 5, Days 1-6	Continue to compose your Assignment.
Week 5, Day 7	Deadline to submit your Assignment.

Evidence-Based Practice and Quadruple Aim Assignment

I reviewed Indiana University Health’s organization website. “Indiana University Health is the largest network of physicians in Indiana. A unique partnership with Indiana University School of Medicine, one of the nation’s leading medical schools, gives patients access to leading-edge medicine and treatment options that are available first, and often only, at IU Health.” Evidence-Based Practice is prevalent throughout every page of this facility’s website. Being partnered with the IU School of Medicine and teaching facility, everything is grounded with EBP.

Indiana University Health’s work is grounded in evidence-based practice. The healthcare system has a partnership with the Indiana University School of Medicine. They are using integrated ways of training top-of-the-line physicians. They are completing groundbreaking research and healthcare innovations. IU Health has many different specialties including nationally-ranked pediatric care.

The information that I found on the website did not change my perspective of the organization. The organization is very well known throughout the Midwest, specifically in Indiana. It is known for top-of-the-line cancer research and specialized pediatric care. It is apparent, just through their website, that evidence-based practice is prevalent in the everyday operations of this healthcare system.

About Our System. (n.d.). IU Health. https://iuhealth.org/about-our-system

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Walden University, LLC. (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.

Evidence-Based Practice and Quadruple Aim Assignment

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

Patient experience
Population health
Costs
Work life of healthcare providers

By Day 7 of Week 1

Submit your anaylsis.

Discussion: Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

Review the Resources and reflect on the definition and goal of EBP.
Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

By Day 6 of Week 1

With increasing healthcare demand, the healthcare system has been advancing drastically over the years, with the introduction of Evidence-based Practice (EBP) for the provision of safe and quality care. Several models such as the triple aim which has evolved to quadruple aim have also been established to promote population health with enhanced patients experience at a reduced cost (Bowles et al., 2018). Healthcare experts believe that the incorporation of EBP into current clinical practice will help reach the Quadruple Aim. As such, the purpose of the present paper is to discuss the quadruple aim and its role in evidence-based practice.

EBP and the Quadruple Aim on Patient Experience

The quadruple aim is focused on the creation of better care output among patients, at a reduced cost, with an improved experience for both the patient and the healthcare provider. With EBP, all the four measures of the quadruple aim can be achieved. For instance, utilization of EBP in the delivery of care and decision-making process on the most appropriate intervention promotes the experience of the patient, with improved care outcome (Haverfield et al., 2020). Patients tend to feel safe when clinicians utilize evidence-based treatment approaches when taking care of them.

EBP and the Quadruple Aim on Population Health

Concerning population health, EBP promotes the utilization of research in better understanding the characteristics, values, needs, and preferences of a certain population, which are key elements in care delivery. For instance, common chronic illnesses such as diabetes and cardiovascular conditions have posed great challenges over the years, with increasing morbidity and mortality rates (Wagner et al., 2018). However, EBP, through research has led to the introduction of novel approaches which are time efficient and easily accessible helping populations with the highest prevalence of these comorbidities hence promoting the achievement of the quadruple aim.

EBP and the Quadruple Aim on Healthcare Cost

Additionally, with the introduction of EBP, clinicians have reported improved prognosis of several health complications with has reduced hospitalization rate hence reduced healthcare costs. Consequently, the use of proven diagnostic tools and treatment approaches has led to a reduced treatment period, hence reducing the costs associated with diagnostic tests and medication (Haverfield et al., 2020). Clinicians have also been trained to utilize cost-effective care approaches and avoid unnecessary procedures to help reach the quadruple aim.

EBP and the Quadruple Aim on Work-Life of Healthcare Providers

Lastly, despite EBP promoting patient-centered care, the experience of the healthcare workforce has also been considered for optimal care benefits. As the fourth element of the quadruple aim, EBP has ensured that clinicians are adequately trained to utilize time-saving and effective medical tools, to improve the efficiency of the care process (Haverfield et al., 2020). The current healthcare system has introduced several interventions through EBP to decrease provider burnouts, stress, and depression which would otherwise lead to poor health outcomes and decreased patient satisfaction.

Conclusion

The healthcare system has evolved over the years towards the provision of safe and quality services. Currently, clinicians are encouraged to utilize EBP in care provision to improve the quality and efficiency of care provided at a reduced cost (Wagner et al., 2018). In the same line, the quadruple aim which evolved recently from the triple aim focuses on four main elements which can be achieved with the incorporation of EBP into current clinical practice.

References

Bowles, J. R., Adams, J. M., Batcheller, J., Zimmermann, D., & Pappas, S. (2018). The role of the nurse leader in advancing the Quadruple Aim. Nurse Leader, 16(4), 244-248. https://doi.org/10.1016/j.mnl.2018.05.011

Haverfield, M. C., Tierney, A., Schwartz, R., Bass, M. B., Brown-Johnson, C., Zionts, D. L., … & Zulman, D. M. (2020). Can Patient-Provider Interpersonal Interventions Achieve the Quadruple Aim of Healthcare? A Systematic Review. Journal of general internal medicine, 1-11. https://doi.org/10.1007/s11606-019-05525-2

Wagner, E. H., LeRoy, L., Schaefer, J., Bailit, M., Coleman, K., Zhan, C., & Meyers, D. (2018). How do innovative primary care practices achieve the quadruple aim?. The Journal of ambulatory care management, 41(4), 288-297. DOI: 10.1097/JAC.0000000000000249

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 1

To participate in this Discussion:

Week 1 Discussion

As the demand for quality, accessible, and patient-centered care increases, healthcare providers must develop inventive interventions to address patients’ needs. They must also broaden their focus to ensure that disease-causing elements are avoided and populations play an active role in illness prevention. Accordingly, evidence-based practice (EBP) application is inevitable since it integrates the best scientific evidence, patient preferences and clinical proficiency to enhance patient care (Melnyk & Fineout-Overholt, 2018). An EBP’s approach to healthcare delivery helps to reach the Quadruple Aim since it positively impacts the Aim’s measures primarily patient experience and population health. It is also instrumental in reducing costs and promoting the work-life of healthcare professionals.

EBP and Patient Experience

From a practice viewpoint, EBP prompts healthcare professionals to translate scientific findings into practice. As a key component of the Quadruple Aim, patient experience includes general satisfaction with healthcare services and improving outcomes as situations necessitate (Valaitis et al., 2020). Translating research findings into practice improves patient experience since healthcare providers learn and implement innovative ways of addressing patient needs. It enables healthcare professionals to apply relevant and up-to-date strategies in healthcare delivery as they focus on patient-centeredness and holism among other practices that impact care positively to enhance the patient experience.

EBP and Population Health

An EBP approach to care and health promotion is integral to improving population health. Giving the example of the response towards COVID-19 pandemic, Van Bavel et al. (2020) observed that evidence-based public health practices are characterized by implementing effective programs and policies based on scientific reasoning. In public health, scientific reasoning includes an in-depth evaluation of population needs, systematic data use, and applying appropriate theories. Health promotion programs and policies, awareness programs, and strategies to promote equitable access to care respond directly to people’s needs (Van Bavel et al., 2020). They apply scientific reasoning since they evaluate data to determine the extent of populations’ needs depending on locations, cultures, and social class, among other determinants.

Costs

In today’s practice, healthcare providers face a significant challenge to provide optimal patient while utilizing the least resources possible. To address this challenge, EBP enables healthcare providers to apply cost-effective approaches in healthcare delivery including recent healthcare technologies and treatment methods. For instance, telehealth reduces distance and cost of care by eliminating avoidable physical visits to providers (Snoswell et al., 2020). Increased focus on preventive care reduces the treatment costs, which reduces the overall healthcare costs.

EBP and the Work-Life of Healthcare Providers

An EBP approach to care recommends practices that help to create a favorable work environment for healthcare providers. Evidence shows that conducive work environments characterized by the support of healthcare providers and interprofessional collaboration improve the health of healthcare providers (Hlongwa & Rispel, 2021). Scientific evidence further shows healthcare managers how to enhance staff productivity and ensure that they stay physically and mentally healthy. A healthy workforce is integral for quality healthcare hence the need to ensure that healthcare providers are satisfied and with a positive mindset.

Conclusion

EBP is a practical problem-solving approach pivotal in achieving the Quadruple AIM in health practice. By utilizing EBP’s central components, healthcare providers can improve overall patient experience, public health, and the work-life of healthcare professionals. An EBP approach also enables healthcare providers to apply cost-effective interventions in healthcare delivery. Achieving these goals aligns with the general purpose of the Quadruple Aim which looks forward to promoting health among patients and across populations.

References

Hlongwa, P., & Rispel, L. C. (2021).Interprofessional collaboration among health professionals in cleft lip and palate treatment and care in the public health sector of South Africa. Human resources for health, 19(1), 1-9.

Melnyk, B. M., &Fineout-Overholt, E. (2018).Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.

Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., &Caffery, L. J. (2020). Determining if telehealth can reduce health system costs: Scoping review. Journal of Medical Internet Research, 22(10), e17298.doi: https://doi.org/10.2196/17298

Valaitis, R. K., Wong, S. T., MacDonald, M., Martin-Misener, R., O’Mara, L., Meagher-Stewart, D., …& Savage, R. (2020). Addressing quadruple aims through primary care and public health collaboration: ten Canadian case studies. BMC Public Health, 20(1), 1-16. https://doi.org/10.1186/s12889-020-08610-y

Van Bavel, J. J., Baicker, K., Boggio, P. S., Capraro, V., Cichocka, A., Cikara, M., … &Willer, R. (2020). Using social and behavioural science to support COVID-19 pandemic response. Nature Human Behaviour, 4(5), 460-471. https://doi.org/10.1038/s41562-020-0884-z

Rubric Detail

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Content
Name: NURS_6052_Module01_Week01_Assignment_Rubric

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Excellent
Good
Fair
Poor
Write a brief analysis of the connection between evidence-based practice and the Quadruple Aim. Your analysis should address how evidence-based practice might (or might not) help reach the Quadruple Aim, including each of the four measures of:

·   Patient experience
·   Population health
·   Costs
·   Work life of healthcare providers

Points Range: 77 (77%) – 85 (85%)

The analysis clearly and accurately addresses in detail how evidence-based practice either supports or does not support the Quadruple Aim.

Points Range: 68 (68%) – 76 (76%)

The analysis accurately addresses how evidence-based practice either supports or does not support the Quadruple Aim.

The analysis accurately explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim.

Points Range: 60 (60%) – 67 (67%)

The analysis inaccurately or vaguely addresses how evidence-based practice either supports or does not support the Quadruple Aim.

Points Range: 0 (0%) – 59 (59%)

The analysis inaccurately and vaguely addresses how evidence-based practice either supports or does not support the Quadruple Aim or is missing.

The analysis provides a vague and inaccurate analysis of the four measures supporting or not supporting the Quadruple Aim with a vague and inaccurate analysis of outside resources. The response fails to integrate any resources to support the analysis provided or is missing.
Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.

Points Range: 5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

Points Range: 4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment is stated yet is brief and not descriptive.

Points Range: 3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time.

Purpose, introduction, and conclusion of the assignment is vague or off topic.

Points Range: 0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.

No purpose statement, introduction, or conclusion was provided.
Written Expression and Formatting—English Writing Standards:
Correct grammar, mechanics, and proper punctuation.

Points Range: 5 (5%) – 5 (5%)

Uses correct grammar, spelling, and punctuation with no errors.

Points Range: 4 (4%) – 4 (4%)

Contains a few (one or two) grammar, spelling, and punctuation errors.

Points Range: 3.5 (3.5%) – 3.5 (3.5%)

Contains several (three or four) grammar, spelling, and punctuation errors.

Points Range: 0 (0%) – 3 (3%)

Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.

Points Range: 5 (5%) – 5 (5%)

Uses correct APA format with no errors.

Points Range: 4 (4%) – 4 (4%)

Contains a few (one or two) APA format errors.

Points Range: 3.5 (3.5%) – 3.5 (3.5%)

Contains several (three or four) APA format errors.

Points Range: 0 (0%) – 3 (3%)
Contains many (five or more) APA format errors.
Total Points: 100
Name: NURS_6052_Module01_Week01_Assignment_Rubric

NURS 6052/NURS5052/NRSE6052 Essent of Evidence

Week 1 Assignment

Evidence-Based Practice and the Quadruple Aim

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.

Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

Patient experience

Population health

Costs

Work life of healthcare providers

Week 2 & 3 Assignment

Evidence-Based Project

Is there a difference between “common practice” and “best practice”?

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you used keywords to search on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

The full citation of each peer-reviewed article in APA format.

A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

Week 5 Assignment

Evidence-Based Project, Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Develop a PICO(T) question to address the clinical issue of interest for the Assignment.

Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

Identify and briefly describe your chosen clinical issue of interest.

Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

Provide APA citations of the four peer-reviewed articles you selected.

Week 7 Assignment

Evidence-Based Project, Part 4: Critical Appraisal of Research

In this Assignment, you will use appraisal tools to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

Review the Resources and consider the importance of critically appraising research evidence.

Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

Review and download the Critical Appraisal Tools document provided in the Resources.

The Assignment (Evidence-Based Project)

Part 4A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected and analyzed by completing the Critical Appraisal Tools document. Be sure to include:

An evaluation table

A levels of evidence table

An outcomes synthesis table

Part 4B: Critical Appraisal of Research

Week 9 Assignment

Evidence-Based Project, Part 5: Recommending an Evidence-Based Practice Change

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

Reflect on the four peer-reviewed articles you critically appraised in Module 4.

Reflect on your current healthcare organization and think about potential opportunities for evidence-based change.

The Assignment: (Evidence-Based Project)

Part 5: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide PowerPoint presentation in which you do the following:

Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)

Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

Add a lessons learned section that includes the following:

A summary of the critical appraisal of the peer-reviewed articles you previously submitted

An explanation about what you learned from completing the evaluation table (1 slide)

An explanation about what you learned from completing the levels of evidence table (1 slide)

An explanation about what you learned from completing the outcomes synthesis table (1 slide)

Week 11 Assignment

Evidence-Based Capstone Project, Part 6: Disseminating Results

To Prepare:

Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.

Consider the best method of disseminating the results of your presentation to an audience.

To Complete:

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

Be sure to incorporate any feedback or changes from your presentation submission in Module 5.

Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice?

Main Post – Evidence-Based Practice

Introduction

Evidence-Based practice is the foundation of patient safety. The Joint Commission (2021) is an accrediting body that directly evaluates hospital functions by “offering unbiased assessment of … quality achievement in patient care and safety,” which assists organizations in reaching goals and receiving reimbursement for care (para. 1). Since the Affordable Care Act in 2010, an evidence-based practice directly influences hospital requirements and nursing goals to achieve the quadruple aim (Laureate Education, 2018). NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice? The Joint Commission places a specific focus each year on a set of National Patient Safety goals that help improve population health, patient experience, lower healthcare costs, and improve healthcare workers’ work-life (Laureate Education, 2018).

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National Patient Safety Goals

In 2021, there are eleven main safety goals broken down into seven main categories for hospitals. On jointcomission.org, there is a link to a simplified version of the goals and an entire chapter devoted to a detailed description. According to Kim et al. (2016), “the actual implementation of EBP has been inconsistent due to barriers related to nursing workload, lack of organizational support, lack of EBP knowledge and skills, and poor attitudes toward EBP” (p. 340). The Joint Commission’s (2021a) Goals provide the organizational support required to help achieve objectives designed to accomplish evidence-based practice. For example, one of the goals is to Prevent Infection. Within this goal, the Joint Commission (2021a) has emphasized using Hand Hygiene. Lenggono et al. (2019) share in their research that “handwashing has a proven benefit in preventing transmission of infection, yet compliance, … especially in intensive care units, ranges between 28% and 74% (p. 268). The evidence states that washing your hands is critical, but hand hygiene is suboptimal and still causing infections. The Joint Commission uses this data to pinpoint a place of potential improvement within hospitals utilizing evidence to promote increased safety.

Conclusion

It is not uncommon for accrediting agencies such as the Joint Commission to have a bad reputation. Organizations and their employees can feel frustrated about the people exposing errors and expecting perfection. However, when you understand their role in creating safe environments where evidence-based practice is applied, their job is critical to achieving the best medical care for our patients. Their dedication to changing the culture within hospitals is enough to change perceptions and promote respect.

References

Evidence-Based Nursing, 13(5), 340–348.

Laureate Education (Producer). (2018). Evidence-based Practice and the Quadruple Aim [Video file]. Baltimore, MD: Author.

Lenggono, K., Sholihah, Q., Djati, M. S., Putranto, N., Tangkas, T., Hastuti, A. P., Adi P., D. K., & Aminah, T. (2019). Quality

Audit Analysis of the Implementation of Hand Washing 5 Moments 6 Steps for Doctors and Nurses with the Incidence of

Plebitis in the Hospital. Systematic Reviews in Pharmacy, 11(1), 268–272. https://doi.org/10.5530/srp.2020.1.34

The Joint Commission. (2021). Why The Joint Commission. https://www.jointcommission.org/accreditation-and-certification/why-

the-joint-commission/

The Joint Commission. (2021a). 2021 Hospital National Patient Safety Goals.

https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2021/simplified-2021-hap-

npsg-goals-final-11420.pdf

NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice? Sample response post

Very informative! I can see that we are on the same page with the ( TJC) Joint Commission. I liked the example of handwashing. This has become most relative to Global Health recently. As far as a TJC is concerned, a 3 step Tracer Methodology is used for the accreditation process. This change in process was made in 2014. This will include the delivery of care ( patient tracer), the process utilized ( department /radiology/surgery/ed), and finally, the system ( x-ray, stroke protocol, time out). The observations of compliance are then used as feedback for a visit. This is where EBP is essential. Hand hygiene must be done correctly, or an infection can be initiated to the patient inadvertently. Any observation by surveyors of individual failure to perform hand hygiene in the process of direct patient care will be cited as a deficiency resulting in a Requirement for Improvement (RFI) under Infection Prevention and Control (IC) Standard IC.02.01.01, EP 2: “The [organization] uses standard precautions, including the use of personal protective equipment, to reduce the risk of infection.” Surveyors also will continue surveying an organization’s hand hygiene program to National Patient Safety Goal NPSG.07.01.01. (see also the December 2017 issue of the Perspectives Newsletter). https://jointcommission.org

My understanding is, it took a Global Pandemic for the General Public to trust in the hospital process. EBP does get push back from Nurses lacking the understanding that EBP was the direct pathway to achieving quality and safety. The misconception is there is no support. NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice? As knowledgeable clinicians, it is important to question, apply and grow our peers. To keep free from judgment zone work environment will expedite the application of EBP to achieve quality patient outcomes.

References

Melnyk, B. (2019). Evidence-Based Practice in Nursing And Healthcare A Guide to Best Practice (Fourth ed.). Wolters Kluwer https://jointcommission.org

NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice? Peer Response 2

Your discussion post on patient safety through evidence-based practice indicates that the Joint Commission utilizes EBP. The utilization of EBP is supported by the existence of a spirit of inquiry among nurses. According to Melnyk and Fineout-Overholt, (2018), a spirit of inquiry among nurses is the critical step towards attaining the use of EBP. However, the spirit of inquiry cannot be functional in an organization that lacks a supportive culture for EBP. Joint Commission has taken the initial step of supporting evidence-based practice by creating a supportive culture through patient safety goals. The use of EBP is critical towards achieving patient safety. For example, patient safety is supported by an emphasis on preventing infection (The Joint Commission, 2021) NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice?. The goals of patient safety enhance the health outcomes, which the EBP supports. Your discussion post provides a clear explanation of the goals of patient safety supported by EBP.

The availability of the EBP culture within the Joint Commission shows that the Joint Commission has a strong EBP belief. According to Kim et al., 2016, a strong belief system of EBP leads to the implementation of EBP. Therefore, the organization can easily implement EBP within its setting through the goals that show specific steps towards patient safety. EBP is an essential contributor towards attaining the quadruple aim of care, cost, and meaning in work (Sikka et al., 2015). Healthcare providers working within the Joint Commission framework implement the EBP, which leads to the achievement of the quadruple aim. Implementing EBP by the Joint Commission has been essential in boosting patient outcomes within the healthcare system.

References

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. https://eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?vid=2&sid=560b8646-a181-49b0-937e-4026d53e80a0%40sdc-v-sessmgr03&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=000388307700002&db=edswsc

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice?.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. https://www-proquest-com.ezp.waldenulibrary.org/docview/1778837907?accountid=14872

The Joint Commission. (2021). Why The Joint Commission. https://www.jointcommission.org/accreditation-and-certification/why-the-joint-commission/

NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice? sample response 3

What an interesting post about the importance of safety through hand washing in patient care. When providing care in the field of medicine, it only makes sense to practice based on evidence-base practice. Although often times, when looking into the reasons behind various methods for assessing, diagnosing, and treating, there is no science to back it up. Many providers in the field of dermatology practice using the same treatment options for specific diagnoses as they have used for years, without making the necessary changes based on current research and data available. As medicine is ever growing and changing and research is advancing, the way that care is provided must grow and change as well. By using evidence-based medicine and staying current on best practices, optimal care can be given. While skills like examination and taking a comprehensive history are essential to giving the best care, maintaining relevant and up-to-date knowledge through evidence-based practice is also vital (Williams,2014). Providing medical care without adapting to current best practices is doing patients a disservice.

Dermatology like all specialties in medicine possesses its own “gold standards” of care. When a patient is diagnosed with melanoma, many factors play into determining the optimal methods for treatment. Various skin conditions can be treated in a variety of ways through the utilization of surgical excisions, medications, radiation, chemotherapy, light therapy, etc.

NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice? The type of skin cancer melanoma is graded based on its Breslow depth, mitotic rate, size, and overall degree of severity. These factors play a role along with patient age and history in determining the best possible method of treatment for the best patient outcome. The purpose of specifically sampling from sentinel lymph nodes is that they are the first group of lymph nodes to receive lymphatic drainage from a tumor to a particular area (Prieto & Curry, 2017). This makes them a reliable indicator of determining whether the melanoma has spread or not. Patients with positive sentinel lymph nodes have a poorer prognosis than if they are negative. Early diagnosis of melanoma and the presence of metastases is key to reducing morbidity and mortality rates (Wiesner & Zbyszewski, 2018). In contrast, some recent studies have come out showing that sentinel lymph node biopsies are unnecessary and not an accurate predictor of metastases and survival rates. This is why evidence-based practice in science is important.

References

Prieto, V. G., & Curry, J. A. (2017). Sentinel Lymph Node Biopsy in Melanoma Pathology. Retrieved from https://emedicine.medscape.com/article/1977004-overview

Wiesner, T., & Zbyszewski, A. (2018). Progress in the diagnosis and therapy of melanoma. British Journal of Dermatology, 178(1), 12-14. doi:10.1111/bjd.16110 NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice?

Williams, H. C. (2014). Strengths and Limitations of Evidence-Based Dermatology. Indian Journal Of Dermatology, 59(2), 127-133.

Discussion: Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

Review the Resources and reflect on the definition and goal of EBP.
Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

By Day 6 of Week 1

Introduction

Evidence based practice drives the decisions for how we deliver care to patients in the healthcare setting. This research provides concrete evidence to backup the decisions for why we provide patient care the way that we currently do. Implementation of the data that is supported by evidence-based practice is crucial for direct patient care staff to incorporate into the care that they deliver NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice?. “Although leaders influence the organizational culture, they also play an important role in supporting implementation of EBP and other innovative practices” (Kim et al., 2016, p. 341). “The staff nurse is a critical link in bringing evidence-based changes into clinical practice” (Crabtree et al., 2016, p. 172). The healthcare organization that I chose to review for evidence-based practice information is the World Health Organization (WHO).

World Health Organization and EBP

I found that evidence-based practice information is spread throughout the World Health Organization’s website. WHO has fact sheets and official publications for a wide range of health topics that are created using evidence based practice research data that are available on the website under the health topics tab. The website also contains data collection tools that WHO utilizes in order to collect and analyze information on current topics that are affecting global health that can be found in the data tab. WHO appears to be grounded in evidence based practice by utilizing this method to support the data for the health topics covered that are presented on their website. “A core component of WHO’s support to Member States is to strengthen their capacity to collect, compile, manage, analyze and use health data mainly derived from population-based sources and institution-based sources” (Data Collection and Analysis Tools- WHO, n.d., para. 1) NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice?.

My Perception on WHO

Reviewing the website for evidence-based practice data has changed my view on the World Health Organization. I did not realize how much research WHO conducted in ordered to support their claims on the health problems that we face globally. Seeing that the website has data to validate the claims they make on certain health topics and participates heavily in data collection for analyzation helps me to gain trust in their website and the work that the World Health Organization does to contribute to the health problems the world faces NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice?.

References

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing

engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2),

172–175. doi:10.1111/wvn.12126

Data Collection and Analysis Tools – WHO. (n.d.). Retrieved March 01, 2021, from

https://www.who.int/data/data-collection-tools

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016).

Predictors of evidence-based practice implementation, job satisfaction, and group cohesion

among regional fellowship program participants. Worldviews on Evidence-Based Nursing,

13(5), 340–348. doi:10.1111/wvn.12171 NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice?

NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice? sample response

I know you have covered a lot in your efforts to explain the EBP of the World Health Organization (WHO). Your research findings have equipped me with a wealth of knowledge, and I thank you for sharing it in an enjoyable way to read. I reviewed the WHO website and am delighted to add what I found interesting.

The world health organization evaluates the global health population. They analyze how people get ill, die and how the health care systems respond. The organization employs a strategy called the International classification, which standardizes health data such as recommendations for EBP in healthcare. Many health officials utilize the international classification, including the government. Researchers also use the tool to collaborate with people worldwide when conducting research (“Classifications,” n.d.) NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice?.

The world health organization endorses EBP in healthcare. Research has proved that the WHO supports nurses and midwives to promote evidence-based practice in Europe. WHO hones its foundations in the Region to help health care policymakers and professionals facilitating evidence-based practice in nursing and midwifery (“Facilitating evidence-based practice in nursing and midwifery in the WHO European region (2017),” 2017. NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice?)

References

Classifications. (n.d.). WHO | World Health Organization. https://www.who.int/standards/classifications

Facilitating evidence-based practice in nursing and midwifery in the WHO European region (2017). (2017, November 7). WHO/Europe. https://www.euro.who.int/en/health-topics/Health-systems/nursing-and-midwifery/publications/2017/facilitating-evidence-based-practice-in-nursing-and-midwifery-in-the-who-european-region-2017 NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice?

NURS 6052 Walden University Essentials of Evidence Based Practice Discussion

Description

Discussion: Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

Review the Resources and reflect on the definition and goal of EBP.

Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).

Explore the website to determine where and to what extent EBP is evident.

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

Resources:

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

(www.mbsdirect.vitalsource.com)User name:lenickbermudez@gmail.comPassword:Maria0724

https://academicguides.waldenu.edu/az.php?s=19981

Articles:

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126
Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2. Retrieved from http://download.lww.com/wolterskluwer_vitalstream_com/PermaLink/NCNJ/A/NCNJ_165_516_2010_08_23_DGSODKGNM_1651_SDC516.pdf

5-Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021. Retrieved from https://sigmapubs.onlinelibrary.wiley.com/doi/full/10.1111/wvn.12021

6-Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160. Retrieved from https://qualitysafety.bmj.com/content/qhc/24/10/608.full.pdf

7. https://academicguides.waldenu.edu/az.php?s=19981

Respond to your colleagues by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

Samira Abdi

RE: Discussion – Week 1

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Introduction

According to Titler (2008), evidence-based practice is the conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care. Nurses are at the forefront in implementing the best evidence-based practice to provide the best possible care to their patients. The healthcare field has been changing and expanding very fast in the last few years, so we must make changes to the practice and care we provide to our patients to stay current.

Healthcare organization website review

The Center for Disease Control and Prevention (CDC) is a nationwide public health agency that controls and prevents disease in unites states and around the world. The CDC falls under the department of health, which is a cabinet-level department that protects the health of all Americans. The CDC protects against dangerous health threats and responds when they occur (CDC, 2019).

Evidence-based practice utilization

According to the mission and role of the CDC, they use science and advanced technology to prevent disease. This CDC uses evidence-based practice by either doing research or using modern technology to implement new techniques to prevent illness or be well prepared in the case of an epidemic.

Grounding in evidence-based practice

The CDC collects data from hospitals through state agencies to report the saw called notifiable diseases. This law mandates health care facilities to those diseases to identify its source, transmission, and further transmission. The data collected is then analyzed, and the results used to prevent future outbreaks by using new evidence-based practices in science and technology as well.

Perception of a healthcare organization

My perception of CDC is not that changed, but I didn’t know it fell under the department of health and human service. I also didn’t realize the CDC was an international body that prevents diseases in the united states but worldwide. The CDC does a great job of protecting many childhood illnesses by implanting very effective vaccines. They also work hard to contain the transmission for an infectious disease such as the current outbreak of the coronavirus.

Reference

Centre for Disease Control and Prevention (2019). Mission, Role and Pledge. Retrieved February 26 , 2020 from https://www.cdc.gov/about/organization/mission.htm

Melnyk, B., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare (4th ed.). Philadelphia, PA: Wolters Kluwer.

Titler M. G. (2008). Chapter 7. The evidence for evidence-based practice implementation. In R. G. Hughes (Ed.), Patient Safety and Quality: An evidence-based handbook for nurses (Vol. 1,

Christine Frazer (Professor)

Walden Instructor Manager

RE: Lenick Bermudez Beltran

Lenick,

Great job reviewing and presenting information to the group about AHRQ website; as well, providing those examples you found from clicking several of the menu tabs — certainly worthwhile to view.

To add to our discussion topic this week and as I shared with another study, I would like to share a short blog by Lippincott Solutions entitled, Moving from Triple to Quadruple Aim. Within the blog post, Lippincott Solutions (2015) addresses steps health care organization can take to improve work life of clinicians and staff (4th aim). The post ends with two questions to ponder in relation to work life conditions at the facility one works for and moreover, if the organization is doing enough to ensure nurses take care of themselves. Feel free to share any insight based on the tips shared and even add another that is aimed specifically at nursing/APNs.

Lippincott Solutions. (2015, September 5). Moving from triple to quadruple aim [Web log post].

Retrieved from http://lippincottsolutions.lww.com/blog.entry.html/2017/09/05/moving_from_triplet-uouA.html

Respond to a your colleagues by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

Chasity Christie

Main Post Chasity Christie

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Healthcare Organization Website Review

I chose the American Foundation for Suicide Prevention (AFSP) as it is dear to my heart. I have always looked at them as a go-to website for all things suicide identification/prevention related. However, until this class, I never thought of it as being evidence based. Melnyk, Gallagher-Ford, Long, & Fineout-Overholt, (2014) contend that evidence-based practice is a problem solving approach that includes the latest, most reliable and valid research. The website is laden with evidence-based practice from page to page including suicide statistics, the history and mission, to the programs offered (American Foundation for Suicide Prevention, 2020).

EBP Utilization

The American Foundation for Suicide Prevention most notable use of evidence-based practice is in their programs such as early detection and prevention to programs specifically tailored to veterans, LGBTQ, those living with bipolar (American Foundation for Suicide Prevention, 2020). A mental health first aid program is also available throughout difference cities in the United States which educated the lay person how to recognize signs, how to help, and how to provide resources (American Foundation for Suicide Prevention, 2020). At the heart of the design of these programs are the 7 steps of evidence-based practice which include searching for the best evidence, critically appraising the evidence, and dissemination of the evidence (Melnyk, Fineout-Overholt, Stillwell, & Williamson, 2010).

Grounding of EBP

The AFSP states they were “founded on research” and use the latest science in suicide prevention (American Foundation for Suicide Prevention, 2020). This organization has available research grants that support studies on prevention, interventions, and treatments (American Foundation for Suicide Prevention, 2020). There is also a public policy sector of the AFSP that encouraged legislation at all levels of government that support the goal of suicide prevention (American Foundation for Suicide Prevention, 2020).

Perception of Healthcare Organization

Although all my experience with this organization has been positive, I am extremely proud now that I have learned more of what they stand for. Not only does the AFSP organize to prevent suicide, but it actively looks for solutions to the societal issue by lobbying for policy, providing grants for studies, and continually seeking the newest information to base their programs and works on.

References

American Foundation for Suicide Prevention. (2020). About AFSP. Retrieved February 26, 2020, from https://afsp.org/about-afsp/

NURS 6052 – Essentials Of Evidence-Based Practice

EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

Patient experience
Population health
Costs
Work life of healthcare providers

BY DAY 7 OF WEEK 1

Submit your anaylsis.

EVIDENCE-BASED PROJECT, PART 1: IDENTIFYING RESEARCH METHODOLOGIES

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course.
Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

The full citation of each peer-reviewed article in APA format.
A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To Prepare:

Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
- This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
Reflect on which type of dissemination strategy you might use to communicate EBP.

BY DAY 3 OF WEEK 9

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

BY DAY 6 OF WEEK 9

Respond to at least two of your colleagues on two different days by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.

Evidence-based practice healthcare interventions are essential in meeting the needs and expected outcomes for the intended target population. There are always opportunities to increase healthcare access, reduce cost, and improve the overall health of Americans (U.S Government Information, 2008). Within the mental health population there are numerous healthcare interventions to help stabilize and improve the mental wellbeing of individuals. I was appointed by the Nurse Executive at my hospital to formulate a position to better service the hospital’s mental health population.

Creating a position in a hospital has allowed me to use various dissemination strategies. Dissemination is defined as intent to distribute information and intervention materials to a specific targeted audience (McCormack et al., 2013). When I see an area that could be improved in the mental health population I create hard evidence of the problem, use evidence-based research to support the solution to the problem, and then formulate how I will deliver the evidence to my intended audience. Two dissemination strategies that I would be most inclined to use within my healthcare organization is to present my proposal of information during an organizational level meeting or a hospital level meeting (Ross et al., 2020). An example of an organizational level meeting would be the Behavioral Health forum and a hospital level meeting would be the Best Practice Council, both of which I’m an active member. From my experience in the past with presenting proposals to my organization to facilitate change, the most important aspect is where and when is your target audience available. This is strategically planned to increase the reach of the evidence and increase leadership’s motivation to use and apply the evidence.

Barriers that may present itself when relying on an intended organization or hospital level meeting is some of your intended audience may not be present like you had thought, or the meeting might be pushed back to the following month. I’ve had both barriers happen. If I was expecting a specific person to be at the meeting I was presenting at and they ended up not being present, I would then reach out to them directly to discuss the information. If the meeting was pushed back to the following month, I have been known to discuss my information with the chair and co-chair so I can possibly be given advice on how to move forward in the next month while waiting for the meeting.

Two dissemination strategies that I would be least inclined to use is to share information through organization’s social media page or create informational flyers, guides, or pamphlets to distribute (National Health and Medical Research Council, 2019). I would not use a strategy where I could not be face-to-face with my audience. I enjoy communicating with my audience when advocating for a specific topic to gain their prospective and insight.

References

McCormack, L., Sheridan, S., Lewis, M., Boudewyns, V., Melvin, C. L., Kistler, C., & Lohr, K. N. (2013). Communication and dissemination

strategies to facilitate the use of health-related evidence. https://effectivehealthcare.ahrq.gov/products/medical-evidence-Links to an external site.

communication/research-protocolLinks to an external site.

National Health and Medical Research Council. (2019) Guidelines for Guidelines: Dissemination and

communication. https://www.nhmrc.gov.au/guidelinesforguidelines/implement/dissemination-and-communicationLinks to an external site..

Ross-Hellauer, T., Tennant, J. P., Banelytė, V., Gorogh, E., Luzi, D., Kraker, P., & Vignoli, M. (2020). Ten simple rules for innovative dissemination of

research. PLoS computational biology, 16(4), e1007704.

United States Government Information. (2008). https://www.govinfo.gov/content/pkg/ERP-2008/pdf/ERP-2008-chapter4.pdf

Reply to Comment
- Collapse Subdiscussion Leslie Rasmussen
  
  Leslie Rasmussen
  
  Jan 24 at 7:33pm
  
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  Module 5 Discussion reply 1.
  
  Hi Cassie!
  
  Great read! You and I are pretty alike when it comes to dissemination of information, I am too a supervisor at my organization so I do get opportunities to do so. I agree with you, I’d much rather speak to people in person than post things around the facility or use social media. I found a great article that talks about how common dissemination of information from COVID-19 start was online and used in the media. I do think that I saw a lot of my information on there as well, which does kind of contradict what I wrote about. I think the topic must be big enough where people want to know more information about it before they pay attention to those types of posts though. There are so many limitations to social media such as insufficient source information, not the entire audience views, not able to answer questions directly, and others not being able to distinguish between valid and invalid information (Chan et al., 2020).
  
  Another article that I read does talk about some barriers with using in person communication as a way of dissemination. Some of these barriers include the amount of time and resources that need to be in place, time to hold meetings, recruit the staff to attend, provide follow-up after these meetings (Chapman et al., 2020). Which I can see where the barriers are true, but if you have the resources, time and staff that are dedicated to their jobs, it can be easy to hold meetings and do follow-up with them. Like I said, I think its more personable to do in person meetings, this way I am available for questions if needed.
  
  References
  
  Chan, A., Nickson, C., Rudolph, J., Lee, A., & Joynt, G. (2020). Social media for rapid knowledge
  
  dissemination: early experience from the COVID‐19 pandemic. Anaesthesia, 75(12), 1579–1582.
  
  doi: 10.1111/anae.15057
  
  Chapman, E., Haby, M,. Toma, T. (2020). Knowledge translation strategies for dissemination with a focus
  
  on healthcare recipients: an overview of systematic reviews. Implementation Science, 15(14).
  
  https://doi.org/10.1186/s13012-020-0974-3
  
  Reply to Comment
  - Collapse Subdiscussion Bertina Boma Soh
    
    Bertina Boma Soh
    
    Jan 27 at 10:59pm
    
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    I agree with you Leslie that some barriers with using in person communication as a way of dissemination. However, I believe that the issue needs to be significant enough that people are interested in learning more about it before such kinds of blogs will get seen. Some users may not be able to tell the difference between true and false material posted on social media, there may be a lack of complete background information or the ability to respond directly to inquiries.
    
    I do agree with you that one method of spreading information that will garner a considerable amount of attention is through the use of social media. Making a personal blog is probably yet another option worth considering.
    
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- Collapse Subdiscussion Rita Osei
  
  Rita Osei
  
  Jan 25 at 3:06pm
  
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  response 1
  
  great post Cassie,
  
  I agree with you about using staff meetings/in-service training as a method of dissemination as this helps individuals to be more engaged and voice out any concerns that may arise. I strongly believe the use of infographics and PowerPoint presentations can be a great tool to incorporate in any dissemination. This allows individuals to grasp and visualize what is being presented. Infographics are elements that serve as a visual presentation of data (Henandez-Sanchez et al., 2020).
  
  Infographics have been seen as an effective, and convenient way to present information and deliver nursing education (Jackson et al., 2018)
  
  Reference
  
  Hernandez-Sanchez, S., Moreno- Perez, V., Garcia- Campos, J., Marco-Lledo, J., Navarrete-Munoz (2020). twelve tips to make a successful medical infographic. Medical Teacher, 1- 19. doi/10.1080/0142159x. 2020
  
  Jackson, L., Jowsey, T., & Honey, M. L. (2018) In-service Education: Evolving internationally to meet Nurses’ lifelong Learning Needs. The journal of continuing education in nursing, 50(7), 313-318. doi/10.3928/00220124-20190612.
  
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- Collapse Subdiscussion Andrea M Allen
  
  Andrea M Allen
  
  Jan 27 at 4:34pm
  
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  Hi Cassie,
  
  Thanks for a great read.
  
  I do agree that Social Media is one way of disseminating info that will gain a significant amount of attention. Another way I suppose would be to Create a personal blog. YouTube is great for podcast once it’s created. According to (Tripathy […], 2017), In recent years, academics have shown a growing interest in non traditional methods of evaluating their scholarly ‘impact’ known as ‘altmetrics’, which is another way in which researchers are able to gave the impact and reach of their research instead of the once traditional way.
  
  Best,
  
  Tripathy, J., Bhatnagar, A., […] and Harries, A. (2017), Ten tips to improve the visibility and dissemination of research for policy makers and practitioners. Publish Health action. 7(1): 10-14. DOI: 10.5588/pha.16.0090 https://www.ncbi.nlm.nih.gov/pmc/articles/pmc5526489/Links to an external site.
  
  Reply to Comment
- Collapse Subdiscussion Cheron Massonburg
  
  Cheron Massonburg
  
  Jan 27 at 6:15pm
  
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  Hi Cassie, Great Post! Similarly to you, I have been able to implement strategies within our Behavioral Health Department. While I am not an executive I have been valued as a leader. Below you will see some of the strategies implemented by myself and the leadership team within the department.
  
  (Newhouse et al., 2007, p. 556) Two dissemination strategies that I would utilize are unit-level presentations and posters. (Melnyk, 2018). In the Behavioral Health Department, we utilize unit-level presentations in the form of start of shift huddle. We have four daily huddles; this is where appropriate data is shared to improve clinical practice. Staff are gathered in a centralized location on the unit during huddle which allows information to be disseminated quickly. Leadership shares our department metrics, policies and procedures, and important updates critical to the day’s work. Staff are then given the chance to voice concerns, pose questions, and share any other data considered fundamental for practice. (Melnyk, 2018). The biggest barrier to this strategy is that information is given verbally and missing the huddle or distractions during huddle means that someone may miss important information with this communication method. Ways to improve this type of strategy are to move the huddle to a private or less crowded area of the unit so there are less distractions or to follow up critical information with a written recap that can be reviewed later. (Melnyk, 2018).
  
  Another strategy to disseminate information would be using posters. Behavorial Health units can be hectic and fluid, therefore adapting to many changes at once is often necessary. (Melnyk, 2018). Medical staff work closely with one another to provide patient care. With poster presentations, the disseminated information only presents the most vital information related to a topic. It is visual and easy to read so the information can be learned and absorbed quickly. (Melnyk, 2018). Although this is informal, it does allow continued interaction among colleagues. Recently, during the huddle, a poster was presented with our new restraint process. The poster included the steps of how to physically restrain and provided statistical information on restraints, core measure standards, and proposed outcomes. The Behavorial Health team was able to change quickly by beginning to use the new methods as it gave a visual presentation on where we were, what we needed to do, and what needed improvement. Barriers to this type of dissemination strategy is there that the poster could miss critical information, be too busy to read. (Melnyk, 2018). The content could be either too sparse for real value or contain too much information or be placed in an area where no one sees it. There is also no way to confirm that all nurses learned the information or that the information was understood. Strategies to help with this can be to make sure that the presenter uses PowerPoint slides or clear graphics, sequencing the information to ensure that the poster is concise and easy to read in a visible area. (Melnyk, 2018). Additionally, the presenter should offer specific times to be available for questions and include ways for follow-up to be provided, such as through email.
  
  References
  
  Melnyk, B. M. (2018). 20: Disseminating Evidence Through Presentations, Publications, Health Policy Briefs, and the media. In E. Fineout-Overholt (Ed.), Evidence-based practice in nursing and healthcare (4th ed ed., pp. 547–602). Wolters Kluwer Dissemination Strategies Discussion Essay.
  
  Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L., & White, K. (2007). Organizational Change Strategies for Evidence-Based Practice. JONA: Journal of Nursing Administration, 37(12), 552–557. https://doi.org/doi: 10.1097/01.NNA.0000302384.91366.8fLinks to an external site.
  
  Reply to Comment
  - Collapse Subdiscussion Bertina Boma Soh
    
    Bertina Boma Soh
    
    Jan 27 at 11:20pm
    
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    Cheron, your essay was quite enjoyable to read. I wholeheartedly concur that using posters is one method that might be utilized to distribute information. Because of Behavioral Health facilities’ chaotic and unpredictable nature, it is frequently essential to adjust to multiple changes simultaneously. People with a history of receiving psychiatric treatment in an institution are more likely to experience increased levels of social stress and stigma, as do their family members and friends. People who have spent extensive time in mental health care institutions experience hostility and intolerance from their various social networks. This is because of the stigma associated with mental illness (Dorai et al., 2023).
    In addition, it’s beneficial that you pointed out that this strategy’s most significant drawback is the information conveyed verbally. If someone is absent from the huddle or distracted while the huddle is going on, they are likely to miss out on crucial details. Moving the huddle to a more private or less crowded unit area can make this strategy more effective. Hence, there are fewer distractions, or you can follow up on critical information with a written recap that can be reviewed later. Both of these options are ways to improve the situation.
    You brought up another key aspect when you said that information presented in poster presentations only includes the most critical details about a subject. This is a very crucial point. Poster presentations draw in an audience with comparable interests, allow the researcher to connect with the audience and clarify the research method and conclusions, permit creative expression in presenting, and assist in creating collegial relationships with others who share similar interests.
    
    There is a consensus that disseminating and explaining scientific findings is an integral component of the research experience; however, only a tiny fraction of science programs offer a formal undergraduate curriculum for developing oral science communication skills (Leone & French., 2022). The potential for the poster to overlook important information because they are too busy reading presents a challenge for this type of information-sharing technique. In addition, I recognize that you make a very valid point when you say, “Strategies to help with this can be to ensure that the presenter uses PowerPoint slides or clear graphics, sequencing the information to ensure that the poster is concise and easy to read in a visible area.” You are correct in making this statement.
    
    References
    
    Dorai, V. L., Kannekanti, P., Bhattacharjee, D., & Das, B. (2023). Challenges Implicit During Discharge of Persons with Mental Illness in Tertiary Care Settings: A Case Series. Journal of Psychosocial Rehabilitation and Mental Health, 1-10.
    
    Leone, E. A., & French, D. P. (2022). A mixed-methods study of a poster presentation activity, students’ science identity, and science communication self-efficacy under remote teaching conditions. Journal of Microbiology & Biology Education, 23(1), e00262-21.
    
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  - Collapse Subdiscussion Cassie L Bozard
    
    Cassie L Bozard
    
    Jan 28 at 5:56pm
    
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    Cheron,
    
    I absolutely loved your post! I’m extremely interested to hear about your daily huddles. Being that our charge nurses do huddles before shift, and then things get crazy during the shift, this leaves the managers to have little direct conversations with their team. Having a manager directed huddle during the shift is an amazing idea. I’m going to start researching the evidence-based information on this strategy!
    
    I agree with you that having a poster during a visual presentation could be a barrier in presenting your information in a clear manner. I also think it depends on the atmosphere in which you are presenting your information. A poster presentation is viewed as less intimidating, informal, and used in a relaxed atmosphere (Sherbinski and Stroup, 1992). A well-designed poster presentation should always follow the five Cs; compliant, catchy, concise, clear, and clutter free (Moyo, 2019). Keeping the poster simple and clear on the information being disseminated will help keep the audience engaged and allow them to easily comprehend the material given.
    
    Moyo, M. (2019). The 5 Cs for developing an effective poster presentation. Journal of Radiology Nursing, 38(3), 210-212. https://doi.org/10.1016/j.jradnu.2019.05.015Links to an external site.
    
    Sherbinski, L. A., & Stroup, D. R. (1992). Developing a poster for disseminating research findings. AANA journal, 60(6), 567–572.
    
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- Collapse Subdiscussion Erica Dentaa Darko
  
  Erica Dentaa Darko
  
  Jan 27 at 6:47pm
  
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  Hello, Cassie! Excellent discussion post! I’d like to offer some additional suggestions for overcoming the barriers to the strategies suggested in your post. The obstacles you mentioned are valid, especially if a meeting is postponed; responding to an organization or hospital is difficult. That is an excellent way to make up for lost time by being productive until the next meeting. Having early support from your administration is critical to success. You will encounter obstacles, but you will also learn strategies to help you overcome them. We can create an EBP environment that benefits our patients and ourselves (Ginex, 2023). When dissemination is lacking, research may be viewed as a waste of resources and a futile endeavor incapable of influencing positive health outcomes (Derman & Jaeger, 2018).
  
  References
  
  Derman, R. J., & Jaeger, F. J. (2018, June 22). Overcoming challenges to dissemination and implementation of research findings in under-resourced countries. Reproductive health. Retrieved January 27, 2023, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019998/
  
  Ginex, P. K. (2023, January 13). Overcome barriers to applying an evidence-based process for practice change. ONS Voice. Retrieved January 27, 2023, from https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-change
  
  Reply to Comment
- Collapse Subdiscussion Ntumba Kabongo
  
  Ntumba Kabongo
  
  Jan 27 at 8:20pm
  
  Manage Discussion Entry
  
  Response #1
  
  Hi Cassie, great post regarding the method of dissemination, I too believe in continuous communication thru meetings such as in person staff meetings or in-service training as a method of dissemination as this helps employees to be more engaged and voice out any concerns and ideas. According to (Tripathy […], 2017), In recent years, academics have shown an increased interest in nontraditional methods of evaluating their scholarly ‘impact’ known as ‘altimetric’, which is another way in which researchers are able to give the impact and reach of their research instead of the once traditional way.
  
  Tripathy, J., Bhatnagar, A., […] and Harries, A. (2017), Ten tips to improve the visibility and dissemination of research for policy makers and practitioners. Publish Health action. 7(1): 10-14. DOI: 10.5588/pha.16.0090 https://www.ncbi.nlm.nih.gov/pmc/articles/pmc5526489/Links to an external site.Links to an external site.
  
  Reply to Comment
- Collapse Subdiscussion Sulaiman Yassin Jalloh
  
  Sulaiman Yassin Jalloh
  
  Jan 27 at 9:54pm
  
  Manage Discussion Entry
  
  Hi Cassie,
  
  I appreciate your comprehensive discussion of the evidence dissemination process. Organization-level meetings provide ideal opportunities to share evidence with healthcare staff members. The meetings are beneficial because they afford the audience opportunities to question the evidence in the context of clinical practice (Melnyk & Fineout-Overholt, 2022). In addition to the organizational-level meetings, an oral podium presentation is an effective dissemination strategy that allows a direct conversation about the evidence. Addressing the barriers to dissemination ensures optimal evidence translation (Dang et al., 2021). To address the concern of audience availability, the organization should schedule meetings at the end of day shifts to allow all healthcare professionals to participate in the meetings. Additionally, the meetings should be conducted virtually to accommodate off-site staff members (Melnyk & Fineout-Overholt, 2022). The objective is to maximize the understanding and application of evidence by the clinical staff.
  
  References
  
  Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines. Sigma Theta Tau.
  
  Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.
  
  Reply to Comment
- Collapse Subdiscussion Jasmine London
  
  Jasmine London
  
  Jan 29 at 9:08am
  
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  Hi,
  
  Great post. I believe organizational level meetings such forum or councils would be an effective dissemination strategy. Forums and councils provide space for staff and executives to exchange opinions and ideas, develop plans, and address issues or concerns (Brownson et al., 2018). It would be a good space to distribute information and intervention materials because the intended targeted audience would be willing to hear the information presented. It also allows for discussions and dialogue. I believe that face to face dissemination strategies would have more of an impact than online strategies. Face to face approach is the best way to communicate and ensure that the audience understands and retains the information given to them.
  
  Brownson, R. C., Eyler, A. A., Harris, J. K., Moore, J. B., & Tabak, R. G. (2018). Getting the Word Out: New Approaches for Disseminating Public Health Science. Journal of Public Health Management and Practice, 24(2), 102–111. https://doi.org/10.1097/phh.0000000000000673
  
  ‌
  
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- Collapse Subdiscussion Crystal Lewis
  
  Crystal Lewis
  
  Jan 29 at 10:17am
  
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  Hi, Cassie,
  
  Why must nurse researchers be aware of barriers to dissemination strategies?
  
  Great post!
  
  Dr. Lewis
  
  Reply to Comment
Collapse Subdiscussion Mellissa Rodriguez

Mellissa Rodriguez

Jan 25 at 4:07am

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“It is well known that evidence-based practice (EBP) improves healthcare quality, safety, and patient outcomes as well as fosters clinicians’ active engagement in their practices” (Melnyk et al., 2017). Furthermore, it is essential to educate and inform all health care team members about EBP studies and interventions that are on the rise to improve patient outcomes. “Using guidelines to inform practice improves the effectiveness and efficiency of healthcare while reducing inappropriate variations in practice” (Medves et al., 2010). Some dissemination strategies include unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, and publication in peer-reviewed journals.

Of the dissemination strategies listed, two that I would be most inclined to use would be poster presentations and unit level presentations within my hospital. These two seem to be strategies that can be used to easily present information quickly and effectively to surrounding staff. With poster presentations, I would hand out informational fliers that engage readers and link resources for further exploration on the topic. I would ensure to only include vital information. With unit-level meetings, keeping the group small, you can ensure that every member is captivated and engaged in the material. This type of strategy also allows for questions during and at the end of the presentation.

Some barriers that may exist with these two strategies would be that with poster presentations and unit level meetings, you may not be able to convey all the information you want to present. There may be a time limit for these meetings as well which could make it difficult to keep everyone engaged in the allotted time. Ways to overcome some of these barriers are to divide unit meetings into different sessions to not over-exhaust staff and keep their full attention. “Nurse schedules needed to accommodate time away from clinical responsibilities for initial training and then later to complete the EBP process” (Newhouse et al., 2017). Also scheduling meetings before work so that they are ready to learn, rather than after a 12-hour shift.

Two of the dissemination strategies I would be least likely to use would be a podium presentation at a national level and a publication in a peer-reviewed journal. Reasons being that attendees of a podium presentation at a national level would be higher-level education individuals such as those with PhDs, and I would fear not being able to answer questions they may have.

References

Medves, J., Godfrey, C., Turner, C., Paterson, M., Harrison, M., MacKenzie, L., & Durando, P. (2010). Systematic review of practice guideline dissemination and implementation strategies for healthcare teams and team-based practice. International journal of evidence-based healthcare, 8(2), 79–89. https://doi.org/10.1111/j.1744-1609.2010.00166.xLinks to an external site.

Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomes Links to an external site.Links to an external site.. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188

Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice Links to an external site.Links to an external site.Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f

Reply to Comment
- Collapse Subdiscussion Maxine A Lewis
  
  Maxine A Lewis
  
  Jan 27 at 2:53am
  
  Manage Discussion Entry
  
  Wonderful job on your response Mellissa! Poster is an excellent strategy especially if it draws immediate attention. A well-designed poster can be an effective way … to convey information but must be visually appealing in order to bring the message across (Berg, 2005). According to Goslin, a “producing a poster of high-quality requires considerable planning and acquisition of a specific presentational skills” : However, the case for dissemination of scientific findings in the form of poster is very enthralling (Goslin, 1999). Posters are a powerful way to convey information and can be used with other presentation formats to enhance knowledge dissemination. Posters also forces the presenter to carefully select content for brevity, and this encourages emphasis of the most vital content. The messages portrayed on a poster are continuous and constant, which reduces variability and enhances reliability (Berg, 2005).The disadvantage to poster presentation is the lack of substance when the findings of a study are simplified into an outline or a poster (Edwards, 2015).
  
  References
  
  Berg, J. A. (2005). Creating a Professional Poster Presentation: Focus on Nurse Practitioners. Journal of the American Academy of Nurse Practitioners, 17(7), 245–248. https://doi.org/10.1111/j.1745-7599.2005.0041.x
  
  Edwards D. J. (2015). Dissemination of Research Results: On the Path to Practice Change. The Canadian journal of hospital pharmacy, 68(6), 465–469. https://doi.org/10.4212/cjhp.v68i6.1503
  
  Gosling, P. J. (1999). Scientist’s guide to poster presentations. Springer Science+Business Media, LLC. https://eds.s.ebscohost.com/eds/detail/detail?vid=9&sid=31e7bca9-41de-4672-b6a1-Links to an external site. 947594b48b5e%40redis&bdata=JkF1dGhUeXBlPXNoaWImc2l0ZT1lZHMtbGl2ZSZzY29wZT1zaXRl#AN=wal.EBC3080508&db=cat06423aLinks to an external site.
  
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- Collapse Subdiscussion Odion Iseki
  
  Odion Iseki
  
  Jan 27 at 6:01pm
  
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  Hello Mellisa,
  
  I find your post very interesting; the disadvantages of these two methods are that you may need to get all the information you want at a poster presentation or a unit-level meeting. Keeping everyone interested in these sessions may be challenging if they are time-limited. Separating unit meetings into separate sessions can help avoid staff burnout and ensure that each team member gives each forum their full attention. Time away from clinical duties for initial training and after that to finish the EBP procedure has to be worked into nurses’ schedules (Newhouse et al., 2017). Moreover, rather than having them learn new things after a 12-hour shift, have them study new items before they start work.
  
  References
  
  Medves, J., Godfrey, C., Turner, C., Paterson, M., Harrison, M., MacKenzie, L., & Durando, P. (2010). A systematic review of practice guideline dissemination and implementation strategies for healthcare teams and team-based approach. International journal of evidence-based healthcare, 8(2), 79–89. https://doi.org/10.1111/j.1744-1609.2010.00166.xLinks to an external site.
  
  Reply to Comment
- Collapse Subdiscussion Crystal Lewis
  
  Crystal Lewis
  
  Jan 28 at 12:18pm
  
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  Hi, Mellissa,
  
  As an organizational leader, why must the APN be prepared to effectively disseminate EBP research?
  
  Great post!
  
  Dr. Lewis
  
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- Collapse Subdiscussion Sulaiman Yassin Jalloh
  
  Sulaiman Yassin Jalloh
  
  Jan 28 at 5:55pm
  
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  Hi Mellissa,
  
  Thank you for sharing your post. I agree with you that evidence-based practices enhance healthcare quality and patient outcomes. Effective communication of evidence to healthcare professionals is integral in eliminating variations in evidence application during practice (Melnyk & Fineout-Overholt, 2022). Both unit-level presentations and poster presentations would work for me because they are easier to use and reach a large audience. Any strategy allowing the audience to ask questions about the evidence ensures accurate understanding and use of the information. Time limitation is a notable barrier when using unit-level meetings because of nurses’ tight work schedules (White et al., 2019). I think diving into unit meetings is an appropriate way to ensure all staff members participate in the meetings. The organization should also record meetings and make them available for nurses to view the proceedings during their free time.
  
  References
  
  Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.
  
  White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare. Springer Publishing Company.
  
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- Collapse Subdiscussion Mleh Porter
  
  Mleh Porter
  
  Jan 28 at 10:58pm
  
  Manage Discussion Entry
  
  Hello Mellissa,
  
  Thank you for your post. It was informative. The gap between research discovery and the application of evidence in practice settings is, as a result, of ineffective dissemination. The message, source, and the audience must be considered when planning to disseminate evidence (Brownson et al., 2018). The importance of effective dissemination remains a priority. Effective dissemination effort allows for acquired knowledge to be shared and create room for more innovations. I agree that poster presentations and unit-level meetings are great ways to disseminate evidence-based research that can be included in clinical practice to improve patient outcomes. No matter where it is used, a well-developed evidence-based practice (EBP) poster is an effective communication tool (Williams & Cullen, 2016). To overcome some of the barriers you mention, such as not being able to include all the information due to the time limit and keeping everyone engaged, is to make the poster presentation visually interesting and informative. In addition, unit-level meeting cans also be held via video conferencing, such as Microsoft Teams meeting on multiple dates within the period to accommodate more people. Offering this flexibility will allow more people to participate on even off days without driving to the hospital or running off to go provide patient care. A question-and-answer session may keep people more engaged in the discussion.
  
  Additional effective dissemination strategies include social media platforms, issue or policy briefs, workshops, seminars, and one-on-one meetings. Effective dissemination strategies can create public awareness, leading to greater intervention based on evidence and policy changes (Brownson et al., 2018).
  
  References
  
  Brownson, R. C., Eyler, A. A., Harris, J. K., Moore, J. B., & Tabak, R. G. (2018). Getting the word out: New approaches for disseminating public health science. Journal of Public Health Management and Practice, 24(2), 102–111. https://doi.org/10.1097/phh.0000000000000673
  
  Williams, J. L., & Cullen, L. (2016). Evidence into practice: Disseminating an evidence-based practice project as a poster. Journal of PeriAnesthesia Nursing, 31(5), 440–444. https://doi.org/10.1016/j.jopan.2016.07.002
  
  Reply to Comment
Collapse Subdiscussion Esther Davis

Esther Davis

Jan 25 at 3:04pm

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Dissemination is a planned process that involves consideration of target audiences, consideration of the settings in which research findings are to be received and communicating and interacting with wider audiences in ways that will facilitate research uptake and understanding (Ross-Hellauer et al., 2020). Considering the audience is a very critical part of choosing a dissemination.

Publishing evidence-based practices in peer-reviewed journals is an effective way of dissemination. It provides a credible and reliable platform through which consumers, purchasers, scholars, clinicians and other providers can access critical information and use it to make informed decisions. When peer-reviewed journals are used to, it reaches more people in positions to implement change. The journal publishing requirements would include the credibility of information in the EBP, which would mean that the evidence would need to be viable (Gallagher-Ford et al., 2011).

In my unit or within my hospital, I will make use of team meetings/nurse hurdles with posters and internal emails. During team meetings, questions can be asked and answered where concerns are raised. clinicians will be able to give feedback on how the proposed policy or topic could affect or improve patient safety or working conditions. Posters will be displayed in common areas in the facility where they would be easily seen and would serve as a good source of information for everyone. Posters may also be useful in educating patients and their families. Emails will be explanatory, brief and straight to the point and will be sent to all clinicians including nurses or providers who are directly concerned with the issue and feedbacks will be encouraged.

The internet or social media and pamphlets are two dissemination strategies I will be least likely to use. Even though, internet websites like ResearchGate boasts of lots of viewers, it may be missing the target audience (Ross-Hellauer et al., 2020). Some social media websites are not professional platforms, where one would be sure the information will not be misconstrued or distorted.

As much as pamphlets serve as good education materials, some nurses may not make time to read them at work. Some pamphlets have been found lying on break room tables while some make it home without been read at all.

Speaking of barriers, using publications in peer-reviewed practices could face challenges such as time and resources. Peer-reviewed journals require the input of professionals and scholars in their fields to contribute toward developing knowledge and analyzing the papers they publish. Collecting enough data to satisfy a journal, for example, could work as a hindrance to publication. Other barriers could be nurses not attending hurdles/team meetings, not giving feedbacks, not paying attention to poster boards, or not reading their emails. Moreover, when posters are not adequately designed or suited for an audience, they can lead to a breakdown in communication (Rojas, 2019).

In overcoming barriers, posters should be more legible and appealing. Nurses should be encouraged to attend hurdles and teams. Also, should be encouraged to use emails to communicate effectively. Most importantly is the readiness to change. I believe the reason why some nurses do not embrace new practices is the fear of the outcome. Changing the “ways we have been doing things” could be very challenging for some nurses. Therefore, nurses should be encouraged to adapt to change in as much it is an evidence-based practice.

References

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: implementing an evidence-based practice change. AJN The American Journal of Nursing, 111(3), 54-60.

Melnyk, B. M. (2018). Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Nursing Administration Quarterly, 36(2), 127-135.

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia, PA: Wolters Kluwer.

Ross-Hellauer, T., Tennant, J. P., Banelytė, V., Gorogh, E., Luzi, D., Kraker, P., Pisacane, L., Ruggieri, R., Sifacaki, E., & Vignoli, M. (2020). Ten simple rules for innovative dissemination of research. PLoS computational biology, 16(4), e1007704. https://doi.org/10.1371/journal.pcbi.1007704Links to an external site.

Rojas, E. (2019). Advantages and disadvantages of visual communication. Chron. January 25, 2019. Retrieved November 2, 2020 from https://smallbusiness.chron.com/advantages-disadvantages-visual-communication-42511.html

Reply to Comment
- Collapse Subdiscussion Rita Osei
  
  Rita Osei
  
  Jan 28 at 12:28pm
  
  Manage Discussion Entry
  
  Response 2,
  
  Hi Esther,
  
  I agree with you that a poster presentation would be a great strategy to use. It will enable you to include the vital information needed to reach your audience. There may be barriers to this, but I believe one strategy that can be used to overcome these barriers is to get the input of the people as they will feel included in the whole process (Gallagher- Ford, 2011). Another barrier that may impede EBP is the lack of support from nurse leaders Melnyk et al., 2019). This may be due to the lack of understanding between leaders and what EBP can bring to nursing practice and patient care.
  
  reference
  
  Gallagher- Ford, L., (2011) Evidence-based practice step-by-step: implementing an evidence-based practice change. American Journal of Nursing, 111(30, 54-60.
  
  Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., Choy, K. (2019). A test of the ARCC model improves and implements healthcare culture and patients.
  
  Reply to Comment
- Collapse Subdiscussion Christiana Nuworsoo
  
  Christiana Nuworsoo
  
  Jan 28 at 10:06pm
  
  Manage Discussion Entry
  
  Esther,
  
  Audience consideration is indeed vital to choosing dissemination because the audience at times can
  
  make or break the information shared. I’ve lost count of times when I have seen pamphlets passed out at
  
  conferences or presentations and by the end of the conference and or presentation, most of the pamphlets
  
  are on the floor or in the trash. Academic publications and conferences are by far the most popular venues for
  
  disseminating research; however, only 46% of state public health practitioners utilize journals in their daily
  
  work, while only 33% of local public health practitioners use journals (Brownson et al., 2018). The main
  
  obstacle to using journals is access. Time, resource dependability, data credibility, and information overload
  
  are additional hindrances to the utilization of articles.
  
  Reference
  
  Brownson, R. C., Eyler, A. A., Harris, J. K., Moore, J. B., & Tabak, R. G. (2018). Getting the word out: new
  
  approaches for disseminating public health science. Journal of public health management and
  
  practice, 24(2), 102-111.
  
  Reply to Comment
- Collapse Subdiscussion Cheron Massonburg
  
  Cheron Massonburg
  
  Jan 28 at 10:21pm
  
  Manage Discussion Entry
  
  Hi Esther,
  
  Thank you for your post!
  
  As I read your post I thought of each of the different types of dissemination strategies and figured that each type has positives and negatives that often decided by the structures within an institution and the nature of healthcare professionals found there. A strategy that works in one health care facility may or may not work in another facility. My recommendation would be to pair different strategies to increase dissemination effectiveness rather than relying on one approach. For example, the unit-level presentation paired with poster presentations because they are able to complement each other in the distribution of evidence= base practice. No matter the method, nurses and other healthcare professionals are obligated to continue education and disseminate knowledge (Milner, 2016).
  
  Another barrier is not enough education on EBP. Staff may not understand EBP or how to implement it. There are ways to overcome this barrier. One of the ways to break this barrier is through research and on the job learning. This should be the culture of the facility. Supporting this type of culture allows for nurses to use EBP and incorporate it into their daily practices as nurses. This becomes natural for them and patients benefit because they are receiving the best evidence-based practices (Mick,2017).
  
  References
  
  Mick, J. (2017). Funneling evidence into practice. Nursing Management, 48(7), 27–34. https://doi Links to an external site.org.ezp.waldenulibrary.org/10.1097/01.NUMA.0000520719.70926.79
  
  Milner, K. A. (2016). Sharing your knowledge. Journal of Infusion Nursing, 39(5), 297–305. https://doi.org/10.1097/nan.0000000000000188Links to an external site.
  
  Reply to Comment
- Collapse Subdiscussion Erica Dentaa Darko
  
  Erica Dentaa Darko
  
  Jan 28 at 10:39pm
  
  Manage Discussion Entry
  
  2nd Reply:
  
  Hello there, Esther. Excellent post and explanation of dissemination. The barriers discussion was valid and understandable. It can be more complex because the input of professionals and scholars in their fields contributes to a large portion of developing knowledge and analyzing the papers they publish. Nurses’ information is also essential, but I can see how this could become a barrier. Dissemination of research findings or other vital messages is becoming increasingly recognized as an important but complex process (Rassool, n.d.). The source, message, medium, and target groups are all examined as critical elements in the dissemination process. (Rassool, n.d.). The dissemination of evidence-based nursing knowledge, research, and findings by nurses to other healthcare professionals or the general public is known as evidence dissemination in nursing (Effective dissemination strategies, n.d.). New knowledge can be obtained through research conducted by nurses to implement high-quality care in clinical practice. Even when new knowledge is acquired, its dissemination remains limited.
  
  Rassool, H. (n.d.). Dissemination of nursing knowledge: The application of the… : Journal of Addictions Nursing. LWW. Retrieved January 27, 2023, from https://journals.lww.com/jan/Abstract/2005/16010/Dissemination_of_Nursing_Knowledge__The.13.aspx
  
  Effective dissemination strategies – proquest. Effective dissemination strategies . (n.d.). Retrieved January 28, 2023, from https://www.proquest.com/openview/594763837de4b919465130e9c87d623e/1?pq-origsite=gscholar&cbl=33100
  
  Reply to Comment
Collapse Subdiscussion Victavian Jackson

Victavian Jackson

Jan 25 at 4:02pm

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Initial Discussion Response

Dissemination strategy is the process of providing evidence-based practice (EBP) knowledge in a small or large setting. Effective dissemination is simply delivering peer-review research to professionals who need to maximize their skills by using relevant and reliable interventions (Hagan et al., 2017, p. 4). The two best dissemination strategies that I would consider using a unit-level presentations and posture presentations. Unit-level presentation is the process of delivering evidence-based research (EBR) to hospital staff members for improving patient safety, and the quality of care. For example, at my facility, the quality report response department (QRR) reported 22 patient falls in December. As a result, I introduced a new EBP model called Fall Tailoring Intervention for Patient Safety (TIPS) toolkit in a staff meeting. The presentation was a power point and included infographics on the material to help break down the information. The second dissemination strategy is using posters to help the hospital staff to digest and visualize the information quickly. For example, the TIPS poster will have Fall risk assessment boxes to check off that apply to your patient such as a history of falls, medication side effects, an walking aid, an IV pole or equipment, and an unsteady walk. On the right side of the poster will list evidence-based interventions that will provide clinical decision support to link areas of fall risk with the interventions most reliable to prevent a fall (Ueda et al., 2022, p. 4). Poster presentations are a perfect way for a pictorial version of research, quality, or process improvement of work.

Podium presentations are the fastest way to spread scientific data and expert opinions across the community (Miquel et al., 2018, p. 1). I would least likely be inclined to do podium presentations because there generally in large settings with an limited amount of time to give a presentation. I prefer to present information in small settings such as staff, huddle, or committee meeting settings over using a podium approach. Not gaining support from the healthcare staff due to the lack of interest can become a barrier. For example, even though, the hospital had 22 patients with falls, the new preventative interventions may not win nurse’s support. Nurses have many tasks to complete in a shift and when you add additional interventions, that may not adjust well to their workflow, you will meet resistance. One way of overcoming this barrier is encouraging floor nurses to be the champion of the research project and provide the information to their peers for a better response to the new task. The second barrier is that nurses may overlook the posters in the patient’s room, which results in no participation. An idea to overcome this barrier is to add the TIPS toolkit to their SBAR (Bedside Hand-off) to ensure the form is updated between nurses for every shift.

References

Hagan, T. L., Schmidt, K., Ackison, G. R., Murphy, M., & Jones, J. R. (2017). Not the last word: dissemination strategies for patient-centred research in nursing. Journal of Research in Nursing, 22(5), 1–16. https://doi.org/10.1177/1744987117709516

Ueda, T., Higuchi, Y., Murakami, T., Kozuki, W., Hattori, G., & Nomura, H. (2022). Fall prevention program using home floor plans in an acute-Care hospital: a preliminary randomized controlled trial. International Journal of Environmental Research and Public Health, 19(17), 1–13. https://doi.org/10.3390/ijerph191711062

Miquel, J., Santana, F., Barrera, A., & Torrens, C. (2018). How do we deliver our findings? analysis of podium presentations at shoulder meetings. Journal of Orthopaedic Surgery and Research, 13(1), 1–5. https://doi.org/10.1186/s13018-018-0942-7

Reply to Comment
- Collapse Subdiscussion Christiana Nuworsoo
  
  Christiana Nuworsoo
  
  Jan 29 at 10:57pm
  
  Manage Discussion Entry
  
  Victavian,
  
  Dissemination is a crucial part of the translation of evidence because, without it, there will be no change in the way people are treated and no adoption of innovations (Dudley-Brown, 2019). The quickest approach to disseminate scientific information and expert viewpoints throughout a community is through podium lectures. Podium presentations provide rich and engaging opportunities for knowledge exchange, learning, and the advancement of clinical skills in the areas of evidence-based clinical practice, case studies of evidence-based quality improvement, program evaluation, and research (Melnyk & Fineout-Overholt, 2018). One way to overcome the time constraint and the fact that you are presenting to a large audience is to practice. By practicing the presentation, the speaker can gain confidence in their ability to present as well as familiarity with the subject and its organization. With practice, the speaker can edit, improve, and restructure the presentation to the satisfaction and comfort level necessary for effectiveness (Melnyk & Fineout-Overholt, 2018).
  
  References
  
  Dudley-Brown, S. (2019). Dissemination of evidence. Translation of evidence into nursing and healthcare, 255.
  
  Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
  
  Reply to Comment
Collapse Subdiscussion Diana Boreland-Warden

Diana Boreland-Warden

Jan 25 at 6:54pm

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Communication is a critical tool not only in nursing but in healthcare. As practitioners’ communication and its delivery is an essential practice that we continuously evolve in. Dissemination strategies offer the tools to communicate effectively. This is especially important in my current practice as not many practitioners have experience with patients who have special needs and disabilities. Evidence dissemination has several very broad goals: (1) to increase the reach of evidence; (2) to increase people’s motivation to use and apply evidence; and (3) to increase people’s ability to use and apply evidence( McCormack et al , 2013)

Of the many strategies I would be most inclined to use two particular strategies that would allow the communication of knowledge and information effectively. Poster presentation and creating a toolkit for trainings would assist in dissemination and communication of the needs of the community and promote current evidence-based practices. The presenter must consider the learning styles of the audience. Both strategies afford learners the opportunity to hear , see and possibly feel the information being communicated. Get to know your target audiences, their needs and expectations of the research outcomes, as well as their preferred communication channels to develop a detailed understanding of their interests and align your messages and media with their needs and priorities ( Ross-Hellauer et al , 2020).

There are several barriers that I may encounter when using poster presentation and research games to disseminate information. The strategy being used may not capture the attention of the target audience and the information may not be relayed effectively. Another major barrier that I frequently encounter is communicating information on the appropriate literacy level. This barrier is one that I commonly face as a 75% of the staff have absolutely no medical background and limited medical knowledge.

There are multiple barriers to leaders and clinicians succeeding in developing an HRHO and an EBP culture. Some of the major barriers include (a) lack of knowledge and skills in both HRHOs and EBP; (b) perceived lack of time; (c) lack of organizational/administrative support; and (d) educational programs that continue to teach the “traditional way” with a focus on producing research instead of using evidence to improve practice; and (e) lack of mentorship( Melnyk, B.,2012)

One way to overcome this barrier is to meet the learner where they learn. Presentations and tool kits can communicate both knowledge and information very effectively to learners who have literacy issues. Any information that is unclear can immediately be clarified during the presentation via a question and answer session.

One strategy that I would not be inclined to use is delivering information via social media. I would not use this strategy primarily because I am not technology savvy and would hate to underplay the needs of the community by not presenting effectively. Disseminating information appropriately and effectively is a necessity in communicating the needs of an organization and population. It is important to ensure information is delivered not only based on the needs of the organization but also based on the needs of the learner.

References

Melnyk, B. M. (2012). Achieving a High-Reliability Organization Through Implementation of the ARCC Model for Systemwide Sustainability of Evidence-Based Practice. Nursing Administration Quarterly, 36 (2), 127-135. doi: 10.1097/NAQ.0b013e318249fb6a.

McCormack, L., Sheridan, S., Lewis, M., Boudewyns, V., Melvin, C. L., Kistler, C., & Lohr, K. N. (2013). Communication and dissemination strategies to facilitate the use of health-related evidence. https://effectivehealthcare.ahrq.gov/products/medical-evidence-Links to an external site.

Ross-Hellauer, T., Tennant, J. P., Banelytė, V., Gorogh, E., Luzi, D., Kraker, P., Pisacane, L., Ruggieri, R., Sifacaki, E., & Vignoli, M. (2020). Ten simple rules for innovative dissemination of research. PLoS computational biology, 16(4), e1007704. https://doi.org/10.1371/journal.pcbi.1007704Links to an external site.

Reply to Comment
- Collapse Subdiscussion Maxine A Lewis
  
  Maxine A Lewis
  
  Jan 28 at 1:21am
  
  Manage Discussion Entry
  
  Diana, I totally agree that communication is very essential in healthcare in order to promote effective dissemination of information. Research dissemination is as a planned process that includes thinking about target audiences, thinking about the contexts in which research findings will be received, communicated and interacting with a broader audience in ways that will help achieve research uptake and understanding (AHRQ, 2017).
  
  Regardless of the mode of dissemination method the information must be easily understood by the intended audience. Studies have found that scientists admit that there is a “lack of efficient communication methods, and a lack of tools and training for disseminating findings at their institution” (McElfish et.al, 2019). One communication technique in disseminating research results include the uses of narratives which improve information processing and message effectiveness by transporting people into a situation that can significantly improve emotions, attitudes, and behaviors. (AHRQ, 2017).
  
  Ross-Hellauer et.al (2020) Cites, establishing objectives, mapping potential target audience(s), defining mode of communication/engagement, and developing a dissemination plan are critical first steps in strategically planning a project. Regardless of changes in communication technologies and models, some fundamental organizational aspects of dissemination remain important.
  
  References
  
  Effective Health Care Program, Agency for Healthcare Research and Quality, December 2019. Research Protocol: Communication and Dissemination Strategies To Facilitate the Use of Health-Related Evidence.
  
  https://effectivehealthcare.ahrq.gov/products/medical-evidence-Links to an external site.communication/research-protocolLinks to an external site.
  
  McElfish, P. A., Long, C. R., James, L. P., Scott, A. J., Flood-Grady, E., Kimminau, K. S., Rhyne, R. L., Burge, M. R., & Purvis, R. S. (2019). Characterizing health researcher barriers to sharing results with study participants. Journal of clinical and translational science, 3(6), 295– 301. https://doi.org/10.1017/cts.2019.409Links to an external site. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6886004/
  
  Ross-Hellauer, T., Tennant, J. P., Banelytė, V., Gorogh, E., Luzi, D., Kraker, P., Pisacane, L., Ruggieri, R., Sifacaki, E., & Vignoli, M. (2020). Ten simple rules for innovative dissemination of research. PLoS Computational Biology, 16(4), e1007704. https://doi.org/10.1371/journal.pcbi.1007704
  
  Reply to Comment
- Collapse Subdiscussion Odion Iseki
  
  Odion Iseki
  
  Jan 28 at 10:11am
  
  Manage Discussion Entry
  
  Hello Diana,
  
  Healthcare and nursing require communication. We evolve in communication and delivery as practitioners. Dissemination tactics help communicate. The current work is crucial because few practitioners have experience with special needs and disabled patients.
  Two ways that effectively communicate knowledge and information are my favorites. Poster presentations and training toolkits help communicate community needs and support evidence-based practices. Presenters must consider audience learning styles. Both methods allow students to hear, see, and feel the material. Know the target audiences, their requirements and expectations of the research results, and their preferred communication channels to understand their interests and fit the messaging and media with their wants and goals.
  
  References
  
  Melnyk, B. M. (2012). Achieving a High-Reliability Organization Through Implementing the ARCC Model for Systemwide Sustainability of Evidence-Based Practice. Nursing Administration Quarterly, 36 (2), 127-135. doi: 10.1097/NAQ.0b013e318249fb6a.
  
  Evidence-Based Practice Discussion
  
  The enactment and implementation of the Affordable Care Act (ACA) 2010 implored providers to leverage empirical evidence to enhance quality of care, affordability, and accessibility. Research and application of evidence-based practice (EBP) increased tremendously as providers leveraged existing research-backed evidence to attain ACA’s goals. EBP entails the use of conscientious, problem-solving approach in clinical setting or practice. At the core of EBP is integration of best research evidence that incorporates patient preferences in clinical care and decision making by providers and organizations. The qualities of EBP include enhancement of quality care, improvement of patient outcomes, lowering the cost of care, and empowering providers to make better care decisions (Laureate Education, 2018). Therefore, EBP qualities are similar to Quadruple Aim of health care. The Joint Commission (TJC) is an organization that promotes and deploys EBP in its different activities based on information from its website.
  
  The Joint Commission is an autonomous nonprofit whose activities include accrediting and certifying over 20,000 health care organizations as well as programs in the U.S. and even outside it. The organization is considered an international symbol of quality whose accreditation and certification demonstrate a provider’s commitment to satisfying certain performance and quality standards. These standards embrace quality, improved access, affordability, and welfare of the providers. The standards focus on patient safety like the National Patient Safety Goals (NPSGs) that the organization reviews each year. These goals allow organization to benchmark best practices to enhance quality and affordable care to patients (The Joint Commission, 2021). The implication is that these standards are founded and grounded in EBP framework.
  
  The website’s mission statement which is “to improve health care for the public through collaboration with other stakeholders and evaluation of healthcare organizations to inspire them in excelling in provision of safe and effective care of the best quality and value.” The organization’s vision statement also demonstrates EBP as it asserts that “all individuals should experience safest, highest quality, and value-based in all settings.
  
  The Joint Commission’s activities are well anchored in EBP as illustrated through the provision of rationale for every National Patient Safety Goal. For instance, the Goal for Preventing Infection provides a rationale based on evidence from research studies. Through this approach, the commission can benchmark healthcare organizations and providers for best practices to enhance quality, value, and accessibility (Melnyk & Fineout-Overholt, 2018). The commission publishes extensive collection of accreditation guidelines, books and periodicals to ensure that organizations use best practices in care delivery.
  
  After conducting an evaluation of The Joint Commission’s website, I would say that it has altered my perspective about the entity. Prior to the research, I never thought that the organization is grounded in EBP. However, I understand now that TJC is a critical player in advancing EBP framework and the Quadruple Aim as advanced by the Institute of Health.

Discussion – Week 1

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Great topic Shawn. Preventing healthcare-associated infections are always a hot topic. Where I work, it’s not a common thing to discuss on a constant basis, however, most of my friends at other hospitals tell me that they constantly have a staff meeting where this issue is mentioned. What I try to focus on a lot at work is hand-washing as this is a global preventative act and a very important step in avoiding the transferring of any infection, even if it’s just a simple cold. RFID are enabled hand sanitizers which are supposed to warn health care workers if they don’t wash their hands before treating a patient. The hand sanitizing dispensers will have a sensor that scans the employee’s badge then transmits the date, time, id and location to the computer. An article I read on RFID- enabled hand sanitizers say there is also sensors that can be put close to the patient’s bed so if the healthcare worker did not sanitize their hands

within a certain amount of time before approaching the bedside it would alarm (Swedberg, 2007). They have been using these systems in Europe for quite some time; I am interested to see if this new process will aid in hand hygiene compliance for healthcare providers in the United States. Nonetheless, basic hand washing goes a long way and it’s important to constantly remind staff of just how dangerous it can be if we avoid this since the truth is that we can get lazy. A study done in Nigeria revealed that nurses in the study setting had good knowledge of infection control, but not fully reflected in the level of their practice of infection control (Eqwuenu & Okanlawan, 2014). I see this all the time at work where I will go into the staff bathroom after an employee and notice that the sink is dry and wasn’t used. I’ve had my encounters after having to address this with them, which hasn’t always been pleasant but it’s my responsibility to ensure I keep prevention a priority. NURS 6052 Discussion Where in the World Is Evidence-Based Practice?

NURS 6052 Discussion Where in the World Is Evidence-Based Practice? Reference:

Eqwuenu, S., & Okanlawan, F. (2014). Infection control: nurses’ knowledge and practice of universal precaution in Delta State, Nigeria. African Journal Medical Science, 43(2), 127-134. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/25474987

Swedberg, C. (2007). Patient-safety center tests RFID-enabled hand sanitizers. Retrieved from RFID Journal: http://www.rfidjournal.com/articles/view?5142/2

RE: Discussion – Week 1 Peer Response

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Thank you for your insights into the Center for Disease Control and Prevention (CDC) recommendations on the use of face masks to decrease the spread of COVID-19. I wanted to highlight the importance of the CDC and their role in guiding national policy and other health related initiatives. The CDC’s mission is to protect Americans from a wide range of health threat categories through the use of critical science and provision of health information (Center for Disease Control and Prevention, 2019). This is done through extensive research and review of health care practices, health risk behaviors, and outcomes, etc. Many health care organizations, accrediting institutions and reimbursement bodies base their own policies on CDC recommendations. However, there are still gaps between what has been proven to be effective through research and what is actually being implemented. In order to address the need for ongoing surveillance of public health practices, the CDC has developed Prevention Status Reports (PSR) which is a performance evaluation system to highlight state and federal level implementation of policies that are evidenced based, and use the results to encourage further improvements (Young, Lowry, Mumford & Graaf, 2018). States are graded and compared, with the intent to push for further modifications of policy to better reflect evidence-based practices.

Center for Disease Control and Prevention. (2019). Mission, role and pledge. Retrieved June 3,

2020 from https://www.cdc.gov/about/organization/mission.htm

Young, A. C., Lowry, G., Mumford, K., & Graaf, C. (2018). CDC’s Prevention Status Reports:

Monitoring the Status of Public Health Policies and Practices for Improved Performance

and Accountability. Journal of Public Health Management & Practice, 24(2), 121–128.

https://doi-org.ezp.waldenulibrary.org/10.1097/PHH.0000000000000507

RE: Discussion – Week 1 response2

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Hi Sh…., interesting you focused on the directives from the Centers for Disease Control and Prevention (CDC). During this global pandemic I have been following their guidelines because in a health care organization, it is important that the organization’s mission, philosophies, and ethics are followed through properly. With the (CDC) it is no different. The Centers for Disease Control and Prevention’s “mission is to protect people’s health and to support the quality of life in humans by prevention and control of diseases, injuries, and disabilities” (About CDC, 2010, page or paragraph number with quotes). With the organization’s mission, philosophies, and ethics it is important that everyone’s health is protected, and proper prevention of diseases, illnesses, and disabilities are given to the public in a timely manner.

I have so much faith in the (CDC) that this morning listening to the radio driving from work, I heard someone on the radio saying that keeping the mask on for a long time will poison the body with the CO2 that we are breathing out because CO2 gets trapped in the mask and we rebreathe it into our lungs. If it is true, why is the (CDC) not telling the public that? What do you think?

NURS 6052 Discussion Where in the World Is Evidence-Based Practice? References

http://www.cdc.gov/nccdphp/dach/chhep/about.htm

University of Maryland Medical Center is a notable healthcare organization that places emphasis on the use of EBP and improvement of patient outcomes in their standards of practices. UMMS states that discovery and innovation is a value for the HCO. UMMS consistently incorporates the use of new and approved medical findings in their medical treatments. For example UMMC is a NCI-designated comprehensive cancer center and was the first facility in the US to use the GammaPod a new radiation treatment with positive outcomes for patients. EBP involves using “problem-solving approach to clinical decision making based on the most accurate and reliable evidence and clinical expertise to improve conditions and outcomes for systems” and this is what is exhibited at UMMS. (Melnyk & Fineout-Overholt, 2018) University of Maryland also enacts frequent policy updates for staff based on the latest healthcare data in the US to ensure safety for staff and best practice for patients.

UMMS, (n.d.) retrieved https://www.umms.org/ummc/-/media/files/umms/about-us/member-hospitals/Links to an external site.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

Review the Resources and reflect on the definition and goal of EBP.
Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

By Day 6 of Week 1

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.

Where in the World is Evidence-Based Practice?

Evidence Based Practice (EBP) is a problem-solving approach to clinical practice that integrates research evidence, clinical expertise, and patient preference to provide individualized patient care. Including EBP in nursing care provides nurses with the scientific research needed to make informed decisions that can improve their patient’s recovery outcomes (EIU, 2018).

Healthcare organizations can benefit from ensuring that EBP applications are implemented. EBP can help ensure better patient outcomes, decrease the need for healthcare resources and reduce expenses (EIU, 2018). The World Healthcare Organization (WHO) is a healthcare organization whose work is grounded in evidence-based practice. They manage and maintain a wide range of data related to global health and bring the world’s scientist together to accelerate research. They promote best practice and standards for emergency operations and public response to public health emergencies. They work for the greater good of all people, globally. The WHO’s commitment to healthcare excellence and scientific evidence is continually improving and advancing to reflect the changes in the world. The WHO uses diversity, professionalism, trust, and integrity to achieve the highest level of public health on a global scale (DNA, 2020). EBP is shown throughout the mission and vision of the World Health Organization, as they are focused on their commitment to excellence in health which is guided by evidence and technical expertise (WHO values charter, 2020).

Reading and learning more about The WHO has changed my perspective on the organization. I never realized how big their commitment is to global health. An example of such commitment is their Thirteenth General Program of Work (GPW 13). It is their 5-year strategy, 2019-2023 that focuses on their triple billion targets to show measurable impacts to people health at the country level. The triple billion targets include one billion more people having universal health coverage, one billion more people are protected from health emergencies, and one billion more people have better health and well-being. Measurable impact to global health is at the heart of the WHO’s mission to change and improve the future of public health (World health organization, 2021).

NURS 6052 Discussion Where in the World Is Evidence-Based Practice? References

Our values, our DNA. (2020). World Health Organization website: https://www.who.int/about/who-we-are/our-values

“Thirteenth General Program of Work 2019−2023.” World Health Organization, (2021), World Health Organization, https://www.who.int/about/what-we-do/thirteenth-general-programme-of-work-2019—2023.

WHO values charter. (2020). World Health Organization website: https://www.who.int/docs/default-source/documents/values-charter-en.pdf?Status=Temp&sfvrsn=4ed75cec_12

“Why Is Evidence-Based Practice in Nursing so Important?” Eastern Illinois University Online, 10 Dec. 2018, https://learnonline.eiu.edu/articles/rnbsn/evidence-based-practice-important.aspx.

The Joint Commission is an accrediting body in the US. It steers for quality improvement and patient safety globally. According to the Joint Commission’s website, it seeks to continuously optimize health care for the public, in partnership with other stakeholders, by assessing health care organizations and encouraging them to stand out in delivering safe and high-quality care (The Joint Commission, 2021). EBP appears in the Joint Commission’s National Patient Safety Goals, whose expectations are that interventions employed in patient care are evidence-based. The Joint Commission requires that accredited healthcare organizations utilize peer-reviewed or evidence-based literature to back clinical practice guidelines (The Joint Commission, 2021). Besides, it recommends organizations use electronic health records having evidence-based protocols and references to the literature they are derived from.

The Joint Commission’s work is based on EBP since it focuses on three concepts essential for high-quality care: high-reliability organizations, safety culture, and robust process improvement. EBP interventions are needed to promote high-quality care (Melnyk & Fineout-Overholt, 2018). The organization has set standards, which serve as the basis during the evaluation process of healthcare organizations (Jha, 2018). The accreditation standards are informed by scientific evidence-based literature in addition to a consensus from experts. Besides, the Joint Commission adds new standards if they are associated with quality of care or patient safety (Jha, 2018). The new standards should also have evidence supporting that they positively impact health outcomes and can be accurately and easily evaluated.

The information I found on the Joint Commission’s website positively changed my perception of the organization. I learned that its accreditation process focuses on crucial patient and organization functions, vital in providing high-quality and safe care (The Joint Commission, 2021). Besides, the organization’s state-of-the-art standards expectations for health organization performance are logical, achievable, and measurable.

NURS 6052 Discussion Where in the World Is Evidence-Based Practice? References

Jha, A. K. (2018). Accreditation, quality, and making hospital care better. Jama, 320(23), 2410-2411. doi:10.1001/jama.2018.18810

Melnyk, B. M., &Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

The Joint Commission. (2021). About us. Leading the Way to Zero | The Joint Commission. https://www.jointcommission.org/about-us/

Mayo Clinic is a non-profit healthcare organization founded in September 1889. The organization covers various entities in the health care system, including medical professionals, students, faculty, staff, researchers, and job seekers. The mission of the Mayo Clinic health system (Mayo Clinic Health Systems, 2018) is to “inspire hope and contribute health and well-being by providing the best care to every patient through integrated clinical practice, education, and research.” This mission is in line with the basis of evidence-based practice, which focuses on medical research to provide evidence on which clinical care is practiced.

Through its education and research programs in five schools, Mayo Clinic seeks to train students and promote their knowledge and skills in medicine and clinical research. Through its education program, Mayo Clinic has enrolled more than 4,000 students in more than 400 educational programs aimed at fostering clinical research as the basis of evidence-based practice. Mayo Clinic is also involved in various clinical trials in multiple healthcare systems, including cancer, nephrology, and virology. In response to the global COVID-19 pandemic, Mayo Clinic researchers are working on better diagnosing, treating, and managing the disease (Mayo Clinic Health Systems, 2018). The researchers are also actively participating in pharmacological studies to discover the effectiveness of various drugs and medications. In genomics, Mayo Clinic researchers are determined to understand the development of related genetic conditions.

I have gained a new perspective on evidence-based medicine through Mayo Clinic’s website and learned that clinical research is integral in integrating evidence-based practice. From scientific studies, findings can be utilized by healthcare professionals in providing personalized care. Research studies, especially clinical trials, drug safety, effectiveness, and potential adverse reactions can be identified before the drug is used for treatment and management (Black et al., 2015).

Evidence based practice (EBP) has impacted the healthcare setting drastically. According to Johns Hopkins University (2022), EBP is defined as the technique used to review data, analyze the data that has been found through experimental studies, and translate the data into the latest scientific experiments.This has advanced nursing practice in numerous ways, one of these ways are infection control and the spread of disease within the hospital. Just a few short years ago, the world was hit with something that was unimaginable. COVID-19 raged through cities, states, and countries and without EBP, there would have been limited information about N -95 masks and no way to know that these masks provide 25 times more protection than a surgical mask (The Ohio State University, 2020). This study lead to N-95 masks being mandated to be worn by healthcare professionals at the bedside which not only protected the provider, but their families and other patients as well.

World Health Organization

The World Health Organization (WHO) is an organization that uses science to create a healthier outcome for all people, no matter the location. This is possible do to the building of relationships between people, communities, and countries. Some of the key areas of the WHO are improving health outcomes for health coverage, health emergency coverage, access to medicine and other health products, science research, and data analytics (WHO, 2022a).

Evidence Based Practice and the WHO

Evidence based practice plays a large part in this organization. Although the webpage never specifically mentions the words “evidence based practice”, the “About WHO” page discusses the use of science to contribute to the overall health of the world population. There is also a section that breaks down the data that researchers and scientists have came up with to change the way that we implement and do things during our nursing practice. Organizations, like the WHO, use “The 5 A’s of evidence based practice” which include ask the question, access the information, appraise the evidence, apply the information, and audit the impact (Deakin University, n.d.).Using this model makes it easier to see the importance of the topic and how it impacts the healthcare field.

This organization is deeply grounded with EBP, as it affects everything they do. EBP can be found on any page of the website because of the discussions of what is happening in the world and the steps they are taking to correct or be a positive influence in the mist of turmoil.

Knowledge Gained

The knowledge I have gained throughout the research I have done on The World Health Organization’s website is not completely what I thought they were about. Although I knew that they helped to research what we as professionals could do to make things better for patients, I did not understand the depth of research they do. For instance, through the war that was raging in Ukraine, the WHO used their office to ensure the disruptions to healthcare were at a minimum, the delivery of medical devices were still a possibility, and health care providers remained safe so they could deceiver health care to others (WHO, 2022b).

Deakin University.(2022). An Introduction to Evidence-based Practice.

Retrieved from https://deakin.libguides.com/c.php?g=895365&p=6448403

Links to an external site.

The Johns Hopkins University. (2022). Evidence-Based Practice. Center for

Nursing Inquiry. Retrieved from

https://www.hopkinsmedicine.org/nursing/center-nursing-inquiry/

Links to an external site.

The Ohio State University.(2020, April 3). Evidence-based Tips for

Healthcare Workers Regarding the Use of Masks. Retrieved from

https://fuld.nursing.osu.edu/sites/default/files/covid19

Links to an external site..

evidence_based_tips_for_healthcare_workers_regarding_the_use_

of_masks.pdf

World Health Organization (WHO). (2022a). Our Work. Retrieved from

https://www.who.int/our-work

Links to an external site.

World Health Organization (WHO). (2022b). Ukraine emergency. Retrieved

from https://www.who.int/emergencies/situations/ukraine-emergency

Links to an external site.

HCA Healthcare

HCA Healthcare is a healthcare system comprised of 182 hospitals and 2,300 different sites of care throughout the United States and the United Kingdom (Who We Are, n.d.). HCA states that their mission statement is “Above all else, we are committed to the care and improvement of human life” (Our Mission and Values, n.d.).

Evidence Based Practice

Evidence Based Practice is evident within HCA’s website in a couple different areas. HCA boasts that they provide quality care for their patients and that they were one of the first healthcare organizations to adopt a mandatory flu policy which provides safety to their patients and employees (Quality Care, n.d.). In addition, 84% of HCA hospitals ranked in the top performing hospitals around the country (Quality Care, n.d.). Both of these statistics contribute to the fact that HCA is using evidence based practice to inform the decisions they are making for the company.

HCA Healthcare also discusses the importance of nursing within the hospital system. HCA Healthcare emphasizes the importance of the nurses role in patient care and in the improvement of patient care (Nursing at HCA Healthcare, n.d.). In 2022 HCA Healthcare actually refined their nursing strategy approach based on nurses’ input and suggestions, which shows that HCA is valuing and implementing evidence based practice even in the way that their staff runs (Nursing at HCA Healthcare, n.d.).

HCA Healthcare clearly utilizes Evidence Based Practice in the way that they run their company and approach patient care with evidence based practice in mind.

Knowledge Gained

I was able to learn a lot through looking at HCA’s website and discovering more about the company. It is difficult to understand what a company’s mission and values are when they have so many sites across the United States. By looking at the website, I was able to gain a deeper understanding of what HCA stands behind and what their mission and goals truly are. I was also able to gain knowledge on how HCA views their employees. It is evident that HCA places an emphasis on their employees and they value their satisfaction in work and in the company. This is important because employees who feel valued are going to put more effort and emphasis on the care that they provide to their patients.

References

Nursing at HCA Healthcare. (n.d.). hcahealthcare.com. https://hcahealthcare.com/nurses/nursing-at-hca/

Our Mission and Values. (n.d.). hcahealthcare.com. https://hcahealthcare.com/about/our-mission-and-values.dot

Quality Care. (n.d.). hcahealthcare.com. https://hcahealthcare.com/about/quality-care.dot

Who We Are. (n.d.). hcahealthcare.com. https://hcahealthcare.com/about/

Explain whether this healthcare organization’s work is grounded in EBP and why or why not.

The Centers for Disease Control and Prevention is grounded in evidence-based practice and follows the basic practices but with different alternatives documented names. The main integration of the EBP is to clinical expertise. However, good observation lectures and valid information are collected in an individual client. The culture, values, and priorities are obtained by the clients and the caregivers. The EBP is documented in the name of recommendations on science in consideration with community standards and wishes in the CDC States may consult the CDC for help with designing questionnaires, creating specialized data collection tools, and selecting samples of schools to be included in the assessment or for validating self-reported data from a census of schools (Mellerson et al., 2020).

Explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

Of course, yes, the information I have discovered from this organization’s website has changed my perception because the be Centers for Disease Control and Prevention (CDC) provides all the health care needs which are mainly needed for the community people. It also focused on emergency care, pandemic diseases, social welfare of the people, prevention of health, new research, environmental health, injury, violence, etc. hence my perception is changed according to the health care organizations. Take, for example, the care provided by the current pandemic situation of the globe, and research about the pandemic disease with guidelines on how this can be prevented. Lastly, my perception changed after a thorough review of the health organization because it focuses on disease prevention and health promotion in various ways.

References

Mellerson, J. L., Street, E., Knighton, C., Calhoun, K., Seither, R., & Underwood, J. M. (2020). Centers for Disease Control and Prevention’s School Vaccination Assessment: Collaboration With US State, Local, and Territorial Immunization Programs, 2012–2018. American Journal of Public Health, 110(7), 1092–1097. https://doi-org.ezp.waldenulibrary.org/10.2105/AJPH.2020.305643

Washburn, R. (2019). Conceptual Frameworks in Scientific Inquiry and the Centers for Disease Control and Prevention’s Approach to Pesticide Toxicity (1948–1968). American Journal of Public Health, 109(11), 1548–1556. https://doi-org.ezp.waldenulibrary.org/10.2105/AJPH.2019.305260

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

The American Medical Informatics Association (AMIA) (2022) is a scientific organization that was formed in 1988 after the merging of three organizations; the American Association for Medical Systems and Informatics (AAMSI); the American College of Medical Informatics (ACMI); and the Symposium on Computer Applications in Medical Care (SCAMC). The primary mission of the AMIA is to help lead the way in transforming healthcare by building a bridge of knowledge and collaborations in relation to basic and applied research, consumers, and public health arenas. The AMIA (2022) states five core purposes for their organization; advancing the science of informatics, promoting education of informatics, assuring the new technology is being utilized effectively to promote health and health care, advancing the profession of informatics, and providing services and support for members.

Informatics, especially nursing informatics, is a large part of gathering and deciphering data to help develop evidence-based practice (EBP). The AMIA achieves this by supporting five different domains. These domains include translation bioinformatics, clinical research informatics, clinical informatics, consumer health informatics, and public health informatics. The two domains that support translational research are translation bioinformatics and clinical research informatics. Translation bioinformatics “is the development of storage, analytic, and interpretive methods to optimize the transformation of increasingly voluminous biomedical data, and genomic data, into proactive, predictive, preventive, and participatory health (AMIA, 2022)” and clinical research informatics “involves the use of informatics in the discovery and management of new knowledge relating to health and disease (AMIA, 2022)”. In addition to gathering the data and helping care providers understand the data, they also help with the application of new knowledge and technologies delivered to the healthcare system derived from informatics.

Nursing informatics is not a subject matter I am extremely knowledgeable about, which is why this healthcare organization interested me. The continually evolving technology, emerging of new diseases, and an increase in public health awareness show how important informatics is along with evidence-based practice. We can not achieve the best evidence-based practice without the availability and access to research and data, and informatics is what helps to collect those things. The combination of nursing informatics and evidence-based practice is helping to continue to move health research more so to the bedside, which only helps to continue to deliver results of patient-centered care based on evidence. Looking into the AMIA’s website, along with the science behind evidence base practice, has led me to a deeper appreciation of nursing informatics and its engagement with a multitude of different disciplines within the different healthcare arenas to achieve the overall goal of helping providers be able to provide the most current best practice available for our patients.

References:

American Medical Informatics Association (AMIA). (2022). AMIA Mission and History. Retrieved

on November 29, 2022, from https://amia.org/about-amia/amia-mission-and-historyLinks to an external site.

American Medical Informatics Association (AMIA). (2022). About AMIA. Retrieved on

November 29, 2022, from https://amia.org/about-amiaLinks to an external site.

Walden University, LLC. (Producer). (2018). Introduction to Evidence-Based Practice and

Research [Video file]. Baltimore, MD: Author

To Prepare:

· Review the Resources and reflect on the definition and goal of EBP.

· Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).

· Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Christiana Care Health System

Christiana Care Health System is in Delaware and comprise of three hospitals. Headquartered in Wilmington, the trauma center in Newark, and the community hospital in Cecil County, Maryland. It is a level 1 trauma center with 1,340 beds, a level 3 neo-natal intensive care unit and a free-standing emergency department, (Christiana Care Health System [CCHS], 2022).

Evidence-Based Practice

Evidence based practice is evident through the organization’s website. Within their professional practice model, it illustrates a tree with roots, a trunk, branches, and leaves. One of the leaves represents evidence-based practice. Christiana Care also established a professional governance structure with emphasizes on research and evidence-based practice, and it is overseen by a council comprised of registered nurses and nurse practitioners. According to CCHS (2022), “relationship-based care and interdisciplinary collaboration best benefit the patients and families we serve by encouraging the formulation of evidence-based clinical care standards leading to quality outcomes.”

Also, within the Christiana Care newsletters, CCHS (2022) states their focus on evidence-based practice is demonstrated throughout the correspondence and stresses the importance of following evidence-based best practices recommended by the Centers for Disease Control (CDC) and the support of the Delaware Division of Public Health.

Christiana Care’s work in clearly grounded in evidence-based practice, and their nurses are at the forefront of the research and practice initiatives. Their passion for research and what is learned from the results and drives their continuity of care. According to Crabtree et al. (2016) “staff nurses are a critical link in bringing evidence ‐ based changes into clinical practice, it occurs when they ask questions about treatments and care, have the resources and skills necessary to search for and appraise research evidence, implement the evidence in practice, and evaluate its effectiveness.”

Knowledge Gained

The knowledge gained from the information I received from the CCHS (2022) website is not what I expected. It changed my perception for the better and I have a deeper appreciation for the organization, and a greater respect with their openness on evidence-based practice.

Before the Covid 19 pandemic, their website did not go into detail, nor did it feel user friendly, welcoming, or informative; it was very bland. Now, the website is very welcoming, vibrant, and family centered. While going through the website, it is evident that CCHS valued the feedback of their patients and families, and they truly care about their community, and employees.

References

Christiana Care Health System. (CCHS) (2022). Who are we. https://christianacare.org/about/whoweare/

Christiana Care Health System. (CCHS) (2022). Professional Practice Model. https://christianacare.org/forhealthprofessionals/professional-practice-model/Links to an external site.

Christiana Care Health System. (CCHS) (2022). Protecting our caregivers. https://news.christianacare.org/2020/04/protecting-our-caregivers/Links to an external site.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126. https://eds.p.ebscohost.com/eds/detail/detail?vid=0&sid=9482d28f-d7dc-498b2f121e625d2e%40redis&bdata=JkF1dGhUeXBlPXNoaWImc2l0ZT1lZHMtbGl2ZSZzY29wZT1zaXRl#AN=114436496&db=rzhLinks to an external site.

ReplyReply to Comment

RE: Discussion – Week

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Globally various health care professionals are aware that evidence-based practice (EBP) improves healthcare quality, reliability, and patient outcomes and reduces care and cost (Melkyn et al., 2014). In the nursing field, EBP is instilled early on in our educational careers, and encouragements to continually cite or use the most current evidence-based practices for care are frequently provided. It is due to this dedication; that the profession of nursing has been a leader in catalyzing the adoption of EBP and using it as a marker of excellence(Stevens, 2013). However, EBP not only impacts nursing care but health organizations as a whole. Niklaus Children’s Hospital has a detailed section relating to nursing publications and innovations, which details the hospital’s reliance on EBP.

For instance, Miami Children’s encourages nurses to initiate or use Evidence-Based Practice (EBP) protocols to process improvements to nursing care and nursing research throughout the organization independently. Niklaus Children’s Hospital integrates evidence-based best practices and nursing research into clinical and operational processes to align with the Nursing Department’s commitment to provide high-quality care associated with positive patient outcomes. Therefore EBP plays a significant role in the health care organization’s distribution of patient-centered care and on their expectation of nursing professionals. Having discerned the importance of EBP to Niklaus Children Hospital has shifted my perception in a positive direction and reassured me that patient care is meeting the most up to date standards and policies.

References

Melkyn, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overhalt, E. (2014). The Establishment of Evidence‐Based Practice Competencies for Practicing Registered Nurses and Advanced Practice Nurses in Real‐World Clinical Settings: Proficiencies to Improve Healthcare Quality, Reliability, Patient Outcomes, and Costs. Sigma, 11(1), 5–15. https://doi.org/10.1111/wvn.12021

Niklaus Childrens Hospital. (2019). Nursing Publications. https://www.nicklauschildrens.org/medical-professionals/nursing/science-of-nursing/evidence-projects-publications

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). https://doi.org/10.3912/OJIN.Vol18No02Man04

RESOURCES

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

· Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

http://download.lww.com/wolterskluwer_vitalstream_com/PermaLink/NCNJ/A/NCNJ_165_516_2010_08_23_DGSODKGNM_1651_SDC516.pdf.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021. Retrieved from https://sigmapubs.onlinelibrary.wiley.com/doi/full/10.1111/wvn.12021.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160. Retrieved from https://qualitysafety.bmj.com/content/qhc/24/10/608.full.pdf

Discussion: Where Is Evidence-Based Practice

RE: Discussion – Week

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The health care organization that I have chosen to review, is one that I recently became a member of. The American Association for Nurse Practitioners (AANP) is an organization that aims to empower all NPs to advance quality health care through practice, education, advocacy, research, and leadership. (American Association of Nurse Practitioners, 2020)

Evidence-based practice (EBP) is defined by Duke University Medical Center, as the integration of clinical expertise, patient values, and the best research evidence into the decision-making process for patient care. (Duke University Medical Center Library and Archives, 2020) According to Melnyk (2018), EBP strategies allow NPs and other health care providers to translate research findings into clinical practice. (Melnyk, 2018) With the values that the AANP stands for, this organization’s work is grounded in EBP. Being a member of the AANP I receive updates via email and alerts covering the latest information and findings from the Centers for Disease Control and Prevention (CDC).

I can not say that my findings one the AANP website has changed my perspective, because I researched the organizations prior to joining for the relevancy of information that would be provided pertaining to my future studies. I must express how happy I am having a membership with the AANP. I have access to many articles and scholarly journals with the latest EBP updates.

References

American Association of Nurse Practitioners. (2020). About NPs and AANP. Retrieved from https://www.aanp.org/about

Duke University Medical Center Library and Archives. (2020, January 16). Introduction to Evidence-Based Practice (Original Text Tutorial): Overview. Retrieved from https://guides.mclibrary.duke.edu/ebmtutorial2018/overview

Melnyk, B. (2018, October 26). Why Choose Evidence-based Practice? Retrieved from https://www.aanp.org/news-feed/why-choose-evidence-based-practice

RE: Discussion – Week

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References

Niklaus Childrens Hospital. (2019). Nursing Publications. https://www.nicklauschildrens.org/medical-professionals/nursing/science-of-nursing/evidence-projects-publications

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). https://doi.org/10.3912/OJIN.Vol18No02Man04

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

Banner Health

Banner Health is headquartered in Phoenix, Arizona and it is regarded and recognized as one of the leading health systems in the United States. Banner Health operates 30 acute-care hospitals across six states: Arizona, California, Colorado, Nebraska, Nevada, and Wyoming (Banner Health at a glance, n.d.). Banner’s mission is “Making health care easier, so life can be better” (Non Profit Mission, n.d.)

Evidence-Based practice

Evidence-based practice is noted in Banner’s Health Quality Report, which states that Banner is constantly working to provide consistent, reliable, and evidence-based care at all Banner facilities (Patient Quality, n.d.). Their website also states that they have a 55-bed simulation medical center, which they boast as the largest “virtual hospital” of its kind, specializing in enhancing skills and training (Banner Health at a glance, n.d.). The Banner University Medical Center Phoenix is a facility recognized for Magnet status, a program developed by the American Nursing Credentialing Center (ANCC) and it recognizes organizations that provide nursing excellence (Magnet recognition program, n.d.). They support and value implementing nursing knowledge through evidence-based practice and research.

Knowledge gained

I learned a lot going through the Banner Health website and reading more about the company’s history, vision, and mission. I learned that they offer a New Graduate RN Residency program which is recognized by the ANCC Practice Apprenticeship Program (PTAP) and it provides a collaborative learning environment for new nurses to feel competent and confident in nursing practice For health professionals, n.d.). This is a wonderful opportunity for new nurses to get acclimated to the hospital environment and feel confident in providing quality care for their patients.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Seasons Hospice and Palliative care is an organization that serves patients who have been diagnosed with a terminal illness- specialized care and support is provided to families and patients that are cared for. Upon exploring within the website, this particular company has also paired with AccentCare for a community-based program that is non-profit and is ranked the fourth largest hospice company in the United States. This organization was founded in 1991 and “utilizes the highest level of technology available to hospice industry ad full implementation of document imaging with custom scheduling tools for physicians and field staff.” (About Us, 2021). The patient can receive care at all times from registered nurses for symptom management or any needed questions.

Evidence-based practice (EBP) is warranted to have the best clinical outcomes and be the “true best” patient care. Often in healthcare, I reflect on what I would want for my loved ones and what expectations and needs would be sought after, that is, evidence-based practice. EBP should be the rule, not the exception or a choice for healthcare delivery. EBP “improves healthcare quality, reliability, and patient outcomes and reduces variations in care and costs, but it is still not the standard of care delivered by practicing clinicians across the globe” (Melnyk et al.,2014, p. 7). Upon evaluation of Seasons Hospice website, I discovered that within the vision and philosophy/goals of care, they have informed to “strive for excellence beyond accepted standards, and increase the communities awareness of hospice as part of the continuum of care.” They also discuss ensuring quality care with joint expertise that is dignified and elevates care to the next level (About Us, 2021). The company also wants to stress that it aims to be personalized and match the patients’ needs and family support. Throughout navigating the entire website in the organization, they do not clearly state that Seasons utilizes evidence-based practices. Still, when reading the vision, mission, and philosophy, the foundation of this organization is providing and defining evidence-based practice care.

This organization is grounded in EBP for the mission and vision/philosophy of the entire company encompasses the theory behind the evidence-based practice. They implement these throughout Seasons through the policies and procedures in place. Aligning the competencies needed for cultivating EBP within the organization ensures success and proper implementation, where patient-centered care focuses on teamwork and collaboration, quality improvement, and safety (Melnyk et al.,2014, p. 7 ). These components are aware throughout the website and are aimed and known for the reader to gather quickly about this particular organization.

Being such an established and founded organization, they have exceptional technological advancements that allow them to be highly skilled and modern to any available advances. According to Worldviews on EBP, the nursing part of EBP needs is the ability to have the resources and skills necessary to search for and appraise research evidence to implement in practice( Crabtree et al.,2016, p.172). The probability of success and the main reason EBP is paramount is when the team within the organization, including every discipline, is just as invested and involved in sharing the same care goals. Hospice has requirements for a meeting with the medical director, LPN, RN, Social worker, chaplain, and even family members can be invited to these meetings to discuss the patient plan of care, outcomes, and needs. It only leads me to firmly take a stance that this particular organization is grounded in EBP. I also found that they aim to educate the staff and have continuing education courses frequently for first-class education to better care and outcomes. There were positive correlations between EBP beliefs and EBP implementation in the study conducted–which CE courses are needed to have the competencies and skills necessary to make that correlation accurate (Sikka,2017).

Personally, having a background in hospice by working for a different organization within the field, I had a basis of knowledge regarding the type of care provided as a whole encompasses and requires to provide EBP. It truly is what brought me out of the hospital setting and more focused and seeking hospice care because it focuses on the reasons why I became a nurse in the first place. Ensuring I was giving the best optimal care possible and being a lifelong learner who put my patients and families first was essential to me. I always wanted to continue my research and ensure my patients’ safety at all times. I feel that hospice care is just that because EBP is followed in hospice care. In the hospital, it has become how fast you can get out of the room to the next patient and make sure that you get everything done on that checklist. Upon exploring this website, it is evident that this healthcare organization is complex and filled with quality care. Upon reading the countless testimonials, you can see the difference hospice makes to provide holistic care supporting through every stage during the end of life. Upon reading the website, it made me further become passionate about hospice and proud to be a hospice RN who can provide EBP care.

References

About Us. (2021, February 23). Seasons Hospice & Palliative Care. https://www.seasons.org/about-us/

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving Patient Care Through Nursing Engagement in Evidence-Based

Practice. Worldviews on Evidence-Based Nursing, 13(2), 172– 175. https://doi.org/10.1111/wvn.12126

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A., & Davidson, J. E. (2016). Predictors of Evidence-Based Practice Implementation

, Job Satisfaction, and Group Cohesion Among Regional Fellowship Program Participants. Worldviews on Evidence-Based Nursing,

13(5), 340–348. https://doi.org/10.1111/wvn.12171

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The Establishment of Evidence-Based Practice Competencies for

Practicing Registered Nurses and Advanced Practice Nurses in Real-World Clinical Settings: Proficiencies to Improve Healthcare Quality, Reliability, Patient Outcomes, and Costs. Worldviews on Evidence- Based Nursing, 11(1), 5–15. https://doi-org.ezp.waldenulibrary.or

/10.1111 /wvn.12021

Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24(10), 608.

doi:http://dx.doi.org/10.1136/bmjqs-2015-004160

EBP and Patient Experience

EBP and Population Health

Costs

EBP and the Work-Life of Healthcare Providers

Conclusion

References

Melnyk, B. M., &Fineout-Overholt, E. (2018).Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.

The implementation of evidence-based practice (EBP) interventions requires cultivation of a spirit of inquiry, asking clinical question, and searching for the best evidence as well as appraising it. It also entails implementation of the evidence, outcomes’ evaluation and sharing of the results (Melnyk & Fineout-Overholt, 2018). Therefore, one can find EBP in different organizations based on the information that they provide on their websites.

The Centers for Disease Control and Prevention’s (CDC) website demonstrates evidence-based practice as engrained in its activities. The primary purpose of this organization is to protect people against diseases and health prevention. The organization’s goals include detection and responding to newly emerging health threats, conducting research using cutting-edge technology aimed at promoting primary healthcare and disease prevention (Mellerson et al., 2020). CDC also focuses on people’s heath and reducing the mortality levels as well as offer support to health system and society.

Evidence-based practice (EBP) appears on CDC’s website as described by its mission and vision as well as its goals of offering quality care and ensuring effective collaboration among healthcare providers. CDC’s other goals include supporting evaluation and monitoring of health care systems and communities (Washburn, 2019). Therefore, the goals of this organization and its mission and vision statements all support EBP.

The CDC’s work is grounded in EBP because before it can share any information concerning healthcare issues, it collects sufficient evidence (Melnyk & Fineout-Overholt, 2018). Secondly, implementing new measures to deal with emerging infectious diseases also demonstrates that it is grounded in EBP. The organization uses scientific principles when making recommendations on a host of issues to improve overall access to quality care interventions. States seek CDC’s guidelines when developing specific data techniques and selection of questionnaire.

My opinion about the healthcare organization changed as a result of the information available on its website. I believe without any doubt that CDC’s activities are grounded in the best ways of the EBP process. The implication is that my perception changed about the CDC as I realized that its activities are based on EBP.

References

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare:

A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Mellerson, J. L., Street, E., Knighton, C., Calhoun, K., Seither, R., & Underwood, J. M. (2020).

Centers for Disease Control and Prevention’s School Vaccination Assessment: Collaboration With US State, Local, and Territorial Immunization Programs, 2012–2018. American Journal of Public Health, 110(7), 1092–1097. https://doi-org.ezp.waldenulibrary.org/10.2105/AJPH.2020.305643

Washburn, R. (2019). Conceptual Frameworks in Scientific Inquiry and the Centers for Disease

Control and Prevention’s Approach to Pesticide Toxicity (1948–1968). American Journal of Public Health, 109(11), 1548–1556. https://doi-org.ezp.waldenulibrary.org/10.2105/AJPH.2019.305260

Evidence- Based Practice /Academy of Nutrition & Dietetics

Evidence-based practice (EBP) enhances healthcare quality, improves patient outcomes through nursing care, reduces medical costs, and empowers the confidence of healthcare workers as clinicians (Melnyk & Fineout-Overholt, 2018).

The Academy of Nutrition and Dietetics is the world’s largest organization of nutrition and dietetics practitioners founded in Cleveland, Ohio, in 1917, by a visionary group of women dedicated to helping the government conserve food and improve the public’s health and nutrition during World War I. Today, the Academy represents more than 112,000 credentialed practitioners that includes registered dietitian nutritionists, nutrition and dietetics technicians, registered, and other food and nutrition professionals holding undergraduate and advanced degrees in nutrition and dietetics, and students. They are committed to improving the nation’s health and advancing the profession of nutrition and dietetics through research, education and advocacy using member leaders in the legislative and public policy committee. Advocacy is critical to achieving the mission, vision, goals and strategies outlined in the Academy’s Strategic Plan Roadmap because public policy significantly influences and forms the Academy’s public image and that of the dietetics profession. Through legislation and public policy issues, members address concerns with health inequities to achieve health equity and quality health care.

Overall, members of the Academy play a key role in shaping the public’s food choices to improve nutritional status, urge consumers and lawmakers to learn about the positive role nutrition plays in healthy lifestyles and disease prevention / management.

Nutrition and dietetics practitioners work in health care systems, home health care, foodservice, business, research and educational organizations, as well as in private practice. As vital members of medical teams in hospitals, long-term care facilities and health maintenance organizations, they provide medical nutrition therapy using specific nutrition services to treat chronic conditions, illnesses or injuries. Community-based nutrition and dietetics practitioners provide health promotion, disease prevention and wellness services. Nutrition services are an essential component of comprehensive high-quality health care throughout the lifecycle and must be patient-centered. In addition, through the expansion of services for nutrition -related chronic diseases, they support lowering health care costs.

The Academy of Nutrition and Dietetics have demonstrated EBP through their mission and goals of improving the nation’s health using patient centered approach and researched evidence, promoting health equity, supporting lowering healthcare cost through advocates, and advancing the profession of nutrition and dietetics through education. With all these benefits of EBP in place, I would say that this healthcare organization is grounded in EBP. Use of EBP guides the nursing practice to safe outcomes

I have actually not come across this organization before now. I searched and found this organization with lots of interesting approach to healthcare that are evidence-based care, and I believe in this. Health for some individuals is very much dependent on nutrition and lifestyle, considering culture, evidence-based care, and other factors. It is very impressing to me that members of the Academy play a key role in shaping the public’s food choices to improve nutritional status, and urge consumers and lawmakers to learn about the positive role nutrition plays in healthy lifestyles and disease prevention / management. Prevention of disease / illness is than cure.

References

Academy of Nutrition and Dietetics. Eat Right Pro. (n.d.). Retrieved from https://www.eatrightpro.org/

Academy of Nutrition & Dietetics. Job Stars USA. (2022, March 5). Retrieved from https://jobstars.com/professional-associations/academy-of-nutrition-dietetics/

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Walden University, LLC. (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file]. Baltimore, MD: Author.

The Center for Disease Control and Prevention (CDC) is a United States based healthcare organization that is dedicated to collecting and dissemination information regarding health, safety, and security threats for Americans. Evidence Based Practices (EBP) is defined as a problem-solving approach to clinical decision making based on the most accurate and reliable evidence and clinical expertise to improve conditions and outcomes for systems. (Melnyk & Fineout-Overholt, 2018) The CDC websites includes an area that outlines their mission and role. The CDCs mission is to “conduct critical science to provide health information that protects our nation against threats” and their role is defined as “putting science and advanced technology into action to prevent disease.” (CDC, 2022) The repeated and signified action of putting research and data collection and application in their mission signified that the CDC work is grounded in EBP. Further research into the use of EBP within the CDCs practices has only strengthen my confidence in the CDC being a reliable source of information for healthcare-related topics. For example, during the COVID 19 pandemic as a healthcare professional, I was seeking the use of EBP resources to guide clincial decision-making for patient care because studies show that EBP results in “ higher quality care, improved patient outcomes, reduced costs, and greater nurse satisfaction than traditional approaches to care. I utilized updates and recommendation from the CDC to help treat patients and answer questions during a time where several sources were reporting inaccurate data. The CDC collects weekly surveillance data and literature from World Health Organization database to track COVID 19 cases and to provide recommendation regarding treatment and isolation practices. The CDC also provides links to all resources and studies conducted that were used in their decision-making process which is another indicator of EBP.

Centers for Disease Control and Prevention. (2022, April 29). Mission, Role and Pledge. https://www.cdc.gov/about/organization/mission.htm

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-Based Practice: Step by Step: The Seven Steps of Evidence-Based Practice. AJN, American Journal of Nursing, 110(1), 51–53. https://doi.org/10.1097/01.naj.0000366056.06605.d2

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Rubric Detail

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Content

Name: NURS_6052_Module01_Week01_Discussion_Rubric

	Excellent	Good	Fair	Poor
Main Posting	Points Range: 45 (45%) – 50 (50%) Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.	Points Range: 40 (40%) – 44 (44%) Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.	Points Range: 35 (35%) – 39 (39%) Responds to some of the discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors.	Points Range: 0 (0%) – 34 (34%) Does not respond to the discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness	Points Range: 10 (10%) – 10 (10%) Posts main post by day 3.	Points Range: 0 (0%) – 0 (0%)	Points Range: 0 (0%) – 0 (0%)	Points Range: 0 (0%) – 0 (0%) Does not post by day 3.
First Response	Points Range: 17 (17%) – 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.	Points Range: 15 (15%) – 16 (16%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.	Points Range: 13 (13%) – 14 (14%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.	Points Range: 0 (0%) – 12 (12%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited.
Second Response	Points Range: 16 (16%) – 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.	Points Range: 14 (14%) – 15 (15%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.	Points Range: 12 (12%) – 13 (13%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.	Points Range: 0 (0%) – 11 (11%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited.
Participation	Points Range: 5 (5%) – 5 (5%) Meets requirements for participation by posting on three different days.	Points Range: 0 (0%) – 0 (0%)	Points Range: 0 (0%) – 0 (0%)	Points Range: 0 (0%) – 0 (0%) Does not meet requirements for participation by posting on 3 different days.

Total Points: 100

Name: NURS_6052_Module01_Week01_Discussion_Rubric

RE: Discussion – Week 1

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I chose to review the Centers for Disease Control and Prevention, specifically their National Healthcare Safety Network. This is a network that allows hospitals and healthcare facilities to track data related to many things, but most facilities use it to track hospital-acquired infections such as CAUTI, CLABSI, C.diff, etc. (CDC, n.d.). NHSN does not just track data though, their goal is really prevention. On their website, you can find the latest evidence-based practices and guidelines for insertion bundles, daily care of lines, and many other up-to-date standards of practice for clinicians. When followed, these guidelines have been proven effective in preventing HAIs.

I do believe that the CDC and NHSN are grounded in evidence-based practice. You can find links on their sites to studies and research they’re using to inform recommendations to the public and to healthcare organizations. Another thing you see that I think is important and adds to the fact that they’re evidence-based is that their recommendations have reviewed and updated dates. They’re constantly evaluating and adding to guidelines as medicine evolves and evidence-based practices change.

I don’t think my perception of the CDC and NHSN has changed. The organization I work for has been using their care bundles to decrease and prevent HAIs for a while now, so I am familiar with the way they obtain and disperse information and recommendations. We also often listen to their Clinician Outreach and Communication Activity (COCA) calls which provide the latest info on emerging and ongoing public health threats and emergencies. I think this has added to my confidence in this organization as well, as they do seem to be trying to ensure that people know what’s going on and are sharing any helpful information that’s been learned (CDC, n.d.).

Evidence-based practice is essential to quality care and positive patient outcomes. It helps guide the way we practice and ensures that we are always searching for the best treatment options. It’s a necessary component to reaching population health and the quadruple aim (Sikka et al., 2015).

References

Centers for Disease Control and Prevention (n.d.) About National Healthcare Safety Network. About | NHSN | CDC

Centers for Disease Control and Prevention (n.d.). Clinician outreach and communication activity. Home | Clinician Outreach and Communication Activity (COCA) (cdc.gov)

Sikka, R., Morath, J.M., & Leape, L. (20115). The quadruple aim: care, health, cost and meaning in work. BMJ Quality & Safety, 24(10), 608. http://dx.doi.org/10.1136/bmjqs-2015-004160

Relation between EBP and the Quadruple Aim

Evidence-based practice heavily relies on the use of available scientific evidence for decision making in the clinical setting. Ever since its formal introduction in the 1990s, evidence-based practices have continued to gain ground in management, the formation of public policies, education and nursing practice. As one of the most effective problem-solving approach in clinical settings, evidence-based practice integrates the best available evidence from well-designed scientific studies, the preferences, and values of patients and the expertise of clinicians to make decisions regarding patient care (Crabtree et al., 2016). Assignment: Evidence-Based Practice and the Quadruple Aim sample essay As a result, the main aim of evidence-based providers is to ensure that patients are provided with high quality and safe healthcare services. For high chances of success, EBP embraces an interprofessional model where shared decision making is greatly emphasized. Similarly, different actors at the state, federal and local levels are essential for the adoption and implementation of evidence-based practice. According to Crabtree et al., (2016), nurses have widely embraced a positive attitude towards evidence-based practice and its providers and the majority are ready to acquire the necessary skills and knowledge for its adoption into clinical practice.

The quadruple aim has four major goals mainly: improving patient experience, population health, the work-life of healthcare providers and reducing healthcare-associated costs (Sakallaris et al., 2016). The quadruple aim purposes to achieve the aforementioned goals through the redesigning of healthcare facilities. However, a major setback in achieving these goals in the wider health sector is improving population health while at the same time containing/reducing healthcare-related costs, which requires a high level of efficiency and effectiveness (Bodenheimer & Sinsky, 2014). A highly productive health workforce is mandatory for an effective healthcare system. This is what promoted the translation of the triple aim to the quadruple aim through the addition of a fourth goal which is improving healthcare providers’ work-life. Assignment: Evidence-Based Practice and the Quadruple Aim sample essay

The Impact That EBP May Have On Factors Influencing These Quadruple Aim Elements.

The development and adoption of evidence-based practice is mainly to improve the quality of healthcare services that patients receive and places a lot of value inpatient care in clinical settings. Similarly, evidence-based practice has a direct impact on the work-life of healthcare providers since, to receive high quality and safe healthcare services, staff needs to be very productive. The purpose of every healthcare institution is to ensure that the life of patients, as well as that of healthcare staff providing healthcare services, is improved.

Patient experience

All strategies used in evidence-based practice permit healthcare providers to translate the findings of research into clinical practice. By utilizing efficient searching skills of literature and formally applying the rules that guide evidence to evaluate the findings of research, nurses and other healthcare providers can efficiently apply existent scientific knowledge to clinical practice based on individual patient needs (Jacobs et al., 2018). As a result, this improves the quality of healthcare services that patients receive. In recent times, most healthcare institutions are embracing evidence-based practice to solve clinical issues that directly impact patient care and this is what has led to improved patient experiences Assignment: Evidence-Based Practice and the Quadruple Aim sample essay.

Population health

Evidence-based practices purpose to educate populations on the individual health determinants, the benefits, and limitations of specific treatments, cultural and healthcare practices. Those integrating evidence-based practices in various population settings also purpose to ensure the equitable distribution of resources to achieve specific aims (Sakallaris et al., 2016). Populations can be classified based on its needs as identified by socioeconomic status, the support received from family and individual health status, and this promotes equity and efficiency in the allocation and distribution of resources for health promotion. All evidence-based processes involved in care have been specifically designed to address individual patient needs as opposed to shaping healthcare patterns based on subgroups.

Costs

A major challenge for most healthcare facilities is directly related to the measure of per capita costs of healthcare as it needs all healthcare expenditures to be captured, measurement of actual costs and indexing the costs to the healthcare market. According to Sakallaris et al., (2016), the most common method used to measure actual costs is discounts and pricing. Therefore, for most healthcare institutions, it is a huge challenge to provide safe and quality healthcare services at lower healthcare costs. When an institution embraces the use of the latest technology to improve efficiency and most recent treatment methods as revealed through evidence-based practice, the quality of care, as well as the costs, automatically increases.

The work-life of healthcare providers

The key components of a conducive healthcare environment should support interprofessional collaboration. Interprofessional collaboration has been evidenced to improve patient health outcomes and the satisfaction of healthcare providers. It also reduces provider burnout and turnover rates, which promotes staff productivity (William et al., 2016). The three major components of such an environment include the structural and policy elements and actively engaging the workforce in shared decision making. Assignment: Evidence-Based Practice and the Quadruple Aim sample essay.

References

Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: care of the patient requires care of the provider. The Annals of Family Medicine, 12(6), 573-576.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving Patient Care Through Nursing Engagement in Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing, 13(2), 172-175.

Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: moving from the triple aim to the quadruple aim. Nursing administration quarterly, 42(3), 231-245 Assignment: Evidence-Based Practice and the Quadruple Aim sample essay.

Sakallaris, B. R., Miller, W. L., Saper, R., Jo Kreitzer, M., & Jonas, W. (2016). Meeting the challenge of a more person-centered future for US healthcare. Global advances in health and medicine, 5(1), 51-60.

William Jackson Epperson Md, M. B. A., Facmpe, S. F. C., & Wilhoit, G. (2016). Provider burnout and patient engagement: the quadruple and quintuple aims. The Journal of medical practice management: MPM, 31(6), 359. Assignment: Evidence-Based Practice and the Quadruple Aim sample essay

The Quadruple Aim in healthcare emphasizes four essential measures: Patient experience, Population health, Costs, and the Work life of healthcare providers. Evidence-Based Practice (EBP) has a significant impact on each of these elements, contributing to the overall improvement of healthcare systems and delivery.

Patient Experience: EBP plays a vital role in enhancing the Patient Experience. By incorporating evidence-based guidelines and best practices into clinical care, healthcare providers can deliver more effective, safe, and patient-centered care. EBP helps in reducing medical errors, improving communication between providers and patients, and tailoring treatment plans to individual patient needs and preferences. Ultimately, this results in higher patient satisfaction and a more positive healthcare experience.
Population Health: EBP also contributes to improving Population health by guiding healthcare decisions based on scientific evidence. When healthcare organizations implement evidence-based interventions and preventive measures, they can positively impact the health outcomes of entire populations. EBP helps identify effective strategies for disease prevention, health promotion, and the management of chronic conditions, leading to better health outcomes at the community and population levels.
Costs: EBP can have a dual effect on healthcare Costs. While there may be initial investments in research and implementation, EBP can lead to cost savings in the long run. By reducing preventable medical errors, hospital readmissions, and unnecessary procedures, EBP helps in lowering the overall healthcare expenditure. Additionally, EBP promotes resource allocation based on interventions that are proven to be cost-effective, ensuring that limited healthcare resources are used efficiently.
Work Life of Healthcare Providers: EBP positively impacts the Work life of healthcare providers by promoting a culture of continuous learning and improvement. When healthcare professionals have access to and utilize evidence-based guidelines, they can make informed clinical decisions, which can reduce the stress and uncertainty associated with medical practice. Furthermore, EBP fosters a sense of professional satisfaction as providers can witness the positive impact of their interventions on patient outcomes.

In summary, EBP and the Quadruple Aim are interconnected. EBP empowers healthcare organizations and providers to make informed decisions that improve patient experiences, enhance population health, control costs, and create a more satisfying work environment for healthcare professionals. As healthcare systems increasingly turn to EBP to inform their decisions, they are better positioned to achieve the Quadruple Aim’s goals of delivering high-quality, patient-centered care while optimizing healthcare delivery and outcomes.

Time:	10 minutes
Current Score:	97.5 out of 100
Kept Score:	97.5 out of 100

NRSE 6052 Week 1 Assignment: EBP and the Quadruple Aim

Patient Experience

Population Health

Costs

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Work-life of Healthcare Providers

NRSE 6052 Week 1 Assignment: EBP and the Quadruple Aim References

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Evidence-Based Practice and Quadruple Aim

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