Discussion: Where in the World Is Evidence-Based Practice

Practicing evidence-based practice ensures that patients receive the highest quality of care and will allow for positive patient outcomes. EBP is used with a problem-solving approach in healthcare delivery that supports research that improves healthcare quality and safety, patient outcomes, and healthcare costs (Melnyk & Fineout- Ovverholt, 2023). When you think about it, If you or a loved one are ill or in need of some health care, you would want your clinician to provide you with the latest up-to-date, evidence-based practice versus other traditional methods or personal advice or beliefs of that clinician. EBP ensures that the latest scientific evidence is incorporated into the clinical practices we provide our patients with daily.

The American Heart Association is an organization website I reviewed that is committed to fighting heart disease and stroke worldwide. As we all know, heart disease is America’s number one killer. This organization is grounded on being a relentless force for a world of longer, healthier lives by providing evidence-based treatment protocols for hospitals that have improved the quality of care and serving as platforms to accelerate the collection and impact of patient data (AHA, n.d.). The AHA believes and has proved and shown that scientific research leads to better treatment, prevention, and, ultimately, a cure (AHA, n.d.). Also, it highlights that when the AHA implements EBP practice, they are constantly updating, monitoring, and evaluating for new recommendations for best clinical practices. An essential step in implementing EBP is assessing the outcomes of practice decisions or changes based on evidence. Therefore, positive effects can be supported, and the negative ones can be solved to provide better healthcare outcomes and quality (Melnk et al., 2010).

In my clinical practice, I have always used the AHA as a trusted resource of information on cardiovascular disease and stroke, even guidelines for CPR. Researching the American Heart Association’s organizational website has given me a better perception of the healthcare organization and what it represents. Knowing where the organization gets its evidence evaluations, practices, and guidelines and how it is re-evaluated often and updated into current practice guidelines through EBP also makes me feel confident when practicing by the AHA guidelines and practices.

NURS 6052 Discussion: Where In the World Is Evidence-Based Practice?

Discussion: Where in the World Is Evidence-Based Practice

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RE: Discussion – Week 1

The health care organization that will be reviewed will be the Centers for Disease Control and Prevention (CDC). This healthcare organization works in all the prevention to the peoples in a good manner. The be Centers for Disease Control and Prevention (CDC) continuously works in the control of the diseases and also guides prevention care of the people. This organization takes care of the community 24 hours with full support with the use of new research on diseases and how this will be treated appropriately. Moreover, the be Centers for Disease Control and Prevention (CDC) protects many members of the community that are suffering. In addition, it also concentrates on food safety, health, and weight, overweight and obesity, tobacco, and smoke, and also in the vaccination and immunization of individuals that are due and in need of this.

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The evidence-based practice that appears on the website of the Centers for Disease Control and Prevention appears on the segment that is subtitled as “about” on the website. The major categories of the website include mission, vision, leadership, organization, funding, jobs and careers, library, and diversity. The main mission of the organization is to protect all the people from the diseases and also support all the people to overcome the new diseases. The organization also protects the chronic or acute diseases at the early stages to secure the people. The major goals of the organization include the following; Detection and response to the newly emerging health threats, carrying out research with the use of advanced technology and mainly concentrate on disease prevention, concentration on the health of the people, and reduction of mortality rate in the society, support in monitoring the health care system and the community, promotion of good advice in safe health behaviors for the community and development of leaders with encouragement in detecting incidence and prevalence of new diseases and outcomes.

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 Health110(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 Health109(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.

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.

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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

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.

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.

RE: Discussion – Week

         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

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.

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)

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.

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

          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

         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

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 Nursing13(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 Nursing11(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

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 health19(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 Research22(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 Health20(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 Behaviour4(5), 460-471. https://doi.org/10.1038/s41562-020-0884-z

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 Pledgehttps://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 Nursing110(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.

Your post was very informative. The AANP is dedicated to transforming healthcare delivery through nurse practitioners (American Association of Nurse Practitioners, n.d.). As you mentioned, EBP appears throughout the AANP’s website. The website’s education section provides resources and tools to help nurse practitioners and practitioner students in their careers. The resources and tools provided are supported by EBP. The AANP uses EBP to improve nurse practitioners’ professional growth and development. They provide countless research opportunities, allowing nurse practitioners to research the best practices for their careers. Research promotes the use of best practices and is essential to improving patient care (Crabtree et al., 2016). The AANP understands that technology is becoming more prevalent in healthcare and provides its members with information to stay current on healthcare trends. The AANP’s website showed me that the organization is serious about using EBP to inspire nurse practitioners to improve patient outcomes by delivering quality care.

Rubric Detail

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Content

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

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