Discussion: Where in the World Is Evidence-Based Practice

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 evidence-based practice is highlighted in the part with the subtitle “about” on the Centers for Disease Control and Prevention’s website. Some of the website’s primary sections are mission, vision, leadership, organization, fundraising, jobs and careers, library, and diversity. The organization’s major purpose is to protect everyone against sickness and to help everyone overcome any new ailments. To protect people, the company also protects against acute or chronic illnesses in their early stages. Some of the organization’s key goals are as follows: Detection and response to newly emerging health threats; conducting research using cutting-edge technology and focusing primarily on disease prevention; focusing on people’s health and lowering the mortality rate in society; supporting monitoring of the health care system and the community; and promoting sound advice on safe health behaviors for the community and leadership development.

Describe whether the EBP is the foundation of the operations of this healthcare institution and, if not, why.

With a few exceptions noted in the paperwork, the Centers for Disease Control and Prevention adheres to the fundamental practices and is based on evidence-based practice. Clinical expertise is prioritized in the implementation of evidence-based practice. Each individual customer, on the other hand, is polled for reliable observation lessons and accurate information. Culture, values, and priorities are determined by collaboration between clients and caregivers. The EBP is documented at the Centers for Disease Control and Prevention (CDC) in accordance with scientific principles while taking into account community norms and preferences. The states may seek assistance from the Centers for Disease Control and Prevention (CDC) in developing questionnaires, developing specific data collection techniques, selecting samples of schools to be included in the review, or validating self-reported data from a school census (Mellerson et al., 2020).

Describe whether your opinion of the healthcare organization has changed as a result of the information you found on the website. Give specifics and illustrations.

Of course, yes—the information I obtained from this organization’s website has changed my perspective, because the Centers for Disease Control and Prevention (CDC) caters to all medical needs, particularly those of the local population. Major topics included emergency treatment, pandemic diseases, population social welfare, health prevention, new research, environmental health, injury, violence, and so on. As a result of the healthcare organizations, I now see things differently. Using the current pandemic crisis as an example, conduct research into pandemic illness and make recommendations for prevention. Following a thorough review of the health organization’s emphasis on disease prevention and health promotion in a variety of methods, my perception shifted.

The Centers for Disease Control and Prevention will be the health care organization under scrutiny (CDC). This healthcare organization provides excellent prevention services to the public. The Centers for Disease Control and Prevention (CDC) is constantly working to control diseases and to guide people’s prevention care. This organization cares for the community 24 hours a day, seven days a week, with full support from new research on diseases and how they will be treated appropriately. Furthermore, the Centers for Disease Control and Prevention (CDC) safeguards many members of the community who are in need. Furthermore, it focuses on food safety, health and weight, overweight and obesity, tobacco and smoke, and the vaccination and immunization of individuals who are due and in need of these services.

Also Read: NURS 6052 Assignment EBP Part 3 Critical Appraisal of Research

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

 

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

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

EBP was not born on March 21, 2010, but it could be the date the approach “grew up” and left home to face the world.

The Affordable Care Act included a requirement for empirical evidence when it was passed. EBP research has grown significantly. The use of EBP has spread to allied health professions, education, healthcare technology, and other fields. EBP has begun to be adopted and promoted by health organizations.

This adoption will be discussed in this Discussion. You will examine the websites of healthcare organizations and determine how much EBP is used by these organizations.

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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.

RE: Discussion – Week

      Various health care professionals around the world are aware that evidence-based practice (EBP) improves healthcare quality, reliability, and patient outcomes while decreasing care and cost (Melkyn et al., 2014). EBP is instilled early in our educational careers in the nursing field, and we are frequently encouraged to cite or use the most recent evidence-based practices for care. It is because of this commitment that the nursing profession has been a pioneer in catalyzing the adoption of EBP and using it as a standard of excellence (Stevens, 2013). However, EBP affects not only nursing care but also health organizations as a whole. Niklaus Children’s Hospital has a detailed section on nursing publications and innovations that details the hospital’s use of EBP. For example, Miami Children’s encourages nurses to initiate or use Evidence-Based Practice (EBP) protocols to independently process improvements to nursing care and nursing research across the organization.

To align with the Nursing Department’s commitment to providing high-quality care associated with positive patient outcomes, Niklaus Children’s Hospital integrates evidence-based best practices and nursing research into clinical and operational processes. As a result, EBP has a significant impact on how health care organizations distribute patient-centered care and what they expect from nursing professionals. Recognizing the significance of EBP at Niklaus Children’s Hospital has shifted my perception in a positive direction and reassured me that patient care adheres to the most recent 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

RE: Discussion – Week 1

While getting my undergraduate degree, I remember the emphasis of EBP particularly in the hospital setting. It was stressed to us the importance of prevention of hospital acquired infections. The Academy of Medical-Surgical Nurses (AMSN) has an emphasis of EBP, especially in their publication of scope and practices. “This publication highlights the emerging roles of Medical-Surgical Nurses, including the promotion of exemplary nursing practice, scholarly activity with dissemination and implementation of evidence-based practice guidelines, and a commitment to promotion of continuing education for self and others.” (AMSN, n. d.) The AMSN offers membership but also certification as a Med-surg nurse. They base this certification heavily on EBP in the med-surg setting.

“The staff nurse is a critical link in bringing evidence ‐ based changes into clinical practice,” (Majid et al, 2011) therefore, I believe the med-surg nurse could play a vital role in EBP in the hospital setting. Med-surg is a “catch-all” sort of department in the hospital setting. Here is where I believe a nurse would see the most diverse type of care ranging from gastrointestinal to cardiac. I believe PICOT questions could be easily formed here due to the patient population. Since there is no shortage of hospitalized patients that go through a med-surg floor, especially in the ear of COVID-19, practitioners are able to “ask the burning clinical question in PICOT format.” (Melnyk & Fineout-Overholt, 2019, p.17)

I did not know this organization existed prior to my research, so I did not have any perception to change. But I believe this organization is a productive one. They encourage med-surg nurses to pursue certification in their field and promote continuing education that includes EBP. I believe this organization could be empowering and supportive of the med-surg nurse.

References:

Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y.-L., Chang, Y.-K., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: Nurses’ perceptions, knowledge, and barriers. Journal of the Medical Library Association : JMLA, 99(3), 229–236. https://doi.org/10.3163/1536-5050.99.3.010

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

Scope and standards. Publications: Scope and Standards | Academy of Medical-Surgical Nurses (AMSN). (n.d.). Retrieved November 30, 2021, from https://www.amsn.org/index.php/publications/scope-and-standards.