NR 393 Week 5 Discussion: Evidence-Based Practice Changes
Chamberlain University NR 393 Week 5 Discussion: Evidence-Based Practice Changes-Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 393 Week 5 Discussion: Evidence-Based Practice Changes assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 393 Week 5 Discussion: Evidence-Based Practice Changes
Whether one passes or fails an academic assignment such as the Chamberlain University NR 393 Week 5 Discussion: Evidence-Based Practice Changes depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 393 Week 5 Discussion: Evidence-Based Practice Changes
The introduction for the Chamberlain University NR 393 Week 5 Discussion: Evidence-Based Practice Changes is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NR 393 Week 5 Discussion: Evidence-Based Practice Changes
After the introduction, move into the main part of the NR 393 Week 5 Discussion: Evidence-Based Practice Changes assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 393 Week 5 Discussion: Evidence-Based Practice Changes
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 393 Week 5 Discussion: Evidence-Based Practice Changes
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NR 393 Week 5 Discussion: Evidence-Based Practice Changes Included After Question
As in our chapter readings, nursing research and education is discussed throughout the years. “An almost endless effort . . . has changed nursing practice and provided the body of knowledge to support evidence-based practice. . .” (Judd & Sitzman, 2014). Nursing research and education will always continue, so that nurses can improve patient care.
In the 20th century, and in the very beginning years of the 21st century, nurses were trained according to evidence-based practice, to aspirate intramuscular injections. Not long into the beginning years of the 21st century, evidence-based practice states that this procedure is no longer necessary.
Nurses were originally trained to aspirate intramuscular injections, to verify that the injection was in the muscle and not in a vein. If blood aspirated into the syringe, this meant that the injection was placed in a vein, and then the syringe with the blood and medicine would need to be discarded, and the medicine drawn up again. The act of aspirating was to be done over a five to ten second period.
“More recently, evidence-based guidelines do not advocate aspiration. . .” (Do you need to aspirate, 2016). Aspirating intramuscular injections today is no longer necessary. The rationales for this new procedure are that the sites that intramuscular injections are given in do not contain major blood vessels, there is no evidence that aspiration without or with blood eliminates the chance of being in a blood vessel, not aspirating reduces the time of the injection, there is less waste of medications, less pain, and most nurses do not wait and aspirate over the recommended five to ten second period. (Evidence-based Injection Practice, n.d.).
However, if using the dorsal gluteal area, aspiration is needed, because you must be careful of the sciatic nerve and blood vessels. Therefore, it is not recommended to use this area. (Evidence-based Injection Practice, n.d.).
Nursing gives many drugs intramuscularly, so it is necessary to keep up on medication education. For example, one intramuscular medication that I have given many times is Haldol, to calm down patients. As stated above, some advantages to no longer having to aspirate intramuscular injections is less pain and reducing the time of the injection. If having to give Haldol, usually it is needed to be given quickly, and less pain is beneficial for the patient. So far, the changes to this evidence-based practice has proved to be successful in my practice.
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References
Do you need to aspirate when giving intramuscular (IM) injections? (December 11, 2016). Retrieved from https://ed-areyouprepared.com/wp-content/uploads/2018/12/Do-you-need-to-aspirate-when-giving-intramuscular.pdfLinks to an external site.
Evidence-based Injection Practice: To Aspirate or Not. (n.d.). Retrieved from www.nnpnetwork.org/Uploads/EBPLinks to an external site. aspiration poster 9 25 12 for iowa.pdf
Judd, D., & Sitzman, K. (2014). A history of American nursing: Trends and eras. (2nd ed.). Jones & Bartlett
A Sample Answer 2 For the Assignment: NR 393 Week 5 Discussion: Evidence-Based Practice Changes
Title: NR 393 Week 5 Discussion: Evidence-Based Practice Changes
In our chapter readings, some leaders and events had greatly changed the practices in nursing but it is not removed yet it was improved to cater the needs and practice for nurses. With these, nurses will gain more knowledge and deeper understanding regarding their specialization. Yes, education and practices for nurses would continue to provide patient care but in former ages nurse registration was an organized list of educated nurses in a state. Moreover, most of the nurses thought that aside from nurse registration license would elevate their standards as well as their profession. Thus, practices in any field including nursing is a must.
The nursing profession evolved greatly in the 20th century. Two catapults that greatly changed the nursing profession were both world wars. Evidenced-based practice and the rapid increase in technology contributed to many changes in the way nursing was performed. One area that I found interesting and is a great contrast to how our practice works today was the concept of Public Health Nursing. The ideas that kept changing in the early 20th century, such as clean water, sanitation, and the use of vaccines began to start during this time period. “Advancing knowledge about germ theories from the mid-1800s to the mid-1900s focused medical evolution on “hygiene and sanitation . . . the forefront of the struggle against illness and disease,” and work done in these two areas “resulted in unprecedented longevity, concomitant with markedly improved quality of life in the last century and a half” (Judd 2014). These ideas go back to Nightingale’s original theories of cleanliness, fresh air, and sanitation, but now in the 20th century have been scientifically identified and the advances in knowledge lead to the eventual understanding of germ theories and epidemiology. ” During the 1920s, vaccines for diphtheria, pertussis, tuberculosis, and tetanus were introduced. The result was an increase in life expectancy from 59.7 years to 74.9 years over the next 30 years.” (Judd, 2014) Increasing life expectancy like this was revolutionary and nurses advocated for public health measures. Sanitation and vaccines were new and public education was a task that nursing took on in order to continue this cause.
I thought reading about this history right now while answering questions on vaccines and during a pandemic were very timely as we as nurses are once again educating the public on health measures and sanitation guidelines. Nursing has always been about education for the patient, and in the 20th century, the nursing profession began to greatly increase its role as public health advocates and educators.
References:
Judd, D., & Sitzman, K. (2014). A history of American nursing: Trends and eras. (2nd ed.). Jones & Bartlett
A Sample Answer 3 For the Assignment: NR 393 Week 5 Discussion: Evidence-Based Practice Changes
Title: NR 393 Week 5 Discussion: Evidence-Based Practice Changes
Vaccines are so relevant to what is occurring today and very controversial to ones individuals beliefs if vaccines should be mandated or voluntary.
In our current practice as nurses, what are some of the ways nurses are making history in caring for our patients regarding vaccinations? What do you perceive our role to be? or How did the advances in the development and research of vaccinations influenced our practice?
There is a a lot of false information going around holding people back from getting vaccines. During this time, “The National Vaccine Plan (NVP) is intended to be a comprehensive framework that guides national efforts of federal, state, local, multinational, and non-governmental partners to improve access to and increase uptake of vaccines, as well as continued development of new and improved vaccines”(Shen 2019). A culture of vaccine hesitancy threatens to undermine public health and the value of vaccines. Since this issue has been validated by the recent measles outbreak 2019, the World Health Organization recognized vaccine hesitancy as one of the top 10 threats to global health. The biggest platforms for this misinformation is social media and online sources. The 2020 vaccine plan will offer guidance on addressing the spread of this misinformation. They plan to implement this by building partnerships with social media platforms, leveraging provider- patient encounters to advance informed decision making, and messaging the value of vaccines through targeted strategies across digital and print media platforms. (Shen 2019). The CCDH warned that the anti- vaccine movement could undermine the vaccine against COVID- 19. As nurses it’s our job to educate and put out accurate information. Much of the reasoning and information anti-vaxxers have against vaccines have been proven to be myths. We are required to ask everybody leaving the hospital if they want the flu shot. I always do small education on why the flu shot is important before letting them make their decision. As for vaccines being mandatory, I think that certain vaccines should be mandatory like the childhood vaccines, because we have seen how people not getting the MMR vaccine has brought back measles. But, as for the flu vaccine I do not think at this point it should be mandatory.
Shen, A. (2019). Shaping the 2020 national vaccine plan. Health Affairs: Leading Publication Of Health Policy Research & Insight. https://www.healthaffairs.org/do/10.1377/hblog20191212.484779/full/ (Links to an external site.)
Burki, T. (2020). https://www.thelancet.com/journals/landig/article/PIIS2589-7500(20)30227-2/fulltext
A Sample Answer 4 For the Assignment: NR 393 Week 5 Discussion: Evidence-Based Practice Changes
Title: NR 393 Week 5 Discussion: Evidence-Based Practice Changes
The healthcare organization website that I chose to review is the American Psychiatric Nurses Association, as I am currently trying to achieve my MSN in Psychiatric Mental Health Nurse Practitioner (PMHNP). The foundation of nursing begins with evidence-based practice (EBP), which involves up-to-date research and knowledge that provides quality holistic care, rather than traditional methods and beliefs (American Nurses Association, n.d.).
While researching the website, APNA is a notable association that strives to commit to the practice of psychiatric-mental health nursing through identifying mental health issues, prevention of mental health problems, and treatment of disorders. The APNA Mission & Purpose is to provide leadership to promote psychiatric-mental health nurses to improve the mental health of our diverse individuals and communities and to shape policy for the delivery of care (American Psychiatric Nurses Association, n.d.). Although EBP doesn’t appear on the goals or mission and purpose statement, APNA strives to provide evidence-based resources for fellow members to read. For example, under All Resources, there is a Patient Safety & Quality: An Evidence-Based Handbook for Nurses, which is an invaluable research tool for us to be successful during our practice. With that, APNA is grounded with EBP due to its commitment to disseminating current knowledge to promote advancement in treatment with this vulnerable population.
The information that was discovered during my research has not changed my perception of the healthcare organization, as I am currently a member of the APNA. These associations help nurses stay current and credible to provide positive health outcomes. Being a member brings credibility to incorporate EBP strategies to allow advanced practice nurses to translate research findings into their clinical practice (Melnyk, 2018). With strategies like every 2-hour positioning for high-risk skin breakdown patients, nurses are given a wealth of information that is backed by clinical evidence to provide an overall positive healthcare outcome.
References
American Nurses Association. (n.d.). Retrieved from What Is Evidence-Based Practice in Nursing?: https://www.nursingworld.org/practice-policy/nursing-excellence/evidence-based-practice-in-nursing/#:~:text=Evidence%2Dbased%20practice%20in%20nursing%20involves%20providing%20holistic%2C%20quality%20care,from%20colleagues%2C%20or%20personal%20beliefs.
American Psychiatric Nurses Association. (n.d.). Retrieved from About APNA: https://www.apna.org/about-apna/
Melnyk, B. M. (2018, October 26). American Association of Nurse Practitioners. Retrieved from Why Choose Evidence-based Practice?: https://www.aanp.org/news-feed/why-choose-evidence-based-practice
A Sample Answer 5 For the Assignment: NR 393 Week 5 Discussion: Evidence-Based Practice Changes
Title: NR 393 Week 5 Discussion: Evidence-Based Practice Changes
Great post. As nurses, we all understand the true benefit of vaccines, and the diseases they have eradicated. It is interesting to see so many people becoming more interested in being anti-vaxers, due to the potential of vaccine injury. While that is always a risk, I personally believe that receiving some vaccines are crucial to not just our own health, but the health of others. The topic of cleanliness, and vaccines, is one near and dear to my heart, as my brother was severely compromised and was unable to get many vaccinations. My first experience with a 3-month-old with such severe whooping cough that we had to intubate them, I knew that there was major education that needed to happen for the family – as none of them had received the vaccine. Seeing their baby so sick changed their minds, and the family had a much better understanding of why vaccines aren’t just important for our own health. I am anxious to see where the Covid vaccine leads us, as it has been fast-track created, and from what it looks like, implemented. I personally believe in one’s right to choose whether they get the vaccine or not, however, it seems like our current government may make this a mandatory vaccine. Don’t know about you, but I would like to see some really good research into the vaccine before I get it, especially as I am immune comprimised!
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