NURS 6052 Where in the World Is Evidence-Based Practice? SAMPLE

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

NURS 6052 Where in the World Is Evidence-Based Practice? SAMPLE 1

RE: Discussion – Week 1

Evidence-based practice (EBP) is considered the gold standard of care, and as such, it is now an expectation of patients, regulatory agencies, and healthcare funders. Despite the abundance of research to inform clinical practice, many patients still fail to receive evidence-based care. Registered nurses deliver care to patients by using approved interventions. Nurses learn about evidence-based practice (EBP), which helps them pinpoint care procedures that can benefit their patients. In recent decades, EBP has become an essential component of exceptional patient care. NURS 6052 Where in the World Is Evidence-Based Practice? EBP in nursing is an integration of research evidence, clinical expertise, and a patient’s choices. This problem-solving approach to clinical practice supports nurses to provide individualized patient care (Duff, J., Cullen, L., Hanrahan, K. et al. 2020).

The organization that I have found to examine and analyze is Mayo Clinic. The organization is one of only 12 institutions in the U.S. currently designated and funded as an evidence-based practice center by the Agency for Healthcare Research and Quality (AHRQ). The Evidence-Based Practice Research NURS 6052 Discussion Where In the World Is Evidence-Based PracticeProgram at Mayo Clinic research to evaluate and summarize all possible evidence on a particular health care issue. Analysts in the Evidence-Based Practice Research Program use comprehensive literature searches and advanced qualitative and quantitative synthesis methods. The team’s research process incorporates systematic reviews, meta-analysis, meta-regression, meta-narrative synthesis, clinical practice guidelines, and methodology research (Mayo Clinic, n.d.).

Describe where, if at all, EBP appears (e.g., the Mission, vision, philosophy, and goals of the healthcare organization, or in other locations on the website).

EBP is very evident in the Mayo Clinic section of the website. It definitively defines their Mission as to shape health care through innovative and expert nursing leadership, and their vision is-Nursing leadership—one voice advancing health. Another EBP (NURS 6052 Where in the World Is Evidence-Based Practice?) listed on the website is to promote professional development for nurse leaders through education, advocacy, community relations, and provides me with the scientific research to make well-founded decisions

Explain whether this healthcare organization’s work is grounded in EBP, and why or why not?

Evidence-Based Practice is grounded within this organization. A simple search within the website offers multiple examples of Evidence-Based Practice research and activities that they participate in to support Evidence Based Practice. They provide multiple webinars, educational videos, and research that supports their efforts to integrate EBP into nursing leadership. This organization’s evidence-based practice reviews all relevant scientific literature on a broad spectrum of clinical and health services topics to produce various evidence reports. The reports can inform and develop coverage decisions, quality measures, educational materials and tools, clinical practice guidelines, and research agendas. The centers also research the methodology of evidence synthesis (Mayo Clinic, n.d.).

Explain whether the information you discovered on the healthcare organization’s website has changed your healthcare organization’s perception. Be specific and provide examples.

I have been a part of many organizations and researched many, and this organization by far surpasses my expectations of a nursing organization. There is so much information, research, and education to be explored with this organization, and it goes along with my Nurse Executive program. I feel it will increase my knowledge for my current and future positions and this nursing program.

References

Duff, J., Cullen, L., Hanrahan, K. et al. (2020). Determinants of an evidence-based practice environment: an interpretive description. Implement Sci Commun 1, 85 (2020). https://doi.org/10.1186/s43058-020-00070-0

Kueny et al., (2015). Facilitating the implementation of evidence- based practice through contextual support and nursing leadership. J Healthc Leadersh. 2015; 7: 29–39.

SAMPLE 2

Initial Discussion Post:

In this week’s post, I will be discussing the World Health Organization or WHO for short. WHO is a universal health organization that works worldwide to promote overall health and wellbeing, to keep the world safe and healthy, and to serve the vulnerable population. WHO is known as being a credible source of reliable health information and an excellent resource to those who are in need. The WHO works continuously to address many issues pressing the world’s population such as human capital across the life-course, noncommunicable disease prevention, mental health promotion, climate change, antimicrobial resistance, and the elimination and eradication of high impact communicable diseases (Douglas & Murphey, 2020).

On the “About WHO” section under “What we do” on the WHO’s website, a clear goal of the organization is established along with certain visions that the organization has. The website states “Our goal is to ensure that a billion more people have universal health coverage, to protect a billion more people from health emergencies, and provide a further billion people with better health and well-being.” (N.A., 2020).

The WHO is certainly grounded in evidence-based practice or EBP. As defined as a conscientious, problem solving approach to clinical practice that incorporates the best evidence from well designed studies, patient values and preferences, and a clinician’s expertise in making decisions about a patient care. EBP is designed to enhance healthcare quality, improve patient outcomes, reduce costs, and empower clinicians (Lange, Lovesth, Teoh, Christensen, 2020). The WHO is designed on these principals to ensure the utmost quality of care worldwide to all people.

The information that I have obtained for this post has made me look differently at the world health organization. To be honest, I was not as informed about this healthcare organization as I now am. I was unaware of what all the WHO provided. I think that it is such a great organization and I am happy that their main focus is towards those in more vulnerable situations. They also are big in addressing health emergencies such as the current COVID-19 pandemic and work diligently with other healthcare organizations such as the CDC in investigating and implementing the best course of action.

References:

Annet H. de Lange, Lise Tevik Løvseth, Kevin Rui-Han Teoh, & Marit Christensen. (2020). Editorial:

Healthy Healthcare: Empirical Occupational Health Research and Evidence-Based Practice. Frontiers in Psychology, 11. https://doi-org.ezp.waldenulibrary.org/10.3389/fpsyg.2020.02236

Douglas, O., & Murphy, E. (2020). Assessing the Treatment of Potential Effect Modifiers Informing World

Health Organisation Guidelines for Environmental Noise. International Journal of Environmental Research and Public Health, 17(1). https://doi-

org.ezp.waldenulibrary.org/10.3390/ijerph17010315

No Author. Retrieved on December 1st, 2020 from https://www.who.int/about/what-we-do

EBP Discussion Post 1

Evidence-based practice (EBP) has become an essential component to health care practices and organizations over the past decade. EBP “enhances healthcare quality, improves patient outcomes, reduces costs, and empowers clinicians; this is known as the quadruple aim in healthcare” (Melnyk & Fineout-Overholt, 2018, p. 7). By referring to evidence from past studies as well as using clinical decision making and a well-established knowledge base, doctors and healthcare providers can make educated decisions for their patients.

Organizations, alike, use evidence-based practice to stay up to date and relevant in health care. While reading my textbook, I came across the Patient-Centered Outcomes Research Institute (PCORI). PCORI is a federally funded initiative authorized by Congress in 2010 to “conduct research to provide information about the best available evidence to help patients and their healthcare providers make more informed decisions” (Melnyk & Fineout-Overholt, 2018, p. 15). PCORI works to help patients and consumers by ensuring evidence-based practice is being used for informed decision making. To do this, PCORI works with healthcare stakeholders to identify critical research questions and answer them through comparative clinical effectiveness research focusing on outcomes important to patients (PCORI.org, n.d.).

Evidence-based practice is evident throughout the PCORI website. Under the research tab of the website, “Putting Evidence to Work” is a section to click on with further information on how evidence is used by the organization. Under the impact tab of the website, three subheadings titled “Evidence Updates”, “Evidence Maps and Visualizations” and “Evidence Synthesis” can be clicked on with further, updated information on recent evidence-based studies and their impact on healthcare. The PCORI website is completely grounded in EBP and supports evidence-based practice to the full extent. Reading about the PCORI initiative on its website has changed my perception in a positive light. I fully intend to use evidence-based practice throughout my profession as I believe it leads to improved patient safety and outcomes. The PCORI initiative is an excellent addition in working towards the quadruple aim.

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.

Patient-Centered Outcomes Research Institute (PCORI). (n.d.). Retrieved from https://www.pcori.org/about/about-pcori

I had never seen this organization until looking it up after your post.  This is a great organization for several fields of study.  Promoting the uptake of research findings is part of PCORI’s legal mandate to improve the quality and relevance of evidence available to help patients, caregivers, clinicians, and others make better-informed health decisions. (PCORI, 2020)  This is a great resource for both health care workers and patients.  Evidence-based practice should be not only used in our daily work but should be explained to our patients.  Knowing that we are up to date on best practices helps to provide a sense of safety to our patients.  PCORI funding will support health systems in initiating these changes within their care delivery settings and in evaluating the impact of these changes. (PCORI, 2021)  Institutions should use evidence-based practice and participate in evidence-based practice daily.

Putting evidence to work. (2020, February 6). Putting Evidence to Work | PCORI. https://www.pcori.org/research/putting-evidence-work

Health systems implementation initiative. (2021, November 3). Health Systems Implementation Initiative | PCORI. https://www.pcori.org/research/putting-evidence-work/health-systems-implementation-initiative

Hello, Cassandra. Thank you for sharing your thought-provoking debate with us. As you said in your article, adopting EBP into health care offers several advantages for both clinicians and patients. Around the time of the Affordable Care Act’s passage, EBP erupted into the medical community (Walden University, 2018). Since then, an increasing number of hospital systems have used research results to guide practice. Despite the fact that EBP was in use before the establishment of the ACA, it has now become a standard for all practice systems. One of the most important organizations representing the nursing community is the American Nurses Association (American Nurses Association, n.d.). The American Nurses Association (ANA) provides a lot of information for nurses. They are active in lobbying for legislative changes that affect both nursing and the general public. The American Nurses Association (ANA) promotes and encourages nursing community members to apply for scholarships in order to enhance their careers.

The ANA’s objectives provide evidence that the organization is based on EBP. Their objectives are to promote high standards of nursing practice, provide safe and ethical work environments, support nurses’ health and welfare, and advocate for health care problems that impact nurses and the general public (ANA, n.d.). ANA provides resources to its members and holds education conferences to keep the nursing community up to date on advancement in nursing. Nurses need to stay current with the newest evidence-based information in order to provide the best care for the patients.

References

“American Nurses Association.” https://www.nursingworld.org/ana/.

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