...Evidence-Based Practice and Applied Nursing Research Joyce Windham Western Governors University Article Larson, E., Quiros, D., Lin, S. (2007). Dissemination of the CDC’s Hand Hygiene Guidelines and Impact on Infection Rates. American Journal Infection Control, 35, 666-675. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2137889. Graphic BackgroundInformation|This study examines the implementation of the Center for Disease Control and Prevention (CDC) hand hygiene guidelines and analyzes whether compliance impacts patient outcomes, especially hospital acquired infections (HAI). The correlation of hand hygiene (HH) and HAI is very well described in this study. Rates for HAI were determined both pre and post implementation of the guidelines. A structural abstract is included with this study. There is an introduction which explains the intent of the study is to and examine how the CDC guidelines are implemented, the compliance rates for HH and how that relates to HAI rates.| Review of Literature|There have been numerous clinical practice guidelines by federal and professional organizations which were intended to improve quality of patient care and minimize variances in clinical practices. There have been three versions of the HH guidelines with the last version in 2002. There have been few studies done to correlate the practices of HH with HAI rates. This study was conducted in 2007 but is still relevant today. Compliance with HH guidelines...
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...Metropolitan State University Professional Nursing Practice Professional nursing to me is very important in order to provide excellent patient care and isn’t defined by either an Associates or BSN degree. Professional nursing to me combines the following qualities: competence, leadership, compassion, and teamwork. As a professional nurse we need to be competent in order to provide safe and effective care to our patients. By using evidence-based research and continued education we are able to provide the care patients deserve. Leadership is another very important quality to have as a professional nurse because it helps us advocate for our patients and colleagues. Compassion...
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...EBT1: Evidence Based Practice and Applied Nursing Research COMPLETE COURSE WGU RN-BSN IF You Want To Purchase A+ Work Then Click The Link Below , Instant Download http://www.hwnerd.com/EBT1-Evidence-Based-Practice-and-Applied-Nursing-Research-709077666.htm?categoryId=-1 If You Face Any Problem E- Mail Us At Contact.Hwnerd@Gmail.Com TASK 1 The research obtained in this particular study does support the conclusion. When all five area’s were studied, it verified that the incidence of ventilated associated pneumonia was decreased when oral care and dental care was performed onto these mechanically ventilated patients. The background information that was provided was direct, to the point and relevant to the impact of today’s heath care. Millions of dollars are being spent every year for incidences within hospitals that can be prevented and this study was set out to prove just that, that ventilator associated pneumonia can be prevented. The logic was simple. That logic was to clear the mouth and airway of any harboring microorganisms that can pool in the mouth and result into an infection. The test groups were relevantly the same size and the characteristics of age, sex, APACHE scores and reasons for admissions were comparable. The conclusion was predictable in verifying that strict oral cleaning did result in a lower incidence of ventilator associated pneumonia in patients. A.4. During the course of this research, ethics would be addressed. Before...
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...EBT1: Evidence Based Practice and Applied Nursing Research COMPLETE COURSE WGU RN-BSN IF You Want To Purchase A+ Work Then Click The Link Below , Instant Download http://acehomework.com/EBT1-Evidence-Based-Practice-and-Applied-Nursing-Research-WGU-8906543.htm If You Face Any Problem E- Mail Us At JohnMate1122@gmail.com TASK 1 The research obtained in this particular study does support the conclusion. When all five area’s were studied, it verified that the incidence of ventilated associated pneumonia was decreased when oral care and dental care was performed onto these mechanically ventilated patients. The background information that was provided was direct, to the point and relevant to the impact of today’s heath care. Millions of dollars are being spent every year for incidences within hospitals that can be prevented and this study was set out to prove just that, that ventilator associated pneumonia can be prevented. The logic was simple. That logic was to clear the mouth and airway of any harboring microorganisms that can pool in the mouth and result into an infection. The test groups were relevantly the same size and the characteristics of age, sex, APACHE scores and reasons for admissions were comparable. The conclusion was predictable in verifying that strict oral cleaning did result in a lower incidence of ventilator associated pneumonia in patients. A.4. During the course of this research, ethics would be addressed. Before the study had begun, the...
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...EVIDENCE BASED PRACTICE BENCY GNANASIGHAMANI AMERICAN SENTINEL UNIVERSITY Introduction Medical and health care is one of the most dynamic human disciplines, and large amounts of money are spent annually on high-quality and sophisticated research, resulting in an exponential growth in health care literature. Regularly, new and more effective medicines, medical devices, and procedures are invented. One major objective behind all these efforts is to help doctors, nurses, and medical technicians provide the best possible care and treatment to patients. In addition to using traditional and well-established procedures and practices, health care practitioners are adopting innovative interventions that are based on best practices as well as solid research-based evidence. Evidence-based practice is one such technique and is quickly gaining popularity due to its potential to effectively handle clinical issues and provide better patient care (ANA 2003). Implementation of Evidence Based Practice places additional demands on nurses to apply credible evidence to individual client situations through searching related evidence, using clinical judgments, and considering client values and system resources. To effectively apply the Evidence Based Practice process, in addition to the basic skills required to undertake nursing work, a nurse must have the ability to: identify knowledge gaps, formulate relevant questions, conduct an efficient...
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...Title: Evidence Based Practice in Nursing Name Course Tutor April 20th, 2013 Introduction The paper herein provides a critical discussion of evidence based practice (EBP) in nursing. It clearly elaborates on the meaning and definition of EBP as used by nurses as well as the importance of evidence based decision making as it relates to nursing care. It broadly examines the concept of EBP in nursing care and its relevance to nursing practice and to the delivery of quality patient care. Subsequently, the essay will also expound on the broad research methods that are used in evidence based nursing and conclusively show how this evidence can be applied in day to day health care practice. The Definition and Importance of EBP Evidence based practice in nursing has wide and varied definitions among the nurses in practice and in academic centres. However, the most generally accepted definition is the integration of the best research evidence with clinical expertise and patient values (Sacket et al., 2000). Van, Schoonhoven & Grol (2008 at p. 382) while citing Sacket et al., (2000), define evidence based nursing as the conscientious, explicit and judicious use of current best evidence available in making decisions that are pertinent to the care of individual patients. It is the optimal use of the available research evidence in nursing (Van, Schoonhoven & Grol, 2008). In other literature, evidence based practice (EBP), in nursing has been defined to mean the...
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...tutorial visit here: http://mindsblow.us/question_des/NRS-433VAllWeeksDiscussions/2857 contact us at: help@mindblows.us NRS-433V All Weeks Discussions NRS-433V Module 1 DQ 1 Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles. NRS-433V Module 1 DQ 2 What similarities and differences can you identify between the nursing process and the research process? NRS-433V Module 2 DQ 1 The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature. NRS-433V Module 2 DQ 2 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Why should it be studied? Justify your rationale. NRS-433V Module 3 DQ 1 The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. What are the differences and similarities between two of the three types of studies? NRS-433V Module 3 DQ 2 Qualitative data has been described as voluminous and sometimes overwhelming to the...
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...Evidence Based Practices Abstract Quality nursing and outcomes have a strong correlation with evidence based practices, a model that guides patient provider decision making and health care. Evidence based practices uses contentious and judicious use of current best evidence in decision making about the care of individual patients. Strong nursing and organizational leadership is needed to invest in nurses ability and the resources to facilitate evidence based practices. With business principles applied to quality health care the return on investment can increase revenues, saving costs, increases patient safety, and achieves the highest quality care. Keywords: clinical decision making, patient safety, best health care outcomes Evidence Based Practices in Nursing Evidence based practices occurs in many disciplines but most recently it has occurred in the discipline of nursing. Evidence based practices helps to identify and recognize the best health outcomes for patients and their families obtained through clinical expertise and best scientific evidences. Health care professionals are constantly asking questions in regards to health care practices in regards to how and why practices are being performed the way they are. Health care professionals want to know if the way they are caring for a patient is the best way or is there another method that is more effective. In a dynamic health care setting these questions are being asked to ensure quality care and safety for patients...
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...Implementation of Evidence-Based Practice Sheila Wright Submitted to Sharon Mooney, RN, MSN in partial fulfillment of NR 460R Evidence-Based Practice in Nursing Regis University April 9, 2010 Implementation of Evidence-Based Practice Throughout history, nursing practice has experienced change. Florence Nightingale initiated the greatest change in nursing in the mid-1800’s when she gathered data regarding the morbidity and mortality of soldiers (Chitty & Black, 2007). Nightingale recognized there was a need for change to improve patient outcomes. Her determination to provide the best possible care, based on the evidence she gathered, has inspired a profession. Today, the process of using research to care for patients is referred to as evidence-based practice. The purpose of this paper is to define and explain the importance of evidence-based practice, discuss qualitative and quantitative research studies which affect medical-surgical areas, and barriers preventing research utilization and how they may be overcome. Definition of Evidence-Based Practice There are numerous definitions of evidence-based practice (EBP). EBP is defined by Boswell and Cannon (2007) as, “A research-based, decision-making process used to guide the delivery of holistic patient care by nurses” (p. 340). Cope (as cited in Chitty & Black, 2007), defines EBP as “using the best available research findings to make clinical decisions that are most effective and beneficial for patients”...
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...HPNA Position Statement Evidence-Based Practice Background Increased attention is being directed toward the development of methods that can provide valid and reliable information about what works best in healthcare. The careful scientific evaluation of clinical practice became a prominent focus during the second half of the 20th century.1 More recently, attention has been paid to methods of determining which of multiple proven approaches to a healthcare problem works best for which patients.2 Evidence-based practice encompasses implementing the best-known practices into the clinical setting using a scientific approach. It evolved from evidence-based medicine, which was developed in Canada to teach medical students. “Evidence-based medicine has been defined as the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.”3, p. 3 The National Quality Forum’s report A National Framework and Preferred Practices for Palliative and Hospice Care Quality is a consensus report that is a first step toward introducing evidence-based measures into palliative practice on a formal, national level.4 The Agency for Healthcare Research and Quality (AHRQ) supports organizations in their efforts to improve the quality and efficiency of healthcare by facilitating the use of evidence-based research findings in clinical practice.5 The nursing discipline has also embraced evidence-based practice over the past 25 years, initially through...
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...Evidence-Based Practices in Nursing Evidence-based practice can be defined as any research done whose findings enhance the ability to make better decisions regarding health care. (effective healthcare) There have been countless studies done on a multitude of topics. All of this research has led to more effective treatment and better outcomes for patients. An example of an evidence-based project performed in 2014 is one on catheter associated urinary tract infections.(Clagg) This is an immense problem in hospital and nursing home settings. There are many ways we can examine this study to see how the nurses involved with these particular patients can decrease the risk of these infections. Patients admitted in the hospital are much easier to do this type of evidence based research on due to availability of data. In the hospital, the nurse can monitor the patient’s intake and output, the color of the patient’s urine, and whether or not it has any odor or sediment.(Clagg) This research may also be done in a nursing home setting with twenty-four hour nursing care. This type of research would be difficult in the patient who was at home with a Foley catheter without having a home health nurse multiple times per day. The steps of the nursing process closely relate to evidence-based practice. This is because the nursing process is designed to deliver complete care. The nurse taking care of the patient must evaluate the patient’s needs based on subjective and objective data, develop...
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...Nursing, as a profession, continues to be a growing and changing entity. As nurses, we must consider that our future is going to be much different than our past. This presentation will review four major topics that are worth consideration, and hopefully provide food for thought about each nurse’s plans and goals for his or her own career in the future. We will discuss evidence-based practice, nursing theory, research, and nursing roles and opportunities. Each of these topics includes a myriad of ideas, publications, and opportunities for self assessment and growth. Evidence-based nursing, evidenced-based practice, and evidence-based medicine are all based on the idea that health care treatment has transitioned from “practice that was based on intuition, experience, clinical skills and guesswork” to practice based in science (Chitty, 2010, p. 258). This has allowed nurses to make decisions based on research, and to provide the most skilled, advanced, and expert care. Nurses should know where to find research to support evidence-based care decisions. According to Ciliska, Haynes, and Marks (2013), a nurse could review textbooks, online data bases, journal articles, and the internet. One should consider that both consolidated and distilled information resources are available, and remember that distilled information resources do not always provide the most accurate and up to date information. The consolidate resources can be plentiful and one may have some difficulty choosing...
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...Geriatric Nursing Care Lisa Watson University of Massachusetts Boston Professional Issues in Nursing NU: 360 Dr. JoAnn Mulready-Shick September 29, 2012 Abstract Challenges occur in nursing practice that impede the ability of the nursing profession to improve the care provide by nurses to our growing older population. This paper will describe some of the challenges nursing is facing and how to make the changes needed to improve the field of nursing. The research will show that investing in future education of nurses is the base that change will be built upon. Will you or a loved one fall into the geriatric population that is expected to explode? How will nurses care for this population and are they prepared to do so? Modern technology, research and advanced training have assisted the elderly population to live longer. Baby boomers are approaching their elderly years. This presents an ongoing challenge for the nursing industry. As reported by Kinsella & Velkoff, “the population of older adults {is} expected to double by the year 2030” (as cited by Shellman, 2012, para. 2). “Of today’s United States population 12.6% is at least 65 years old, and 20% of the population is expected to be at least 65 years by 2030; thus it is accurate to say a large portion of the healthcare business is and will continue to be caring for older adults . . . (CIA World Factbook 2007) as referenced by Grossman and Valiga (2009). There are many challenges that impede how the nursing industry...
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...Implications of Evidence Based Practice-Research Patricia Davis Immaculata University The Importance and Implications of Evidence Based Practice-Research Evidence based practice is a way of providing health care that is guided by incorporating current knowledge and clinical expertise. This research and resource information corrects clinical problems, application of quality interventions, and evaluates the outcomes for further improvements in the future. Evidence based practice is an approach that improves the impact of nursing, psychology and social work. It gives research the cause and effect that gives validity to the information. The purpose of evidence based practice is ensuring that patients receive the best quality care and keep nurses, nursing care, and knowledge up to date. The American Nurses Association (ANA) recognizes the importance of evidence based practice (EBP), and that it incorporates the registered nurse to integrate, participate in the formulation, and contribute to the knowledge of research to improve healthcare outcomes (ANA, 2010). Evidence based research results in favorable patient outcomes across various geographic locations. The impetus for evidence-based practice comes from decisions of efficacy, and healthcare facility pressures for cost containment. Evidence practice stresses changes in the education of students, more practice-relevant research, and closer working relationships between clinicians and researchers. The evidence based practice...
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...Nursing Research Nursing is often incorrectly regarded as a subset of the medical profession; in reality, the profession of Nursing is a unique, distinct science with its own knowledge base and skillset. In accordance with the requirements of a scientific profession, there is a need for scholarly inquiry and nursing research in order to maintain autonomy and distinction of the Nursing perspective separate from other disciplines. An editorial published in the Journal of Nursing Scholarship noted that “the distinguishing feature of a profession is how its practitioners use knowledge to make a difference” (Hegyvary, 2007). The evidence generated by Nursing scholars influences global health initiatives and policy worldwide. The need for field wide scholarly inquiry, the application of rigorous scientific standards to research, and the importance of stringent ethical and legal protection for research subjects has been the subject of numerous articles, books, and papers. The Nursing Profession has a responsibility to engage in scholarly research for many reasons that will be discussed in depth within this paper. Importance of Nursing Research to the Nursing Profession As noted in the introduction, in order to maintain its status as a unique, autonomous profession, Nursing as a field must continually refine and expand its scientific knowledge base. The AACN position statement summarizes the importance of research to the profession by stating “The essence of a discipline is...
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