...Inquiry into health care Assignment 1 This essay aims to thoroughly examine the importance of evidence-based practice within the health care setting. The use of evidence-based practice as a practical framework to locate, appraise and apply the best research will further discussed throughout this essay. In addition this essay will explore how health care professionals can use the five steps of evidence based practice (EBP) as a practical framework to overcoming barriers to locating, appraising and applying the best research evidence in relation to Occupational Health and Safety (OHS). The use of hand washing in relation to infection control will be the OHS area explored. Evidence based practice is a framework that involves an expert finding experimental evidence concerning the value of or effectiveness of altered treatment options, the significance of this evidence is then established in relation to the patients situation (Liamputtong, 2010).Evidence Based Practice generates the need for clinically vital information regarding clinical and health care issues (Liamputtong, 2010). This clinically vital information is gathered by altering evidence into answerable questions, once this information is gathered the appraised information will be put into clinical practice and evaluated based on performance (Liamputtong, 2010). The importance of the five steps of Evidence Based Practice is consistent and conclusive. Before EBP, clinical knowledge was primarily relied on in areas where...
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...According to Polit and Beck (2014), “Evidence-based practice, broadly defined, is the use of the best evidence in making patient care decisions, and such evidence typically comes from research conducted by nurses and other health care professionals” (p. 2). I am aware of evidence-based practice (ebp) and realize how important it is in nursing research. In order to have better patient health care outcomes, it is important to have research evidence that is proven to be effective. Randomized controlled trials and research in general, is detrimental to advancing the care of patients to reduce the severity of many illnesses. Personally, I do not have experience with evidence-based practice to my knowledge. However, by working as a nurse day to...
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...Examine the ways that health professionals can use the five steps of evidence-based practice (EBP) as a practical framework to overcoming barriers to locating, appraising and applying best research evidence. Use an occupational health and safety practice as an example. Examples of occupational health and safety practices include: * Use of professional protective equipment (e.g. gloves) * Safety considerations when using equipment (e.g. sharps) * (or a topic you select yourself in negotiation with your LIC) Health professionals are very good at seeking information from their clients and their families and also from the settings in which they work but however they have not been as aware of the information that they can gain from research. Although they need information from many sources, evidence based practice shows how research can also play a role in informing clinical decisions, (Hoffmann ,2010). Health professionals use the five steps of evidence-based practice (EBP) as a structure to overcoming barriers and applying best research. Examples of this include use of professional protective equipment and safety considerations when using equipment. Liamputtong (2010) states that evidence based practice is a “process that requires the practitioner to find empirical evidence about the effectiveness or efficacy of different treatment options and then determine the relevance of the evidence to a particular clients situation” (pp. 252). Sackett (1996, pp.71)...
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...Reflection Essay Nursing Ethics and Evidence-Based Practice Rachel Lutz Professional Nursing December 10, 2010 Throughout this course I have been able educate myself on many areas of nursing that involve more than just patient care. One area that I found particularly interesting was ethical principlism. Ethical principlism involves using a set of ethical principles to provide framework that will support moral behavior and decision making while caring for patients. (Masters, 2009, p.92) There are four principles that define this idea. These include autonomy, beneficence, nonmaleficence, and justice. Both beneficence and nonmaleficence go hand in hand to show how nurses truly work for the good of the patient. Beneficence involves nurses taking action to promote well being for their patients. While nonmaleficence teaches nurses to refrain from certain actions that could cause harm. (Masters, 2009 p. 93) I believe that these concepts are very important in nursing. One must be able to understand that caring for a patient is more than acquiring skills. You need to have compassion and love in the care you provide. Nursing must be more than just a job. If the desire to help the patient is not present, the ability for the nurse to make the proper judgments can be skewed. Patient advocacy is a key requirement for a nurse. It is important that nurses are able to be taught ethical principles that will guide their thinking toward the good of the patient. Masters describes...
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...Evidence Based Practice Diane Sheley University of St. Mary Evidence Based Practice Evidence-based practice analyzes research findings, quality improvement information, various forms of evaluation data, and expert opinion to identify ways to improve patient outcomes. “Research findings, knowledge from basic science, clinical knowledge, and expert opinion are all considered "evidence"; however, practices based on research findings are more likely to result in the desired patient outcomes across various settings and geographic locations. The impetus for evidence-based practice comes from payer and healthcare facility pressures for cost containment, greater availability of information, and greater consumer savvy about treatment and care options. Evidence-based practice demands changes in education of students, more practice-relevant research, and closer working relationships between clinicians and researchers. Evidence-based practice also provides opportunities for nursing care to be more individualized, more effective, streamlined, and dynamic, and to maximize effects of clinical judgment. When evidence is used to define best practices rather than to support existing practices, nursing care keeps pace with the latest technological advances and takes advantage of new knowledge developments.” (Youngblut & Brooten, 2001). Evidence-based practice is used to close the gap between the research being conducted and the actual practice of nursing. Research is a key component...
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...Competencies of BSN vs ADN C.M. Grand Canyon University August 17, 2014 Why are Baccalaureate nurses more desirable to employers than Associate degree nurses? Both BSN and ADN programs teach the fundamentals of nursing, to include health assessment, medication administration and care planning. Both must pass the NCLEX exam to qualify for entry level practice. But a BSN is a 4 year degree while and ADN is 2 years. BSN programs put more focus on the science of nursing, integrating theories and ethical decision making. Many hospitals are employing BSNs only in order to achieve ‘Magnet status’, recognizing them for quality patient care and nursing excellence. Nurses that are educated at the BSN level vs the ADN level are better trained for the workforce due to their theory background, their focus on evidence based practice and strong critical thinking skills leading to better patient outcomes. A nurse may wonder why knowledge of theory important while caring for patients at the bedside? As a particular religion guides a person for how they should live their life, theories act as guides for nursing practice. A theory provides a nurse with a tool to help them assist with describing, explaining and predicting why they do what they do. Creasia & Friberg, describe how theories provide frameworks to help give direction and guidance for nurses in their education, research and professional practice. (2011, p. 94) BSN programs provide more emphasis on theory than ADN programs...
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...Evidence-Based Nursing Practice Many professional associations, federal government agencies, and other organizations, using research findings and other evidence have developed clinical practice guidelines and standards of care through the years to improve the healthcare practices. The reasons why different groups have come together and have established and implemented guidelines and standards are because there have been many problems and issues that the healthcare setting have encountered. Theses guidelines reduce or decrease, “Never Events”, while improving quality care and patient safety. The purpose of this paper is to review the guidelines that has been developed to address the Urinary Tract Infections (UTI) problem, it’s importance and significance to nursing practice, as well as its impact on the patients and community, and the differences in care based on evidence. “Patients with indwelling catheters, even with current standards of care and evidence-based practice, urinary tract infections continue to be a problem”(Kevin J. Ribby, June 2006). Practice setting problem Urinary tract infections continue to be a problem in healthcare. The numbers of patient’s with urinary tract infections are still too high. “A plethora of articles have been written about nosocomial urinary catheter-related infections, management of the catheter, and proper placement of the indwelling catheter in the male patient 4 but little about the impact of nursing education on outcomes related to...
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...Translational Research for Practice and Populations Linda Parson Western Governors University February 20, 2016 Translational Research for Practice and Populations A. Identify a current nursing practice within your healthcare setting that requires change. Patients having procedures considered invasive require interaction with a medical device and a patient's mucous membranes. One major hazard of these procedures is the induction of pathogenic microorganisms that could lead to infection. Malfunction of utilizing the correct processes in accurately reprocessing or sterilizing reusable medical devices bears a risk connected with break of the host barriers. Spaulding’s classification is utilized to determine the stage of reprocessing/disinfection a medical device should be exposed to (CDC, 2008). Also, Spaulding’s classification also determines the level of sterilization for a medical device. The classification is as follows (CDC, 2008) • Critical items (such as surgical instruments, which contact sterile tissue • Semicritical items (such as endoscopes, which contact mucous membranes), • Noncritical items (such as stethoscopes, which contact only intact skin) Based on the classification of the device determines whether the device requires sterilization, high-level disinfection, or low-level disinfection, correspondingly. Pre-cleaning must be the most important thing to perform prior to high-level disinfection and sterilization (FDA, 2009) ...
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...Implementation of an Evidence-Based Protocol Over the past decade there has been a growing focus on quality improvement including moving from a traditional intuition-based paradigm to evidence-based practice (EBP) (Eizenberg, 2011). There is an increase in consumer demand for quality and cost-effective health care and this has created a greater emphasis on EBP. EBP is essential for promoting excellence in health care (Koehn & Lehman, 2008). Clearly aligned to evidence-based practice, the integration of protocol-based care into care delivery has been evident in the development of service protocols as an approach to implementing standards (Rycroft-Malone, Fontenla, Bick, & Seers, 2008). In the article chosen for this paper the surgical intensive care unit (SICU) did not have a protocol for rewarming postoperative general surgical patients. Why research is valid and applicable to nursing practice Improving and maintaining high quality patient care through developing and implementing clinical protocols is an important part of the health care system. One goal of nursing should always be to provide the best care with the least amount of complications. Faster rewarming of postoperative SICU patients prevent the complication of hypothermia. The selected article reviews results from a study done to determine the quickest way to rewarm a postoperative general surgical patient. It also reviews the development of a rewarming protocol and the compliance rates of protocol use. The...
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...then Click The Link Below For Instant Down Load http://www.acehomework.net/?download=devry-nr-439-all-week-discussions-latest-2016 IF You Face Any Problem Then E Mail Us At JOHNMATE1122@GMAIL.COM DQ 1 Searchable Clinical Question (graded) Read the assigned case study and formulate one searchable, clinical question in the PICO(T) format. There are several potential questions that could be asked. Identify if the focus of your question is assessment, etiology, treatment, or prognosis. Remember to integrate references. DQ 2 Role of Research (graded) Why should nurses incorporate research? What trends have created a push for nursing practice based on evidence? Remember to use references. Devry NR439N Week 2 Discussion DQ 1 & DQ 2 Latest 2016 Jan. DQ 1 Describe a Significant Nursing Clinical Issue (graded) Reflect on your practice and identify a significant nursing clinical issue that you would like to search for evidence in online sources. This issue will be the basis for the Research Database Assignment that you will submit in Week 3. Formulate searchable, clinical questions in the PICO(T) format for your nursing clinical issue. Remember to integrate references. DQ 2 Share a Research Database Description (graded) Review the guidelines and grading rubric for the Research Database Assignment due in Week 3. Search for ONE research database that is relevant to your nursing clinical issue, briefly describe the issue you are investigating, and use the instructions on the form...
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...Evidence Based Practice. Research Methods. Evidence-Based Practice (EBP), the skill of using correct research methods, the importance of making informative decisions based on the best EBP within the health care industry as well as an example of EBP in regards to infection control and hand washing procedures will be key issues discussed throughout this essay. The health profession is continually developing and adapting in its implementation to health care techniques and skills due to changing world health conditions. It is therefore imperative that research be constantly conducted to analyse new research relating to health care to ensure health care practitioners are using techniques derived from the most current evidence (Aveyard & Sharpe, 2009). Evidence Based Practice can be defined as, “the conscientious, explicit and judicious use of current best evidence in making decisions about the health care of patients” (Sackett, Richardson, Rosenberg, & Haynes, as cited in Craig & Smyth 2007). The basis of EBP is that decisions are made by assessing not only the information at hand, but also integrating clinical experience, the most current evidence available, critical thinking and keeping in mind the patient’s best interest and preferences (Aveyard & Sharpe, 2009). Evidence based practice was developed because of the commitment of health care practitioners to social research and science (Mullen, as cited in Liamputtong...
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...The course has increased my awareness on providing and implementation of the safety tools available for the nurse managers and leaders in promoting a patient-safe culture. Consequently, I learned to focus on the driving forces that promote a patient safe culture, such as a patient-centered care culture, leadership, management skills, promoting collaboration among the interdisciplinary team, encouraging teamwork, utilization of evidence-based practice, providing a culture of learning, and providing a just culture. Therefore, the nurse leaders and managers must utilize these driving forces that alters the existing culture. Thereby, the transformation of their units for providing a patient-safe culture, may be accomplished. Work in Interdisciplinary...
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...Milan Seoul Upper Saddle River Munich Paris Montreal Taipei Toronto Amsterdam Delhi Cape Town Mexico City Sao Paulo Hong Kong Singapore Tokyo Contents Preface xxiii Acknowledgments xxvii Introduction to Human Resource Management 2 WHAT IS HUMAN RESOURCE MANAGEMENT AND WHY IS IT IMPORTANT? What Is Human Resource Management? 4 Why Is Human Resource Management Important to All Managers? 5 Line and Staff Aspects of Human Resource Management 6 Line Managers' Human Resource Duties 6 Human Resource Manager's Duties 7 New Approaches to Organizing HR 9 Cooperative Line and Staff HR Management: An Example 9 Moving from Line Manager to HR Manager 10 THE TRENDS SHAPING HUMAN RESOURCE MANAGEMENT 10 Globalization and Competition Trends 11 Indebtedness ("Leverage") and Deregulation 12 Technological Trends 12 Trends in the Nature of Work 13 Workforce and Demographic Trends 14 Economic Challenges and Trends 15 IMPORTANT TRENDS IN HUMAN RESOURCE MANAGEMENT 16 The New Human Resource Managers 16 Strategic Human Resource Management 18 High-Performance Work Systems 19 Evidence-Based Human Resource Management 19 19 • EVIDENCE-BASED HR: Why Should You Be Evidence-Based? Managing Ethics 20 HR Certification 20 THE PLAN OF THIS BOOK 21 The Basic Themes and Features 21 CHAPTER CONTENTS OVERVIEW 22 Part 1: Introduction 22 Part 2: Recruitment and Placement 22 Part 3: Training and Development 22 Part 4: Compensation 23 Part 5: Employee Relations 23 The Topics Are Interrelated...
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...between Associate Degree in Nursing (ADN), and Bachelor in Science of Nursing (BSN) prepared nurses. Then identify a patient care situation describing how nursing care or approaches to decision making may differ based upon the educational preparation of the nurse. The Free online Dictionary (2013) depicts competency as “The quality of being competent or capable of performing an allotted function.” Here is a comparison of two different pathways to becoming a Registered Nurse: Associate Degree in Nursing (ADN), and Bachelor in Science of Nursing (BSN) programs. Born out of the nursing shortage in 1952, the Associate Degree nurse came in to fruition thanks to Mildred Montag. The Associate Degree program for Registered Nurses is two-three years length. This program does hold academic credit based on clinical and general studies preparing these students to be able to function as “technical” bedside nurses. At the end of the ADN program students are eligible to take the NCLEX-RN (Creasia & Reid, 2011). The Bachelors of Science program is four years in length and actually regarded by the American Nurse association as the original entry level requirement to becoming a Registered Nurse (Smith, 2009). This program originated in 1909. The BSN program is based on evidence based practice, Community nursing, and prepares these nurses for leadership roles whereas the ADN programs do not function to prepare nurses in leadership roles (Creasia & Reid, 2011). This is due to the program providing...
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...Challenges and Responses to Improving 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...
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