Discussion: Where in the world is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

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.

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.

Methods Section

Please complete the methods section for the next part of the paper

Need ONE Response Per Each Discussion Total 6 Responses. Attached Are The Discussions And Rubric Please Follow Them. Posts Will Be A Minimum Of 2 paragraphs , APA Format.Two References Per Each Discussion

 

A minimum of 2 paragraphs is required for all posts (initials and replies).

3. Support all posts with at least 2 cited peer review references within 5 years of publication (references cannot be older than 5 years).

4. All posts are to be written in APA 6th edition format as required by the university.

Nurssing role and scope DQ reply week 11 Mairelys Bada

 

Chapter 11: Patient-Centered Care and Professional Nursing Practice

Question 1. 

Characteristics of patient-centered care are respect for patients’ values, preferences, and expressed needs (Masters, 2017). A nurse must respect the patients caring for. Everyone has distinct values, preferences and needs, therefore, nurse should be non-judgmental while caring for a patient.

Each PCC characteristic has its importance. For instance, what’s important to the patient should be respected and accepted by the nurse caring for the patient. The nurse should acknowledge that what may be of valuable means to someone may not be to someone else. Also, preferences have an important role in nursing. Hence, a nurse may encounter a patient preferring to be treated by a nurse of the same gender due to religion.

Lastly, a patient may have specific needs that must be addressed in order to achieve proper care. For instance, a patient with low income and is newly diagnosed with diabetes. Patient is unable to purchase the expensive medication needed for his new condition; therefore, unable to achieve proper treatment. As nurses we must understand patients’ needs and be their advocates.

Question 2. 

First, I would consider age, gender, culture and race to proceed with an appropriate educational method for this patients’ discharge. Although, the patient is being discharged with home health care, I would not disregard that he is the patient and must be informed of discharge. So, I would go over some suggestions of times that he may take his medications and work around his daily activities schedule. In addition, involving the patient in the treatment plan may motivate the elderly to feeling more efficient and useful.

            Furthermore, I would address any medication interactions involved with him. However, I would also hand him documents reinstating the discharge instructions and times discussed considering age related barriers and that the load of information given may be overwhelming. Of course, reassuring him I may answer any questions concerning his new medications and diagnosis. At this point, it is crucial to know if the patient is a visual learner or audio? The nurse may hand out pamphlets or brochures.

Lastly, involving family or home health care nurse in his treatment plan and discharge is an important factor in PCC. Also, I would consult with the patient the importance of taking his medications and sustaining a regimen. Considering, the patient being an elderly male African American he may be resistant at first to proceed with his medical plan and may look for remedy alternatives.

Question 3. 

The goal of the nurse in the process of patient education is to assist the patient in obtaining the knowledge, skills, or attitude that will help the patient develop in obtaining the knowledge, skills, or attitude that will help the patient  develop behaviors to meet needs and maximize the potential for positive health outcomes (Falvo, 2004,2011). It’s a nurse’s job to assure that the information being delivered is delivered correctly. In other words, the patients learning abilities, language barriers, or cultural sensitivity that may impede from treatment collaboration.

Thus, assess the patients comfort level in discussing treatment plan. Also, evaluate the patient’s ability to collaborate and if any barriers. Keeping in mind, Age-related changes in cognitive function occur slowly and are thought to begin at approximately sixty-years of age in healthy adults (Miller, 2004). Depending, I would proceed to ask the patient to reinstate what he understood of the information taught to determine if the information was retained by patient.  

Lastly, the patient needs to be willing to participate in his plan of care to be able to obtain a good health outcome. Therefore, as a nurse my priority would be in assessing any barriers that may impede a behavioral change. Once the patient is collaborating with the nurse should ask open ended questions to promote better communication between nurse and patient. References

Falvo, D. (2004,2011). Effective patient education: A guide to increased adherence. Sudbury, MA: Jones & Barlett Learning.

Masters, K. (2017). Role Development in Professional Nursing Practice. Burlington, MA.

Miller, C. (2004). Nursing for wellness in older adults: Theory and practice. Philadelphia,PA: Lippincott.

Conflict and Collaboration

1. Read the dialogue below

[MUSIC] Thank you for agreeing to talk to me about the discussion we had the other day about assigning patient load. As I started to say in the meeting but got interrupted, it is that I really don’t like the new plan that we have. I like the old one better and I don’t understand why we need to change.

I think that they expressed one concern about visiting patients in Iron Ridge.And that is the key as they were with high crime rate. We all recognize this issue. I do understand, but the new patient assignment scheme is meant to match you with a patient who will most benefit from your specialty and not where you live geographically.

There are many patients in Iron Ridge who have diabetes that need your expertise. [BLANK_AUDIO] Well, I really do love my patients, and I don’t hold it against them that they live in a bad part of town. But frankly, I’m afraid.Every night when I watch the news, there’s somebody that’s been involved in a shooting or a carjacking.

I talked to my husband about it, and he said that if you insist I go over there, he wants me to quit because it’s not safe. [BLANK_AUDIO] I have an idea I would like to explore with you. What if we sent an escort to accompany you on your visit?

Would this help you feel safer in that neighborhood? Sure it would, but do you think that’s realistic? The last I heard, we didn’t have any money to give us nurses raises and bonuses. I mean, do we even have the budget for something like security? It’s realistic as long as I can justify the safety of our nurses.

Let’s say the cost is a barrier to this scheme. What do you think?[BLANK_AUDIO] Well let me think about it. I need to talk to my husband too. I can’t decide right now. But you’ve given me something to consider. [MUSIC]

2. At times the needs of our families conflict with our work responsibilities. Could this possibly be the underlying issue here? Explain the conflict resolution skills displayed by the leader in the scenario. On a scale of 1-10, how would you rate those of the leader. How might earlier collaboration have been beneficial? What other leadership skills should be used?

NUR-530-D3R1

Minimum of 250 words with peer review reference.

 

Discuss how evidence-based practice is defined as translational research. Describe the framework that supports that definition. Identify a population health issue you are interested in researching and discuss the issue using that framework. As you select an issue, remember you will be building upon your research in this course for your evidence-based practice project in the next course. Think about how you can focus your research now to help you complete your EBP project. 

Note: While you will only be proposing a solution and implementation plan in your EBP project, keep in mind EBP projects lay a foundation for doctoral research, since doctoral candidates have the opportunity to actually implement their projects. If you are interested in pursuing doctoral education, it is a good idea to choose an issue you would be interested in pursuing in greater depth. The research and work you complete on your EBP project now can be used if you choose to move forward into doctoral education.

1 Page due 7 hrs

Male & Female Reproductive SystemUsing the South University Online Library or the Internet, research the conditions affecting the male and female reproductive systems. Based on your research and understanding, respond to one of the following scenarios: Scenario 1:Mrs. Smith is a 50 year old Caucasian woman who has 4 children ages 17, 15, 13, and 10. She was 33 with the birth of her first child. Her BMI is 25. She has no personal or family history of breast cancer. She lives with her husband in a suburban community. She is an elementary school teacher who is working part-time as a substitute so she can be home with her children. She has been healthy with no previous medical history. One year ago she noted a small palpable lump in her right breast about the size of an almond. Because she has been healthy she assumed it was nothing and ignored it. Over the last month she has noted that this lump has been increasing in size. Her health insurance would be expiring in the next month so she reluctantly decided to have a mammogram. She called for an appointment and they were unable to see her for another 2 months.After waiting 2 months, her mammogram confirmed a 5 cm mass. She then had an ultrasound guided biopsy. This biopsy confirmed the presence of cancer cells. An additional biopsy confirmed the presence of cancer cells in 3 of her lymph nodes most proximal to the tumor. What are the primary concerns for the patient right now?What is the rationale for these concerns?What are some of the expected medical surgical interventions?What is the worst possible complication to anticipate?What further assessment will be needed if complications develop?What pharmaceutical drugs are approved treatments for breast cancer patients?Discuss the advantages and disadvantages of the selected drugs, and include safety issues. Scenario 2:A 44-year-old obese female is admitted to the emergency room with fever and severe abdominal pain on the upper right side that radiates to the scapula. She states that she feels nauseated. She states that the pain began at a friend’s house during a party and is becoming more severe. You can see that she is quite uncomfortable. What could be the underlying cause of these symptoms?What examinations would you perform? Why?What laboratory tests would be needed to confirm possible differential diagnoses?What pharmaceutical drugs are approved for treating the diagnosis that you concluded for this case?

unionization and the nursing profession

  Discussion: Unionization and the Nursing Profession Unionization is a highly charged topic. No matter what your beliefs or thoughts are on the subject, one thing is clear—nurse managers have a significant responsibility to promote the goals of their organizations while appreciating the labor concerns that may prompt employees to join unions. Beyond that, it is helpful to reflect on the core values of nursing and consider the extent to which they align with unionization.

To Prepare Review the information in the Learning Resources. Conduct additional research on unionization in health care. Consider the professional basis of nursing and the presence of unions in health care. Does unionization conflict with a professional nursing orientation? Reflect on the experiences you have had working in unionized settings, or consider what would be required of you in such a setting if you do not have that experience. Consider how you would address transitioning from being a member of a collective bargaining unit to being a manager who cannot be a member of a collective bargaining unit. How you might prepare to make this sort of transition? By Day 3

Post your position on whether unionization aligns with or conflicts with a professional nursing orientation and what this may mean for the role as a nurse manager. Share your experiences working in a unionized setting or describe what might be required of you when transitioning from one circumstance to another. 

Madam Easy

 

Thank You very much

 

 

Complete the Operating Budget Worksheet and Template.

Format your assignment according to APA guidelines.

Maternity week 3 Assignment

 

Address this question: Should antepartal testing be used for reason other than the assessment of fetal health and well-being (e.g., select the “perfect child” on the basis of characteristics, gender, and absence of genetic health problems of any kind)?

Support your answers in an APA formatted summary!