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
Collapse
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 Program 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
Seasons Hospice and Palliative care is an organization that serves patients who have been diagnosed with a terminal illness- specialized care and support is provided to families and patients that are cared for. Upon exploring within the website, this particular company has also paired with AccentCare for a community-based program that is non-profit and is ranked the fourth largest hospice company in the United States. This organization was founded in 1991 and “utilizes the highest level of technology available to hospice industry ad full implementation of document imaging with custom scheduling tools for physicians and field staff.” (About Us, 2021). The patient can receive care at all times from registered nurses for symptom management or any needed questions.
Evidence-based practice (EBP) is warranted to have the best clinical outcomes and be the “true best” patient care. Often in healthcare, I reflect on what I would want for my loved ones and what expectations and needs would be sought after, that is, evidence-based practice. EBP should be the rule, not the exception or a choice for healthcare delivery. EBP “improves healthcare quality, reliability, and patient outcomes and reduces variations in care and costs, but it is still not the standard of care delivered by practicing clinicians across the globe” (Melnyk et al.,2014, p. 7). Upon evaluation of Seasons Hospice website, I discovered that within the vision and philosophy/goals of care, they have informed to “strive for excellence beyond accepted standards, and increase the communities awareness of hospice as part of the continuum of care.” They also discuss ensuring quality care with joint expertise that is dignified and elevates care to the next level (About Us, 2021). The company also wants to stress that it aims to be personalized and match the patients’ needs and family support. Throughout navigating the entire website in the organization, they do not clearly state that Seasons utilizes evidence-based practices. Still, when reading the vision, mission, and philosophy, the foundation of this organization is providing and defining evidence-based practice care.
This organization is grounded in EBP for the mission and vision/philosophy of the entire company encompasses the theory behind the evidence-based practice. They implement these throughout Seasons through the policies and procedures in place. Aligning the competencies needed for cultivating EBP within the organization ensures success and proper implementation, where patient-centered care focuses on teamwork and collaboration, quality improvement, and safety (Melnyk et al.,2014, p. 7 ). These components are aware throughout the website and are aimed and known for the reader to gather quickly about this particular organization.
Being such an established and founded organization, they have exceptional technological advancements that allow them to be highly skilled and modern to any available advances. According to Worldviews on EBP, the nursing part of EBP needs is the ability to have the resources and skills necessary to search for and appraise research evidence to implement in practice( Crabtree et al.,2016, p.172). The probability of success and the main reason EBP is paramount is when the team within the organization, including every discipline, is just as invested and involved in sharing the same care goals. Hospice has requirements for a meeting with the medical director, LPN, RN, Social worker, chaplain, and even family members can be invited to these meetings to discuss the patient plan of care, outcomes, and needs. It only leads me to firmly take a stance that this particular organization is grounded in EBP. I also found that they aim to educate the staff and have continuing education courses frequently for first-class education to better care and outcomes. There were positive correlations between EBP beliefs and EBP implementation in the study conducted–which CE courses are needed to have the competencies and skills necessary to make that correlation accurate (Sikka,2017).
Struggling to Meet Your Deadline?
Get your assignment on NURS 6052 Where in the World Is Evidence-Based Practice? SAMPLE done on time by medical experts. Don’t wait – ORDER NOW!
Meet my deadline
Personally, having a background in hospice by working for a different organization within the field, I had a basis of knowledge regarding the type of care provided as a whole encompasses and requires to provide EBP. It truly is what brought me out of the hospital setting and more focused and seeking hospice care because it focuses on the reasons why I became a nurse in the first place. Ensuring I was giving the best optimal care possible and being a lifelong learner who put my patients and families first was essential to me. I always wanted to continue my research and ensure my patients’ safety at all times. I feel that hospice care is just that because EBP is followed in hospice care. In the hospital, it has become how fast you can get out of the room to the next patient and make sure that you get everything done on that checklist. Upon exploring this website, it is evident that this healthcare organization is complex and filled with quality care. Upon reading the countless testimonials, you can see the difference hospice makes to provide holistic care supporting through every stage during the end of life. Upon reading the website, it made me further become passionate about hospice and proud to be a hospice RN who can provide EBP care.
References
About Us. (2021, February 23). Seasons Hospice & Palliative Care. https://www.seasons.org/about-us/
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving Patient Care Through Nursing Engagement in Evidence-Based
Practice. Worldviews on Evidence-Based Nursing, 13(2), 172– 175. https://doi.org/10.1111/wvn.12126
Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A., & Davidson, J. E. (2016). Predictors of Evidence-Based Practice Implementation
, Job Satisfaction, and Group Cohesion Among Regional Fellowship Program Participants. Worldviews on Evidence-Based Nursing,
13(5), 340–348. https://doi.org/10.1111/wvn.12171
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The Establishment of Evidence-Based Practice Competencies for
Practicing Registered Nurses and Advanced Practice Nurses in Real-World Clinical Settings: Proficiencies to Improve Healthcare Quality, Reliability, Patient Outcomes, and Costs. Worldviews on Evidence- Based Nursing, 11(1), 5–15. https://doi-org.ezp.waldenulibrary.or
/10.1111 /wvn.12021
Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24(10), 608.
doi:http://dx.doi.org/10.1136/bmjqs-2015-004160
The implementation of evidence-based practice (EBP) interventions requires cultivation of a spirit of inquiry, asking clinical question, and searching for the best evidence as well as appraising it. It also entails implementation of the evidence, outcomes’ evaluation and sharing of the results (Melnyk & Fineout-Overholt, 2018). Therefore, one can find EBP in different organizations based on the information that they provide on their websites.
The Centers for Disease Control and Prevention’s (CDC) website demonstrates evidence-based practice as engrained in its activities. The primary purpose of this organization is to protect people against diseases and health prevention. The organization’s goals include detection and responding to newly emerging health threats, conducting research using cutting-edge technology aimed at promoting primary healthcare and disease prevention (Mellerson et al., 2020). CDC also focuses on people’s heath and reducing the mortality levels as well as offer support to health system and society.
Evidence-based practice (EBP) appears on CDC’s website as described by its mission and vision as well as its goals of offering quality care and ensuring effective collaboration among healthcare providers. CDC’s other goals include supporting evaluation and monitoring of health care systems and communities (Washburn, 2019). Therefore, the goals of this organization and its mission and vision statements all support EBP.
The CDC’s work is grounded in EBP because before it can share any information concerning healthcare issues, it collects sufficient evidence (Melnyk & Fineout-Overholt, 2018). Secondly, implementing new measures to deal with emerging infectious diseases also demonstrates that it is grounded in EBP. The organization uses scientific principles when making recommendations on a host of issues to improve overall access to quality care interventions. States seek CDC’s guidelines when developing specific data techniques and selection of questionnaire.
My opinion about the healthcare organization changed as a result of the information available on its website. I believe without any doubt that CDC’s activities are grounded in the best ways of the EBP process. The implication is that my perception changed about the CDC as I realized that its activities are based on EBP.
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.
Mellerson, J. L., Street, E., Knighton, C., Calhoun, K., Seither, R., & Underwood, J. M. (2020).
Centers for Disease Control and Prevention’s School Vaccination Assessment: Collaboration With US State, Local, and Territorial Immunization Programs, 2012–2018. American Journal of Public Health, 110(7), 1092–1097. https://doi-org.ezp.waldenulibrary.org/10.2105/AJPH.2020.305643
Washburn, R. (2019). Conceptual Frameworks in Scientific Inquiry and the Centers for Disease
Control and Prevention’s Approach to Pesticide Toxicity (1948–1968). American Journal of Public Health, 109(11), 1548–1556. https://doi-org.ezp.waldenulibrary.org/10.2105/AJPH.2019.305260
Evidence based practice (EBP) has impacted the healthcare setting drastically. According to Johns Hopkins University (2022), EBP is defined as the technique used to review data, analyze the data that has been found through experimental studies, and translate the data into the latest scientific experiments.This has advanced nursing practice in numerous ways, one of these ways are infection control and the spread of disease within the hospital. Just a few short years ago, the world was hit with something that was unimaginable. COVID-19 raged through cities, states, and countries and without EBP, there would have been limited information about N -95 masks and no way to know that these masks provide 25 times more protection than a surgical mask (The Ohio State University, 2020). This study lead to N-95 masks being mandated to be worn by healthcare professionals at the bedside which not only protected the provider, but their families and other patients as well.
World Health Organization
The World Health Organization (WHO) is an organization that uses science to create a healthier outcome for all people, no matter the location. This is possible do to the building of relationships between people, communities, and countries. Some of the key areas of the WHO are improving health outcomes for health coverage, health emergency coverage, access to medicine and other health products, science research, and data analytics (WHO, 2022a).
Evidence Based Practice and the WHO
Evidence based practice plays a large part in this organization. Although the webpage never specifically mentions the words “evidence based practice”, the “About WHO” page discusses the use of science to contribute to the overall health of the world population. There is also a section that breaks down the data that researchers and scientists have came up with to change the way that we implement and do things during our nursing practice. Organizations, like the WHO, use “The 5 A’s of evidence based practice” which include ask the question, access the information, appraise the evidence, apply the information, and audit the impact (Deakin University, n.d.).Using this model makes it easier to see the importance of the topic and how it impacts the healthcare field.
This organization is deeply grounded with EBP, as it affects everything they do. EBP can be found on any page of the website because of the discussions of what is happening in the world and the steps they are taking to correct or be a positive influence in the mist of turmoil.
Knowledge Gained
The knowledge I have gained throughout the research I have done on The World Health Organization’s website is not completely what I thought they were about. Although I knew that they helped to research what we as professionals could do to make things better for patients, I did not understand the depth of research they do. For instance, through the war that was rag
