DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE

/in /by

DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry. 

To Prepare:

· Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

· This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

· Reflect on which type of dissemination strategy you might use to communicate EBP.

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

LEARNING RESOURCES

Required Readings

· Melnyk, B. M., & Fineout-Overholt, E. (2023). 
Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

· Chapter 10, “The Role of Quality Improvement and Evidence-Based Quality Improvement in Practice Change” (pp. 365–393)

· Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 410–427)

· Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 466–518)

· Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. &  Stillwell, S.B. (2011). 
Evidence-based practice step-by-step:  Implementing an evidence-based practice changeLinks to an external site.. 
American Journal of Nursing, 111(3), 54-60.

· Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). 
Organizational change strategies for evidence-based practiceLinks to an external site. 
Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f

· Melnyk, B. M. (2012). 
Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.Links to an external site. 
Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6a

· Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). 
Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model.Links to an external site. 
American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e

· Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). 
A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomesLinks to an external site.. 
Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188

Health History Plan of Care

/in /by


Health History Plan of Care Form

Using data gathered in your health history, develop a plan of care.

1: Analyze Assessment Data:

Based on the health history information, identify the following:

A. Areas for focused assessment

Provide a
brief overview of those areas of strength and weakness noted from health history.

B. Client’s strengths

Expand on areas identified as strengths related to the person's overall health. Support your conclusions with data from the credible evidence (peer reviewed journal or credible website).

C. Areas of concern

Expand on areas previously identified as abnormal and those that place the person at a health risk. Support your observations with data from the evidence.

D. Health teaching topics

Identify health education needs. Support your statements with facts from the Health History and information from your credible evidence.

2: Nursing Plan of Care

Next, plan your care based on your analysis of your assessment data:

A. Diagnosis

Write
two nursing diagnosis that reflects a priority need for this person. Remember a wellness diagnosis is a possibility.

B. Plan

Write
one goal and
one measurable expected outcome related to each of your nursing diagnoses. Explain why this goal and outcome is a priority. Include cultural considerations for this client.

C. Intervention

Write as many nursing interventions that you need in order to achieve the outcome. Provide the rationale for each intervention listed.

D. Evaluation

You will not carry out your care plan so you cannot evaluate the effectiveness of your nursing interventions. Instead, comment on what you would look for in order to evaluate your effectiveness.


References

2

Chapter 3

/in /by

one-page abstract on chapter 3 from the Kaakinen et al. textbook. The abstract shall highlight the salient points in the chapter, not to exceed one page double-spaced, including a brief critique, and comply with APA 7th Edition format and style with 3 references.

Comprehensive Psychiatric Evaluation

/in /by

Assignment 

  • Create a Comprehensive Psychiatric Evaluation Note on the patient presented in the video using the template provided in the Learning Resources. There is also a completed template provided as an exemplar and guide:
  • Include at least five scholarly resources to support your assessment and diagnostic reasoning.

Case study: 

Unit 1 551

/in /by

A 23-year-old woman presents to the OB-GYN office you work at. She was recently surprised to learn that she is pregnant. She estimates that she is about 8 weeks along. The woman tells you that she regularly drinks on the weekends with her friends. She asks you “Is that a problem? As long as I don’t drink very much, I can still have a drink occasionally while I’m pregnant, right?”

  1. How would you answer her questions?
  2. What types of abnormalities can be caused by alcohol, and how does genetics influence this?

Instructions: This is a discussion post, 1 page to 1 page and a half of content is enough. APA style references. 3 of them. 

nursing

/in /by

 According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with patients. How do you see this being applied in your workplace? In addition, how can you strive to make spirituality and self-care a practice for your patients as well as yourself? How does this practice align with the Christian worldview? 

revisit 3W D

/in /by

please follow all directions

political

/in /by

A Bloated Bureaucracy and an Inclusive Supreme Court

Discussion

Required Resources

Read/review the following resources for this activity:

· Textbook: Chapter 13, 14

· Lesson: Read this Week's Lesson which is located in the Modules tab

· Initial Post: minimum of 2 scholarly sources (must include your textbook for one of the sources). Follow-Up Post: minimum of 1 scholarly source for your Follow-Up Post.

· Your Initial Post and your Follow-Up Post must be based on the same Option that you chose in order to receive credit for both posts. 

Initial Post Instructions

For the initial post, respond to one of the following options, and label the beginning of your post indicating either Option 1 or Option 2:

·
Option 1: How does the bureaucracy affect your life, and thus, your freedom as an ordinary citizen? In what ways does it hinder or help your life? Do you see the bureaucracy as an effective aspect in your life or do you see issues with the bureaucracy as it stands? Why/why not? List one issue you would change concerning the bureaucracy and how you would remedy the issue.

·
Option 2: Identify a recent decision by the U.S. Supreme Court and discuss the nature of the case and the basis of the argument the Supreme Court used to reach the decision. Explain why you agree or disagree with the ruling?

Be sure to make connections between your ideas and conclusions and the research, concepts, terms, and theory we are discussing this week.

Follow-Up Post Instructions

Respond to the same Option you chose for your Initial Post (i.e., if you chose Option 1 for your Initial Post, your Follow-Up Pst should also be for Option 1). Respond to at least one peer. Further the dialogue by providing more information and clarification. Minimum of 1 scholarly source which can include your textbook or assigned readings or may be from your additional scholarly research.

Ebook:
https://bookshelf.vitalsource.com/reader/books/9780135246849/pageid/11

The Struggle for Democracy, 2018 Elections and Updates Edition

Or
[email protected]

PWD: Bryanthierry@09

Health Assessment

/in /by

 Arrange an appropriate time and setting with your volunteer “patient” to perform a skin, hair, and nails examination. 

Download and review the Skin, Hair, and Nails Student Checklist and Key Points, provided in this week’s Learning Resources, and review the Seidel’s Guide to Physical Examination online media.

 Perform the skin, hair, and nails examination, covering all of the areas listed in the checklist.

 

  • Skin: Start by observing the color, texture, moisture, temperature, and any lesions. Use a good light source. Ask the patient about any changes, itching, or pain.
  • Hair: Look at the color, distribution, and texture. Ask about any changes, loss, or scalp problems.
  • Nails: Observe the color, shape, and condition of the nails. Look for any abnormalities like ridges, spots, or discoloration. Ask about any changes or problems.

Remember to always explain what you’re doing to the patient and ensure they’re comfortable throughout the examination.

 

IVF & NFP

/in /by

 

After studying the course materials located on Module 4: Lecture Materials & Resources page, answer the following:

  1. Description and bioethical analysis of:
    • Pre-implantation Genetic Diagnosis PGD
    • Surrogate motherhood
    • “Snowflake babies”
    • Artificial insemination
  2. What is Natural Family Planning (NFP)?
  3. Describe the 3 Primary ovulation symptoms.
  4. Describe the 7 Secondary ovulation symptoms.
  5. Describe various protocols and methods available today.
  6. Describe some ways in which NFP is healthier than contraception.
  7. Bioethical evaluation of NFP as a means and as an end.
  8. Read and summarize ERD paragraphs #: 38, 39, 42, 43, 44, 52.

Submission Instructions:

  • is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
  • If references are used, please cite properly according to the current APA style