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.

By Day 3 of Week 1

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.Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01
Note: You will access this article from the Walden Library databases.

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. doi:10.1111/wvn.12126
Note: You will access this article from the Walden Library databases.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & 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. doi:10.1111/wvn.12171
Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2
Note: You will access this article from the Walden Library databases.

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. doi:10.1111/wvn.12021
Note: You will access this article from the Walden Library databases.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160
Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

USE 3 REFERENCES,APA FORMAT

Comment 1

I work as oncology and death can occur at any time to my patients. I usually offer a bit of anti-anxiety medication since an impending death may not always be welcomed. Some patients transitioning into the actively dying stage, living becomes exhausting. They become tired, weak, struggling to eat, they feel uncomfortable, and even after chemotherapy, they struggle to taste. Mostly I deal with Hospice patients, and a potential patient death usually waits for me each time I clock in.

My death view was shaped a long time before I joined nursing. During my childhood, I watched cancer eating away as well as taking the majority of my family members. I even have watched my closest friend struggle with cancer currently. After graduating from nursing school, offering back to the oncology community was the only logical thing I could do. The experience has enabled me to empathize with my patients as well as their families. My view on death involves overwhelming sadness, heart-wrenching as well as anxiety-inducing. After working with my oncology patients, my view of death has changed to a more peaceful perspective.

One day death will occur to each of us. Through working in the oncology, I have realized that accepting death as a part of life have assisted me to live more fully (Foss, 2015). My fear of death has been eased through believing that there is life after death.

Comment 2

Suicide, whether it be done by a mentally ill person or a mentally healthy person, has become a common discussion. During my nursing internship, a nurse that I was working with and I walked in to check up on a patient and found that she had committed suicide in her bathroom. Till this day I wonder what caused her to feel that life was not worth living anymore? According to Bioethics A Primer for Christians, “Within the story of my life I have the relative freedom of a creature, but it is not simply “my” life to do with as I please”. I agree with the author. As creatures of God we are given the chance to decide many things, but one does not have the right to choose if one should live or die since we are not the creator. Instead, one should seek help from our creator and others to deal with the difficulties that may arise in our lives instead of deciding to end it all.

The Author goes on to say, “Understanding compassion and care in this way, we seek to learn to stand with and beside those who suffer — with them as an equal, not as a lord over life and death, but determined not to abandon them as they live out their personal histories up against that limit of death which we all share. For us, therefore, the governing imperative should be not “minimize suffering, “but “maximize care.” Again, I agree with the author, we are not the creator to decide who lives or dies. Watching someone suffer is difficult but one can help the person by providing comfort and care.  

 I agreed about dress code and personal image can effect the way our patient and their family members view us as nursing profession. I also have some colleages who thinks so simple about being profesional at work based on these things, not to the extreme point like the one you witnessed in your post, but they really make us feel uncomfortable about their appearance when they show up at work. Personal image is very imporant, does not matter how passtionate or great we are as a nurse; patient and their family members are deserved to be cared by a professional nurse who also cares about the way they appear everyday in the patient’s room.  

•  Instructions:  

1. Prepare a 3-4 page, double-spaced paper (not including title page and references section) that addresses the following scenario.
2. You may use information from the textbook, the internet, interviews, as well as other sources.
3. Cite a minimum of four reliable sources. 
4. Your paper should demonstrate insight into discussing issues.   

• Scenario:  Your boss has recently been elected county supervisor. She campaigned on the platform of creating a seamless system of long-term care for all, starting with coordinating government sponsored services. You have been assigned the task of delineating the plans for implementing this promise.

1. What services will you include? 
2. How will you achieve seamlessness? 
3. How will you organize access? 
4. How will you suggest that the care be financed?  

• My book is The Continuum of Long Term Care 3rd Edition By Connie J. Evashwick