Comment

Evidence based practice are the base standards in which we base all our nursing practices on. They are methods, experiments, hypothesis that have been tried and true, and proven to be the most effective in standard nursing care. In nursing, critical thinking has been defined as the ability to use in professional actions the highest cognitive abilities, such as to analyze, to question, to evaluate, to conceptualize, comprehending individual and collective health problems in a more precise, logical and appropriate way. These skills directly implicate the achievement of adequate outcomes through effective clinical judgment and clinical decision-making (Costa et. al, 2019). This is important to healthcare and nursing in general because, daily we are made to think about and make decisions regarding healthcare and being responsible for other people’s lives. In doing so, we can’t just make decisions. We need to sit down and critically think about all that we are doing and how our decisions could be affecting the patients’ outcome. When we use evidence-based practice as well, we’re taking something that has been tried and proven to be effective to better take care of our patients. Using evidence-based practice and critical thinking in taking care of our patients sets the standards for what they are needing, and what we should all be trying to exceed in doing.

Comment

Evidence-based Practice is defined as “an integration of the evidence available, nursing expertise, and the values and preferences of the individuals, families and communities who are served.” Other Organizations defines EBP as “a continuous interactive process involving the precise, careful, thorough and judicious consideration of the best available evidence to provide care. “ Evidence-based practice supports nursing care and can contribute positively to patients and family outcomes. EBP Supports nursing care that can be “individualized to patient and their families, is more effective, streamlined, dynamic and maximizes effects of clinical judgement. All in all, these definitions are quite evident in that the focus is primarily on the best ways to find and apply research evidence. Hence, the need for EBP will always remain a constant driving force in nursing and healthcare as a whole.

Develop a concept map of the responses of the assigned system to burn injury. identify aspects important to patient survival during the resuscitation and acute phase of the burn injury , Include lab values that may be impacted one of the following body systems:

 Respiratory

 Cardiovascular

 Neurological

 Gastrointestinal

 Renal

 Psychosocial

1- Propose a research question related to your potential research project that would require a qualitative research approach. Select the best qualitative method that could answer the research question proposed? What are the strengths and weaknesses of that method?

2-Identify a practice issue that would benefit from utilizing a mixed methods approach. Discuss how the quantitative and qualitative data would complement one another and add strength to the study. Discuss the challenges that you might encounter in using a mixed methods approach. Support your discussion using current mixed methods research articles.

(Essentials I-IX)

The questions that i chose for my research was : The importance of early   

recognition of Stroke Symptoms 

Peer 1 

Advanced practice nurses play a major role in transforming the healthcare system enhancing increased healthcare accessibility, provision of value-driven healthcare environment as well as promote the delivery of high quality of care to patients. The advanced practice nurses develop and implement numerous initiatives and health programs aimed at promoting effective disease management thereby enhancing continuous improvement in value, access, and quality of healthcare services (Pickard, 2014). 

          There are various tactics utilized by advanced practice nurses to put them in a better strategic position regarding pay equality. Such tactics include designing and implementing cost-efficient and effective healthcare models to facilitate maximum utilization of advanced practice nurses’ contributions. Furthermore, the diversity associated with a nursing practice including a wide range of roles and numerous varieties of practice settings calls for application of care and cost-effectiveness standards thereby influencing nurses to acquire a better position on pay equality (Pickard, 2014). Another tactic employed to enhance advanced practice nurses attains pay equality is enhancing the appropriate presentation of nursing practice in both the decision-making panels of the government and private organizations. The presentation facilitates the implementation of effective metrics under which payment, pricing, cost, and value are based on. 

          Advanced practice nurses should not view themselves as lower-cost providers given that their knowledge, skills, and capabilities of healthcare practice continue to expand and advance over a given period. This means that their delivery of care services improves with time calling for an increase in payment to enhance maximum utilization of their dynamic evolving skills to impact the positive transformation of the healthcare system (Woo, 2017). As APNs continuously contribute to the establishment of innovative healthcare models to enhance the satisfaction of the patient’s needs, the payment schemes must include appropriate measures of the value contributed by the APN 

 

Peer 2 

Although advanced practice nurses, commonly referred to as APN, provides somewhat similar services, their pay often tends to match owing to a variety of distinct reasons. A persistent salary gap exists in the nursing profession (Bhagyalekshmi, Sha, & Rajendran, 2019). As a result, this has been perceived, by many, as both discriminatory and harmful. The salary gap often exists on gender basis. Based on a study conducted by Nurse.com, fields where female nursing practitioners are considered to be dominant bear significant disparities in terms of pay (Yi, 2016). In such scenarios, male APNs tend to earn more money in the profession as compared to their female counterparts. As such, the need prevails to come up with relevant strategies that would facilitate relevant means of bridging the said gap. 

One of how pay inequity could be rectified is by ensuring that female nurse representatives can negotiate salaries for female nurses before them accepting the employment opportunity (Yi, 2016). Las such, one should not be willing to accept a job before issuing a counteroffer regardless of how much one requires or is need of the job. By doing so, this should enable employers to create favorable offers for all their employees based on their specified qualifications.  

Another way in which equality may be promoted in the nursing profession is by ensuring that there is proper representation for all nurses (Yi, 2016). Similar to how workers from different profession obtain proper representation such as their involvement in trade unions, nurses should also have a relevant body which is intended to guarantee proper working conditions for them. In addition to this, the employees, in this case, may be able to obtain better pays that are bot no-discriminatory and equal among all nurses. 

APNs’ Position 

Owing to APNs’ contribution to the healthcare system, they must be treated similarly when it comes to matters regarding their pay (Yi, 2016). The main reason for this is because people in the profession often undergo proper training that makes them uniquely skilled for their various position, and hence their services may and cannot be provided by individuals from other career fields.  

Although nurses are involved in the provision of low-cost services to patients, this should not necessitate lower pay in comparison to other occupations (Hakim & Bahri, 2016). The main reason behind this mostly lies behind the fact that they provide services that are crucial and life-saving from a literal point of view. As such, this should necessitate them to push for a pay that is comparable with others. This should be extended to them being issued with similar services as well. By doing so, this would enable the nurses to feel highly motivated hence allowing them to provide better services to their customers (Yi, 2016). As a result, the facility or institution in which they provide may be able to experience increased growth more so since more people would be willing to obtain healthcare services from the hospital in question.  

With the inclusion of equal pay among APNs, this would create room for proper working conditions in the profession. In addition to this, this would ensure that proper legal requirements are instilled concerning the protection of the welfare of employees (Hakim & Bahri, 2016). Similarly, this would allow for the creation of opportunities where nurses experience economic boost hence ensuring that they work in a manner that best guarantees innovation and competitiveness in the profession. 

Response post with a minimum of 150 words each response. Word document, double space. APA (6th) 

Below is the original activity if you needed:

Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings. What do you think are some effective tactics for APN strategic positioning regarding pay equality? Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?
 

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/

 Kapashi27

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Search the Library and find one new health care article that uses quantitative research. 

Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. 

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.