Question one 

Evidence Based Practice on Managing Hypertension

Hypertension can lead to more serious cardiac disorders such as CHF so interventions to prevent it from progressing are important. Here is a Cochran’s Report below that analyzed Research on management of hypertension with recommendations on interventions that are effective. In 100 words, Review the summary and share some of the findings and recommendations to earn credit. link https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD005182.pub4/full

Question two

Evidence Based Practice Integration to Nursing Practice

Research using Cochrane Systematic Reviews or Guidelines from the AHRQ. This is the type of source/database you should use when asked to provide EBP or research. Explore the sites, look over an area related to Cardiac/ CHF or respiratory disorders that interests you and in 100 words, share an EBP intervention from the site that nursing could use and share a link to the article or guideline. Replying with EBP from the sites will count as one substantial post for the week.Link 

https://www.cochranelibrary.com/cdsr/about-cdsr

Question three

Scholarly Sources for Academic Work and Practice

Class for your academic undergraduate work you should be using assigned readings and other scholarly sources designed for the health care professional. Posts that use consumer web sites, patient ed sites or news stories designed for the layman do not earn credit. It is important that you understand what constitutes a scholarly source. GCU has a wonderful tutorial on evaluation sources.

To earn credit for one substantive reply post for the week:

1. Visit GCU’s evaluating resources library guide , https://libguides.gcu.edu/EvaluatingSources

2. Review the site. In 100 words Briefly discuss two things you learned. 

Question four

 Evidence Based Practice Guidelines CHF and other Cardiac Complexities

Class here is a link to research from 2019 that seeks to reduce readmission rates for CHF patients. The article has links to EBP in the reference section that may be useful for your study this week. The Clinical section of the American College of Cardiology also provides EBP on common cardiac disorders. In 100 words,review the article and site and share something new that you learned. 

https://sigmapubs.onlinelibrary.wiley.com/doi/full/10.1111/wvn.12336

Question five

Risk Factors for Alzheimer’s Disease

1. Research scholarly sources designed for health care professionals, and provide a ONE risk factor for Alzheimer’s.

2. State the risk factor

3. State whether it is a modifiable risk factor.

4. Summarize why it is a risk factor.. ie the physiological impact

5. Include your reference/source with the required doi or url/ web link

Question 6

 Types of Stroke

 In 100 words describe one type of cerebrovascular accident/stroke (CVA)  the cause and related physiology. In short, what occurs within the body to cause the stroke? Use our text and other scholarly sources to research your answer (Include the reference in your reply). Posts that use consumer web sites like Mayo Clinic and Web MD will not earn credit.

 

    Generally speaking, Nursing has the largest representation within an acute hospital setting. Nursing is involved in the care of every patient that comes into the hospital. That being said, how nursing document their interactions with patients is a large part of their day. Integrating a new health information technology system should require the input of nursing. Nursing’s input is essential in understanding how the system could require additional workflow changes or updates. Poorly implemented systems can lead to unintended consequences that may have a negative impact on clinical processes and patient outcomes. (Piscotty, 2011)

            When integrating a new system, the System Development Life Cycle (SDLC) model is used. This cycle has five different stages: Planning, Analysis, Design, Implementation, and Maintenance. Each of these stages is essential as you integrate new systems. During the analysis phase, the requirements for the system are teased out from a detailed study of the business needs of the organization. As part of this analysis, workflows and business practices are examined. It may be necessary to consider options for changing the business process. (McGonigle, 2017)

            Nursing is especially crucial when you enter into the implementation stage. The system also was tested by three nurses before implementation. To ensure that the nurses could operate the CDSS correctly, a training manual was developed and provided to the nurses 3 weeks before the implementation date. (Lyerla, 2008) Once you have planned, analyzed, and implemented any new system, occasionally maintenance is required. We need to constantly be evaluating our systems to make sure that we are using it effectively and to its max potential.

            During my time at Homestead Hospital, the operating systems were changed. Nursing was not consulted at the hospital level. The decision to change these systems was made at the corporate level and rolled out to the different facilities in stages. Our hospital was the first and the rollout was rough. We had representatives from the OS company to help facilitate the roll-out 24/7 for 1 week. We needed to constantly refer to them whenever we needed to address a concern or be reminded of how to mitigate certain situations. I think that transition would have been a bit smoother if there were training sessions with the staff prior to roll out. Physicians and nursing could have been trained with time before “go live” and a few issues could have been avoided. Any time that changes are made within an existing system or a new one is implemented, there will be hang-ups. Involving those that would be the most significant users helps in finding any conflicts or adjusting workflows prior to them impacting patient care.

Lyerla F. (2008). Design and implementation of a nursing clinical decision support system to

promote guideline adherence. CIN: Computers, Informatics, Nursing, 26(4), 227–233.