Comment1

According to the article titled, Teaching Evidence Based Practice to Undergraduate Nursing Students it is essential for BSN-prepared nurses to implement evidence-based practice into their daily practice. Per author Sin and Bliquez, undergraduate nurses spend much of their shift providing direct care to patients and the National Academy of Medicine’s Roundtable on Evidence-based Medicine has suggested that 90% of clinical interventions must be supported by up-to-date clinical evidence. This goal has been established to be implemented by 2020 (Sin & Bliquez, 2017). Nursing interventions are a reflection of patient outcomes. For this matter, following evidence-based practice in all nursing interventions shows a promising future in patient health.

After concluding the RN-to-BSN program, I plan to continue taking courses relevant to labor and delivery such as fetal heart monitoring, maternal and newborn care, neonate resuscitation program (NRP) as a way to reach my goal of becoming an labor and delivery nurse. In addition, in the future I would like to pursue my career into becoming a nurse midwife. Although, obstacles that may challenge this plan is starting a family. Therefore, I plan to work as a labor and delivery nurse for a couple years and return to school when my children start school. 

Comment2

Evidence-based practice (EBP) is the conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care decisions. Best evidence includes empirical evidence from randomized controlled trials; evidence from other scientific methods such as descriptive and qualitative research; as well as use of information from case reports, scientific principles, and expert opinion. Clinicians and healthcare planners who want to improve the quality and efficiency of healthcare services will find help in research evidence. To affect better patient outcomes, new knowledge must be transformed into clinically useful forms, effectively implemented across the entire care team within a systems context and measured in terms of meaningful impact on performance and health outcomes. The recently-articulated vision for the future of nursing in the Future of Nursing report from Institute of Medicine (IOM) focuses on the convergence of knowledge, quality, and new functions in nursing. The recommendation that nurses lead interprofessional teams in improving delivery systems and care brings to the fore the necessity for new competencies, beyond evidence-based practice (EBP), that are requisite as nurses transform healthcare. As nurse always strives to provide quality and efficient care to patients EBP which helps to incorporate new knowledge into practice is essential component of the practice of a BSN-prepared RN. Nurses often need to discard old process and incorporate new procedures in the light of new understandings. However, there are several barriers to the successful application of research evidence to health care.

Respond

 Hello Group – you have really engaged in a great discussion about change, how useful the different change models might be, and the difficulties encountered in this type of situation. How can you use spheres of influence held by staff who are being “restructured” and those who are not to bring about positive outcomes of the change? How is your decision influenced by ethical, intuitive, and collaborative decision-making models? 

Health Care Delivery Models and Nursing Practice 

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

#1

How does the nurse manager or leader play a role in the reengineering of health care?

#2

Continuous quality improvement (CQI) is the responsibility of all nurses and is vital when addressing the challenges of the health care industry. Provide an example of how you would apply CQI in your current or past position.

Need help to reply three post.

DO NOT JUST REPEAT SAME INFORMATION, DO NOT JUST SAY I AGREE OR THINGS LIKE THAT. YOU NEED TO ADD NEW INFORMATION TO DISCUSSION.

1- Each reply should be at least 200 words.

2- Minimum One scholarly reference ( NO MAYO CLINIC/ AHA)

3- APA 6th edition style needs to be followed.

4- Each response should have reference at the end of each reply

5- Reference should be within last 5 years