The following answer is another student post to wish a have to reply. 

All your postings should be three paragraphs with three sentences.  

Submit your first posting to plagiarism (acceptable similarity rate 20%). 

 Veronica Reverol DQ post. 

Chapter 10: Evidence-Based Professional Nursing Practice

1.   

As Masters previously describes in her textbook role development in professional nursing practice, “Evidence-based practice is a framework used by nurses and other healthcare professionals to deliver optimal health care through the integration of best current evidence, clinical expertise, and patient/family values” (QSEN, 2015). Therefore, evidence-based practice is crucial to apply in the nursing profession. Nurses should be knowledgeable to perform in the field as expected.

I believe that the more we improve our knowledge as professionals, the more we may help our patient reach optimal health. Within, proper training or educating ourselves through clinical research. Promoting evidence-based practice is obtained by utilizing different strategies within deferent organizations.

It is known to be an important tool for nurses to enhance patient care. For example, proper hand washing technique was initially researched, processed, and evaluated to later become an established protocol in the healthcare field. Decades ago, there was no evidence shown of the time needed to be taken to wash hands properly and kill bacteria.

2.   

Nurses should research electronic resources available. However, some of the common site pages would be National library of medicine, Cochrane Library, or National Guideline Clearinghouse. These are webpages provide the most recent evidence for practice within guidelines.

Furthermore, the electronic index is another option to narrow down a topic and look for more specifics. One of the most common is the Cumulative Index to Nursing. The best part of these resources is that its free of charge.

Nurses need constant updates on nursing care guidelines or any new updates. Changes occur and as a nurse I acknowledge that changes that a while to take in place in the healthcare field because of the process to followed before being official. Therefore, policies and procedures are based on evidence-base research.

3.

Strategies implemented for evidenced-based practice in nursing practice may vary. For instance, the ACE Star Model of Knowledge Transformation involves five steps. These steps are meant to later evaluate the change with the practice. On the other hand, Agency for Healthcare Research and Quality Model consists of three stages involving dissemination. In this model, the stages of knowledge transfer are viewed from the perspective of the researcher or the creator of new knowledge and begin with decisions about which research findings ought to be disseminated (Titler, 2008).

            The strategies may be different, but the goal is the same. Each model presents differently now the nurse must choose which model best suits the organization representing. Everyone’s needs are distinct, its our responsibility to identify that need and choose the correct change needed for the best outcome.

Conclusively, as described by Masters, “The evidence-based practice process enhances practice by encouraging reflection about what we know; it is applicable to virtually every area of nursing practice including patient assessment, diagnosis of the patient problems, planning, patient care interventions, and evaluation of patient responses” (Masters, 2017). In addition, evidence-based practice should not only be implemented in every area of the nursing process but also applied in any area of field. The work setting doesn’t necessarily need to be a hospital.

References

Masters, K. (2017). Evidence-Based Practice: What is it? In K. Masters, Role Development in Professional Nursing Practice (p. 257). Burlington, MA.

QSEN. (2015). Evidence-based practice. Retrieved from Quality and Safety Education for Nurses: http://www.qsen.org

Titler, M. (2008). The evidence for evidence-based practice implementation. In R. Hughes, Patient safety and quality: An evidence-based handbook for nurses (pp. 1-49). Rockville, MD: Agency for Healthcare Research and Quality.

Comment 1

Health care reengineering is a discipline that helps organizations reorder priorities, provide more cost-effective care, and increase value to customers. Reengineering should be driven what is best for the organization and the needs of the organization. Reengineering is a critical “core competency” and “requisite skill”  for health care organizations if they are to succeed under managed care in the future. Managers and leaders play a vital role in the process of reengineering. The managers role is to ensure “that the mission of the organization, which focuses on providing excellent care for clients, is fulfilled through effective and efficient coordination of resources” (GCU, 2013). Managers display the skills for showing responsibility by guaranteeing that the staff is competent to provide the care of each individualized patient. Managers show their skills by holding staff accountable. Managers have been described as planners, problem solvers, delegators, and staffers (Huber, 2014). GCU, 2013, described the roles of management as planning, organizing, staffing, directing, and controlling. Leaders are the mentors and inspirations of the organizations. The leaders make the goals and outcomes known for the organization. The leaders are critical to organizations as they ensure that the operations than run from day-to-day are ran smoothly without any bumps in the roads. Managers and leaders have distinct roles with their organization but they both must integrate their roles to provide effective leadership. The managers and leaders work together to develop the “power” needed to accomplish goals, mission, and reengineering within the hospital.

Comment 2

Nurse managers and leader’s role in reengineering health care is by being advocates for patients and staff, as well as making sure the hospital’s environment is calm and functioning smoothly. “Advocacy is a process used to facilitate growth in others. Common methods of advocacy are: 1) providing others with information that empowers them to make their own decisions, and 2) acting on behalf of others who do not have the ability or power to advocate for themselves” (Reengineering, 2011). It is important for the nurse managers and leaders to create a hospital facility environment where patients are respected, and are empowered by educating them on their health and condition to enable them to make decisions about their treatment and care. It is also important for managers/leaders to continually check on their staff’s patient care feedback and any concerns they may have. It is also important for them to listen to their staff and patient. “Leaders must listen to the sounds of change. Leaders must help people work through the grieving process and conflicts experienced during time of change. Because the pace of change in health care is so rapid, leaders must be prepared to deal with the chaos and uncertainty through calm communication” (Reengineering, 2011).

Tammy is a 33-year-old who presents for evaluation of a cough. She reports that about 3 weeks ago she developed a “really bad cold” with rhinorrhea. The cold seemed to go away but then she developed a profound, deep, mucus-producing cough. Now, there is no rhinorrhea or rhinitis—the primary problem is the cough. She develops these coughing fits that are prolonged, very deep, and productive of a lot of green sputum. She hasn’t had any fever but does have a scratchy throat. Tammy has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves. Through and extensive work-up, she is diagnosed with bronchitis.

1. What is the etiology of bronchitis?
2. Describe in detail the pathophysiological process of bronchitis.
3. Identify hallmark signs identified from the physical exam and symptoms.
4. Describe the pathophysiology of complications of bronchitis.
5. What teaching related to her diagnosis would you provide?

In addition to the textbook, utilize at least one peer-reviewed, evidence based resource to develop your post.

Read Chapter 12

1. What are three questions you should ask yourself when you begin your job search?

2. What are the most common mistakes people make in preparing their résumés?

3. What should you know about your prospective employer before the job interview?

4. What should the interviewee try to achieve during a job interview? What should you look for? What red flags should you watch for?

5. What can you do in advance to prepare for the changes during the first year of employment?

6. Create your own SWOT analysis. How would you respond to your personal strengths and weaknesses if you were a prospective employer? How can you enhance your strengths and improve in areas of weakness?

7. Draw a career path for yourself, beginning with the present year and extending to the age of retirement. Be sure to include any “twists and turns” of the path you expect to experience along the way and any barriers you expect to encounter. How will you handle these experiences?

Do an online nationwide search for information about current job prospects in nursing.Compare opportunities in various regions of the country. Why do you think these opportunities are the same or different?

5. Develop a list of questions that you should ask a potential employer. What “homework” will you need to do to prepare for an interview?