respond

 

 

EBP is integral to the profession of nursing as it has the ability to increase successful outcomes in patient treatment. Expanded demand for provision of quality and safe care furnished by providers who believe in accountability is a main reason for the emphasis on EBP in nursing practice (Melnyk, Gallagher-Ford, Long, & Fineout-Overholt, 2014). To model evidence-based practice in my future advanced practice setting I must use my growing knowledge of the research process. One way in which I can do this is by keeping current with research studies and continuing to learn from and critique them as needed. I can share my knowledge with co-workers and encourage them to use the latest evidence-based research in their clinical practice. By doing so myself I can be a model of how use of EBR translates in to EBP and improves patient outcomes.

In order to promote such an environment it is crucial to have the support of the organization. It is my duty to advise others, including those in charge, of the importance of maintaining a finger on the pulse of the latest in nursing research. I can ask specifically for the tools related to research, such as online and print journal subscriptions focusing on the type of care provided in the practice. I can also offer to spearhead educational opportunities to impart my knowledge of EBP and the research process to my co-workers.

FNPs have direct access to patients and have firsthand knowledge regarding what is working in regards to patient care versus practices that may no longer be valuable. FNPs can then facilitate problem-solving in cases of the latter, contributing to evidence-based research and therefore changing evidence-based practice in the process. I would emphasize the important role we as FNPs have in the EBP process and urge the practice to see the benefits of fostering a workplace supportive of EBP (Black, Balneaves, Garossino, Puyat, & Qian, 2015).

As for the detractor, I would relay the message that evidence-based practice is responsible for generating comprehensive and useful healthcare guidelines and practice which affects patient outcomes. Positive patient outcomes equals happier patients, and, as a result, a happier practice. EBP is also tasked with improving overall healthcare systems, as well as advancing the practice of practitioners. I would remind this person that using EBP will improve the workplace atmosphere and even his personal practice (Correa-de-Araujo, 2016).

www.nbcnews.com/id/43529641/ns/health-health_care/t/nurses-suicide-highlights-twin-tragedies-medical-errors#.XWVfRUxFzIU

 

Your written assignment this week is to reflect on a video and an article. In each tragic case discuss what lead to error in the system. In a paragraph or two reflect on how you might practice differently based on what you have learned in this module.

Video Example

Article Example

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

Jstudent_exampleproblem_101504

 

Go to the March of Dimes website and find the professional resources. Find their online education and print materials.

After exploring the available resources, select a topic that is important to you. Write a 1 – 2 page paper discussing best practices related to perinatal health. Be sure to correctly format your paper using APA format.

     

Cover page is complete per APA format,   sources are cited throughout the body of the paper, and references are   correctly formatted per APA format, using proper grammar, punctuation,   spelling, sentence structure and word usage. The entire paper shows detail to   the topic, and the sentences flow well from one thought to the next.

A minimum of 3 appropriate references are   used, including the March of Dimes website. Use the reference list supplied

1

     

The topic selected will address something   that was seen by the student at the OB clinical site.

The patient’s situation needs to be   introduced into the paper. The patient will be referred by initials only. 

The topic selected addresses best practices   related to prenatal or perinatal health, or prevention/ reduction of prenatal   and perinatal morbidity and mortality in the United States, and is clearly   introduced in the introductory paragraph.

2

 

Risk factors related to the topic are   included.

1

 

Preventative measures related to the topic   are included.

1

 

Common medical and nursing care and   management are clearly and correctly outlined, and best practices identified.   

2

     

Teaching topics important to the patient and   the family are clearly and correctly outlined.

2

 

The topic is clearly summarized in the   closing paragraph.

1

     

Total

10

Lewin’s Theory consists of three stages – Unfreezing, change, and refreeze. The initial stage of unfreezing involves finding a process which is no longer productive and needs to be changed. The second stage in Lewin’s Theory is the change. This is the step most people would find difficult. It actually involves a change which is not always easy. The last step in the process is the refreeze. This stage is when the new process becomes a standard of practice (Currentnursing.com, 2011).

The Adaptation Model of Nursing, developed by Sister Callista Roy in 1976, involves asking three questions: Who is the focus of nursing care? What is the target of nursing care? When is nursing care indicated (Nursing-theory.org, n.d.)? By asking these three question Sister Roy is taking on the patient in a holistic manner. She recognizes the basic needs of the human while also taking into consideration their social integrity. She also understands that the roles change often throughout one’s lifetime and that the nursing care provided needs to adapt or change along with it. She recognizes that nursing should not be rigid but instead we are nurses should remain fluid, continually changing and adapting to our patient’s needs holistically.

For my evidence-based practice (EBP) I would choose to use Lewin’s Theory. This change recognizes that something is needing change which would be the lack of education regarding lead prevention, changing how the parents and families are being educated, and then refreezing this change to make it standard practice. But I also would like to combine these two practices and recognize the fact that nursing is fluid. While the changed practice may work initially, it is always important to take a step back and revisit the practice in question later. Healthcare practices and interventions change daily and because of this, we need to be open to change.

When I was talking with my mentor, she said she did not use a specific nursing practice. She said she was a “go with the flow” kind of person and just adapted to things as they needed it (V. Mouser, personal communication, 2019). She said when she realized a patient was not understanding her or needed to be told things in a different way, she would change her tactic and try to figure out what worked best for her and her patients. If I were to analyze this statement, it would seem to me she was using the Adaptation Model of Nursing but just did not know it.

Currentnursing.com. (2011, Sept.). Change theory. Retrieved from           http://currentnursing.com/nursing_theory/change_theory.html

Nursing-theory.org. (n.d.). Sister Callista Roy – nursing theorist. Retrieved from http://nursing-          theory.org/nursing-theorists/Sister-Callista-Roy.php

 I need 3-4 powerpoint slides on these two subtopics – 1. Consider the nurse’s role in caring for people of this culture (Chinese Culture). 2.Consider what issues the patient or family might encounter in our health system because of their beliefs. How can your health promotion topic best be communicated to this group? What changes or adaptations might you have to consider?  with slide for apa citation?