comment1

Reading that Evidence based practice (EBP) is currently only at 15% in United States is concerning. EBP is defined as “integration of best research evidence with clinical expertise and patient values. … EBP is aimed at hardwiring current knowledge into common care decisions to improve care processes and patient outcomes” (The Online Journal of Issues in Nursing, 2013). I am sure that if you asked any nurse if they wanted the best for their patients they would say yes. So, why are we only at 15%? The American Association of Colleges of Nursing has listed a few barriers as to why EVB is not being carried out. Two of the barriers listed by the association are: (1) lack of time to locate and synthesize knowledge and (2) negative attitudes towards research and EBP (American Association of Colleges of Nursing, 2013). One can see how lack of time could be a contributing factor as to why our percentage is so low. Most nurses have busy lives outside of work and usually do not have the time to sit and research EBP. One can also see how negative attitudes could affect EBP for example, bedside shift report. From experience, most nurses who have been in practice for a while are against bedside shift report even though it is proven EBP, because they are set in their ways. A suggestion that could help these two examples would be to assign mandatory learning activities to employees. By doing this the nurses would actually have to sit down and review evidence based practice. To make sure nurses are providing EBP after completing the learning modules it requires leadership oversight in order to hold nurses accountable.

comment2

A review of an article found the in American Journal of Nursing (2012) states that there are two major factors which impede the implementation of EBP: “lack of time and an organizational culture that didn’t support” (p. 1). A lack of time makes sense, especially considering the continued increasing nurse-to-patient ratios; this makes it difficult to deviate from current practices which help maintain a routine for nursing staff. Another factor in “lack of time” is that nurses have lives outside of the hospital setting; family and social life takes precedent over spending time in front of a compute, researching new EBP to implement. In regards to decreased organizational cultural support, this comes from the continued increasing numbers of baby boomer nurses who are so set in their ways, that when change comes around, it is almost impossible to convince them to adopt these changes. Though sometimes, these changes are forced and cannot be helped, it is something that we must accommodate and accept. Not only do the older “baby boomer” nurses have issues, but sometimes the culture within the facility itself is not conducive to change. In order to foster an environment where both of these barriers are addressed would be to assign mandatory education activities for nursing staff to participate in. This then requires the nurses to sit down and discuss and become educated on current EBP, while creating an environment that is conducive and positive to the change. The facility I currently work in requires that, after completing an EBP related course, nursing staff complete online education modules to solidify the education provided.

• Type of paperAssignment
• SubjectMedicine and Health
• Number of pages7
• Format of citationHarvard
• Number of cited resources15
• Type of serviceWriting

I require a written document that explains about a subdural haematoma in relation to CT Head scanning. There must be a contribution of diagrams and up to date (within 5 years) references on subdural haematomas. Sub divided into:- An overview Epidemiology clinical presentation Pathology Radiographic features on CT Treatment and Prognosis Differential Diagnosis Types ie acute, subacute, chronic How they are recognised on a ct brain. Harvard Referencing UK English Between 1500-2500 words double spaced Good sources include radiopaedia, radiology assistant, Royal college radiologists and society of radiographers Is there anyone who thinks they can help? I need relevant up to date references Relevant first referenced diagrams. Any questions please ask.

Your summary should include:

• A description of the agency

• It’s work and how that contributes to the health of the community

• The characteristics of the clients served

• The role or potential role for nurses within the agency

• Your experiences

Make sure you date every journal entry with corresponding clinical Week followed by your entry of at least 100 words.

A. Research the two following topics and write a one page summary of your findings for the two scenarios: (5 points each)

1. Stem cell research for reproduction of a designer child whose sole purpose is to be a donor to a sick child.

2. Parents who decide, for religious and moral issues, to preserve umbilical cords for use in the future to potentially save a life.

B. Write a one page summary for the questions asked below. (10 points)

1. What are the moral and ethical implications of this genetic selection?

2. What conclusions have you reached about such medical technology?

Ethics in Healthcare

Discussion Question

Two nurse researchers are interested in studying whether a pain assessment tool for critical care patients is valid and reliable when applied to a group of patients who cannot communicate verbally due to mechanical ventilation. They design a validation study in which randomly selected patients will be assessed using the tool after a painful procedure (tracheal suctioning) and after a nonpainful procedure (oral care). If patient responses result in higher scores after the painful procedure than after the nonpainful one, then the researchers will conclude that the tool is effective for these patients in differentiating pain responses from responses to nursing procedures in general.

Using the definitions in the textbook:

• Discuss and draw a conclusion as to whether this study will likely be exempt, expedited, or full review. 
• Would the study be considered ethical? Explain your rationale.