Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. 
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

 

M.W. is a 69-year-old African American man and was referred to clinic for evaluation of increasing shortness of breath.

Past medical history 

Chronic renal insufficiency

Hypertension

Congestive heart failure

Diabetes mellitus type 2, poor control

Deep vein thrombosis

Alcohol abuse

Chronic obstructive pulmonary disease with respiratory failure

Family history

Noncontributory

Physical examination

Height 69 inches, weight 205 lb

Blood pressure: 138/88

Pulse 86 beats/min, regular

Lungs clear, neck supple negative for jugular venous distention

Lower extremities +1 edema

Laboratory findings

Scr = 2.8 K+ = 5.1

BUN = 56

Na+ = 147

WBC = 5.0

Hb = 8.2

Hct = 24.6

Serum ferritin 189 mg/dL

Social history

Tobacco: 52 pack-years

Alcohol: distant past

Diagnosis: Anemia Of Ckd: Answer the following questions in full sentences using APA citations. 

1. List specific goals of treatment for M.W.

2. What drug therapy would you prescribed? Why?

3. What are the parameters for monitoring success of therapy?

4. Discuss specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What over-the-counter and/or alternative medications would be appropriate for M.W.?

7. What dietary and lifestyle changes would you recommended for M.W.?

 

reviewed article published within 5 years.

 Term Paper 

1-Topic: Evidence Based Practices to Guide Clinical Practices

·       Explain the interrelationship between the theory, research, and EBP.

·       Identify and discuss the research questions, sampling and sampling size, research designs, hypothesis, data collection methods, and research findings from each study. 

·       Identify the goals, health outcomes, and implementation strategies in the healthcare setting (EBP) based on the articles.

·       Discuss the credibility of the sources and the research/researcher’s findings.

·       Minimum 5/maximum 7 pages paper (the body of the paper), without the references, in APA format.

·       Minimum of 1 reference per page of the body of the paper, articles must be peer reviewed and must have been published within last 3-5 years.

–2- PowerPoint Presentation (is related to Term Paper)

• Present your Term Paper in power point, minimum 10/maximum 15 slides, excluding the title and reference slides.
• Discuss how it relates to scholarship and EBP nursing practice.

Maximum 10% of similarity.

Note: Please, use only the two article that I provided to you and is attached 

 
1 postsRe: Topic 4 DQ 2

Nurses are responsible for their actions in civil, criminal and contract law (Chesterton, Tetley, & Cox, 2020). Professional accountability in nursing involves the nurses being accountable to the employer, the patient receiving treatment and a union or board. Accountability in nursing has a direct link with the standard of care offered, the safety of patients and decision making (Rubio-Navarro, Garcia-Capilla, & MJ, 2019). It is important to ensure that nurses are responsible for their actions given the risk at hand that is the possibility of losing patients as a result of the negligence of the practitioner or escalating the condition of the patient. This can be improved through ensuring that the nurses are familiar with the standards of practice and also ensuring that those standards are concise and clear in order for the nurses to comprehend what is expected of them. A nurse would demonstrate accountability in evidence-based practice by ensuring that they conduct research on how medication or treatment would impact on the well-being of the patient and ensuring that their knowledge in the medical field is up to date. In clinical expertise, professional accountability encompasses seeking the patient’s consent and regularly checking on the patient’s response to treatment. In the nursing process a nurse would be required to adopt safe practices.

References

Chesterton, L., Tetley, J., & Cox, N. (2020). A hermeneutical study of professional accountability in nursing. Journal of Clinical Nursing. doi:10.1111/jocn.15539

This is a class discussion. Just write supporting her write up with 200- 300 word  APA format with references. 

 

Please view the you-tube videos on Week 2 moodle page-they cover various topics about nursing and can be included in this discussion board.  Some include some television show clips that have nurses and also interviews with people on the street about what nursing is.  Hopefully this will give you all a better picture of how the public views nursing. There is also a video about the struggles of minority students and nursing.   My hope, is that by the end of this course you will be a strong voice for nursing, with the goal of sharing who nurses are, and why we do what we do!

The questions below are discussion starters and you do not have to answer all of them-choose what interests you to discuss!  Remember, your initial post can be 300-500 words, basically about 1-2 paragraphs.

What do you think nursing is?  What has most influenced how you see nursing?  How do you react to shows that have nurses on them?  How do you think this can affect the view of nursing that the general public will have?  Have you had family or friends question why you would want to become a nurse?  Have you had someone tell you to become a doctor instead?  What can we as nurses and nursing students do to positively or negatively affect the image of nursing? This is more of a “personal” discussion and I do not expect you to bring in resources, unless you want to.  If you have not already done so, please review the rubric for discussion posts-they need to be “substantial”- have depth and your answers need to be substantial and carry forward the conversation.