NURS 8114 Week 4 Blog: Observation of Evidence-Based Practice

NURS 8114 Week 4 Blog: Observation of Evidence-Based Practice

RE: Blog – Week 4

Evidence-Based Practice Implementation

One evidence-based practice that was implemented in the to improve patient outcomes relatively recently was an oral care protocol. The goal of the protocol was to reduce the incidence of pneumonia – particularly hospital-acquired pneumonia – by introducing the protocol to adult in-patient care, especially for patients that were at-risk for infection. In late 2019, a quality of care review in the workplace had revealed an increase in hospital-acquired pneumonia incidence among the patients. After a committee was created to address this issue, the recommendation of an oral care protocol was received. The interdisciplinary team that was created for the committee recommended an oral protocol based on evidence provided in an article by Haghighi, Shafipour, Bagheri-Nesami, Baradari, & Charati that was published in 2017. The article, titled “The impact of oral care on oral health status and prevention of ventilator-associated pneumonia in critically ill patients”, was conducted in Australia, and investigated the effects of a basic oral protocol on pneumonia in adult patients. The results showed a significant positive association between taking a preventive oral care approach and health outcomes with regards to hospital-acquired pneumonia.

Application of the Evidence-Based Practice Protocol

An oral care protocol was implemented to each short-term care patient that was at-risk of developing pneumonia and was ventilated. The protocol included the introduction of a new toothbrush kit for the patients, including a suction toothbrush. The toothbrush was also designed to be ergonomically appropriate. The kit also included an alcohol-free mouthwash and baking soda toothpaste. The patients were required to continuously use the kit for the entirety of their stay. Protocol adherence was measured to be around 76 per cent. The results of the implementation showed that hospital-acquired pneumonia rates decreased from 3.82 cases per 1000 ventilator days to 1.61 cases per 1000 ventilator days. The final numbers showed that hospital-acquired pneumonia cases went down by more than half.

Evaluation and Future Challenges

The program was nurse-led, as nurses were the health practitioners that came into the most contact with these patients, and were in a better position to train patients in the kit use and monitor adherence. Thus, as a result of the protocol, nurses were able to better pneumonia outcomes by administering an oral care intervention to adult patients in the hospital.

A future challenge will be increasing the relatively low adherence rate. Despite the fact that all nurses working with ventilated adults received training on the oral care protocol, the adherence rate was far from 100 per cent. Improving adherence rates could decrease the hospital-acquired pneumonia rates significantly more than the current rates. One of the main challenges that were noted with regards to adherence were shift changes. The lack of communication about the administration of the protocol at shift change for each individual patients led to situations where some patients were not monitored for use of the kit. Including paperwork for the protocol in the chart information for each patient could improve this communication gap.

Advocacy for Evidence-Based Practice Application

In the organization, there are several ways to advocate for the application of evidence-based practice. One method would be during the monthly continuous medical education (CME) meetings. During these meetings, volunteers present on papers or topics in healthcare relevant to practice in the institution. Presenting material on the increase in quality of care associated with evidence-based practice would advocate for its implementation within the organization.

Another method would be utilizing the hospital staff portal. Among the various pages of the organizational portal is a discussion board with a section for new or relevant research discussion. Posting articles and blogs on evidence-based practice application would boost awareness for interested staff members, and act as advocacy.

Lastly, approaching hospital administration with potential evidence-based practices and protocols would advocate for their application. Including briefs on how these practices would improve care quality, decrease hospital costs, or improve worker productivity would increase their chances of being implemented. Overall, this is a more direct method of advocacy.

References

Haghighi, A., Shafipour, V., Bagheri-Nesami, M., Baradari, A. G., & Charati, J. Y. (2017). The impact of oral care on oral health status and prevention of ventilator-associated pneumonia in critically ill patients. Australian Critical Care30(2), 69-73.

As a DNP, you will have a significant voice in your health care setting to advocate for. Understanding how evidence can inform better nursing care and patient outcomes is fundamental to as are examples of where, why, and how evidence-based practice is needed.

Photo Credit: steheap / Adobe Stock

For this activity, you will essentially observe for evidence to support evidence-based practice. You will write and post a blog in which you identify examples of evidence-based practice in your health care organization and/or examples of need for application of evidence-based practice. Although the like a Discussion Board, the aim is to be somewhat more informal in sharing your perspectives. Colleagues will respond to your blog, as you will respond to theirs.

To prepare:

  • Review the Learning Resources, particularly the chapter on evidence-based practice from McEwen and Wills, and readings in the White, Dudley-Brown, and Terhaar text.
  • With your understanding of evidence-based practice in mind, observe for examples of evidence-based practice (EBP) in the health care organization where you practice, and/or examples of nursing practice that are tradition bound and lack an evidence base.
  • Consider conditions that support EBP within health care organizations and recommendations for application of EBP.

With these thoughts in mind …

By Day 3 of Week 4

Post a blog on the topic of evidence-based practice in the health care organization where you practice. Drawing on your understanding of EBP and your firsthand observations within your organization, include the following content in your blog:

  • Briefly describe one specific example of evidence-based practice that produced/is producing significant patient outcomes. Or, if you are lacking examples, describe a recent patient experience that might have been improved through application of evidence-based practice. Explain your reasoning. Note: To maintain confidentiality, do not refer to individuals by name or with identifying details.
  • Evaluate the overall application of evidence-based practice within your health care organization, including conditions that support it or roadblocks to overcome. Explain your reasoning, including how you have arrived at your conclusions.
  • Describe how you can advocate for application of evidence-based practice within your health care organization.

NURS 8114 Week 4 Blog: Observation of Evidence-Based Practice

Read a selection of your colleagues’ blogs.

By

spond to at least two of your colleagues on 2 different days. Compare their observations and evaluations of EBP in their health care organizations with your own and offer recommendations for advancing EBP or identify suggestions you will apply in your own practice setting.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 4 Blog Rubric

 

Post by Day 3 of Week 4 and Respond by Day 6 of Week 4

To Participate in this Blog:

Week 4 Blog

10 months ago

Edna Hull Walden Instructor Manager

RE: Blog – Week 4

Top of Form

Group,

DNP projects often begin with identification of a clinical practice problem with many problems based on observations made by the nurse.   “So, what’s problem and where is the evidence”? – are questions asked to begin the process of identifying and validating a practice problem.  Answers to these questions set the stage for the week 4 topic, ‘Observations of Evidence-based Practice.’  Taking a brief break from the formality of the discussion board, during week 4 you will post an initial blog and post responses to two entries posted by peers on alternative days.  A major tip for the week 4 Blog:  Read and follow the week 4 directions carefully for preparing and posting an initial blog and peer postings.

Edna Hull, PhD, RN, CNE

 

_Assignment Rubric

  Excellent

Point range: 90–100

Good

Point range: 80–89

Fair

Point range: 70–79

Poor

Point range: 0–69

In 4 or 5 sentences, describe the anatomy of the basic unit of the nervous sytem, the neuron. Include each part of the neuron and a general overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse. Be specific and provide examples. 12 (16%) – 13 (17.33%)

The response accurately and clearly describes in detail the anatomy of the neuron. The response accurately and clearly describes in detail each part of the neuron, and it includes a detailed explanation of the general overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse.

Examples fully support the response provided.

11 (14.67%) – 11 (14.67%)

The response accurately describes the anatomy of the neuron. The response accurately describes each part of the neuron, and it includes a general overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse.

Examples support the response provided.

10 (13.33%) – 10 (13.33%)

The response provides an inaccurate or vague description of the anatomy of the neuron. The response inaccurately or vaguely describes each part of the neuron, and it includes an inaccurate or vague overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse.

Examples vaguely support the response provided.

0 (0%) – 9 (12%)

The response provides an inaccurate or incomplete description of the anatomy of the neuron, or is missing. The response inaccurately or incompletely describes each part of the neuron, and it includes an inaccurate or vague overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse, or is missing.

Examples do not support the response provided, or is missing.

Answer the following (listing is acceptable for these questions):

a. What are the major components that make up the subcortical structures?
b. Which component plays a role in learning, memory, and addiction?
c. What are the two key neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control?

12 (16%) – 13 (17.33%)

The response accurately and clearly details the major components that make up the subcortical structures.

The response accurately and clearly details which component plays a role in learning, memory, and addiction.

The response accurately and clearly identifies the two neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control.

11 (14.67%) – 11 (14.67%)

The response accurately identifies the major components that make up the subcortical structures.

The response accurately identifies which component plays a role in learning, memory, and addiction.

The response accurately identifies the two neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control.

10 (13.33%) – 10 (13.33%)

The response inaccurately identifies the major components that make up the subcortical structures.

The response inaccurately identifies which component plays a role in learning, memory, and addiction.

The response inaccurately identifies two neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control.

0 (0%) – 9 (12%)

The response inaccurately and incompletely identifies the major components that make up the subcortical structures, or is missing.

The response inaccurately and incompletely identifies which component plays a role in learning, memory, and addiction, or is missing.

The response inaccurately and incompletely identifies two neurotransmitters in the nigra striatal region of the brain that play a major role in motor control, or is missing.

In 3 or 4 sentences, explain how glia cells function in the central nervous system. Be specific and provide examples. 12 (16%) – 13 (17.33%)

The response accurately and clearly explains in detail how glia cells function in the central nervous system.

Examples fully support the response provided.

11 (14.67%) – 11 (14.67%)

The response accurately explains how glia cells function in the central nervous system.

Examples support the response provided.

10 (13.33%) – 10 (13.33%)

The response inaccurately or vaguely explains how glia cells function in the central nervous system.

Examples inaccurately or vaguely support the response provided.

0 (0%) – 9 (12%)

The response inaccurately and vaguely explains how glia cells function in the central nervous system, or is missing.

Examples do not support the response provided, or is missing.

The synapse is an area between two neurons that allows for chemical communication. In 3 or 4 sentences, explain what part of the neurons are communicating with each other and in which direction does this communication occur? Be specific. 12 (16%) – 13 (17.33%)

The response accurately and clearly explains in detail the part of the neurons that communicate with each other and the direction in which this communication occurs.

11 (14.67%) – 11 (14.67%)

The response accurately explains the part of the neurons that communicate with each other and the direction in which this communication occurs.

10 (13.33%) – 10 (13.33%)

The response inaccurately or vaguely explains the part of the neurons that communicate with each other and the direction in which this communication occurs.

0 (0%) – 9 (12%)

The response inaccurately and vaguely explains the part of the neurons that communicate with each other and the direction in which this communication occurs, or is missing.

In 3–5 sentences, explain the concept of “neuroplasticity.” Be specific and provide examples. 12 (16%) – 13 (17.33%)

The response accurately and clearly explains in detail the concept of neuroplasticity.

Examples provided fully support the response provided.

11 (14.67%) – 11 (14.67%)

The response accurately explains the concept of neuroplasticity.

Examples provided support the response provided.

10 (13.33%) – 10 (13.33%)

The response inaccurately or vaguely explains the concept of neuroplasticity.

Examples inaccurately or vaguely support the response provided.

0 (0%) – 9 (12%)

The response inaccurately and vaguely explains the concept of neuroplasticity, or is missing.

Examples do not support the response provided, or is missing.

Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation
5 (6.67%) – 5 (6.67%)

Uses correct grammar, spelling, and punctuation with no errors.

4 (5.33%) – 4 (5.33%)

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3.5 (4.67%) – 3.5 (4.67%)

Contains several (3 or 4) grammar, spelling, and punctuation errors.

0 (0%) – 2 (2.67%)

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. 5 (6.67%) – 5 (6.67%)

Uses correct APA format with no errors.

4 (5.33%) – 4 (5.33%)

Contains a few (1 or 2) APA format errors.

3.5 (4.67%) – 3.5 (4.67%)

Contains several (3 or 4) APA format errors.

0 (0%) – 2 (2.67%)

Contains many (≥ 5) APA format errors.

Total Points: 75

NURS 8114 Week 4 Blog: Observation of Evidence-Based Practice

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires alot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

NURS 8114 Week 4 Blog: Observation of Evidence-Based Practice

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • The is a great resource

 

 

 

Instant Nursing Papers
Hire a Nursing Expert
Pages (550 words)
Approximate price: -

Why Choose Instant Nursing Papers?

Quality Nursing Papers

We assist students in achieving the best top-grade in their nursing papers, and in compliance with the provided instructions. Have your nursing paper written with a certified specialist Ph.D., Bachelor's, and Master's graduates with many years of experience in academic writing.

Experts with Ph.d., MDs and DNP Holders

Our writers have acquired Ph.D., MDs and DNP credentials from world class institutions. Our writers can handle papers from any discipline and can handle over 100+ subjects.

Nursing Papers Cheap

We provide a great deal of student-friendly prices and professionalism with all our nursing essay writing services. Our paper writing services have a user-friendly interface and professional nursing academic assistance. We are committed to assisting all students with their nursing assignments and projects regardless of their academic level.

Fast Paper Delivery

Our writers follow a strict schedule to ensure papers are delivered before the deadline to enable our editors to proofread before the final delivery to our customers. We strictly observe the early delivery of assignments to meet our clients' deadlines.

Plagiarism-free Nursing Papers

Our expert nursing paper writers are dedicated to conducting thorough research and writing papers from scratch to deliver original papers. To avoid paper plagiarism, all orders go through steps of writing, editing, and proofreading.

24Hour Customer Help

Our customer support is available 24/7/365 to help clients and make their paper writing services easy to use. Our experienced support team is available to answer your queries any time, 24 hours a day.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Our Nursing Papers Writing Service

We provide Nursing Assignment Services to Nursing students. Also, we are not limited to providing Nursing assignment help to students only. We also provide assignment help and solutions to community health nursing, Anatomy & Physiology, Microbiology, Biochemistry and Biophysics, and Nutrition & Dietetics.

Essays

Nursing Essays

Sit back, relax while our writers sort you out on your most daunting nursing essay queries on how to write a good nursing essay. We got you if you are looking for the best nursing essay services.

Research

Nursing Projects

It is no doubt that qualifying for a nursing career is difficult and requires a series of tests. Most nursing students must put in a lot of work in their assignments and coursework. Instantnursingpapers.com will help you answer queries such as “who can write my nursing research paper?”.

Disserations

Nursing Dissertation Help

Instantnursingpapers.com will save you the hustle of undergoing pressure or even depression while doing your nursing dissertation paper. Save yourself from all the long sleepless nights and pressure by working with our best nursing dissertation writing professionals.

Coursework

Nursing Coursework Help

If you happen to hop into our site in search of nursing coursework help, look no further. We are the number one solution for the best nursing coursework assignments. Therefore, to complete the best APA nursing coursework, seek help from professional nursing coursework experts at instantnursingpapers.com