NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE

Walden University NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE– Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE

Whether one passes or fails an academic assignment such as the Walden University NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE

The introduction for the Walden University NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE

After the introduction, move into the main part of the NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE

MDR Evidence-Based Practice for Improved Patient Outcomes 

For NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE, my organization practices evidence-based practice (EBP) with efforts to improve the health benefits of the patients they serve. The U.S. Department of Health and Human Services (2012), as cited in White et al. (2019), mandates that educational programs derived from scientific knowledge are crucial to professional growth and development for improved healthcare delivery and patient outcomes. Concepts of educational programs derived from EBP are imperative for skilled and quality nursing care in “patient-centered care, quality improvement, interprofessional collaborative practice, and health information technology” (p. 4). Practical strategies for improved health outcomes enhance population health (Agency for Healthcare Research and Quality [AHRQ], 2010, as cited in White et al., 2019).  

MDR (multi-disciplinary rounds) is a patient centered EBP model used to enhance the collaborative approach of inter-and intra-disciplinary team members for communication and coordination of care (De Sutter et al., 2019). The Joint Commission on Accreditation of Healthcare identified communication errors as a primary reason for unnecessary harm caused to patients (De Sutter et al. et al., 2019). Stuhec and Tement (2021) implied that MDR effectively reduces medical errors and minimizes sentinel events within hospital organizations. The researchers add that MDR identifies and prioritizes the patient’s healthcare needs. A research study group implemented MDR at my organization to improve patients’ health outcomes, decrease the length of stay (LOS), and reduce unnecessary spending.  

MDR is a framework designed to enhance communication and formulate strategic plans of care that address the patient’s immediate clinical and discharge needs (De Sutter et al., 2019). MDR is most effective when inter and intra-disciplinary team members actively participate (De Sutter et al., 2019). MDR has marginally improved the LOS, and our quarterly fiscal budgets could be better at my facility—social determinants of health challenge my organization. MDR addresses barriers before the patient’s discharge (De Sutter et al., 2019). Whereas my organization is still recovering from budgetary constraints, MDR has effectively allowed the healthcare team to provide a cohesive discharge plan for mental health patients. 

MDR is an effective model implemented in our behavioral health unit. A structured MDR allows the healthcare team to make effective decisions and closes communication gaps (De Sutter et al., 2019). Stuhec and Tement (2021) found that MDR assists multiple disciplines in setting and reaching targeted healthcare goals. Patients are admitted to our unit with single and multiple diagnoses. Secondary substance abuse disorders must be addressed while the patient remains in inpatient acute treatment. During MDR, the multi-disciplinary team members can provide alternative resources that meet the patient’s inpatient short-term goals, address the patient’s long-term outpatient goals, and provide adequate measures to improve their symptoms and restore them to their best level to function (Stuhec & Tement (2021). 

Improvement for MDR and the Need for Clinical Pharmacy in Rounding 

One area that could improve patient outcomes in MDR is to mandate clinical pharmacists to attend these meetings in the behavioral health (BH) unit. Our MDR rounds consist of the following: unit charge nurse, nursing case managers, social services, and psychiatry services. Each healthcare team member is responsible for reporting any barriers or needs identified during their assessment to avoid patient risks and facilitate a safe discharge plan (Stuhec & Tement, 2021). MDR has allowed the healthcare team to modify the patient’s care plan to meet their primary needs while reducing delays in healthcare delivery and reduction in LOS at our facility.  

One area of improvement in health outcomes is to have a pharmacy present at the BH MDR. Pharmacists play an integral part in MDR to educate staff on the most effective treatment modalities and address the patient’s discharge medications for improved adherence and safe administration (El-Den et al., 2021). My organization’s pharmacists do not attend BH-MDR. Clinical staff contacts the pharmacy when there is an adverse reaction or the patient’s insurance company will not cover their discharge medication due to name-brand or off-brand use. Pharmacists should be involved in MDR to avoid delays in the patient’s discharge related to medication management (El-Den et al., 2021). 

As a utilization review nurse for the BH department, I participate in MDR by advising clinical staff of procedures and diagnostic tests that can be done on an outpatient visit, such as performing mammograms and stress tests that are not of a medical emergency. Patients who require inpatient cardiac stress tests are transferred to intermediate care units for medical necessity. In Stuhec and Tement 2021 research, the clinical healthcare team provided daily feedback and implemented treatment goals that reflected the patient’s needs. Overall, MDR is a proven EBP that provides interventions and measures that improves patients’ health outcomes within the healthcare systems (Stuhec & Tement, 2021). 

Advocacy and Application of Evidence-Based Practice in Healthcare 

To reduce healthcare risk and harm to patients, patient advocacy utilizing EBP is relevant in healthcare practices (Balas & Boren, 2000, as cited in White et al., 2019). As a nurse leader, I would advocate using EBP to disseminate knowledge that improves the organizations’ ability to provide quality healthcare (White et al., 2019). I would use Roger’s Diffusion of Innovations Theory to influence stakeholders to implement evidence in clinical practice that meets the patient’s and organization’s expectations of excellent care (White et al., 2019). Roger’s model will guide my ability to provide strategic planning that addresses the advantages and disadvantages of utilizing EBP models in Healthcare (White et al., 2019).  

Integrating and disseminating evidence-based practice into healthcare practices is a collaborative approach that requires the advanced nurse leader’s ability to influence and indicate the importance of using those specific findings in the organization’s practice settings (Shea et al., 2014). The researchers found that there are some limitations in testing the aptitude of an organization’s willingness to change and implement new policies into practice. The Organizational Readiness for Implementing Change (ORIC) model utilizes a theoretical approach to measure an organization’s readiness and imposed barriers to change, initiate, modify, or implement adjunctive resources to improve patient outcomes (Shea et al.., 2014). 

References 

De Sutter, M., De Sutter, A., Sundahl,N., Declercq, T., and Decat. P., (2019). “Inter-Professional collaboration reduces the burden of caring for patients with mental illnesses in primary Healthcare. A realist evaluation study.” European Journal of General Practice 25 (4): 236–42. doi:10.1080/13814788.2019.1640209.  

El-Den, S., Collins, J. C., Chen, T. F., & O’Reilly, C. L. (2021). Pharmacists’ roles in mental healthcare: Past, present and future. Pharmacy Practice (1886-3655), 19(3), 1–6. https://doi.org/10.18549/PharmPract.2021.3.2545Links to an external site.  

Stuhec, M., & Tement, V. (2021). Positive evidence for clinical pharmacist interventions during interdisciplinary rounding at a psychiatric hospital. Scientific Reports, 11(1), 13641. https://doi.org/10.1038/s41598-021-92909-2Links to an external site.  

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and Healthcare (3rd ed.). Springer. 

Sample Answer 2 for NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE

I completely agree with your analysis of the situation and your recommendations for improving evidence-based practice (EBP) in assisted living facilities. You’ve hit the nail on the head when you discuss the need for management support for EBP. Leadership engagement is essential to foster a culture that values research and uses it to drive clinical decisions. This process goes beyond mere verbal support. It requires tangible actions such as allocating resources for education and providing the time necessary for nurses to engage in EBP. Moreover, as you mentioned, staffing and time constraints are significant barriers to EBP adoption. While these are indeed real challenges, implementing EBP can actually lead to improved efficiency and patient outcomes in the long run (Li et al., 2019). For example, when evidence-based practice guidelines are set in place for managing critical situations such as cardiac arrests, it enables a more rapid and streamlined reaction.

Additionally, it is crucial to emphasize that utilizing an evidence-based practice approach must be customized to suit the specific needs and realities of the given healthcare setting. In an assisted living facility, this could mean focusing on areas of practice, such as managing chronic diseases, fall prevention, or mental health support. Therefore, involving the entire team in identifying the focus areas can be an effective way to ensure everyone’s commitment to EBP.

Lastly, continual education and support for the nursing staff is crucial. This not only empowers them to implement EBP but also boosts their morale and reduces stress. Indeed, a well-informed and confident nursing team can dramatically improve patient care and outcomes (Costello et al., 2021). Nurses should be encouraged to attend EBP workshops and trainings, and such opportunities should be included in the facility’s annual budget. In essence, the benefits of EBP in nursing practice are manifold, but the road to its full adoption is often filled with obstacles. However, with the right strategies and dedicated support from the leadership, it is achievable.

References

Costello, M., Rusell, K., & Coventry, T. (2021). Examining the average scores of nursing teamwork subscales in an acute private medical ward. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00609-z

Li, S., Cao, M., & Zhu, X. (2019). Evidence-based practice. Medicine, 98(39), e17209. https://doi.org/10.1097/md.0000000000017209

Sample Answer 3 for NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE

I really enjoyed your discussion post this week on the use of evidence-based practice in diabetes management. As you rightly mentioned in your post, point-of-care blood glucose monitoring is vital and the use of new devices in tracking blood glucose levels and trends gives a better idea of how insulin can be adjusted. I just wanted to add that besides the use of rapid devices in blood glucose monitoring, the utilization of self-care behaviors is vital. The theory of self-care behavior emphasizes the adherence to regular exercise, taking medications as prescribed, regular measurements of changes, routine testing, changing the diet or medication dose based on observation, and interpretation of symptoms (Riegel, Jaarsma, Lee, & Strömberg, 2019). 

Multidisciplinary collaboration is another excellent tool used in diabetes management. Evidence-based practice (EBP) recognizes the importance of collaborative care in diabetes management. Practice settings like acute care hospitals encourage multidisciplinary teams involving endocrinologists, primary care physicians, nurses, dietitians, and diabetes educators to work together in managing diabetes (Desse, Namara, Yifter & Manias, 2021). This collaborative approach ensures that the best available evidence is considered from various perspectives, leading to comprehensive and patient-centered care.

References

Desse, T. A., Namara, K. M., Yifter, H., & Manias, E. (2021). Development of a Complex Intervention for Effective Management of Type 2 Diabetes in a Developing Country. Journal of Clinical Medicine, 11(5), 1149. https://doi.org/10.3390/jcm11051149

Riegel, B., Jaarsma, T., Lee, C. S., & Strömberg, A. (2019). Integrating symptoms into the middle-range theory of self-care of chronic illness. Advances in Nursing Science, 42(3), 206–215. https://doi.org/10.1097/ANS.0000000000000237

Sample Answer 4 for NURS 8114 Week 4: Blog OBSERVATION OF EVIDENCE-BASED PRACTICE

Evidence based practice (EBP) is the use of current best evidence in making decisions about patient care. It is a problem-solving approach that members of the healthcare system such as DNPs use to improve clinical practice. This approach integrates a systematic search for the most relevant evidence to answer a clinical question, our own clinical expertise and it also takes into consideration patient`s preferences and values. All together allows us to provide the best patient care and improve health outcomes. 

In the hospital setting, we have point of care testing blood sugar for Diabetics, EBP shows that hyperglycemia and hypoglycemia episodes during hospitalizations are associated with poorer outcomes such as increased morbidity, mortality and increased length of stay. POCT offers a fast, affordable test results that can easily tell the health care team members if the patient needs insulin before meals or at bedtime, if needs insulin adjustment or if the patient is having a hypoglycemic episode and needs to be corrected. In my experience as a bedside nurse in the diabetes unit, I have learned that POCT before meals and at bedtime has decreased the number of rapid responses calls due to severe hypoglycemia as we check blood sugars at least every 4-6 hours allowing us to catch it before it gets dangerously low. Moreover, being able to check blood sugars and obtain the results within seconds allows us to decide how much insulin a patient may need and if medication adjustment is needed, this provides better care for the patient as it avoids hyperglycemic and hypoglycemic episodes. In the study “Management of Diabetes and Hyperglycemia in Hospitalized Patients” found that the prevalence of hyperglycemia and diabetes ranging from 38% to 40% in hospitalized patients, which was determined by using POCT. 

References 

Dhatariya K, Corsino L, Umpierrez GE. Management of Diabetes and Hyperglycemia in Hospitalized Patients. [Updated 2020 Dec 30]. In: Feingold KR, Anawalt B, Blackman MR, et al., editors. South Dartmouth (MA): MDText.com, Inc.; 2000-.  https://www.ncbi.nlm.nih.gov/books/NBK279093/

Nichols JH. Utilizing Point-of-Care Testing to Optimize Patient Care. EJIFCC. 2021 Jun 29;32(2):140-144. PMID: 34421482; PMCID: PMC8343046.

Titler MG. The Evidence for Evidence-Based Practice Implementation. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 7. https://www.ncbi.nlm.nih.gov/books/NBK2659/Links to an external site.