John Hopkins Medicine

Emily, John Hopkins Medicine is a renowned medical center well-known by all. When looking at their website, I was in awe of the volume of patients they treat and the innovations they are a part of. Their “about” page states that they have award-winning doctors teaching their medical students, performing biomedical research, and providing patient-centered care (John Hopkins Medicine, 2022). These three facets align with the components of evidence-based practice (EBP) explained by Melynk & Fineout-Overholt (2018). The link between the definition of evidence-based practice and John Hopkins’ values are as follows:

1. EBP requires searching and critically appraising research (Melynk & Fineout-Overholt, 2018). John Hopkins performs its own research, providing the system with abundant information and knowledge to guide further practices (John Hopkins Medicine, 2022). The system performs observational studies and clinical trials (John Hopkins Medicine, 2022).
2. EBP utilizes personal experiences to guide patient care (Melynk & Fineout-Overholt, 2018). This internal evidence is gained from the expertise working in the field, and Johns Hopkins medical students are taught by experts with years of internal evidence to guide their teaching and recommendations (John Hopkins Medicine, 2022).
3. EBP ensures that patient and family preferences are considered (Melynk & Fineout-Overholt, 2018). John Hopkins Medicine states that they provide patient-centered care in their treatment (John Hopkins Medicine, 2022).

John Hopkins Medicine did not make it challenging to find proof that they are rooted in evidence-based practice. I also appreciate that they involve their clinical staff in research to ensure patients receive the best care from all sources.

References

John Hopkins Medicine. (2022, February 16). About Johns Hopkins Medicine. https://www.hopkinsmedicine.org/about/index.htmlLinks to an external site.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-Based Practice in Nursing & Healthcare (4th ed.). Wolters Kluwer Health. https://bookshelf.vitalsource.com/books/9781975138493Links to an external site.

Gina,

I never knew there was a society for vascular nursing. The website is informative and gives a lot of insight into what society does and how they teach evidence-based methods. This society can significantly improve the nursing care of vascular patients. Evidence-based practice is now better understood as a complex system of legitimation that designates particular methods, and by extension, their practitioners are evidence-based (Carr, E. S., & Obertino-Norwood, H. 2022). Utilizing these resources will improve your knowledge base and help you be a well-informed nurse practitioner.

Being a part of these societies can help healthcare professionals care for patients the best way possible. Evidence-Based Practice is a process that allows patients, health professionals, researchers, and/or policymakers to make informed health decisions in a given context based on an integration of the best available evidence, with clinical expertise and patient values and preferences (Howard, B et al. 2022). This practice is beneficial to all patients and healthcare systems.

References

Carr, E. S., & Obertino-Norwood, H. (2022). Legitimizing evidence: The trans-institutional life of evidence-based practice. Social Science & Medicine, 310, 1–9. https://doi.org/10.1016/j.socscimed.2022.115130Links to an external site.

Howard, B., Diug, B., & Ilic, D. (2022). Methods of teaching evidence-based practice: a systematic review. BMC Medical Education, 22(1), 742. https://doi.org/10.1186/s12909-022-03812-xLinks to an external site.

Hello Gina

Great response, At the start of your post, you made a very impactful statement. You expressed that Evidence-based practice improves Patient outcomes as healthcare professionals, and that should always be our primary focus. Helping our patients to reach their optimal level of health helps everything else fall in line. As you expressed, Evidence-based practice also helps cut down on healthcare costs and empowers clinicians as we are a trusted profession. This means we should always utilize data to help protect us when we practice. You also discussed the society of vascular nursing, an organization I had never heard of. Due to your post, I visited the website and realized that this organization heavily uses EBP. The first resource I saw discussed IR resources, which expressed, “SIR recognizes that the success of our mission draws strength not just from the clinical expertise of our physicians, but from the diversity of their backgrounds and experiences as human beings in the world. An innovative, competitive IR workforce requires more than market competency” resources and data were backing this. The data was also easily accessible. Great resource. Thank you for your post.

Research corner. SVN. (n.d.). Retrieved December 3, 2022, from https://svnnet.org/resources/research-corner

Society of Interventional Radiology – Society of Interventional Radiology. (n.d.). Retrieved December 3, 2022, from https://www.sirweb.org/

Hi Gina,

Great post. To add to your discussion,  I was a past member of the NAON  also. In identifying opportunities for further education in the field of orthopedic nursing, the NAON is a pioneer. The NAON investigates crucial healthcare issues that are intimately tied to orthopedic nursing and have an immediate effect on orthopedic patients. In keeping with its stated objective, the NAON emphasizes the importance of evidence-based practice and how to apply it to improve patient care. The NAON promoted EBP through research. Evidence-based practice (EBP) improves patient outcomes, reduces healthcare costs, and increases practitioners’ self-assurance while also raising the bar for nursing care (Ellis, 2019). The quality of healthcare delivery will improve as a result of evidence-based practice. These four benefits of EBP are referred to as the “quadruple aim” in healthcare. Hospitals and other medical systems in the US work to improve patient treatment safety by attaining the triple objective in healthcare (Cullen et al., 2020).

References

Cullen, L., Hanrahan, K., Farrington, M., Anderson, R., Dimmer, E., Miner, R., … & Rod, E. (2020). Evidence-based practice change champion program improves quality care. JONA: The Journal of Nursing Administration, 50(3), 128-134. https://pubmed.ncbi.nlm.nih.gov/32049700/Links to an external site.

Ellis, P. (2019). Evidence-based practice in nursing. Learning Matters. Ellis, P. (2019). Evidence-based practice in nursing. Learning Matters. https://www.worldcat.org/title/evidence-based-practice-in-nursing/oclc/1084317354Links to an external site.

Week 1: Response 1

Hello Tiffany,

Great informative post! I have always been interested in the U.S. Department of Veterans Affairs (VA) organization. It is very pleasing to learn that the VA organization has an Evidence-Based Practice (EBP) Field Advisory Committee. This committee consists of administrative nurses and healthcare professionals from all over the country. These members help facilitate the implementation of EBP throughout VHA facilities across the network (U.S.Department of Veterans Affairs, 2015). After exploring through the tabs on the VA’s webpage, I was able to discover the different resources available for healthcare workers and veterans of this organization. The VA’s mission statement, vision, and core values all exemplifies evidence-based practice. They provide a health index with different health and mental health topics for veterans and their caregivers. Evidence-based practice is critical for providing patients the care that they deserve (Walden University, 2018). When providers deliver EBP in a context of caring and in a supportive organizational culture, the highest quality of care and best patient outcomes can be achieved (Melnyk et al. 2010). The U.S. Department of Veterans Affairs is certainly grounded in evidence-based practice.

References

Melnyk, B. M. , Fineout-Overholt, E. , Stillwell, S. B. & Williamson, K. M. (2010). Evidence-Based Practice: Step by Step: The Seven Steps of Evidence-Based Practice. AJN, American Journal of Nursing, 110 (1), 51-53. doi: 10.1097/01.NAJ.0000366056.06605.d2.

Office of Nursing Services (ONS). U.S. Department of Veterans Affairs . (2015, August 5). Retrieved from https://www.va.gov/nursing/ebp/index.asp

Walden University, LLC. (Producer). (2018). Introduction to Evidence-Based Practice 

and Research [Video file]. Baltimore, MD: Author.

Tiffany,

Clinicians want to give their patients the best possible care. To do this, they need to keep up to date with the evolving body of scientific research and combine this scientific knowledge with their own clinical experience and each individual patient’s circumstances and preferences. This is evidence-based practice (Turner et al., 2008).  The VAEvidence-based therapies (EBTs) have been shown to improve a variety of mental health conditions and overall well-being. These treatments are tailored to each Veteran’s needs, priorities, values, preferences, and goals for therapy. EBP allows for healthcare workers to improve the quality of care and enhance time management for patient outcomes (Veterans Affairs 2015).  To have EBP to work we must be held accountable of creating and implementing change. As the world evolves, we should also crate change, traditional healthcare created an map for us to follow but embracing EBP will allow for Thanks for your post.

Reference

Turner, T., Misso, M., Harris, C., & Green, S. (2008, October 27). Development of evidence-based clinical practice guidelines (cpgs): Comparing approaches. Implementation science : IS. Retrieved December 4, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2584093/Links to an external site.

Veterans Affairs. Go to VA.gov. (2015, August 5). Retrieved December 4, 2022, from https://www.va.gov/nursing/ebp/index.asp

Hi Tiffany,

In addition to the above discussion, EBP is described as “the conscious, explicit, and prudent use of current best evidence in making decisions regarding the individual patient’s care.” In addition to clinical knowledge, it also incorporates patient values and preferences along with evidence from systematic research. Evidence-based practice in HSR&D enables professionals to integrate clinical recommendations, research, and high-quality patient-based results to healthcare delivery, enhancing the healthcare experiences and health outcomes for Veterans. Up to 50% of patients who are Veterans receiving treatment through the VA healthcare system have chronic pain, which significantly lowers quality of life for those who are ill. Veterans’ primary care staff at the VA report feeling overworked, under-resourced, and generally unprepared to handle their requirements (Horntvedt et al., 2018). This may result in poor- and occasionally unsafe-quality pain management. A rising amount of scientific evidence and expert opinion support multi-modal pain management to enhance function and quality of life while also lowering morbidity and death among people with chronic pain.

References

Cutilli, C. C. (2020). Excellence in patient education: Evidence-based education that “sticks” and improves patient outcomes. Nursing Clinics, 55(2), 267-282. https://pubmed.ncbi.nlm.nih.gov/32389259/Links to an external site.

Horntvedt, M. E. T., Nordsteien, A., Fermann, T., & Severinsson, E. (2018). Strategies for teaching evidence-based practice in nursing education: a thematic literature review. BMC medical education, 18(1), 1-11. https://pubmed.ncbi.nlm.nih.gov/30055612/Links to an external site.

Week 1: Response 2

Raymond,

Evidence-based practice (EBP) strategies allow nurse practitioners (NPs) and other health care providers to translate research findings into clinical practice. (Melnyk,2018). After visiting the Agency for Healthcare Research and Quality (AHRQ) website I agree that it is grounded in evidence-based practice. While exploring the website, I was able to type “evidence-based practice” in the search engine. I then discovered the EvidenceNOW Model in which the organization utilizes. The AHRQ EvidenceNOW Model is a blueprint for delivering external support to primary care practices to improve healthcare quality and implement new evidence into care delivery (AHRQ,n.d.) Within this model, AHRQ launches different health care projects that focus on improved quality care and outcomes. In recent decades, primary care practices have been hampered by fragmentation of the healthcare system, a lack of resources to meet patient needs, and limited access to an infrastructure to support quality improvement. AHRQ developed EvidenceNOW to help them meet these challenges (AHRQ, n.d.). Research has shown that when providers deliver evidence-based care, patient outcomes are markedly improved (Melnyk, 2018). Thanks for your informative post.

References

The EvidenceNOW model: Providing external support for primary care. Agency for

Healthcare Research and Quality (AHRQ). (n.d.). Retrieved from

https://www.ahrq.gov/evidencenow/model/index.htmlLinks to an external site.

Melnyk, B. M. (2018, October 26). Why choose evidence-based practice? American

Association of Nurse Practitioners. Retrieved from

https://www.aanp.org/news-feed/why-choose-evidence-based-practiceLinks to an external site.

Cheri,

Good examples of EBP from the website for VHA. Well done

Dr. Johanson

Cherie,

I enjoyed reading your discussion post. Further, after reviewing the U.S. Department of Veterans Affairs website (2022), I also identified that the organization runs the Evidence-Based Synthesis Program (ESP) which supports veteran care through evidence-based practice. ESP is under the Quality Enhancement Research Initiative (QUERI) umbrella which seeks to translate research findings and evidence into clinical practice. Further, it also optimizes the effects of research findings through bi-directional partnerships and also promotes the application of research into practice and care for the elderly. VA also maintains the RN Transition-to-Practice (RNTTP)/Residency Programs in which post graduate registered nurses are hired to enhance their application of evidence-based practice.

References

U.S. Department of Veteran Affairs. (2022). Spotlight on Evidence-Based Practice (EBP). U.S. Department of Veteran Affairs. https://www.hsrd.research.va.gov/news/feature/ebp.cfm?ID=1987Links to an external site.

U.S. Department of Veteran Affairs. (2022, September 27). Office of Nursing Services (ONS). U.S. Department of Veteran Affairs. https://www.va.gov/NURSING/workforce/RNTTP.aspLinks to an external site.

Reply post 1

Excellent discussion post Cherie,  I do not know much about the Veterans Health Administration (VHA), but your post gave me great insight. While reading about the VHA, I also discovered the benefits one can receive while signing up; health insurance,  college, obtaining a home, and career options (US Department of Veterans Affairs, 2021). It was mentioned by O’Hanlon et al.(2016) that the quality and effectiveness of medical care provided by the Veterans Affairs (VA) were still unfavored for the veterans, while this researcher performed a systemic review of the quality of care from various VA facilities (O’Hanlon et al., 2016). This research study was conducted to provide evidence-based practice regarding the care of VA hospitals versus non-VA hospitals (O’Hanlon et al., 2016).

Mental health is also a topic of interest when referring to veterans; the VA provides Evidence Base Therapy (EBT) that prioritizes the veteran’s mental needs and provides quality care tailored to each veteran (US Department of Veterans Affairs, n.d.).

Overall, the US Department of Veterans Affairs provides the necessary evidence for healthcare providers to assist appropriately in diagnosing and managing veterans’ health needs.

Thank you

References

O’Hanlon, C., Huang, C., Sloss, E., Anhang Price, R., Hussey, P., Farmer, C., & Gidengil, C. (2016). Comparing va and non-va quality of care: A systematic review. Journal of General Internal Medicine, 32(1), 105–121. Retrieved December 1, 2022, from https://doi.org/10.1007/s11606-016-3775-2Links to an external site.

US Department of Veterans Affairs. (n.d.). Evidence base therapy. Va.gov. https://www.mentalhealth.va.gov/get-help/treatment/ebt.aspLinks to an external site.

US Department of Veterans Affairs. (2021). ChooseVA. ChooseVA. Retrieved December 1, 2022, from https://www.choose.va.gov/Links to an external site.

Cherie, your post intrigued me very much since you mentioned veterans. I have been looking into working at a veterans hospital because my dad has always told me great things they offer and do compared to other facilities in my area. Now when you mentioned about the programs they have that used evidenced based practice that seems very interesting to me that they follow up with meetings. According to the U.S Dept of Veterans Affairs, they have a behavioral therapy that is shown to relieve depression and increase healthy behaviors and positive experiences (2013). They have many evidence based therapies for depression, cognitive behavioral conjoint, substance use disorders and many more that are tailored to each person’s needs. I feel there should be more programs to help support our veterans out with their chronic conditions they have. According to the National Council on Aging article, there is programs that are mainly focused for the chronic disease self-management and education for the fall preventions, physical therapy, and nutritional help. There is ways we can partner and join in these organizations to further get involved and get into more evidenced based practice.

Health, M. (2013, August 15). Va.gov: Veterans Affairs. Home. Retrieved December 2, 2022, from https://www.mentalhealth.va.gov/Links to an external site.

The National Council on Aging. (n.d.). Retrieved December 2, 2022, from https://www.ncoa.org/article/tip-sheet-engaging-veterans-evidence-based-programs/

Augusta,

I appreciate your honesty about your perception. It’s true that we do often expect EBP in specialty organizations. A review sometimes reinforces this and points out specific studies as examples.

Dr. Johanson

Hello Augusta, excellent discussion.

Indeed, the American Association of Critical-Care Nurses (AACN) is a non-profit organization comprised of a group of nurses providing acute and critical care services. The organization offers professional and personal support to nurses in improving hospital patient care. The mission of the AACN is to provide excellent services to acute and critical-care practitioners (AACN, 2019). The organization offers expert influence and knowledge to these nurses in attaining their achievements in critical-care situations. However, AACN focuses on nurses and the long-term beneficiaries of quality health services, including patients and their families (AACN, 2019). The AACN’s NTI program offers a framework for networking with other nurses. Besides, the scholarships help nursing students and workers continue their education. They benefit from developing career paths that enhance professional development.

Also, the AACN has peer-reviewed journals that provide relevant information on how to handle critical care patients. These journals have essential information about evidence-based practices and how to improve nursing processes. The first is the AACN Advanced Critical Care journal (AACN, 2019). The journal helps update nurses with advice on current issues that express a broad scope of critical care problems. Besides, the AACN webinars and Practice Alerts provide real-time challenges facing the nursing practice and how to overcome them. The organization also supports the CSI Academy projects focusing on the rising challenges facing nurses. Augusta, in fact, the organization, targets optimal contributions by these nurses to provide quality care.

References

AACN (2019). NTI 2020 Indianapolis: May 4-7. American Association of Critical-Care Nurses: https://www.aacn.org/conferences-and-events/nti/Links to an external site.

AACN (2019). AACN Continuing Professional Development Scholarships. American Association of Critical-Care Nurses: https://www.aacn.org/education/scholarshipLinks to an external site.

AACN (2019). Continuing Education Activities. American Association of Critical-Care Nurses: https://www.aacn.org/education/ce-activitiesLinks to an external site.

AACN (2019). Membership Benefits. American Association of Critical-Care Nurses: https://www.aacn.org/membership/membership-benefitsLinks to an external site.

AACN (2019). About AACN. American Association of Critical-Care Nurses: https://www.aacn.org/about-aacnLinks to an external site.

Augusta,

I reviewed the American Association of Critical Care Nursing (AACN) and found their website to showcase their commitment to evidence-based practice very well. The website is easy to navigate and provides excellent resources for the care of critically ill patients. When searching the website, I searched for evidence-based practice, resulting in 414 journal articles. These articles ranged from understanding evidence-based practice to applying it when providing patient care (AACN.org, n.d.). “The most important reason for consistently implementing EBP is that it leads to the highest quality of care and the best patient outcomes” (Melnyk & Fineout-Overholt, 2019). The only way to do this is by continuing to educate ourselves using evidence from our daily practice as nurses and advanced practice providers. This AACN website supports this throughout its website, and this would be a very beneficial resource for those of us working in critical care areas. Thank you for sharing this website!

References

Aacn.org. (n.d.). Retrieved November 30, 2022, from https://www.aacn.org/search?page=2&category=Journal+Articles&searchtext=evidence+based+practiceLinks to an external site.

Melnyk, B. M., & Fineout-Overholt, E. (2019). Why Evidence-Based Practice? In Evidence-based Practice in Nursing & Healthcare: A guide to best practice (pp. 12–12). essay, Wolters Kluwer.

Response 1

Hi Augusta

I enjoyed reading your post and thank you again for sharing your view on the American Association of Critical Care Nursing (AACN). This website did change my perception though I have rarely used this website. It truly is showing a great example of Evidence-based practice (EBP). The Scrub Club reducing Central-Line Associated Bloodstream Infections (CLABSI) through Evidence-Based Practice is one excellent example on the AACN website where they collaborated with CSI Academy. The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure a linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact (Aacn.org. n.d.). Nurses work at the front line and should be directly involved in EBP. This will provide nursing to ask questions and there will be increased chances of using EBP. The EBP Nurse Scholars course resulted in the successful completion of 15 projects related to nursing care and practice and led to significant practice improvements (Crabtree et al, 2016).

References

Aacn.org. (n.d.). Retrieved December 2, 2022, from https://www.aacn.org/nursing-excellence

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practiceLinks to an external site.. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126

Richard,

I found your post reviewing Catholic Health Initiatives (CHI) very interesting. I worked for one of their partners Centura Health in Colorado, before leaving to do travel nursing. Centura is co-owned by Common Spirit, just like CHI. I left Centura frustrated with their standard of care in the hospital I was in and how the administration approached safety and care issues brought to them by nursing. There was also a façade of shared governance that nursing did not feel was actually true in practice. For my post, I analyzed the system I came from in CA and compared it to Centura in my own time. Centura fell very short in demonstrating a commitment to evidence-based practice compared to what I was used to. Therefore, it is interesting to hear about your experience with CHI. I found an article looking at their merger with other organizations, how they set their mission and how the employees that have been with them through the first ten years felt about the organization (Ross, 2007). You joined the organization soon after this anniversary, and it sounds like the sentiment is still the same. I appreciate their investment in research far ahead of the results. I do not see this in all of the hospitals I have worked for. You mentioned EBP bringing confidence to the community and the nurses giving care. This is an excellent example of them striving to meet the goals of the quadruple aim (Melnyk & Fineout-Overhold, 2018).

References

Melnyk, B.M., & Fineout-Overholt, E. (2018). Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry. In Melnyk and Fineout-Overhold, Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed., PP. 7-32). Philadelphia, PA: Wolters Kluwer.

Ross J. M. (2007). Catholic Health Initiatives at 10. Health progress (Saint Louis, Mo.), 88(1), 31–68.

Week One Discussion – First Peer Response

      Good post-Erin; I agree with your understanding of how EBP or evidence-based practice is grounded in AMA or

the American Medical Association. According to Melnyk & Fineout-Overholt (2019), “EBP enhances healthcare quality,

improves patient outcomes, reduces cost, and empowers clinicians (p.7).” With the internal and external evidence

derived from EBP, clinicians can provide patient care knowing that systematic and rigorous research by credible

experts supports the interventions and processes. Looking at the AMA website, I was able to verify how EBP is

intertwined with the health care organization in their values page, where it stated, “ Evidence-informed & community

driven: we are rooted in the wisdom and expertise of communities and the shared learning demonstrated through

available evidence, knowledge and stories (AMA, 2022, n.d.).”  Including the community in the shared learning

experience and translating, it to real-world experience is another mark of employing EBP in their service.

“Looking at clinical issues through the lens of strong scientific research allows us to provide the best care possible

for our patients (Walden University LLC, 2018, n.d.).” A specific journal such as JAMA or the Journal of the American

Medical Association is a testament to their dedication to EBP. As a nursing student and a professional, I constantly use

JAMA in my assignments before and now in my current practice as a Charge nurse. Our unit-based educators also use

JAMA in their reference as they introduce new practice guidelines. I once belong to the safety committee in our

hospital, and we utilize EBP resources in our discussions and training. We identified multiple clinical concerns, and

when we tried to find solutions to those recurring issues, EBP utilization came almost naturally.

References

American Medical Association. (2022, October 14). AMA’s Center for Health Equity mission and

      guiding principles. https://www.ama-assn.org/about/ama-center-health-equity/ama-s-center-health-equity-mission-Links to an external site.

Melnyk, B., & Fineout-Overhold, E. (2019). Evidence-based practice in nursing and  healthcare: A guide to

best practice. Wolters Kluwer

Walden University, LLC. (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video file].

Baltimore, MD: Author.

Response #2

Thank you, Erin, for the great information.  This was my first time visiting the AMA site.  I knew that the AMA was a large organization that

championed those who work in healthcare.  I was not aware of the large amount of evidence-based research the AMA conducted.  I was

particularly interested in a statement made by Christine Sinsky, MD who is the AMA vice president of professional satisfaction.  Ms Sinsky

stated “While burnout manifests in individuals, it originates in systems. Burnout is not the result of a deficiency in resiliency among physicians,

rather it is due to the systems in which physicians work.” American Medical Association, 2022, October 14). This statement was made in relation

to an AMA research study on physician burnout.  This is just one of the many research efforts made by the AMA that produced evidence-based

information.  Melnyk & Fineout-Overholt (2019) explained the importance of disseminating evidenced-based information.  The research efforts

and dissemination of information by the AMA show they are a strong organization with a high amount of importance within the healthcare

industry.

References

American Medical Association (2022, October 14.). Measuring and addressing physician burnout.

Retrieved on December 1, 2022 from https://www.ama-assn.org/practice-management/physician-health/measuring-and-addressing- Links to an external site.

physician-burnoutLinks to an external site.

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-Based Practice in Nursing & Healthcare (4th ed.).

Wolters Kluwer

Erin,

Great post! The AMA is an excellent resource for evidence-based practice. I have heard of their journal, but I have not had the chance to read it. Nurses and practitioners must review these journals and articles to learn and maintain the best evidence-based practice. Most nursing staff have a positive attitude toward evidence-based nursing medicine but are lacking the knowledge and skills about evidence-based nursing (Chen, X et al. 2022). A solid knowledge base on this topic will help nurses and practitioners care for their patients in the best ways possible.

In nursing school, I have been on the AMA website, but I haven’t spent much time on it since. It has a lot of good information and current research. The AMA can help nurses implement evidence-based changes. Implementation of EBP is defined as its implication in clinical practice (Abu-Baker,N. N. et al. 2021). This can help nurses improve hospital practices to benefit the patient’s care and outcomes, just like the example you posted. By having that knowledge, the nurse can discuss it with the provider to work on getting it implemented in their hospital. This way, the patients get better care, and the providers and nurses learn how to treat a chronic condition differently.

References

Chen, X., Song, Q., Wu, J., Fang, Z., & Sui, G. (2022). The Application Effect of Evidence-Based Care in Gastrointestinal Surgical Pipeline Nursing. BioMed Research International, 1–9. https://doi.org/10.1155/2022/5027024Links to an external site.

Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based practice beliefs and implementations: a cross-sectional study among undergraduate nursing students. BMC Nursing, 20(1), 1–8. https://doi.org/10.1186/s12912-020-00522-x

Tracy,

I like your example of Pathways. Good review of this site

Dr. Johanson

Tracy,

Reading your post was intriguing! To add to the discussion: Evidence-based practice is the gold standard for providing safe and effective medical treatment to patients because it considers a wide range of data. Integrating patient and family values into the process of collecting and analyzing data from research, quality improvement procedures, clinical experience, and clinical judgment, assessing results and making appropriate use of health diagnostics and technologies (Melnyk & Fineout-Overholt, 2022). The most outstanding patient outcomes, more patient satisfaction, fewer medical mistakes, and lower needless healthcare expenses are all results of evidence-based treatment (Barker et al., 2019). Patients are more satisfied with their care when their providers use cutting-edge science and equipment (Barker et al., 2019). Outcomes, patient satisfaction, and the quality of treatment are all improved when an organization encourages such practice by providing a conducive atmosphere for professional development, enough resources, and competent supervision (Melnyk & Fineout-Overholt, 2022). These principles are often included in an organization’s overarching goals and guiding principles. In addition to promoting a culture of high-quality medical treatment, this group also produces, promotes, and performs extensive research, which it then integrates into its practice.

References

Barker, J. H., Kane, R., & Linsley, P. (2019). Evidence-based practice for nurses and healthcare professionals. Evidence-based Practice for Nurses and Healthcare Professionals, 1-264.

Melnyk, B. M., & Fineout-Overhold, E. (2022). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.

Shay,

Good review of the AANA for EBP. Nice examples in your post

Dr. Johanson

Serena

Good review of APNA. Many in the class aspire to the PMHNP tract, so this site is very relevant!

Dr. Johanson

Week 1, Discussion 1, Reply 2

Hello Yun,

Thank you for thoroughly reviewing the Cleveland Clinic Weston Hospital and information about its evidence-based practice (EBP) resources. The adherence of the Cleveland Clinic Weston Hospital to EBP is clearly reflected in its mission, vision, and values. Chan et al. (2020) noted that “Evidence based practice […] combines clinical expertise, patient values, and the best evidence available to provide safe, high quality health care that ensures the best possible patient outcomes” (p. 128). The Cleveland Clinic echoes this definition by stressing the research for health, choosing best practices for care and work environment, and stating quality and safety, empathy, teamwork, integrity, inclusion, and innovation as its values (Cleveland Clinic, 2022b). I liked the Evidence-Based Practice eLearning course you mentioned in your post. I found it helpful in EBP understanding with comprehensive information about PICOT questions and searching for EPB resources. For someone mastering the EBP approach, it’s essential to understand the components of the PICOT question and formulate it “to yield the most relevant and best evidence from a search of the existing literature” (Melnyk & Fineout-Overholt, 2018, p. 17). Cleveland Clinic eLearning course provides information on EBP and PICOT and, if necessary, connects with a librarian in Library Chat to clarify any questions. Additionally, the Cleveland Clinic Health library and podcasts conducted by experts and EBP professionals in an easily understandable way are excellent sources of dissemination of EB information (Cleveland Clinic, 2022a; 2022c).

References

Chan, B., Wei, R., & Fetherston, C. (2020). Innovative digital tools in EBP and information literacy education for undergraduate nursing students. Journal of Information Literacy, 14(2), 128–140.

Cleveland Clinic. (2022a). Health library. https://my.clevelandclinic.org/health

Cleveland Clinic. (2022b). Mission, Vision, & Values. https://my.clevelandclinic.org/about/overview/who-we-are/mission-vision-valuesLinks to an external site.

Cleveland Clinic. (2022c). Podcasts. https://my.clevelandclinic.org/podcasts

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Liana,

Good review of UCLA Health. Good example with the heart study! Is this a large organization to be able to conduct this research? Well done

Dr. Johanson

Liana,

You provide a concrete discussion about Evidence-Based Practice (EBP). Data-based practice significantly depends on using available scientific evidence for clinical decision-making. Evidence-based techniques have continued to gain roots in management, the creation of public policies, education, and nursing practice since their official debut in the 1990s. As one of the most successful approaches to problem-solving in clinical settings, evidence-based practice incorporates the best available information from well-designed scientific research, the preferences and values of patients, and the clinical competence to make choices about patient care (Melnyk & Fineout-Overhold, 2022). Therefore, the primary objective of evidence-based providers is to offer patients high-quality and safe treatment. EBP adopts an interprofessional approach that places a significant emphasis on collaborative decision-making in order to maximize the probability of success. Similarly, state, federal, and local players are necessary to adopt and implement evidence-based practice. According to Craven et al. (2020), most nurses are prepared to learn the essential skills and knowledge for implementing evidence-based practice in clinical settings.

References

Craven, H. L., Coyle, A. L., & Davis, A. (2020). Shifting evidence-based culture: From project to practice.

Melnyk, B. M., & Fineout-Overhold, E. (2022). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.

Heather

Great review of ANCC. I like how you personalized the post with the interest related to your career and position. Well done

Dr. Johanson

Reply #2

Hello Heather. Thank you for sharing your experience working at Hoag. I had the opportunity to visit their website and I liked their vision which is to create a working environment emphasizing the promotion of evidence-based practices, interdisciplinary team, and family-centered care (Hoag, n.d.). After navigating Hoag Memorial Presbyterian’s website, I’ve learned that they encourage their nurses to be part and be involved in research conducted in their facilities. Nurses’ involvement will allow them to build a solid base of evidence. Evidence-based practice (EBP) is essential for the delivery of quality healthcare (Howard et al., 2022).

References

Hoag Memorial Hospital Presbyterian, (n.d.). Nursing at Hoag. Retrieved December 3, 2022, from https://www.hoag.org/about-hoag/nursing/Links to an external site.

Howard, B., Diug, B., & Ilic, D. (2022). Methods of teaching evidence-based practice: a systematic review. BMC Medical Education, 22(1), 742. https://doi.org/10.1186/s12909-022-03812-xLinks to an external site.

Desiree,

This is such an important organization with a global perspective on EBP. Good reference for this course also

Dr. Johanson

Response 2

        Hello Desiree, I enjoyed reading your post regarding the World Health Organization (WHO); I also believe that WHO has various resources and evidence base practices to support everything they have achieved. Evidence base practice is essential in healthcare, providing the best care possible; the WHO organization responds to healthcare crises worldwide by providing fast and efficient treatments (World Health Organization [WHO], 2022). Using EBP can reduce healthcare costs, promoting optimal patient outcomes and satisfaction (Crabtree et al., 2016). I enjoy updating myself with current healthcare topics that are going on in the world and the current treatment that is being used. The World Health Organization has been a great source of reliable resources by providing data and supporting research. With the most recent pandemic of the Covid-19 virus, the WHO provided continuous guidance in countries requiring additional support with the Covid-19 crisis and continues to do so by providing vaccines and funding for continued research (WHO, 2022).

        The WHO organization significantly prevents and treats diseases but lacks funding(WHO, 2022). It was stated by WHO (2022) that their research aims to provide healthy lives and decrease health risks worldwide (WHO, 2022). With a new study that the WHO provides, the organization has provided funding to transform evidence base practice into a health policy (World Health Organization [WHO], n.d.). The WHO organization aims to treat the vulnerable and the poor, and the WHO Western Pacific Regional Office includes health policy by supporting the best health research(WHO, n.d.).

References

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. Retrieved November 26, 2022, from https://doi.org/10.1111/wvn.12126Links to an external site.

World Health Organization. (n.d.). Strengthening health research and evidence-based decision making. WHO. Retrieved December 2, 2022, from https://www.who.int/westernpacific/activities/strengthening-health-research-and-evidence-based-decision-makingLinks to an external site.

World Health Organization. (2022). Who foundation. WHO foundation. Retrieved December 2, 2022, from https://who.foundation/Links to an external site.

Reply 2

Sandeep, the American College of Cardiology (ACC) is not an organization I am familiar with but after some review, they do seem like an organization that utilizes evidence-based practice. The website seems to keep the practitioners up to date on clinical studies and has tools such as apps, worksheets, and other resources which healthcare institutions can utilize to assist in providing evidenced-based care decisions (ACC, n.d.).  Using evidence-based practices in patients with chronic conditions such as heart failure which is a leading cause of morbidity and mortality globally can greatly improve their quality of life (Heidenreich et al., 2022). In a recent interview with Eugene Braunwald considered an authority on modern cardiology, he discusses the importance of mentoring future healthcare professions, and the role research plays in advancing the field of cardiology. (Sabharwal et al., 2021).

American College of Cardiology. (n.d.). ACC Quality Improvement for Institutions Program. https://cvquality.acc.org/Links to an external site.

Heidenreich, P. A., Bozkurt, B., Aguilar, D., Allen, L. A., Byun, J. J., Colvin, M. M., Deswal, A., Drazner, M. H., Dunlay, S. M., Evers, L. R., Fang, J. C., Fedson, S. E., Fonarow, G. C., Hayek, S. S., Hernandez, A. F., Khazanie, P., Kittleson, M. M., Lee, C. S., Link, M. S., Milano, C. A., … Yancy, C. W. (2022). 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation, 145(18), e895–e1032. https://doi.org/10.1161/CIR.00000000000010Links to an external site.

Sabharwal, N., Dev, H., Sinha, M., Saxena, P., & Raman, J. (2021). Cardiology, Research and Training: An Interview With Professor Eugene Braunwald. Heart, lung & circulation, 30(8), 1263–1267. https://doi.org/10.1016/j.hlc.2021.03.007Links to an external site.

Miranda,

Be a little cautious because just the ambition to detect and diagnose does not automatically meet EBP criteria. The protocols need to be based on empirical research. Was there evidence of this on the site? Also post if your review changed your perception of the org. please

Dr. Johanson

Reply #1

Hello Miranda, I was happy to read your post on Alzheimer’s disease. For the past 15 years, I have been working with a geriatric population affected with this condition. As mentioned by Munos-Bermejo et al., caring for a person with Alzheimer’s disease require a lot of dedication, patience, and commitment due to the progressive nature of this condition (2022). I agree with the Alzheimer’s Association goal to improve access to quality care. As a progressive condition, Alzheimer’s disease begins with an early stage and will progress to a late stage. To improve the cognitive state of the affected person, and to slow down the progression of the disease, it is recommended to combine a pharmacological and psychological treatment (Olczak et al., 2022).

References

Muñoz-Bermejo, L., González-Becerra, M. J., Barrios-Fernández, S., Postigo-Mota, S., Jerez-Barroso, M. D. R.,      Martínez, J. A. F., Suárez-Lantarón, B., Marín, D. M., Martín-Bermúdez, N., Ortés-Gómez, R., Gómez-Ullate-García de León, M., Martínez-Acevedo, M., Rocha-Gómez, L., Espejo-Antúnez, S., Fraile-Bravo, M., Galán, M. G. S., Chato-Gonzalo, I., Muñoz, F. J. D., Hernández-Mocholí, M. Á., … Adsuar, J. C. (2022). Cost-Effectiveness of the Comprehensive Interdisciplinary Program-Care in Informal Caregivers of People with Alzheimer’s Disease. International Journal of Environmental Research and Public Health, 19(22). https://doi.org/10.3390/ijerph192215243Links to an external site.

Olczak, A., Truszczyńska-Baszak, A., Stępień, A., & Górecki, K. (2022). Functional Therapeutic Strategies Used in Different Stages of Alzheimer’s Disease-A Systematic Review. International Journal of Environmental Research and Public Health, 19(18). https://doi.org/10.3390/ijerph191811769

Joshua,

Good examples posted related to EBP at Kaiser. Did your perception of the site change after this review?

Dr. Johanson

Kwesi,

I will accept your entry this time because it’s the first week and we are all just getting used to the new course. However in the future please do not post a document ONLY to the forum. You may post a document that ACCOMPANIES the text posted in a forum, but it is not allowed to post only the document alone. Thank you for this consideration.

Dr. Johanson