How is evidence-based practice (EBP) used in nursing and how does the EBP influence Quality Improvement?

·       Must address the topic.

·       Rationale must be provided.

·       May list examples from your own nursing practice.

·       150-word minimum/250-word maximum without the references.

·       Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper.

Summary of the Term Paper.

8-10 slides

APA Format  References ( two research articles from 2017, and your textbook. 

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/researchers findings.

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

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

Watch video:  https://youtu.be/Rz8ge4aw8Ws

This video conjures many emotions, both as a nurse and a moral human being. Most of us entered/will enter the profession of nursing in response to a calling to care for our fellow human beings. For many of us, we believe with an urgent commitment that nursing is who we are, not simply what we do. We are guided by a moral compass that sets our life course based on knowing right from wrong, good from evil. 

While it is impossible for us to understand how the nurses in the concentration camps could be complicit in their role as ‘doers’ of euthanasia, it is curious how many of them came to believe that killing was a legitimate part of their caring role. These thoughts beg many questions, the answers for which will be reflective of your own beliefs and values system. Answer the following in your Forum post:

Do you think these nurses were complicit from the beginning, or did they slowly become involved over time until it became easier to cross the line? Once they did cross the line, how might a sense of power have overtaken their moral judgment? Perhaps they were indoctrinated to believe that the health of the public at large was more important than the health of the individual; yet how could they justify their actions to exploit the few for the benefit of the many? Were they simply following orders? Were they motivated by the thought of losing their job, or maybe even their life, if they refused? Could they have truly believed that they were simply relieving these children of their suffering and in so doing were being merciful in their actions?

In the context of your own nursing practice, why is this reflection activity important? Think about your own vulnerability to outside pressures and influences—would you speak up today if your moral position was threatened? Why or why not? Consider this from a position of power that you may or may not have. In today’s challenging healthcare environment, why is it important that we not only understand our moral position but that we also monitor our own response and the response of others? 

 Please pay attention to INSTRUCTIONS BELOW

• Therapeutic drug monitoring is a frequent practice in health care. How does age affect drug absorption, metabolization and excretion?
• The use of salt substitutes can cause hyperkalemia in older adults when use in conjunction with what types of drugs?
• Describe how you would prevent and evaluate risk factors for medication nonadherence in older adults?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style 7 ed with support from at least 2 academic sources THAT MUST BE  Journal articles .

Resources: Must use this one and another one of your choosing.

• DeCasterie, B. D., Izumi, S., Godfrey, N. S. & Denhaerynck, K, (2008). Nurses’ response to ethical dilemmas in nursing practice: Meta-Analysis. Journal of Advanced Nursing, 63(6), 549-549.