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Evidence based nursing practice is important to be incorporated in order to provide quality patient care. These practices have been studied and researched with the intent to standardize and improve health care. Nurses prepared at a baccalaureate level are expected to be more familiar with current evidenced based practice since evidence based practice is part of the curriculum. The BSN is able to apply the evidence-based practice into their care thus resulting in quality patient care and positive patient outcomes. Two barriers include the nurse’s level of education, and senior nurses not willing to change. The ADN degree focuses more on clinical knowledge and skills whereas the BSN in addition incorporates evidence based practices and focuses on holistic patient care. With continuing education, nurses would be provided with the tools they need to deliver current evidence based care. Applying EBP to the bedside has been proven to improve patient outcomes and satisfaction. According to Melnyk (2016), “A good place to start is by improving the level of education of nurses and investing funds in continuing programs and evidenced-based practice mentors to equip them with the skills needed to consistently deliver evidence-based care.” Another barrier may include nurses of seniority “seasoned nurses” not wanting to change and adapt to the current evidence based practices. For example, the nurse with twenty years experience may not have learned to use the EBP approach and want to stick to their old ways because it is easier for them. This type of behavior may be difficult to change. Wallis (2012), stated that “In order to make a change happen the nurse leaders should place enough EBP mentors at the bedside who can work hand in hand with clinicians to help them learn and implement skills consistently.” Positive encouragement and consistency may be key in creating change with experienced nurses. All nurses should share the same goal of providing the best quality patient care.

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• ProQuest Nursing & Allied Health Source – offers a wide range of materials in nursing, allied health, alternative and complementary medicine and the likes.  It has over 860 titles in full text and over 12,000 full text dissertations. Additionally, it gives access to online reference books, training tools and evidence-based nursing material from The Joana Briggs Institute.  It’s a good source for training videos and cultural reports that contributes to a better understanding of patient care.
• ProQuest’s Nursing & Allied Health Database – offers a mix of scholarly literature, clinical training videos, reference materials, and evidence-based resources, including dissertations and systematic reviews
• CINAHL Complete – is one of the strongest databases for nursing.  It offers research tools and access to nursing and allied journals.  It is comprised of more than 1300 journal titles and covers over 50 specialties in nursing. Additionally, it offers continuing education modules, research instruments and evidence-based care sheets
• Joanna Briggs Institute (JBI), is a recognized global leader in evidence-based healthcare resources with a mission to support evidence-based practice in patient care globally. It is an international non-profit institute with over 70 collaborating centers throughout the globe. JBI has been promoting evidence-based practice to improve health care outcomes for over 10 years. The JBI evidence-based practice (EBP) database includes more than 3,000 records across seven publication types. These types include Evidence Summaries, Evidence-Based Recommended Practices, Best Practice Information Sheets, Systematic Reviews, Consumer Information Sheets, Systematic Review Protocols, & Technical Reports. The JBI EBP database consists of 7 full text publications that are arranged by 17 subject areas. The data base includes evidence summaries which is the largest category in the database and it brings together all the evidence about the search topic. This can be used for decision support and the PICOT approach beginning with a question and ending with a recommendation. Most of the new publications or frequently updated are the recommended practice or evidence summaries. JBI data base also includes systematic reviews written by members of the JBI.

hi dear,

 can help me to finish this assignment with good quality and be on time please?

I just need to 2 responses to the Discussions, and about 100 words for each responses.

1. The 2 physical activity objectives that I find to be significant are:

PA-8.2.3 – Increase the proportion of adolescents in grades 9 through 12 who view television, videos, or play video games for no more than 2 hours a day.

The baseline level for this goal was 67.2% in 2009 with a goal to increase this by 10% to at least 73.9%.

I selected this topic because as society’s use and dependence on electronic interactions for education, entertainment, and even education, has grown, there has been an increase in the number of adolescents and young children using these devices. According to a report by Michael McCarthy in the British Medical Journal, it is estimated that youth and adolescents spend approximately 11 hours a day in front of some from of screen. This, in place of going outside to play and having live interactions with their peers, leads to early health issues such as obesity, as well as setting the stage early for a more sedentary life-style for their laters years. If  we can work to decrease how long these children are in front of these devices and encourage them to get out and play instead, we can set the pace for a healthier way of living for our children as well as ourselves.

Current statistics show that the country is on the right track with improving this rate. According to the current data on Screen Time for teens, the most recent information (2015) showed nationwide, improvement to 75.3%. This is an approximately 11.4% increase over the 2011 rate of 67.6%. In reviewing the data for all the states, there was a general increase in all states that had data for the years listed, with the exception of Alaska which increased between 2011 and 2013, but decreased in 2015.

PA-11.1 – Increase the proportion of office visits made by patients with a diagnosis of cardiovascular disease, diabetes, or hyperlipidemia that include counseling or education related to exercise.

I selected this objective because I feel it’s important for this to be addressed in all physician office visits but most importantly to those that are diagnosed with illnesses that can be prevented or positively impacted by increased and improved physical activity.  It would make a significant difference if physical activity education and opportunities for guided exercise were provided and encouraged. According to the objective data, for 2007, only 13% of office visits included counseling or ecercise education.  The goal for 2020 is for a 10% increase to at least 14.3%. 

The data showing the disparities between ethnicities showed that in 2007, only 11.5% of Black or African Americans were educated on exercise with an increase to 16.3% by 2010.  This is an approximately 42% increase for this demographic.

2.   The first objective I selected to review is PA-8.2.1Increase the proportion of children aged 2 to 5 years who view television, videos, or play video games for no more than 2 hours a day. The reason I selected this objective is mainly that my youngest is 2 years old and my son is 5 years old. The baseline for PA-8.2.1 is 75.6 percent of children age 2 to 5 years viewed television, videos, or played video games for no more than 2 hours a day in 2005–08. The target percentage set for PA-8.2.1 is 83.2 percent with a target-setting method of 10 percent improvement. From 2005 to 2008 females (76.7%) had a higher percentage compared to males (74.4%) who viewed television, videos, or play video games for no more than 2 hours a day. Black or African American had a lower percentage at (57.6%) of children who viewed television, videos or play video games for no more than 2 hours a day. Compared to white only, non-Hispanic or Latino with a higher percent of 83.7 percent of children ages 2 to 5 years old who viewed television, videos, or play video games for no more than 2 hours a day.

The second objective I selected was PA-14.2 Increase the proportion of trips of 2 miles or less made to the school by bicycling by children and adolescents aged 5 to 15 years. The reason why I selected this objective due to my oldest is in this age group. The baseline for the objective is 1.4 percent of trips of 2 miles or less were made by bicycling to school by children and adolescents aged 5 to 15 years in 2009 and the target is 3.4 percent with a target-setting method of 2 percent point improvement. In 2009 1.5 percent of males between 5 to 15 years of age bicycled to school with trips of 2 miles or less. In addition, 1.7 percent of whites only, biked to school and 1.6 non-Hispanic or Latinos also biked to school.  Based on age group 1.3 percent of 5-11 years biked to school with a trip distance of 2 miles or less and 1.6 percent of 12-15 years. Database on National Household Travel Survey 2009.

Thanks,

Name two different methods for evaluating evidence. Compare and contrast these two methods.

Write a paper (1,250-1,750 words) describing the approach to care of cancer. In addition, include the following in your paper:

1. Describe the diagnosis and staging of cancer.
2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
3. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.