What is the role of the federal government in public health? Provide 2 examples.  

What is the staff nurse’s role in evidence-based practice in your organization? 

EBP plays an essential role in the organization. In this regard, nurses contribute substantially to the evidence arm of the practice by providing the necessary information that the facility translates into care. According to Li et al. (2019), community caregiver can collect critical evidence and knowledge during their interactions with the patients. Examples include the emphasis on safety, where nurses give feedback concerning their daily relations with the recipients of care, providing valuable information that can be translated into practice. In this regard, the emphasis is on observational evidence, such as the causes of fall, medication errors, and staffing issues to help the entity improve its quality. Nurses use and offer personal experience as a vital part of feedback in enhancing the value of services provided to the patients. The role of detectives is prominent in such cases. 

Another role of caregivers is through their expertise. Apart from relying on personal knowledge and interactions, nurses contribute to EBP by applying their proficiency. As indicated by Li et al. (2019), one of the most prominent barriers in the implementation of EBP is the absence of a conducive environment. At the organization, the leadership encourages best practices in the ICU, such as those focused on patient-centered care, the observation of hygiene protocols, and preventing nosocomial infections. The implication is that caregivers are the end-users of clinical guidelines. Applying research, such as the theories of caring, helps in attaining the set quality goals at the facility. However, although standardized procedures exist, the application of the expertise of the nurse in a particular situation to encourage best outcomes remains crucial. The emphasis on experience complemented by existing research is prominent. 

How much do you think EBP is valued by your colleagues on the nursing staff?

At the organization, EBP is a valuable aspect that promotes quality care. The application of various models, such as those that emphasize patient-centered care is useful in encouraging the approach. According to Black et al. (2015), hospitals can increase the subscription and use of EBP by implementing training programs. The goal is to improve the level of awareness and ensure the caregivers and other healthcare staff understand the significance of the concept. At the organization, the hospital employs continuous training to ensure the employees are familiar with the most current information regarding best practice. As a result, a majority of the people are aware of the significance and need for EBP and constantly update their knowledge. Moreover, a strict evaluation process to promote high levels of uptake of EBP is also in place. The organization emphasizes the best care whenever possible. 

Leadership is another vital aspect that shows the seriousness of the hospital in adopting EBP. Apart from continuous training, sensitization programs aimed at increasing awareness and the adoption of best practices are prevalent. At the same time, as indicated by Black et al. (2015), hospitals should provide the needed resources and equipment to facilitate the uptake of EBP. In such a case, the organization funds safety and quality initiatives aimed at improving the value of services offered, as well as attaining the primary goal of patient-centeredness. The caregivers exhibit a considerable level of familiarization with EBP. In such cases, colleagues insist on the use of quality measures and also comply with the evaluation process at the facility. Other aspects include the display of concern and empathy in the welfare of the patients, demonstrating the adoption of desired competencies and practices at the facility. 

References 

Black, A. T., Balneaves, L. G., Garossino, C., Puyat, J. H., & Qian, H. (2015). Promoting evidence-based practice through a research training program for point-of-care clinicians. The Journal of Nursing Administration, 45(1), 14. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263611 (Links to an external site.) 

Li, S., Cao, M., & Zhu, X. (2019). Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses – a systematic review. Medicine, 98(39). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6775415 (Links to an external site.)

REPLY 2

Staff Nurse Role in Evidence-Based Practice.

Evidence-based practice (EBP) in nursing is an integration whereby evidence of research is provided, and the various clinical expertise and the preference of patients are evaluated. EBP approach enables nurses to ensure that they carry out individualized patient care in the clinical setting. Nurses are able to determine a useful course of action for the better care and delivery of healthcare services to patients through EBP because it provides the following steps (Black, 2017). EBP provides a clinical question where one has to identify a specific problem and offer clinical-based solutions. It gathers the best evidence available, analyze, apply it, and assess the end results.

A nurse’s role in EBP is that one is provided with scientific research where they can make a sound decision based on that research. Nurses stay updated about the protocols in the medical field and how they can take care of the patients in the best way possible (Hain & Haras, 2015). Through a clear understanding of the patient’s needs and patient profiles, nurses are able to increase and improve the chances of recovery of patients. Another role of a nurse in EBP is that one can evaluate provided research and understand the various risks and how to provide practical diagnostic tests and treatments. The nurses use all the research provided in the provisions that guide effective and quality patient care. Another role is that they serve in the production of clinical evaluation teams. The nurses also ensure that they have clinical knowledge of the product, such as the cost, outcomes, and ease of use, especially during the product evaluation process or stage.

How Evidence-Based Practice Is Valued

During my experience in clinical rotations, nurses, as well as chief nursing executives, say that they value evidence-based practice. Still, in reality, many have not implemented it at all. Because EBT yields high-quality health care and lower costs, most people have disregarded it and still use the traditional way of rendering care to patient and how they have always been doing their things.  Although most of them say that they value evidence-based practice, about 25% do not know the necessary steps to implement it. A good number of them have not even reviewed or researched the guidelines of the EBP. Unless the nursing executive puts up strict measures to implement and use evidence-based practice in the organization, the quality and safety goals can have difficulty to be realized (Neil, 2015).

Based on the above, the nurse executives must offer continued education and training in EBP to all staff. They can use this as an opportunity to model them and create budgets that will support and sustain them in all their undertakings and practice in delivering patient-centered care. To top it all, the academic nursing programs must intervene in such organizations and teach the nurses how the available research in EBP can make important and meaningful evidence-based decisions. EBP is critical, especially to nursing students, because they gain knowledge and expertise in various practices, and through it, they can expand their knowledge. There are two things that nurses must consider at all times. That is the provision of the best practice and well centered patient care in any clinical setting.

References

Black, B. P. (2017). Professional Nursing Concepts and Challenges (8th Ed.). St. Louis, MO: Elsevier. ISBN: 9780323431125

Hain, D., & Haras, M. S. (2015). Changing nephrology nurses’ beliefs about the value of evidence-based practice and their ability to implement in clinical practice. Nephrology Nursing Journal, 42(6), 563-567.

Neil, H. P. (2015). Nursing liability and evidence-based practice. MedSurg Nursing, 24(5), 10.

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

Publication Manual of the American Psychological Association (7th Edition) , 7th
ISBN: 9781433832154 

Population and Community Health Nursing (6th Edition) , 6
ISBN: 978-0-13-385959-1 

Discussion Question:

1. How does a person’s difference in age, culture, race, gender and living situation impact your comfort as a nurse in communicating with them?

2. While growing up, how were OAs (older adults) treated in your family, culture, community and in society (identify the year range)?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook in each week’s initial post

 PLEASE KEEP IN MIND THAT THE PAPER HAS TO BE NURSING RELATED. 

Discussion Question 1:

As nurses, we need to find effective ways to handle our stress. Explain how stress has affected you personally. How do you manage stress in your life? Are there other activities you could incorporate into daily routine to reduce stress?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

Discussion Question 2:

Below are some common delegation issues with examples. Give your own examples of over-delegation, under-delegation, and refusal to accept a legitimate delegation, and explain what you would do in each case.   

Over-delegation. (Would you pass my medications for me and sign off my orders? I’m really busy).

Under-delegation. (I’ll do it myself. The nursing assistant argues with me when I ask her to do something/I always have to do it over).

Refusal to accept assignment of legitimate delegation. (I don’t know how to do that very well/I have too much work already/It’s always me that gets the work; ask someone else/I’m too busy/I won’t be able to do a very good job, but if that’s what you want…)

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

 Assignment 4.2: Fluid Balance

Step 1: Open your power points to Chapter 8, slide 9-14, fig. 8.3.

Review Figure 8.3 on fluid balance

• Write a 1 page paper on the effect of fluid balance during exercise