All three branches of government in the United States influence healthcare decisions. Each branch is responsible for specific aspects of healthcare policies and regulations. The legislative branch determines the services or programs the government will pay for and for which members of the population. The judicial branch is responsible for interpreting laws related to healthcare. The executive, also known as the administrative branch, develops rules and regulations that further interpret the laws and oversees the implementation of various health care programs.…
Unit 4 Discussion 2 Evidence Based Practice The trend towards evidence based practice (EBP) has increased with the implementation of the chronic disease management performed by nurses. Laughlin and Beisel (2010) reported the results of a pilot study regarding the evolution of the nurse role in a primary care setting as a member of the treatment team for chronic illness. Laughlin and Beisel (2010) focused attention on the skill sets nurses provided in care of chronic conditions emphasizing that nurses are uniquely qualified to assess the needs of patients with chronic illness and to formulate a plan for and coordination of care (p. 414). Barriers to EBP were acceptance of nurses in the role as members of the care team and lack of education…
Hello everyone, my name is Rachelle Mulles and nursing is my second degree. I pursued nursing after I felt I needed to know and do more while caring for my sick grandmother. I am currently training to become a skills laboratory coordinator in a career college and would like to teach full time once I receive my Master’s degree. Evidence based practice is a systematic method of finding a solution to health care problems through the integration of the best evidence from research and patient care data in combination with patient preferences and the clinical expertise of the nurse (Melnyk, Fineout-Overholt, Stillwell & Williamson, 2009).…
While examining the various models, each presents its strength and weaknesses. For example, in the model of John Hopkins integrate cultural values into evidence-based practice. On the other hand, the star model recommends important strategies to overcome challenges in research. Moreover, the star model incorporates patient preferences into best practice. Select EBP that you will implement into…
It is common practice when an expert knowledge of one specific field in a science improves best practices in the field of another system. For instance, an Evidence-Based Practice (EBP) is a scientific method of medical researches. This a method to utilize clinical research findings to improve medical decision making and lowers risk. From another side, there is a system of the Best-Evidence Rule In the field of criminal justice.…
After reading the article about evidence-based practice, I learned that EBP is not only incorporated within crime, but it is also affective in areas such as education, medicine, child welfare, and mental health. The purpose of evidence-based practice is to have "interventions" that are practiced upon scientists, proven to be safe and effective within these certain fields. Risk and need assessments are the more accurate tool in determining and offenders sentence and or responses to the sentence. Risk and need assessments are measured by how the offender will react due towards the sentence, and what programs will be most beneficial for the offender. One EBP program being used in the state of California, would be the program ACT, which stands…
Evidence based practice is so important in the current healthcare world. When evidence based practice is at the center of any organization, there is great improvement in practice and patient outcome. “Only 55% of the time, patients get the evidence-based practice needed for their plan of treatment (IOM 2001). The institute for healthcare improvement, launched 100,000 Lives Campaign enrolled more than 3,000 hospitals, representing an estimated 75 percent of U.S. hospitals beds, which implemented up to six evidence-based and life-saving interventions. In eighteen months, the campaign prevented an estimated 122,300 deaths through the implementation of these six evidence-based practices across the country.”…
Evidence-Based Questions 1.Who can I seek out to assist me in enhancing my evidence-based practice (EBP) knowledge and skills and serve as my EBP mentor? Mentorship in evidence-based practice should be bidirectional. The process requires a nurse to seek mentorship from various sources, given that there is nobody who can have entire knowledge about a given subject in nursing. Consequently, I believe that I need to seek assistance from the nurses who have experience in the facility I am working in while also referring to the existing information from scholarly work, including scholarly journals, especially those from the recent studies conducted in the specific field of my interest at a given time. In this case, I should use PICOT, search for…
Your thoughts on this week’s discussion post were great! Marquis & Huston (2015) state that HCAHPS survey is the first national, standardized, publically reported survey of patients’ perspectives of hospital care. We all have learned how important HCAHPS scores are because they can determine how well a hospital does. If a facility has low scores or bad reviews the public may be less likely to go there for medical help or even refuse to go there if in real distress. As nurses we should do everything we can to keep our patients happy, so when they go home and complete their HCAHPS survey the individual will hopefully give a perfect score.…
Explain your understanding of the rationale for this EBP model. My time as a case manager, in a harm reduction program for homeless veterans has allowed me to have weekly sessions with a client for over two months now. The client is an Army vet with a history of substance abuse secondary to Post-Traumatic Stress Disorder (PTSD). In my effort to asses the client’s mental health on a weekly basis, I took notice in how the Feedback Informed Intervention (FIT), provided a unique opportunity for me and my client. Boswell, Kraus, Miller, & Lambert (2013) says there 's a moment in time when the patient and provider can look through a window together which the therapist and patient can catch glimpses into a unique world-view (Boswell, Kraus, Miller,…
Ethics This essay will discuss the ethical safeguards for clinical research that may not apply to evidence-based projects. Additionally, this essay will discuss ethical controversies related to two ethical exemplars. In conclusion, patients’ ethical responsibility in improving healthcare will be explored. Ethical Safeguards Clinical research involves the study of investigational analysis of data or experiments that involve humans.…
This essay will evaluate the evidence base for the importance of patient nutrition within adult nursing. As stated within the Nursing and Midwifery Council (NMC) code (2015) nurses must “deliver the fundamentals of care effectively”. This refers to the integral components of nursing, for instance nutrition and hydration, being monitored and kept to adequate levels as it can improve a patient’s overall recovery, as discussed by Brady, McCabe and McCann (2013). This essay will cover the methods used to assess and maintain nutrition, the importance of nutrition and the consequences of malnutrition. Evidence-based practice involves the use of the best evidence available to “justify the rationales for practice” as stated by Dougherty, Lister and…
For example, CircAid compression wear is more effective and individualized to each patient compared to the previously used compression hoses that can only be worn temporarily. User friendly electronic documentation over paper charting is another example of innovation. It takes a nurse to recognize the changes that are needed and implement innovate measures to provide patient…
The nurse and other care providers play a key role in the prevention of hospital acquired infection (HAI). Urinary tract infection (UTI) accounts is the commonest accounting for 35% of all infections with 80% of them being associated to indwelling urinary catheter (Schneider, M. A. 2012). In this document, the author discusses the process of implementation evidence based change aimed at reducing the incidence of catheter associated urinary tract infection (CAUTI). Evidence based practice is a problem- solving approach that incorporate best practice arrived at from reliable studies and patient care outcome best available practice and the consideration of patient choice and values, to attain the highest level of quality of care and client needs…
Likewise, it is a way of providing a high quality of care to patients that enhances the patients’ outcomes. Many nurses including myself support EBS because of the factual evidence and studies that shows improvement of delivery of patient care and…