EBP IN HEALTH CARE INSTITUTIONS DISCUSSION

EBP IN HEALTH CARE INSTITUTIONS DISCUSSION

 

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EBP IN HEALTH CARE INSTITUTIONS DISCUSSION

 

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Hi,

please reply to the following discussions with 100-150 words each reply. Should you have any questions pls do not hesitate to contact me.

1- Chamara,

Evidence-based health care practices are available for a number of conditions such as asthma, heart

failure, and diabetes. However, these practices are not always implemented in care delivery, and

difference in practices abound. Implementing evidence-based safety practices are difficult and need

strategies that address the complication of systems of care, individual practitioners, senior leadership,

and ultimately changing health care cultures to be evidence-based safety practice environments.

Evidence-based practice (EBP) is the thorough and thoughtful use of current best evidence in conjunction

with clinical expertise and patient values to guide health care decisions. Best evidence includes empirical

evidence from randomized controlled trials; evidence from other scientific methods such as descriptive

and qualitative research; as well as use of information from case reports, scientific principles, and expert opinion. When enough research evidence is available, the practice should be guided by research evidence in conjunction with clinical expertise and patient values.

Steps of promoting adoption of EBPs can be viewed from the perspective of those who conduct research

or generate knowledge, those who use the evidence-based information in practice, and those who serve

as boundary spanners to link knowledge generators with knowledge users.

Reference

Tilter, M. (2008). The Evidence for Evidence-Based Practice Implementation.

2- Hiro,

Healthcare organizations and leaders are under pressure to improve outcomes by creating a structure/culture/environment in which exploration of critical inquiry and the available body of evidence is an integral part of daily nursing practice (Mick, 2017). The problem with the organization adopting EBP is lack of resources and the lack of awareness from nurses on how EBP can help them practice better in providing effective patient care.

Learning how to better link dollars to outcomes to portray a return on investment that demonstrates how EBP contributes to an organization’s profit margin could possibly justify additional investment in time and resources (Mick, 2017).

Reference

Mick, J. (2017). Call to action: How to implement evidence-based nursing practice.

3- Alicia,

Evidence-based practices are an important aspect in patient care and outcome and implementing those practices may be a challenge for numerous reasons such as ineffective leadership or communication, inadequate support or knowledge, and opposing attitudes and behaviors from staff members reluctant to change. Evidence-based nursing is intended to standardize health care practices to the latest and best science available in order to minimize variations in care and avoid unanticipated health outcomes. How findings from evidence-based research are translated into effective nursing practices and policies considerably impacts health outcomes, the improvement of health care systems, and the performance of individual and group providers; significant barriers still exist in adopting or implementing evidence-based nursing (Correa-de-Araujo, 2016). The main issue we are facing in addressing a solution to evidence-based practice is reluctant and hesitation from the staff members to actually initiate those new changes. Senior staff members don’t feel the need to implement those new changes and don’t see why there needs to be a change in how certain things are done. Also, lack of proper education and communication adds to the reluctance staff members feel because staff members aren’t adequately prepared or educated on these new evidence-based practices. I, too, feel lost at times when we are told to do something a new way without proper introduction or explanation. Ineffective communication and education leave us feeling confused and hesitant to carry out those new practices. Ensuring that we provide safe, evidence-based, cost-effective care to all patients is an assumption of today’s health care system; on the other hand, elements that foster effective translation of best evidence into daily practice are influenced by nurses’ understanding and believing that EBP improves patient care outcomes, clinical leaders’ modeling EBP in daily practice, and a culture that supports practice change based on best evidence (Makic, Rouen, Jones & Fisk, 2015). Evidence-based practices are necessary to ensure the best patient care and outcome and in order to see successful results, staff members should be willing to be open to changes and stay educated on the most current practices.

Reference:

Correa-de-Araujo, R. (2016). Evidence-Based Practice in the United States: Challenges, Progress, and Future Directions. Health Care for Women International, 37(1), 2–22.

RUBRIC
Excellent Quality 95-100%	Introduction 45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.		Literature Support 91-84  points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.			Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%	40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.		83-76  points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.			52-49  points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%	37-1 points The background and/or significance are missing. No search history information is provided.		75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.			48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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