GCU NUR 590- Evidence Based Practice Project All Weeks Discussions

Week 1 Discussion

DQ1 Based on the PICOT you developed for NUR-550, summarize the change initiative you will be proposing. How does this support the population of focus, your setting, and role? Justify how the problem you selected to investigate is amenable to a research-based intervention using the PICOT format.

Medication administration errors are a healthcare concern and efforts to prevent and reduce their occurrence can leverage on different interventions that include the use of health information technology (HIT). The susceptibility to medication administration errors (MAEs) among the critically-ill patients is higher than other population or patient demographics (Trimble et al., 2017). Therefore, this EBP project will assess the effectiveness of implementing health information technologies compared to the conventional medication management processes to reduce medication errors among the critically-ill patients.

I think spiritual values do influence the decision to maintain academic integrity because otherwise, it would be hypocrisy. If one claims to be a spiritual being but cheats their way through life, then the question becomes who do we actually think we’re fooling? It is necessary to stay true to oneself and to choose the proper thing to do even when no one’s looking, to me, that’s the true definition of integrity. I also believe one must constantly work at or renew their spiritual beliefs because we’re all human without perfection so, at times will’s get weak and we envision success by taking the easier way out such as cheating on a test or taking credit where it isn’t due by putting our names on others’ work, committing infractions known to us as plagiarism but causing greater damage to the soul. We must remember every good thing worth having requires putting in the work required to achieve those goals. The constant struggle within to always do the right thing is understandable but, if we nourish the positivity more than we nourish the negativity, making the appropriate decisions become second nature and the struggle to make the desirable choices are lessened. It’s a greater sense of appreciation to know the goals achieved were achieved honestly and through hard work. When one puts in honest work, the process is respected!

PICOT Question
P	Population	Among the critically ill patients
I	Intervention	Integration of health information technology in the medication administration process
C	Comparison	Use of conventional or normal medication administration process
O	Outcome	Reduction n medication administration errors
T	Timeframe	Duration of hospital stay
PICOT Create a complete PICOT statement.	Among the critically ill patients (P), does the integration of health information technology (I) compared to conventional medication administration process (C), lead to a reduction in medication administration errors (O) during patient’s stay (T)?
Problem Statement Create a problem statement for your PICOT. You will use this problem statement throughout your final written paper.	Medication administration errors are a health concern because of the adverse effects that they cause to patients and the need for healthcare providers, especially nurses, to develop interventions based on the use of evidence-based practice. Medication errors lowers quality care and patient outcomes. Medication errrs sometimes cause no harm to patients. However, in most cases, they devastate nurses and are harmful to patients. Nurses are a critical part of the care provision and have a duty to protect patients against errors in the medication administration process. The critically ill patients require close and effective monitoring and nurses remain accountable to anything that happens to the patients (Alotaibi & Federico, 2017). Interventions like the use of health information technology can enhance quality care outcomes and allow nurses to offer the most effective care to patients in critical conditions that include intensive care unit (ICU) (Naidu & Alicia, 2019). Health information technology enhances and transforms healthcare delivery as it leads to a reduction of human errors, facilitates better coordination among the interdisciplinary teams and improves overall practice efficiencies. By using health information technology models like electronic medication administration (e-MAR, barcode scanning and e-prescribing, stakeholders can reduce medication administration errors among nurses and enhance patient safety.

 

 

 

References

Alotaibi, Y. K. & Federico, F. (2017). The impact of health information technology on patient safety. Saudi

            Medical Journal, 38(12):1173-1180. doi: 10.15537/smj.2017.12.20631

Naidu, M.  and Alicia, Y.L.Y.  (2019). Impact of Bar-Code Medication Administration and

Electronic Medication Administration Record System in Clinical Practice for an Effective Medication Administration Process. Health, 11, 511-526. https://doi.org/10.4236/health.2019.115044

Trimble, A. N., Bishop, B., & Rampe, N. (2017). Medication errors associated with transition from insulin pens

to insulin vials. American Journal of Health-System Pharmacy, 74(2), 70-75. doi:10.2146/ajhp150726

DQ2 Discuss the role of EBP in your specialty area of practice. Compare and contrast the role and implementation of EBP in your specialty with another advanced registered nurse specialty.

NUR590 Evidence Based Practice Project

Week 2 Discussion

DQ1 Do you foresee any issues with implementation of your project? Identify stakeholders who could assist in supporting you, and any theoretical frameworks (organizational change, leadership, role-specific) or models that could help you adapt.

Population health management requires health care providers, people, and communities to apply up-to-date and relevant approaches to respond to current and emerging health problems. Amid this, discoveries of new approaches to health and strategies of enhancing health outcomes are vital. Translational research’s primary purpose is to produce more meaningful, applicable results that benefit human health directly (Titler, 2018). It comes in different levels whose purposes and outcomes vary. As Fort et al. (2017) explained, phase T1 involves testing findings from basic research for clinical applicability, T2 tests new interventions in controlled environments, and T3 explores ways of applying guidelines in general practice. T4 research examines factors and interventions influencing population health.

From a health perspective, translational research differs from evidence-based practice in meaning and application. To a considerable extent, translational research involves discovering new knowledge. Titler (2018) described it as a process for yielding knowledge and the potential for intervention. If differently stated, translational research generates knowledge to form the basis for clinical application. In health practice, evidence-based practice involves utilizing the most current research to improve patients’ health and safety (Chien, 2019). It is generally a problem-solving approach that combines best practices from research with clinical experience and patients’ preferences to enhance outcomes. In this case, translational research is the foundation of evidence-based practice.

Concerning application to population health management, population health improvement relies heavily on knowledge. Illnesses emerge over time, and illnesses’ dynamics change according to people’s age, gender, blood group, and living environments, among other factors. Such variations complicate public health, and optimal health cannot be achieved if health care providers rely on a general approach or primarily the present knowledge. Solution-driven discoveries must be made as time advances to respond to the emerging health challenges. Translational research generates new knowledge critical in managing population health.

 

 

References

Chien L. Y. (2019). Evidence-based practice and nursing research. The Journal of Nursing Research : JNR, 27(4), e29. https://doi.org/10.1097/jnr.0000000000000346

Fort, D. G., Herr, T. M., Shaw, P. L., Gutzman, K. E., & Starren, J. B. (2017). Mapping the evolving definitions of translational research. Journal of Clinical and Translational science, 1(1), 60-66. doi: 10.1017/cts.2016.10

Titler, M. G. (2018). Translation research in practice: An introduction. OJIN: The Online Journal of Issues in Nursing, 23(2). doi: 10.3912/OJIN.Vol23No02Man01

DQ2 What strategies will you use in your new practice as an advance registered nurse to review and critique literature pertinent to your practice?

NUR590 Evidence Based Practice Project

Week 3 Discussion

DQ1 What levels of evidence are present in relation to research and practice, and why are they important regardless of the method you use?

DQ2 What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?

NUR590 Evidence Based Practice Project

Week 4 Discussion

DQ1 What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.

DQ2 Ensuring the protection of human subjects is necessary when conducting research projects. What are some methods that can be used to protect personal rights of someone in one of the groups that is labeled as vulnerable? Consider how a patient’s values and your own clinical judgment must be considered before applying the evidence in clinical decision making for an individual patient.

NUR590 Evidence Based Practice Project

Week 5 Discussion

DQ1 Identify the components of implementing your evidence-based practice project. What has been the most difficult component, and why? What do you think has gone well? Provide one piece of advice you would give to a colleague about the implementation process.

DQ2 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project. This could range from support of the evidence-based project proposal to communication gaps. How could you address these problems?

NUR590 Evidence Based Practice Project

Week 6 Discussion

DQ1 When reviewing the literature and different types of evidence for your project, what gaps in the findings did you encounter? How could these gaps influence other researchers?

DQ2 What is the difference between statistically significant evidence and clinically significant evidence? How would each of these findings be used to advance an evidenced-based practice project?

NUR590 Evidence Based Practice Project

Week 7 Discussion

DQ1 Identify the audience for your EBP proposal and discuss strategies for disseminating the proposal.

DQ2 How will you ensure that all appropriate audiences receive information about research and EBP initiatives?

NUR590 Evidence Based Practice Project

Week 8 Discussion

DQ1 Post a rough draft of your “Evidence-Based Practice Presentation.” The purpose of this draft is to get feedback from your peers. Identify at least two areas you would like specific feedback for improvement.

Peers are encouraged to also comment on anything they feel is successful or could be further improved. Review all of the presentations, but provide critical commentary for at least one other posted presentation.

DQ2 The EBP process is a powerful way of advancing improvements in health care. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.