NR 505 Week 8: Future Use of Evidence-Based Practice
Chamberlain University NR 505 Week 8: Future Use of Evidence-Based Practice– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 505 Week 8: Future Use of Evidence-Based Practice assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NR 505 Week 8: Future Use of Evidence-Based Practice
Whether one passes or fails an academic assignment such as the Chamberlain University NR 505 Week 8: Future Use of Evidence-Based Practice depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NR 505 Week 8: Future Use of Evidence-Based Practice
The introduction for the Chamberlain University NR 505 Week 8: Future Use of Evidence-Based Practice is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NR 505 Week 8: Future Use of Evidence-Based Practice
After the introduction, move into the main part of the NR 505 Week 8: Future Use of Evidence-Based Practice assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NR 505 Week 8: Future Use of Evidence-Based Practice
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NR 505 Week 8: Future Use of Evidence-Based Practice
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NR 505 Week 8: Future Use of Evidence-Based Practice
I work in the emergency room and during my shifts I come across at least one person whose chief complain is related to chronic pain. For the most part, the primary care providers provide them with some sort of analgesic in order to manage their pain. We definitely have our regulars who come in at least once a week demanding morphine or dilaudid. PCP’s have a constant pressure to maintain high patient satisfaction scores and feel the need to negotiate the plan of care with these patients. However, many are reluctant to order or prescribe opioids or controlled substances even though because they don’t see it as appropriate to chronic pain management. Nonetheless, if these patients don’t get the drugs they seek, one knows they will be unsatisfied with their care. As mentioned by Henson and Jeffrey (2016), pilot studies can provide a better insight of the developing research, they assess sample size, data collection and clarify many questions before the implementation process. Pilot studies tend to foretell what one must expect from the actual study, therefore providing one with the opportunity to alter and adjust one’s methods. Implementing a pilot study in the ER will be challenging for me. For the most part the ER consist of pharmacological intervention and in this fast phase setting it would be difficult to implement nonpharmacological interventions. Currently, in my ER we divide our patien
ts in two sections. One section is for our acute patients whom need to be seen by a PCP as soon as possible or whom will require numerous resources such as blood draw, xray, radiology, etc. The other section is our “fast track”, this portion of the ER sees nonemergent cases or those whom will require one to two resources such as those whom need small sutures or medication refill. Many time, some of the patients whom are complaining of chronic pain will go to the fast track section, medication will be provided, and they will be discharged. Given this setting is less acute and patients are more stable, I believe I could integrate nonpharmacological teaching and interventions. Nonetheless, in order to intergrade a pilot study, one must take many things into consideration.
Henson, A., & Jeffrey, C. (2016). Turning a clinical question into nursing research: the benefits of
a pilot study. Renal Society of Australasia Journal, 12(3),99-105.\
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Sample Answer 2 for NR 505 Week 8: Future Use of Evidence-Based Practice
This weeks discussion looks forwards and asks about the future use of evidence-based practice in our workplace setting. We are to imagine ourselves as nursing leaders in the advance practice setting and answer the listed questions above. To begin, i would role model evidence-based practice in my future setting by basing decisions and practices on the latest research. This can be achieved by using transparency with co-workers as to why a certain change was implemented and needed. At my current place of employment, certain protocols such as sepsis bundles were rolled out to staff in this manner. The need for a change to old protocols was first identified using current data at the time that showed a delay in our implementation of sepsis treatments as well as data showing our patient outcomes compared to others. Then, the latest research was shown to staff showing how effective new sepsis bundles were for patients and this was used as the reason for needed changes. Committee’s were also formed so that any staff member that wanted to participate in the research and changes could do so. The successful implementation of EBP is a dynamic process dependent on a number of va
riables. Individual experiences, bias and attitudes alongside professional, organisational and workplace factors can act as hurdles or barriers to the translation of empirical knowledge into practice and as such this process can take many years. (Williams, Perillo, & Brown, 2015). In order to foster a culture of EBP for an organization, it takes time, competence and motivation. Members of the organization from top to bottom must lead by example and show that they also value this type of culture. An open-door, non-punitive policy to new ideas for needed changes is a great method to promote this. Asking staff to openly search for areas of improvements and forming committee’s to research how to resolve problems is another method that allow staff to become part of the process for researching and implementing changes. If a staff member is stating that things have never been done this way, they may be resistant to change. I would offer them to participate in a committee or current project as well as educate them on the importance of EBP in the workplace.
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References
Williams, B., Perillo, S., & Brown, T. (2015). Review: What are the factors of organisational culture in health care settings that act as barriers to the implementation of evidence-based practice? A scoping review. Nurse Education Today, 35e34-e41. doi:10.1016/j.nedt.2014.11.012
Sample Answer 3 for NR 505 Week 8: Future Use of Evidence-Based Practice
In my future practice as and APN I plan to role model EBP in the clinical setting my showing articles, gathering, researching information for myself. I would like to be role model for other nurses so they can see that with research things can change and improve patient care and outcomes. It is important to follow your passion and coming up with new ways to do things can be a perfect example of that. I would foster an organizational culture that promotes EBP as a great place to work and something that is worth being involved in as everyone has different thoughts and ideas on how things can be done to improve upon patient care. Promoting EBP throughout the entire organization could be difficult but it could be done by involving everyone in some aspect or assigning research to certain groups and make it fun for the organization. Say who ever comes up with the best research idea and ways to implement could win a prize or something like that. Maybe more people in the organization will get involved.
When you have staff members that can be objective change it is important to remember to try and stay positive. Maybe say try it this way for one month and see how you like and if you don’t like it then maybe you could come up with a new or different way that you feel may work better and then this could be voted on to see how it would work. I think by always keeping everyone involved and being positive can help to change those people from a distracter to a promoter. Integrating EBP in healthcare require attention to both individuals and the organizational context to be successful.The leader of the EBP must be knowledgeable, skillful, visionary, nimble, and flexible in order to address the healthcare EBP needs at any time during the implementation process ( Gallagher-Ford, 2014).
Gallagher-Ford, L. (2014). Implementing and sustaining EBP in real world healthcare settings: a leader’s role in creating a strong context for EBP. Worldviews On Evidence-Based Nursing, 11(1), 72-74. doi:10.1111/wvn.12022
Sample Answer 4 for NR 505 Week 8: Future Use of Evidence-Based Practice
As a family nurse practitioner (FNP), utilizing evidenced based practice and working on continued research will be vital to the continued success of my clinical setting. As a leader, I can be a role model and advocate for ensuring the clinical practice is focusing on improved outcomes and best practice based on current data. Implementing evidenced based practice starts with changing the culture and mind set of the environment and establishing foundational guidelines that foster research and improving the lives and safety of patients and their families. Alam (2016) discusses the importance of support from management and leaders and encouraging consistent feedback from members of the team on what they are seeing in the clinical setting and areas that need to be improved. As a leader and a FNP, I will seek to encourage further research on best practice and encourage teamwork and feedback on implementing new ideas and interventions that will improve patient care.
Fostering a culture that utilizes evidenced based practice within the clinical setting and throughout an organization comes from communication and leadership. For example, after completing this course, I feel my outlook on research and evidenced based practice has deepened significantly and I find my self looking to see what current research says about clinical situations I may be faced with. I recently attended a learning session with corporate leaders presenting a slideshow presentation outlining current data and how clinical outcomes improve when best practice is utilized. I left the meeting excited and inspired to encourage my fellow team members on the utilization of new research and immediately changed certain areas of my own practice based on the presentation. Levin and Chang (2014) encourage clinicians to focus on the PICOT and search for the best evidence available and continue to foster a spirit of inquiry among co- workers.
Assisting reluctant co-works with the utilization of evidenced based practice is something I am very familiar with and have found success by getting to the root of the reluctancy to implement change. Many times, team members have fear or anxiety about implementing a new system and other times they may just enjoy being a pessimist. Helping team members understand how and why a new method needs to be implemented could help reduce anxiety and provide a better understanding to the benefits of the applied intervention. Levin (2014) encourages leaders to engage team members in the action of the research, review, and implementation of the data to encourage excitement and application of the information.
Alam, A. Y. (2016). Implementing evidenced based patient safety practices. JPMA. The Journal of The Pakistan Medical Association, 66(6), 637-638.
Levin, R. F., & Chang, A. (2014). Tactics for Teaching Evidenced-Based Practice: Determining the Level of Evidence of a Study. Worldviews on Evidence-Based Nursing,11(1), 75-78. doi:10.1111/wvn.12023
Sample Answer 5 for NR 505 Week 8: Future Use of Evidence-Based Practice
Throughout this course, we have worked on developing a PICOT question and conducting research to support and plan for implementation of this question in our area of interest. As a nurse leader, the PICOT question that I have developed is a foundational framework for evidence based practice (EBP). Magnet status is an “outcomes-driven credential” (ANCC, 2017, p. vii) that elevates nursing practice to its highest potential. Fostering an organizational culture that promotes EBP is part of the Magnet journey principles and embedded within the criteria for an organization to achieve the Magnet designation (ANCC, 2017). As a nurse leader embarking on the Magnet journey, fostering this within the organization becomes the “norm” while trying to achieve Magnet status.
Modeling EBP is something that I have been doing throughout my time as a nurse leader. As an example, our organization did some updating to our professional appearance and dress code policy a few years ago. The policy was created using evidence from the CDC that recommended no artificial nails and/or nail coverings be worn in clinical areas by staff providing direct patient care. This was something that was not well received by staff initially. As their leader, I too, did not wear artificial nails and/or nail coverings when this policy went into effect. Although I do not spend my time doing direct patient care as my primary role, I felt it was important to role model this EBP guideline in my clinical setting if I was holding my staff to this standard as well.
For the nurse that states, “we have always done it this way”, I would speak to them with data. It is always important for staff to understand the “why” and be able to make a connection to the reason for an expectation that may be a change. In addition to speaking with data to support the EBP, the explain where the source of the evidence is from. I also make a personal connection to the evidence based practice with a patient story whenever possible. As an example, we implemented weight based antibiotic dosing for cesarean sections as part of a surgical site infection bundle. Many staff were hesitant to the change as they were not able to use a standard order set for all their patients. I used unidentified photos of actual surgical site infections of two patients that we under dosed with antibiotics. While this alone could not be solely attributed to the surgical site infection, the personal connection to the “why” had a lasting impact on the nurses that were saying “we have always used a standard order set; why do we have to change?”.
References
American Nurses Credentialing Center. (2017). Transformational leadership: Criteria for nursing excellence (2019 ed.). Silver Spring, MD: Author.