NRS 433 Topic 5 DQ 2
DQ According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with clients.\
Evidence-based practice is the deliberate and cautious use of the most recent research in conjunction with clinical judgment, patient values, and other criteria to inform health-care decisions. This therapy is commonly used in the treatment of asthma, diabetes, and heart failure. In the outpatient emergency department where I work, research findings are considered when making decisions and interacting with patients. In some cases where clinical decision-making is problematic, nurses undertake research and refer to research-based programs before making a clinical choice. Treatment is initiated in accordance with research-based program recommendations (Shelton et al. 2018). As a kind of self-care and spirituality for both my patients and myself, I would routinely check on patients in my department to ensure their prescriptions were provided and they were comfortable in their beds.
Furthermore, it has been used in the workplace in a variety of ways. Research is conducted, and then relevant research findings are packaged into usable goods, increasing the likelihood that research evidence will be used. This is referred to as knowledge creation and distillation. End users must inform and direct the knowledge distillation process in order for research findings to be integrated into care delivery. The evaluation criteria should consider both traditional characteristics of knowledge growth as well as the perspectives of the ultimate consumers.
Collaboration with industry thought leaders and healthcare organizations to share information that could serve as the foundation for action among potential users is what diffusion and dissemination implies. Partnerships for dissemination help identify influential groups and communities that can build demand for the use of evidence in practice and give new knowledge an authoritative seal of approval (Shelton et al. 2018). Evidence-based practice ensures that limited health resources are used effectively and that relevant evidence is considered when decisions about how much money should be allocated for healthcare are made.
End user acceptance, implementation, and institutionalization: The purpose of this step is to encourage enterprises, teams, and individuals to embrace and adopt evidence-based research and innovations on a regular basis. In order to be adopted and sustained, such strategies necessitate delicate interrelationships between evidence-based practice, organizational social system elements, and individual physicians (Zhang, 2021). Using a change champion within the organization who can effectively address potential operational issues, piloting the change in a specific patient care area, and utilizing multidisciplinary implementation teams to assist with the practical aspects of integrating innovations into ongoing organizational processes are just a few implementation strategies.Christians cite the Bible as proof of their religion’s efficacy (Zhang, 2021). Christian convictions, which aided people in the beginning, can help them again. In the same way that medical practice is justified by evidence of efficacy, the use of a medicine in the current course of treatment is justified.
References:
Shelton, R. C., Cooper, B. R., & Stirman, S. W. (2018). The sustainability of evidence-based interventions and practices in public health and health care. Annual review of public health. https://psycnet.apa.org/doi/10.1146/annurev-publhealth-040617-014731
Zhang, W. (2021). Can science and Christianity coexist in the medical profession? Digital Scholarship @ Texas Southern University. https://digitalscholarship.tsu.edu/frj/18/
Replies to Wanda Felder
Older patients are often found to have a decrease in their activity levels because of the impact aging can have on their bodies – deconditioning, comorbidities, and the shrinkage of their social circle. A mixed-method study by Lindsay-Smith et al. (2018) noted that when older adults have social engagement in group settings there are notable benefits. One would assume that for older adults, involvement in group activities depends on the individuals interest level and the amount of social engagement held as younger adults. The study was a one-year longitudinal study that found that group social engagement reduced loneliness (Lindsay-Smith et al., 2018). The availability of group social engagement opportunities is something else that should be considered, as individual in more rural parts of North America would have limited opportunities. Nevertheless, the mixed-method study by Lindsay-Smith et al. (2018) felt that there were positive impacts on the social well-being of older alders that participated in group social and physical activities, and when their involvement was long-term.
- Replies to Wanda Felder
This is an interesting piece of research to read, Dr. Felder. I believe that group social interaction among older adults is beneficial to their health. Some researchers suggest that religious groups account for the majority of volunteer engagement among older people and may represent “the most psychologically beneficial form of volunteer work,” according to Hendricks & Cutler (2001). Older people usually seek out opportunities that allow them to consider themselves contributing to a greater good. My mother and mother-in-law are both regular volunteers at their church. I feel that volunteering keeps them busy, active, and social with other church members. My mother and mother-in-law both believe that serving at church brings them closer to God. Because she actively volunteers at church, my widowed mother feels less lonely and isolated. Among the general population and particularly in older adults, loneliness is linked to poor physical and mental health (Lindsay-Smith et al., 2018). I am glad to know that my mother is not alone and is happy. I feel better knowing she keeps her mind occupied by socializing with friends, volunteering, and attending bible study.
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Dr. Felder,
Social isolation contributes to loneliness and affects one’s health and wellbeing and as people get older, they may not get out as much or have lost their loved ones and friends. There are some ways that social isolation can be decreased. With all ideas comes implementation and financial concerns also safety issues (Hamilton-West, et al., 2020). Hamilton-West, et al., (2020) speaks of Social Prescribing, referring the patients to different services and resources to combat social isolation and health deterioration from loneliness. One thought came to mind to defer cost would be churches volunteering services, or after school services where elders could spend time with students and share their expertise and stories. This was a true blessing for my mom when she retired. She went to the school to assist with the reading program for children and adult learners. She was so proud to see their improvement and increased self-esteem. She did not have many friends and stopped going out as she increased in age and her walking was not very stable. I could only imagine if she had the opportunity to go to the church across the street from the house and be with others her age. Community involvement is of most importance and if the prescribing physician had a list of participants in the community, maybe a program like this could be sustainable.
Another social improvement is technology, being able to see and talk with family and friends near or far. Just as tele health is very prevalent in maintaining client’s health social technology is the new way (Locsin, et al., 2021). As with my mom and dad traveling was too difficult but being able to see and talk with family and friends from the phone or tablet made such a difference. They participated in church, birthdays and never left the house. The social activity improved their attitude, and they did not feel as lonely because they could use the technology anytime. One big concern was immobility and the affect it could have on their health with decreased activity. Mom had to be encouraged to exercise.
Hamilton-West, K., Milne, A., & Hotham, S. (2020). New horizons in supporting older people’s health and wellbeing: is social prescribing a way forward? Age & Ageing, 49(3), 319–326. https://doi-org.lopes.idm.oclc.org/10.1093/ageing/afaa016
Locsin, R. C., Soriano, G. P., Juntasopeepun, P., Kunaviktikul, W., & Evangelista, L. S. (2021). Social transformation and social isolation of older adults: Digital technologies, nursing, healthcare. Collegian, 28(5), 551–558. https://doi-org.lopes.idm.oclc.org/10.1016/j.colegn.2021.01.005
Wanda Felder
Posted Date
May 7, 2022, 6:38 PM
Replies to Wanda Felder
I like this little snippet of the advantages of EBP in nursing. Through your research over the past five weeks, have you noticed these findings?
https://www.usa.edu/wp-content/uploads/2020/08/advantages-of-evidence-based-practice-in-nursing.png
Jana Garcia
replied toWanda Felder
May 7, 2022, 9:06 PM
- Replies to Wanda Felder
Hi Dr. Felder,
What I have found that improving patient outcomes takes a science that raises the bar and adds validly and value to our nursing profession. This class has improved my own perception of my profession. The studies resulted the 2010 report from the IOM titled, The Future of Nursing: Leading Change, Advancing Health, “linked higher nurse-to-patient ratios, higher proportion of baccalaureate-prepared nurses and higher total nursing care hours to lower patient mortality, decreased length of stay and a lower likelihood of patient complications such as nosocomial infections and pressure injuries” (Azuero, 2018). Without these studies, the value of a baccalaureate nursing education may have been overlooked, considered overrated, and disregarded by collaborative professional teams. These studies, “used a complex mix of data sources including medical and administrative hospital records from which patient outcomes, staffing and skill mix were extracted, as well as concurrent surveys measuring perceptions of the work environment” (Azuero, 2018). These studies added so much value to the baccalaureate level registered nurse, that stakeholders and employers invested are investing in their nurses. They understand that the care their patients will receive from a bachelor’s degree RN is well worth the cost of tuition reimbursement. Respectfully, Jana
In my workplace nurses apply evidence-based practice when by offering patient education related to chronic diseases. EBP is essential and is the approach we use when providing education to patients and helping them improve the quality of care for our patients. One of the roles of a Care Manager Coordinator is to educate patients on diet, weight monitoring, smoking cessation, discharge instructions, disease management, and prevention of disease exacerbations or complications (Carayon, 2015). Studies revealed that care management services are an evidence-based practice, that has the greatest impact on patient clinical outcomes. Poor care coordination of increases the chances of a patient being admitted to the hospital which increases utilization (Carayon, 2015).
Spiritual care is an essential part of all overall health of patient care. As a nurse, I strive to make spirituality and self-care practice for myself and for my patients by supporting patients with their own spirituality and faith traditions. Showing compassion and having a Christ-like attitude when providing care for them. There are many ways nurses can help patients with their spiritual needs, first we start by assessing the patient’s spiritual beliefs and respecting them, then we follow up by conducting spiritual interventions that include praying or encouraging them to pray, helping them to connect with a spiritual guide (ex. chaplain). A nurse does not necessarily has to be a religious person to offer spiritual care.
The Christian worldview is showing compassion and caring for others when they are in need, loving and serving others. Jesus was a great example of nursing practice, He is referred to as the great physician. He encouraged people to change unhealthy habits, he spent time with those who were considered “unclean,” and He advocated for the vulnerable.
References
Carayon, P., Hundt, A. S., Hoonakker, P., Kianfar, S., Alyousef, B., Salek, D., Cartmill, R., Walker, J. M., & Tomcavage, J. (2015). Perceived Impact of Care Managers’ Work on Patient and Clinician Outcomes. European Journal for person-centered Healthcare, 3(2), 158–167. https://doi.org/10.5750/ejpch.v3i2.903
Dineen-Griffin, S., Garcia-Cardenas, V., Williams, K., & Benrimoj, S. I. (2019). Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice. PloS one, 14(8), e0220116. https://doi.org/10.1371/journal.pone.0220116
Melhem, G. A., Zeilani, R. S., Zaqqout, O. A., Aljwad, A. I., Shawagfeh, M. Q., & Al-Rahim, M. A. (2016). Nurses’ Perceptions of Spirituality and Spiritual Care Giving: A Comparison Study Among All Health Care Sectors in Jordan. Indian journal of palliative care, 22(1), 42–49. https://doi.org/10.4103/0973-1075.173949