NR 393: Week 5 Discussion

Review the Healthy People 2020 objectives for Access to
Care. Of all the objectives listed under this topic, which do you think would
be most beneficial to the patients with chronic illness? Please give rationales
and support responses with references.

Discuss how you feel nurses can positively impact the
Healthy People 2020 goals.

Citations should conform to APA guidelines. You may use this
APA Citation Helper as a convenient reference for properly citing resources or
connect to the APA Style website through the APA icon below.

As in our chapter readings, nursing research and education is discussed throughout the years. “An almost endless effort . . . has changed nursing practice and provided the body of knowledge to support evidence-based practice. . .” (Judd & Sitzman, 2014). Nursing research and education will always continue, so that nurses can improve patient care.

In the 20^th century, and in the very beginning years of the 21^st century, nurses were trained according to evidence-based practice, to aspirate intramuscular injections. Not long into the beginning years of the 21^st century, evidence-based practice states that this procedure is no longer necessary.

Nurses were originally trained to aspirate intramuscular injections, to verify that the injection was in the muscle and not in a vein. If blood aspirated into the syringe, this meant that the injection was placed in a vein, and then the syringe with the blood and medicine would need to be discarded, and the medicine drawn up again. The act of aspirating was to be done over a five to ten second period.

“More recently, evidence-based guidelines do not advocate aspiration. . .” (Do you need to aspirate, 2016). Aspirating intramuscular injections today is no longer necessary. The rationales for this new procedure are that the sites that intramuscular injections are given in do not contain major blood vessels, there is no evidence that aspiration without or with blood eliminates the chance of being in a blood vessel, not aspirating reduces the time of the injection, there is less waste of medications, less pain, and most nurses do not wait and aspirate over the recommended five to ten second period. (Evidence-based Injection Practice, n.d.).

However, if using the dorsal gluteal area, aspiration is needed, because you must be careful of the sciatic nerve and blood vessels. Therefore, it is not recommended to use this area. (Evidence-based Injection Practice, n.d.).

Nursing gives many drugs intramuscularly, so it is necessary to keep up on medication education. For example, one intramuscular medication that I have given many times is Haldol, to calm down patients. As stated above, some advantages to no longer having to aspirate intramuscular injections is less pain and reducing the time of the injection. If having to give Haldol, usually it is needed to be given quickly, and less pain is beneficial for the patient. So far, the changes to this evidence-based practice has proved to be successful in my practice.

References

Do you need to aspirate when giving intramuscular (IM) injections? (December 11, 2016). Retrieved from https://ed-areyouprepared.com/wp-content/uploads/2018/12/Do-you-need-to-aspirate-when-giving-intramuscular.pdfLinks to an external site.

Evidence-based Injection Practice: To Aspirate or Not. (n.d.). Retrieved from www.nnpnetwork.org/Uploads/EBPLinks to an external site. aspiration poster 9 25 12 for iowa.pdf

Judd, D., & Sitzman, K. (2014). A history of American nursing: Trends and eras. (2^nd ed.). Jones & Bartlett

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Discussion Questions (DQ)

• Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
• Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
• One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
• I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
• Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
• In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
• Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
• Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
• Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
• Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
• I highly recommend using the APA Publication Manual, 6th edition.

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Use of Direct Quotes
• I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
• As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
• It is best to paraphrase content and cite your source.

LopesWrite Policy
• For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
• Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
• Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
• Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
• The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
• Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
• If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
• I do not accept assignments that are two or more weeks late unless we have worked out an extension.
• As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
• Communication is so very important. There are multiple ways to communicate with me:
o Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
o Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.