NR 500 Week 5 Discussion: Evidence-Based Practice

Chamberlain University NR 500 Week 5 Discussion: Evidence-Based Practice– Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 500 Week 5 Discussion: 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 500 Week 5 Discussion: Evidence-Based Practice

Whether one passes or fails an academic assignment such as the Chamberlain University NR 500 Week 5 Discussion: 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 500 Week 5 Discussion: Evidence-Based Practice

The introduction for the Chamberlain University NR 500 Week 5 Discussion: 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 500 Week 5 Discussion: Evidence-Based Practice

After the introduction, move into the main part of the NR 500 Week 5 Discussion: 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 500 Week 5 Discussion: 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 500 Week 5 Discussion: 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 500 Week 5 Discussion: Evidence-Based Practice

Discuss the EBP process and importance to nursing practice. Identify your selected specialty track. Provide a rationale on why you selected the specific professional track. Identify a concept or topic you have a passion about or an area of interest related to your future specialty advanced practice area. Provide an example, using the best evidence available, substantiating the significance of your selected area of interest as it relates to your specific specialty track.

Evidenced-based practice (EBP) is a crucial component to the science of nursing. It is the clinical solution to a problem based on research and evidential proof. Over the last 20 years EBP has brought about positive change to the healthcare and nursing community. With the public’s demand for improved healthcare and the evidence of scientific based research that can provide potentially life-saving benefits, EBP should be of upmost consideration to all care providers (Spruce, 2014). Evidenced-based practice combines clinical expertise, research evidence, patient values, and preferences into the process of decision making for the improved care of patients (Howe & Close, 2016). It is through continued implementation of EBP into the practice of nursing that will benefit those within our care.

My specialty is track is that of nurse educator. I chose this track to fulfill the interest I have in educating, encouraging, and mentoring those new to nursing practice or a particular nursing specialty. This interest in education has evolved over my years in nursing practice as well as from motherhood. Since 2012, I have educated my children primarily at home. It has been through these experiences that sparked a desire in me to pursue the education path in nursing. Seeing someone learn something new, master a skill, and grow in knowledge gives me great joy.

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As an operating room nurse, I have been witness to evidenced-based practice and the impact it can have on surgical patients. One topic that interests me greatly is the prevention of surgical site infections. Surgical site infections (SSIs) are the most common infection that is healthcare associated in surgical patients (Schub & Smith, 2016). SSIs can delay healing and increase morbidity and mortality. Increased hospital stays and readmissions are a huge contributor to rising costs in healthcare. The prevention of SSIs is an evidence based practice focus in nursing care. As a perioperative educator in a hospital based setting, I can contribute to educating nursing staff on proven, preventable measures that can be implemented in surgical patients. Educators in individual care settings can work to review the evidence and work closely with healthcare providers to improve practice and increase safety for patients (Spruce, 2014). One example of an educator’s implementation to improve SSIs would be holding pre-procedure huddles with the OR team to improve communication, quality of care, and to empower other nurses to advocate for their patients and speak up when necessary. The following of surgical safety checklists, surgical skin antisepsis, hand hygiene, minimizing OR traffic, team training, speaking up whenever a break in sterile technique is observed, and timely prophylactic antibiotics are just a few methods that have been researched and proven effective in the prevention of SSIs (Spruce, 2014). Nurse educators will play a crucial role in educating nurses in the academic and clinical setting in improving care based upon evidence based practice.

Howe, C., & Close, S. (2016). Be an expert: Take action with evidence-based practice. Journal of Pediatric Nursing, 31(3), 360-362. doi: 10.1016/j.pedn.2016.02.01

Schub, T. & Smith, N. (2016, June). Infections, surgical site: Prevention. CINAHL Nursing Guide. Retrieved from: http://eds.b.ebscohost.com.chamberlainuniversity.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=4&sid=46d7bc80-e559-482e-80f7-aa7dff360b99%40sessionmgr103

Spruce, L. (2014). Back to basics: Preventing surgical site infections. AORN Journal, 99(5), 600-611. doi: 10.1016/j.aorn.2014.02.002

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Sample Answer 2 for NR 500 Week 5 Discussion: Evidence-Based Practice

Huddles have become a popular concept in healthcare settings today. The concept actually comes from football, where the team members come together for about 25 seconds before a game to discuss strategy and execution of their plays. Similarly, a pre-shift or pre-procedure huddle can be an effective way to gather the healthcare team together to discuss safety concerns, staffing plans for the shift, and the promotion of education geared towards improving patient safety and care. Criscitelli (2015) considers huddles as a micro meeting that has structure and focuses upon communication and safe patient care.

In the perioperative environment, the Joint Commission has reported that poor communication is the cause of over two-thirds adverse events (Criscitelli, 2015). I found that report quite humbling. For huddles to be effective, they should be mandatory, have an agenda and time limit, be consistent at the same times every day, and display a recognizable structure to all who participate (Criscitelli, 2015). In my department, our team of nurses and surgical techs huddle 5 minutes before every shift to address safety concerns, plans for the shift, staffing assignments, and sometimes a brief in-service is provided by our nurse educator. Typically, huddles are led by charge nurses or nurse managers. Huddles can improve communication and workflow and are more effective when they are interdisciplinary. Pre-procedure huddles have actually been shown to reduce errors and unintended events (Criscitelli, 2015). In regards to surgical site infections, huddling can improve patient outcomes by increasing timely prophylactic antibiotic administration (Criscitelli, 2015). Huddling helps perioperative team members address the surgical safety checklist, keeping the patients safe care as a forerunner in the plan for the day.

Safety huddles can reflect the nursing profession’s commitment to improving safe care and thus supports evidence-based practice. It is a very simple concept that carries great benefits by bringing team members together and can inevitably reduce patient harm (Foster, 2017). As a nurse educator, I plan to foster the concept of huddles in the classroom and clinical setting.

Criscitelli, T. (2015). Fostering a culture of safety: The OR huddle. AORN Journal, 102(6), 656-659. doi:10.1016/j.aorn.2015.10.002

Foster, S. (2017). Implementing safety huddles. British Journal of Medicine, 26(16), 953. doi:10.1298.bjon.2017.26.16.953

Sample Answer 3 for NR 500 Week 5 Discussion: Evidence-Based Practice

One concern that sticks out to me in my current practice area involves hospital administration. For some time now our hospital has been without a practicing CEO. It has been months, almost close to a year since the hospital CEO resigned. “CEO turnover rates average 18 to 20 percent per year, with turnover rates as high as 30 percent in some states” (Barto, 2018). At that moment of resignation, the CFO took over as acting CEO until someone was hired. Within the last week, the CFO has resigned from the position to take on a job at another company. The next in line through the chain of command is the COO. The current COO is good at her job and very knowledgeable about hospital operations but has not been in this position an entire year. As the hospital is in a poor, rural area it is hard to recruit people to fill these positions. Many times, staff get hired but do not stay a long time. Not having a proper chain of command in place is detrimental to the daily operations of the hospital and clinics it owns. In recent years, the hospital has been on the verge of losing funding and there has been talk about it shutting down. This is hazardous to our area as the next closest hospital is nearly 30 miles for many of us. It makes me nervous as a future FNP in this area. A lot of patients already do not receive the care that they need due to traveling restraints, therefore what our local healthcare system does provide is essential for people in this community. “Healthcare and healthcare related organizations must be open and receptive to the unpredictable, dynamic, and fluid nature of their environments if they are to survive” (Chamberlain College of Nursing, 2022).

This problem occurs at the macro level as it affects organizations leaders including the chief executive officer, chief financial officer, and chief operations officer. I believe the board of directors should reach out to other rural hospitals who potentially face the same problems. By reaching out they may gain valuable insight from someone that has been in these same situations. Communication and transparency are optimal to proper functioning but local systems find it difficult to identify and solve problems themselves (Young et al., 2021). The board of directors is composed of the same people who have been on the board for a number of years and typically come from an older generation. I think it would be beneficial for them to talk about new recruiting strategies, and maybe even plan to travel to recruiting seminars.

Requesting the board to get out of their comfort zone could cause backlash. These board members are elected but strictly volunteer. This situation causes nursing administration and staff to be uncomfortable. Everyone is unsure about what will happen from here and if the hospital and their jobs are in jeopardy.

Barto, S. (2018, May 17). Preventing unnecessary CEO turnover in rural and critical access hospitals. National Rural Health Association. Retrieved November 22, 2022, from https://www.ruralhealth.us/blogs/ruralhealthvoices/may-2018/preventing-unnecessary-ceo-turnover-in-rural-and-c

Chamberlain College of Nursing (2022). NR500 Foundational Concepts & Advanced Practice Roles. Week 5 lesson. Downers Grove, IL: Online Publication

Young, Nelson, M. J., Castellon, R. E., & Martin, C. M. (2021). Improving quality in a complex primary care system—An example of refugee care and literature review. Journal of Evaluation in Clinical Practice, 27(5), 1018–1026. https://doi.org/10.1111/jep.13430Links to an external site.

Sample Answer 4 for NR 500 Week 5 Discussion: Evidence-Based Practice

Evidence-based practice (EBP) has transformed how nurses practice. It has promoted the movement for nurses to expand resources, to be open to change, and to improve performance based on scientific evidence. This helps to define nursing as a profession (I do not recall where I learned this as I have believed this for several years). Stevens (2013) discusses EBP and notes that EBP also effects research and education. EBP is the critical bridge between what is known and the application of what is known, that results in the production of positive patient outcomes. Positive outcomes generally reflect quality care and what is safe for the patient. Melnyk, Fineholt-Overholt, Gallagher-Ford, and Stillwell (2011) include in their definition of EBP, that problem-solving is accomplished by integrating the “best evidence from studies and patient care data with clinician experience and patient preferences and values” (p. 57). Melnyk, Fineout-Overholt, Stillwell, and Williamson (2010) identify seven steps in the EBP process. They begin with the creation of the “spirit of inquiry” (p. 51). Initially there is the identification of an area of interest. Chamberlain College of Nursing (2018) categorizes the area of interest as that of being either a concept or a topic. The next step is utilizing PICOT to ask a question. This is followed by searching for the best evidence. Appraisal of the evidence follows. Melnyk et al. then identify the next step as that of including patient-centered practices to include the integration of patient preferences and values with clinical expertise and the evidence. There would then be the assessment of decisions or changes based upon the evidence. The process concludes with dissemination of the results of the EBP.

I have selected the Family Nurse Practitioner Track to hopefully be able to assist with the provision of health care in rural areas. There is the existence of healthcare disparities in rural areas as is noted by Fairbanks, Montoya, and Viens (2001). The area of interest that I have is that of non-compliance of diet with nutritionally impacted disorders. In a study conducted by Ramasrai, Sharf, and Sharkey (2012) multifarious possible causes of dietary non-compliance were noted in rural areas. The reasons include lack of accessibility to grocery stores, poor quality of available food, high costs of food, and work schedules. Participants in the study stated there are many occasions when the consumer buys and eats food that out of date and nutritionally compromised so as not to go hungry. Some have purchased moldy bread and removed the mold before consuming. Government and community organizations were described as not providing healthy foods such as fresh fruits and vegetables. Often other expenses related to housing and utilities prevent rural constituents from having resources to purchase healthy food.

References

Chamberlain College of Nursing. (2018). NR500-Week 5 lesson-Scholarship and evidence-based practice: A process for change. Retrieved from https://chamberlain.instructure.com/courses/16621/pages/week-5-lesson?module_item_id=1778866

Fairbanks, J., Montoya, C., &Viens, D.C. (2001). Factors influencing the recruitment and retention of nurse practitioners into rural, undeserved and culturally diverse areas. American Journal for nurse pracitioners,5(4), 21-31.

Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: The seven steps of evidence-based practice: Following this progressive, sequential approach will lead to improved healthcare and patient outcomes. American Journal of Nursing, 110(1), 51–53.

Ramadurai, V., Sharf, B.F., & Sharkey, J.R. (2012) Rural food insecurity in the United States as an overlooked site of struggle in health communication. Health Communication, 27(8), 794-805. doi:10.1080/10410236.2011.647620

Stevens, K. R. (2013). The impact of evidence-based practice in nursing and the next big ideas. Online Journal of Issues in Nursing, 18(2),1. doi:10.3912/OJIN.Vol18No02Man04

Sample Answer 5 for NR 500 Week 5 Discussion: Evidence-Based Practice

EBP is important to nursing practice because it requires the best available research evidence along with clinical expertise and patient values (Stevens, 2013). The purpose of EBP is to use current knowledge to implement changes to clinical practice in order to improve health care processes and patient outcomes (Stevens, 2013).

The specialty track I chose to pursue is Nurse Educator. My goal is to work as a nurse educator in a college. I chose this track because of my love for learning and teaching others. My inspiration for teaching started when I was in nursing school. I had much joy when I helped others with homework, studying, skills, etc. Others viewed me as someone they could seek out for help. This also follows me in my current profession.

A concept or topic I have a passion about related to my specialty advanced practice area is holistic nursing. Holistic nursing is a nursing practice that focuses on healing the whole person. The nurse uses an approach that looks at the mind, body, spirit, and emotions (Klebanoff, 2013). Holistic nursing also encourages the nurse to incorporate self care, self spirituality, and personal reflection (Klebanoff, 2013).

Holistic nursing is significant to my selected area of interest as it relates to my specialty track. In 2006, the American Nurses Associaton recognized holistic nursing as a specialty area for nursing practice (Klebanoff, 2013). Having specialty status provides holistic nurses with a set of standards for practice. Since holistic nursing is a way of thinking, nurses must keep up to date on knowledge and skills (Klebanoff, 2013).

Many hospitals and healthcare settings incorporate delivery models that include holistic nursing. Holistic nursing will continue to evolve (Klebanoff, 2013).

With holistic nursing evolving, nurses need to incorporate this standard of practice (Klebanoff, 2013). Many nurses do not think holistically and many do even know how. That’s why it is crucial to implement the practice of holistic nursing as a nurse educator.

As a nurse educator, I will educate my students on the importance of and benefits of holistic care. I will also encourage my students to offer holistic care to all patients. Holistic nursing can be used on all patients and can easily be incorporated with traditional western medicine and nontraditional medical practices (Klebanoff, 2013).

Klebanoff, N. (2013). Holistic nursing: focusing on the whole person. American Nursing Today, 8(10).

Stevens, K. R. (2013). The impact of evidence-based practice in nursing and the next big ideas. Online Journal of Issues in Nursing, 18(2),1.

doi:10.3912/OJ1N.Vol18No02Man04

Sample Answer 6 for NR 500 Week 5 Discussion: Evidence-Based Practice

Discuss the EBP process and importance to nursing practice.

Evidence based practice (EBP) is the application of research to improve patient outcomes (Health Sciences Library, 2017). It is a process that has been tested and proven to have a positive outcome for the patient (Health Sciences Library, 2017). When applied to nursing practice, EBP can reduce safety issues for the patient and nurse (Stevens, 2013). The process of producing evidence-based practice is a complicated one. There are many steps researchers have to follow in order to produce new knowledge. The first step to produce knowledge is the question. Using The PICOT format researchers can ask the question that will be used for research (University of Saint Mary, 2015). The P in the question stands for person, population, or problem (University of Saint Mary, 2015). The I is the intervention or a method that will be tested (University of Saint Mary, 2015). The C is for comparison (University of Saint Mary, 2015). The O is for outcome measured (University of Saint Mary, 2015). The T is for time frame (University of Saint Mary, 2015). With the question ready the next step is to find research or produce results through studies (University of Saint Mary, 2015). After the research is done the researcher has to determine the validity of the study (University of Saint Mary, 2015). The next three steps are to incorporate research to practice, evaluate outcomes, and if the result is positive to disseminate the information so that others can use the knowledge (University of Saint Mary, 2015).

Identify your selected specialty track. Provide a rationale on why you selected the specific professional track.

My specialty track is family nurse practitioner. Individuals in this specialty track are very needed in my town. Being a family nurse practitioner will give me the opportunity to work with populations of all ages. Nurse practitioners also have the opportunity to work in most specialties, not only in primary care but also in the hospital setting.

Identify a concept or topic you have a passion about or an area of interest related to your future specialty advanced practice area. Provide an example, using the best evidence available, substantiating the significance of your selected area of interest as it relates to your specific specialty track.

According to the Centers for Disease Control (CDC) (2016) falls are an epidemic that often have serious implications. Elder adults are especially susceptible to them and often end up incapacitated or dead (CDC, 2016). Nurse practitioners in my hospital are able to influence change. The hospital has been having issues with falls. In my unit alone we have had two falls this week. The hospital has increased the amount of documentation, education, and surveillance of the staff to make sure hourly rounding is being done. So far the measures taken have not worked and the falls continue. As a nurse practitioner it would be easier in my hospital to present new ideas and actually be heard. I think the hospital should do so research on methods that actually work and test them in a couple of units with varied patient populations. One such method that could be tested is the one by the CDC. The CDC came up with STEADI (stopping elderly accidents, death, and injuries). This method takes into consideration the patient as a whole. The method looks at different reasons why falls occur in the first place and aims at preventing them by neutralizing the risk. Things like functional assessment, mental exams, management of symptoms like postural hypotension, and completing a review of patient medications, can help prevent falls (Centers for Disease Control and Prevention, 2016). The most important thing to resolve the issue is to look for problematic patterns and address them. A blaming attitude towards the staff might contribute to the problem rather than fixing it. If the hospital were to involve the staff in the research the solution might be easier to figure out.

References

Centers for Disease Control and Prevention. (2016). Keep Them STEADI: Preventing Older Adult Falls in Hospital-Based Settings. Retrieved from https://www.cdc.gov/steadi/stories/hospital.html

Health Sciences Library. (2017). Evidence Based Practice Resources. Retrieved from https://hsl.lib.unc.edu/services/evidence-based-practice-resources

Saint Mary University. (2015). 6 Steps of the Evidence Based Practice Process. Retrieved from http://online.stmary.edu/msn/resources/evidence-based-practice-for-the-busy-nurse-practitioner

Stevens, K. R. (2013). The impact of evidence-based practice in nursing and the next big ideas. Online Journal of Issues in Nursing, 18(2), 1. doi:10.3912/OJIN.Vol18No02Man04