Discussion: Where Is Evidence-Based Practice
Discussion: Where Is Evidence-Based Practice
Discussion: Where Is Evidence-Based Practice
Discussion: Where in the World Is Evidence-Based Practice?
Although March 21, 2010 was not the date of EBP’s birth, it may have been the date on which the approach “grew up” and left home to face the world.
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When the Affordable Care Act was passed, it included an empirical evidence requirement. EBP research has accelerated significantly. The application of EBP has expanded to include allied health professions, education, and healthcare technology. Health care organizations began implementing and promoting EBP.
This adoption will be discussed in this Discussion. You will investigate the websites of healthcare organizations and determine how often EBP is used by these organizations.
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To Get Ready:
Examine the Resources and consider the definition and objective of EBP.
Select the website of a professional healthcare group (e.g., a reimbursing body, an accredited body, or a national initiative).
Explore the webpage to see where and how much EBP is present.
By the third day of Week 1,
Post a description of the website of the healthcare organization you visited. Describe where, if anywhere, EBP appears (for example, in the healthcare organization’s mission, vision, philosophy, and/or goals, or elsewhere on the website). Then, describe whether or not the work of this healthcare organization is based on EBP. not. Finally, explain how the information you obtained on the healthcare group’s website has altered your opinion of the organization. Provide specifics and instances.
RESOURCES
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126.
Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01.
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
· Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)
Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171.
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021. Retrieved from https://sigmapubs.onlinelibrary.wiley.com/doi/full/10.1111/wvn.12021.
Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160. Retrieved from https://qualitysafety.bmj.com/content/qhc/24/10/608.full.pdf
Discussion: Where Is Evidence-Based Practice
Evidence Based Practice At The World Health Organization
Nursing knowledge and care has transitioned from being based on traditions, authority and trial and error to relying on research in order to improve soundness of decision-making capabilities (Laureate Education, 2018). Evidence Based Practice (EBD) is the approach to problem solving in regards to health care delivery that considers evidence from research and patient care data and integrates that information with clinician expertise and patient preferences (Melnyk, Fineout-Overholt, Stillwell, & Williamson, 2010). EBP has been embraced not only by nurses and hospitals but also more globally in healthcare organizations (e.g. reimbursement, accreditation bodies and national initiatives) such as The Joint Commission.
The Joint Commission is an independent, not-for-profit organization and the oldest and largest standard setting and accrediting body in health care (The Joint Commission, 2020a). The Joint Commission surveys a healthcare organization through chart review and staff and patient interview to determine if the organization’s provision of care meets certain standards (The Joint Commission, 2020b). Those standards focus on patient safety and quality of care and are updated regularly to match advances in health care and medicine (The Joint Commission, 2020b) and are rooted in evidence-based practice.
Emphasis on The Joint Commission’s commitment to excellence through EBP can be found throughout the website. The standards development process is described to be informed by scientific research and expert consensus that is reviewed by the Board of Commissioners (The Joint Commission, 2020c). However, despite thorough review of the website, no specific research or articles were cited as justification. There are portions that describe research published by the Center for Disease Control and Prevention and other reputable peer reviewed research organizations, but these are not accompanied with citations.
The Joint Commission’s work is grounded in EBP as evidenced by provision of rationale for each National Patient Safety Goal. For instance, in National Patient Safety Goals Effective July 2020 for the Behavioral Health Program (The Joint Commission, 2020d) each goal that is identified includes a detailed and evidence-based rationale. The format of identifying practice goals followed by rationale can be found in every National Patient Safety Goal document in all the specialties that The Joint Commission offers opportunity for accreditation.
Discussion: Where Is Evidence-Based Practice
Most seasoned health care workers are quite familiar with Joint Commission reviews of their facility. At times, some of the standards seem arbitrary or overly rigid for the bedside care provider. In having reviewed The Joint Commission’s website, I know understand that the attention to minutia is not meant to penalize, but rather to identify areas for improvement or validation of exceptional practice by the staff. Additionally, I was vaguely aware that there was rationale supporting the standards in a Joint Commission review, and the website offers a more comprehensive explanation for the rationale. I do continue to appreciate the importance of accreditation as it demonstrates a facilities adherence to important patient care standards.
The adoption and application of EBP in recent years has impacted health care organizations across the country. There has been a shift from providing care a certain way because of traditions, etc. to focusing on practice that is rooted in evidence. This change can be seen in the standards with rationales required for accreditation by The Joint Commission. Their standards are detailed comprehensively on their website. This is quite beneficial for those implementing policies and procedures at their own facilities, showing that these directives are data driven meets the needs of nurses who provide care based on research and knowledge.
References
Laureate Education (Producer). (2018). Introduction to evidence-based practice and research
[Video file]. Baltimore, MD: Author.
Melnyk, B. M. , Fineout-Overholt, E. , Stillwell, S. B. & Williamson, K. M. (2010). Evidence- based practice: Step by step: The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51-53. doi: 10.1097/01.NAJ.0000366056.06605.d2.
The Joint Commission. (2020a). Joint commission FAQs. Retrieved May 31, 2020 from https://www.jointcommission.org/about-us/facts-about-the-joint-commission/joint- commission-faqs/
The Joint Commission. (2020b). History of The Joint Commission. Retrieved May 31, 2020 from https://www.jointcommission.org/about-us/facts-about-the-joint-
commission/history-of-the-joint-commission/
The Joint Commission. (2020c). About our standards. Retrieved June 1, 2020 from
https://www.jointcommission.org/standards/about-our-standards/
The Joint Commission. (2020d). National patient safety goals effective July 2020 for the
behavioral health program. Retrieved from
file:///C:/Users/lisam/Downloads/NPSG_Chapter_BHC_Jul2020.pdf
Initial Discussion Post:
In this week’s post, I will be discussing the World Health Organization or WHO for short. WHO is a universal health organization that works worldwide to promote overall health and wellbeing, to keep the world safe and healthy, and to serve the vulnerable population. WHO is known as being a credible source of reliable health information and an excellent resource to those who are in need. The WHO works continuously to address many issues pressing the world’s population such as human capital across the life-course, noncommunicable disease prevention, mental health promotion, climate change, antimicrobial resistance, and the elimination and eradication of high impact communicable diseases (Douglas & Murphey, 2020).
Discussion: Where Is Evidence-Based Practice
On the “About WHO” section under “What we do” on the WHO’s website, a clear goal of the organization is established along with certain visions that the organization has. The website states “Our goal is to ensure that a billion more people have universal health coverage, to protect a billion more people from health emergencies, and provide a further billion people with better health and well-being.” (N.A., 2020).
The WHO is certainly grounded in evidence-based practice or EBP. As defined as a conscientious, problem solving approach to clinical practice that incorporates the best evidence from well designed studies, patient values and preferences, and a clinician’s expertise in making decisions about a patient care. EBP is designed to enhance healthcare quality, improve patient outcomes, reduce costs, and empower clinicians (Lange, Lovesth, Teoh, Christensen, 2020). The WHO is designed on these principals to ensure the utmost quality of care worldwide to all people.
The information that I have obtained for this post has made me look differently at the world health organization. To be honest, I was not as informed about this healthcare organization as I now am. I was unaware of what all the WHO provided. I think that it is such a great organization and I am happy that their main focus is towards those in more vulnerable situations. They also are big in addressing health emergencies such as the current COVID-19 pandemic and work diligently with other healthcare organizations such as the CDC in investigating and implementing the best course of action.
References:
Annet H. de Lange, Lise Tevik Løvseth, Kevin Rui-Han Teoh, & Marit Christensen. (2020). Editorial:
Healthy Healthcare: Empirical Occupational Health Research and Evidence-Based Practice. Frontiers in Psychology, 11. https://doi-org.ezp.waldenulibrary.org/10.3389/fpsyg.2020.02236
Douglas, O., & Murphy, E. (2020). Assessing the Treatment of Potential Effect Modifiers Informing World
Health Organisation Guidelines for Environmental Noise. International Journal of Environmental Research and Public Health, 17(1). https://doi- org.ezp.waldenulibrary.org/10.3390/ijerph17010315
No Author. Retrieved on December 1st, 2020 from https://www.who.int/about/what-we-do
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
RE: Main Post Discussion – Week 1
Where Does Evidence-Based Practice Exist?
Healthcare is a constantly evolving field. The implementation of evidence-based practice will increase the quality of healthcare services. Evidence-based practice not only improves healthcare quality, but also improves patient outcomes, decreases healthcare expenditures, and reduces healthcare personnel’ job burnout (Melnyk & Fineout-Overholt, 2018). To stay abreast of the most recent trends and best practices, professionals must continue their education in the most recent research and technological developments. As part of this project, I will evaluate the American Association of Nurse Practitioners (AANP) website to see if it supports evidence-based practice.
The AANP is a professional healthcare organization that welcomes nurse practitioners and student nurse practitioners as members. According to the AANP (n.d.), this organization has over 104,000 members who collaborate to advance patient care and the profession. Access to continuing education, networking opportunities, state and federal advocacy, and the most recent medical journals are among the membership perks (AANP, n.d.b). Upon perusing the numerous sections on the AANP’s website, I believe that evidence-based practice is evident. Multiple locations, including the press room website, the research opportunities website, and the practice related research website, seemed to make it clear.
I feel that the work of the AANP is founded on evidence-based practice.
Through online exploration, I was able to locate a section containing material supporting the role of nurse practitioners in medically assisted treatment (MAT) and the opioid epidemic (AANP, n.d.c). This material was quite enlightening and demonstrated how nurse practitioners are working in enhancing the patient outcomes of those with opioid use disorder. Statistical information, including graphs and infographics, was also made available for inspection. As the opioid epidemic is a nationwide public health issue, this evidence-based study sheds light on potential solutions that we, as advanced practice nurses, can contribute to improving the quality of treatment, decreasing healthcare expenditures, and enhancing patient outcomes.
As I begin my academic career, I feel compelled to join a professional nursing group that promotes evidence-based practice. As an accomplished practitioner, I will have the ability to affect many lives, and I want to avoid falling into a routine and neglecting evidence-based practice. I will push for enhanced patient outcomes, cost-effective healthcare delivery, and decreased healthcare expenditures. I believe that by joining the AANP, I will be connecting myself with a network of like-minded professionals who are committed to evidence-based practice and share the same goals. My affiliation with the AANP will help both myself and the patients I serve.
References
American Association of Clinical Nurse Specialists (AANP). (n.d.a). About the Association of American Nurse Practitioners (AANP). American Association of Nurse Practitioners. Retrieved from https://www.aanp.org/membership/why-join (AANP). (n.d.b). AANP member benefits. Retrieved from https://www.aanp.org/membership/member-benefits
American Association of Clinical Nurse Specialists (AANP). (n.d.c). The most recent information on the NP’s role, as determined by practice-related research. Retrieved from https://www.aanp.org/practice/practice-related-research
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based nursing & healthcare practice: A guide to optimal practices (4th ed.). Philadelphia, PA: Wolters Kluwer
Replies 1
Thank you for your contribution and analysis on the American Association of Nurse Practitioners (AANP). The AANP is one of the most prominent professional associations for nurse practitioners (NPs) and student nurse practitioners. Evident from the organization’s mission and position statements, it supports evidence-based practice (EBP). In its mission statement, EBP components excellent health care, practice, and research were mentioned. The organization equips its members to implement best practices. It is working to enhance patient care and the nurse practitioner’s role (AANP, n.d.a.).
AANP engages with numerous groups to assist NPs in enhancing patient health outcomes (AANP, n.d.a.). It advocates for patient-centered, patient-empowered health care, health promotion, and illness prevention (AANP, n.d.a.). It promotes regulations that increase the practice of NPs to better patient care and reduce health care costs.
The Affordable Care Act encourages evidence-based practice since clinicians are reimbursed based on evidence and quality of care (Laureate).
2018). Education AANP promotes legislation developments such as the Affordable Care Act, the U.S. Department of Veterans Affairs (VA) Final Rule, and the Comprehensive Addiction and Recovery Act by providing NPs with resources and information to enhance EBP (AANP, n.d.b.).
References
Association of American Nurse Practitioners (n.d.a.). About the Association of American Nurse Practitioners (AANP). https://www.aanp.org/about/about-the-american-sassociation-of-nurse-practitioners-aanp
Association of American Nurse Practitioners (n.d.b.). Recent legislative modifications.
https://www.aanp.org/advocacy/recent-legislative-changes
Replies 2
The implementation of evidence-based practices (EBP) will improve the quality of healthcare service delivery, as I concur that the field of healthcare is always evolving over time.
(Association of American Nurse Practitioners (AANP). (n.d.a). Evidence-based practices improve the quality of patient treatment, resulting in better patient outcomes. One of the organizations that utilize EBP is the AANP, which gives memberships to nurse practitioners (NP). Every member of the company works simultaneously to improve patient outcomes. The member’s treatment is enhanced by initiatives such as advanced studies, networking opportunities, advocacy, and unlimited access to medical journals (Melnyk & Fineout-Overholt, 2018, p. 8). According to the AANPs website, NPs participate in medically assisted treatments based on specific treatments. The website also provides a wealth of statistical data, including infographics and graphs, for the purpose of improving health outcomes. Whoever joins the AANP will associate themselves with a network of professionals who share a similar worldview. As a result, they will focus on the same objective: providing patients with great care while utilizing the available EBP.
References
American Association of Clinical Nurse Specialists (AANP). (n.d.a). Description of the American Association of Nurse Practitioners (AANP). Retrieved from http://membership.aanp.org/why-join
Melnyk, B. M., & Fineout-Overholt, E. (2018). Best Practice: A Guide to Evidence-Based Nursing and Healthcare (4th ed.). Philadelphia, PA: Wolters Kluwer 7-62
The implementation of evidence-based practice (EBP) interventions requires cultivation of a spirit of inquiry, asking clinical question, and searching for the best evidence as well as appraising it. It also entails implementation of the evidence, outcomes’ evaluation and sharing of the results (Melnyk & Fineout-Overholt, 2018). Therefore, one can find EBP in different organizations based on the information that they provide on their website