Evidence-Based Practice (EBP) In The Nursing Profession

I like the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model, because it is a powerful problem-solving approach to clinical decision-making, and it has user-friendly tools to guide. According to Zaccagnini & White, “it is designed specifically to meet the needs of the practicing nurse and uses a three-step process called PET: practice question, evidence, and translation” (2015). The goal of this model is to ensure that the latest research findings and best practices are quickly and appropriately incorporated into patient care. Great choice!

Evidence-based practice will definitely be more likely to thrive in environments where nurses feel they are being supported by both management staff and available resources. When nurses are offered further resources such as hands on training or simulation training that is backed by evidenced based research they can feel more secure and confident in the job they are able to perform during their shift. Nurses can thrive in their work place organization by building onto their basic knowledge and therefor enabling the nurse to climb the clinical ladder. As our book states “continuing to apply learning contributes to ongoing evidence based practice as one uses newer research and theory as a part of one’s practice.” Nurses who take control of their

Preventable medical mistakes cause approximately 200,000 deaths around the United States each year. (1) More than 1,000,000 Americans are negatively impacted by medication errors each year caused by inadvertent mistakes in the prescription filling process. With 4 out of 5 adults taking at least 1 medication daily and 1 out of 4 adults taking 5 or more medications daily nationwide, errors like these cost healthcare industry billions of dollars per year. Health information technology were developed to transform healthcare services, the way they are provided and compensated. Electronic prescribing (e-prescribing) becomes an internal part of that transformation process, which can be confirmed from annual Surescripts’ National Progress Report.

Most of us probably cannot recall a world without internet, cellphones, and laptops. Technology has transformed the world we live in today. Undoubtedly, technology has changed the way health care is delivered. Electronic prescribing allows prescribers to send prescriptions electronically and directly to the pharmacy. E-prescribing has been demonstrated to reduce prescribing errors in outpatient settings.

Text messaging has proven to be an effective way to remind patients of their appointments.   Text messaging has also been found to be an effective way of improving medication compliance. Medication compliance is of utmost importance for many chronic conditions.         Disadvantages:    there is now convincing data that text messaging can influence health behavior and decisions.  It does not encourage cancellation or rescheduling in patients who cannot attend or who cannot be longer wish to attend.

(2012). Exploring barriers to participation and adoption of telehealth and telecare with the whole system demonstrator trial: A qualitative study.  BMC Health Services

Nursing research is providing evidence used to support nursing practices, generate new knowledge, and promote evidenced-based nursing practice, ensure credibility of nursing profession, provide accountability for nursing practice and document effectiveness of nursing care. Nursing research also focuses on the understanding and relieving of the symptoms

At Kaweah Delta Family medicine center, we can implement some of the interventions discussed earlier to reduce our no show rate. One of the first interventions includes sending patients preferred reminder modality in their preferred languages. Young age is one of the independent predictor of high likelihood of missing an appointment 7. Using text message service in this technology friendly population can improve appointment adherence . A randomized control study found text messages modality equivalent but cost effective compared to telephone reminders.

The profession of nursing has embraced evidence based practice (EBP) as evidence based care combines evidence from research, clinical experience, and patient preferences that help us to ensure that patient care is effective, considerate, and cost effective for facilities and the population served, while meeting the specific needs of each patient Research that leads to EBP tells nurses and health care providers what practices/treatments that work, what does not work, and with whom and where they work best. An example of EBP is that the Affordable Car Act requires that all reimbursable treatments follow the guidelines and recommendations made by the U.S. Preventative Services Task Force (USPSTF). The USPSTF recommendations are derived from

1. CONCEPT 1-EVIDENCE-BASED PRACTICE IN NURSING This concept was deducted from module 2 with the topic “Concept of Evidence-based practice”. Evidenced-based nursing is a way of making decision and providing nursing care that is based on clinical issues and combine it with the most current, relevant research that is available on that issue. Evidence based nursing utilize the most up to date method of providing care, which have been proven via assessing high quality studies and statistically with significant research findings.

It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as

Some of the findings may not be generalizable outside of the New England area. However, the study did include a vastly demographically different population, which increases the generalizability. Overall, there needs to be specific, individualized, interventions to address different types of barriers such as forgetting to take medication or

TITLE SMILES Supporting the Modification of Lifestyle In Lowered Emotional States’ (SMILES). Objective: To evaluate if a structured dietary support, focusing on improving diet quality using a modified Mediterranean diet model, would be superior to a social support control condition (befriending) in reducing the severity of depressive symptomatology Design: A 12-weeks, parallel group, single blinded randomised controlled trial whereby researchers responsible for mental health assessment were blinded to the group allocation Population: All patients with moderate to severe depression based on the MADRS scale Sample: 67 patients recruited from two Health centres in Victoria, Australia (Barwon Health in Geelong and St. Vincent’s Health in Melbourne

Medication Adherence Reflective Writing Shaymous Juhnke As a P1 student in SDSU’s pharmacy program one of the activities required to prepare us for real world pharmacy practice would be to take part in a medication adherence simulation. The goal of this activity is to put ourselves in the patients shoes to get an idea about how patients adhere to their regimens in the real world. Through this activity I have learned that it is not always easy to take medications at the right times.

By having an automated calling system, it serves as a reminder to patients of when they need to have medication because patients may be resting and forgets to take their medication. This reminder would help in better medication