Background and Significance
There is a great demand on nurses in clinical practice to implement evidence based practice (EBP) in their daily care. However, Implementing EBP is not easy and can be challenging for healthcare organizations (Koehn & Lehman, 2008; Majid et al., 2011). In Saudi Arabia (SA), healthcare organizations have been challenged to foster an environment that embraces EBP in clinical practice. Unfortunately, most of the efforts to support healthcare providers’ implementing EBP into their practice are focused on medical staff; little is done to support nursing staff and other healthcare professionals. The Ministry of National Guard Health Affairs (MNGHA) in Riyadh, SA, where this capstone project was implemented, is facing the
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Nurses then were asked by the project leader to sign an informed consent after the project had been explained to them. Recruited nurses were then asked by the project leader to complete the questionnaire before starting the EBP educational program and immediately after completion of the program. Four weeks after completing the educational program the nurses were asked to complete the questionnaire again. The four-week follow-up questionnaire was distributed by the project leader to the participants through intradepartmental mail. Each survey had a detachable cover sheet with the participant’s name. The project leader assigned each participant an identification number; this identification number was used to match the pre- and post- questionnaires. Once the identification number was added to each survey by the project leader, the cover sheet with name was removed and destroyed. The key of participant names and identification numbers was stored by the project leader in a secured cabinet in a locked office and destroyed at the conclusion of the …show more content…
All participants (100%) completed the pre and immediate post EBP educational program questionnaire. Of the 27 nurses who attend the EBP educational program, a total of 16 (59%) completed all three questionnaires at the required collection points.
The main age of the participants was 40 years (SD = 8.9; range 29–58) with an average experience level of 14.7 years (SD = 7.9; range 5–30). The majority (81.5%) had a bachelor as their highest degree earned. Participants were mostly female and non-Saudi. Additional demographics are provided in Table 1.
Baseline EBP Knowledge, Attitude, and Practice
Three separate two sample t-tests were conducted to compare baseline knowledge, attitude, and practice score for those with and without previous EBP education. Results revealed no differences between groups on any of these outcomes (ps ranged from .33-.96). The analysis of the EBPQ questionnaire found the highest subscale mean at baseline (before nurses attend the EBP educational program) was for attitude (M = 5.45) compared to knowledge (M = 4.47) and practice (M = 4.72).
EBP Knowledge, Attitude, and Practice Comparisons over
a. This portfolio shows the educational journey through the BSN program at Western Governors University(WGU). The curriculum at WGU was very challenging, nonetheless it prepared me to become a safe and effective nurse. The BSN curriculum provided avenues to keep me up to date with safe practices and learn how to master therapeutic communication. WGU also helped me sharpen my critical thinking skills in order to make decisions quickly and provide safe and effective care to patients. As the result of my training, I am ready to embark in the field of nursing and do my best to make a difference in my patients lives.
Table of Contents PROFESSIONAL SUMMARY Resume – This resume displays my academic accomplishments as well as my work experience and other achievements. Executive Summary – This is a reflection of my professional development and accomplishments during my Baccalaureate Program at Western Governors University (WGU). Professional Reference Questionnaire – This serves as a professional reference describing my professional character. QUALITY AND SAFETY Importance of IHI Certificate – this course develops the professional nurse in the areas of Quality improvement, Patient Safety, Leadership, Patient and Family centered care and population health.
The details of the study included literature review, purpose, method, data analysis, results, discussion, limitations, nursing implications, recommendations for future research and conclusion. The results were clearly presented. Study limitations were identified. The conclusion was based on study results. This review was of good quality.
Prior to implementation of the quality project, a signed consent will be obtained from the registered nurses, and then a 10-point questionnaire will be utilized to assess knowledge pre the education and post-education, with additional questions to assess knowledge gained. To protect confidentiality, no personal identifier will be used for any of the participants. All completed questionnaires will be stored in a locked cabinet in my office and data will be recorded on my personal computer with security access ensured. Data will be kept for three years after
The hospital EPC approach has advantages over previous strategies for increasing the use of EBP by nurses, including recognition at the health system level, financial support, and interprofessional teams. Addressing work roles and processes through improved skill utilization can also help address challenges related to burnout, stress, access limitations, and revenue concerns in primary care. At the same time, interventions aimed at clinic efficiency can potentially improve patient experience, population health, costs, and health professionals' work lives. Finally, by adopting evidence-based interventions, healthcare providers can provide more efficient, effective, and personalized care that meets each patient's unique needs and expectations. Incorporating evidence-based practice in healthcare can help achieve the Quadruple Aim and improve the overall quality of
n.d.). The health care delivery system (HCDS) in the United States has been experiencing a historical transition, since the president sign the Patient Protection and Affordable Care Act (PPACA). High-quality patient care relies on having a well-educated nursing workforce. Research has shown that lower mortality rates, fewer medication errors, and positive outcomes are all associated to nurses prepared at the baccalaureate and graduate degree levels (American Association of Colleges of Nursing | Creating a More ... n.d.). In a study, researchers found that A 10% increase in the proportion of nurses holding BSN degrees decreased the risk of patient death and failure to rescue by 5%.
This support of nurse educators and expectation of continued education is needed to ensure the patient is receiving evidence-based
The transition from an Associate Degree (AD) nurse to a Bachelor’s of Science in Nursing (BSN) is a rewarding time during a nurse’s career. There are many reasons why nurses return to college to get their BSN degree. Some return to meet a personal goal others return for professional advancement or are mandated by their employer to do so. Over the past few years many organizations stopped hiring AD nurses or drastically reduced the number they hire. Many AD nurses who delayed returning to school regret not doing so sooner when they realize the wealth of knowledge gained from getting their BSN degree.
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
ANNOTATED BIBLIOGRAPHY Berman, A., Kozier, B., Snyder, S., & Frandsen, G. (2015). Kozier & Erb 's fundamentals of nursing: Concepts process and practice (10th ed.). Hoboken, NJ: Pearson Education.
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.
Escape Fire “Escape Fire: The Fight to Rescue American Healthcare” is a documentary concerning the state of health care in the United States. It alleges that the American healthcare system is a broken system that mainly focuses on getting as many people treated the healthcare system, without actually treating their true medical issues. It challenges that the healthcare system is more about bringing in revenue than providing adequate medical care. It further contends that the healthcare system is more about increasing healthcare numbers than improving health.
Healthcare professionals play a role in quality management process by taking accurate patient information using the electronic health record system. Technology with professional knowledge of nursing improves quality of patient care and general quality management process in the healthcare. The baccalaureate nurse involves an integration of nursing knowledge, skills, and attitudes that are fundamental to improving quality and safety of patients in the healthcare
Before EBP was imbedded into healthcare, nurses relied in the advice of senior nurses and what they learned through education and trial and error. Floranc enightengal ……. However, it wasn’t until the mid-1800s that evidence-based medicine had its beginnings, but did not come into play until the year of 1972. Through many years different modifications, various groups of nurses have drafted their own versions of evidence-based practice guidelines into play.
This portfolio represents the professional and academical achievements of my educational career in the course over the years. It is the compilation of the hard work I have completed and my accomplishments that illustrate my strengths, problem-solving ability, work ethic, responsibility and moral and professional values. All of the education obtained during these years and the effort put in has given me the required knowledge, experience, values, professional behaviors, and ethical standards to make me a stronger and well prepared professional nurse. It has been a long journey since I started my nursing education becoming a CNA, nurse assistant, then a practical nurse LPN. Continuing with my education I became a registered nurse (RN) and now I am finishing my Bachelors of Science in Nursing.