NR 351 Week 5 Discussion; Evidence to Support Nursing Practices - Fall Semester

$15.00

Contributor

Wendy Williams

Category

Nursing

Course

NR 351 Information Systems in Healthcare

Institute

Chamberlain

Pages

53

Buy Now

 This is a graded discussion: 50 points possible due Oct 4 Week 5 Discussion: Evidence to Support Nursing Practices (Graded) Purpose 18 86 The purpose of this discussion is for learners to demonstrate their ability to search for evidence in the scholarly nursing literature and share with colleagues. Course Outcome This discussion enables the student to meet the following course outcome: CO 5: Discuss theories and evidence-based practice in the planning of patient-centered care. (POs 1, 8) Due Date Answer post due by Wednesday 11:59 p.m. MT in Week 5 Two replies to classmates and/or instructor due by Sunday 11:59 p.m. MT at the end of Week 5 Points Possible 50 points Directions Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions students: Demonstrate understanding of concepts for the week Integrate scholarly resources Engage in meaningful dialogue with classmates Express opinions clearly and logically, in a professional manner Use the rubric on this page as you compose your answers. Discussion Evidence is necessary to improve our nursing practice. Using the CINAHL database in the Chamberlain Library, search for and locate a scholarly professional nursing journal article that meets these criteria: Full-text English language Peer-reviewed NOT an Evidence-Based Care Sheet or CINAHL Guide Published in the past five years Contains evidence to support a nursing practice in your practice area Summarize this article in one paragraph. Explain why you selected this article. Provide an APA reference for this article. Reply to a peer who has selected a different article. Provide feedback on that peer's article choice and APA reference format. Your peers will also provide feedback on your article choice and APA reference format. Grading To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric. This topic is closed for comments. Search entries or author Unread   Subscribed  (https:/Courtney Lacoste(https://chamberlain.instructure.com/courses/68818/users/176034)Sep 29, 2020  Every nurse has their love for a particular part of nursing. Well, my ultimate love in the medical field is the heart. I chose an article related to heart failure because the heart amazes me in so many ways. Being an inpatient medical surgical nurse, this article hit home for me. The evidence-based practice of nursing is fore fronted in this article. It is based on an experience of inpatient and outpatient settings, of military and civilian healthcare facilities, in reducing heart failure patients’ readmissions within 30 days after being discharged from the hospital. Questionnaires were given to all staff beforehand and approximately sixty percent completed them with lots of feedback. Most of the feedback consisted of patient and staff not having the correct and proper education for the care of patients admitted with heart failure. The research team decided to standardize the education and care procedures throughout the facility where everyone would be given and taught unvaried information. Making education and care standardized throughout the facility allows the healthcare team, patients, and families be given correlative information regarding the patient’s care. Another initiative was to make sure all patients had follow ups within ten days after leaving the hospital with a heart failure clinic. The study revealed over a 3-month period that communication between inpatient and outpatient settings have increased significantly with heart failure patients related to the standard set in place by the heart failure committee. Post conclusion of this study is still in the works and ongoing; therefore, the statistics for readmission have not yet been calculated. Nonetheless, the study has already shown improvement in patient education and staff understanding of heart failure with utilization of questionaries given back to the staff. Wood, R. L., Nasshan, S. J., Sara, M. R., & Contasti, A. C. (2019). Confronting Challenges in Reducing Heart Failure 30‐Day Readmissions: Lessons Learned With Implications for Evidence‐Based Practice. Worldviews on Evidence-Based Nursing (WORLDVIEWS EVID BASED NURS), 43-50. doi:10.1111/wvn.12336 (httpMary Zeisler(https://chamberlain.instructure.com/courses/68818/users/797)Sep 30, 2020  Hi Courtney, Good discussion! As a medical-surgical nurse how much of these conversations reassuring patients comes from the nurse or from the physician? I'm just wondering if there is a line (blurred one probably) that as a nurse you have to defer to the physician. Mary Ann (http Courtney Lacoste(https://chamberlain.instructure.com/courses/68818/users/176034)Oct 1, 2020  Ms. Mary, So, in my opinion and experiences the line is definitely blurred. I believe that is ultimately comes down to how well the nurse and/or doctor spends with the patient and how much they educate patients. For example you know some nurses/doctors are just in and out and do what is required and call it a day. On the other hand some nurses/doctors take out more time with the patient until they truly understand! Courtney (httpMary Zeisler(https://chamberlain.instructure.com/courses/68818/users/797)Oct 1, 2020  Hi Courtney, You make good points - it is so true there are doctors and/or nurses who will take more time. I know there were times I took too much time! Mary Ann (httpCarrie Mills(https://chamberlain.instructure.com/courses/68818/users/178748)Oct 1, 2020  Courtney, I agree I am responsible for the chart audits in my department, we audit the chart from the time the patient enters the facility to the time they leave, education is one of the things we look at and it is missed a great deal of the time or very minimal. I cannot believe most times how little of charting is done. Zi am from the days if it’s not charted it’s not done. Carrie (http80359933651678035996035561 Michelle Appel(https://chamberlain.instructure.com/courses/68818/users/117812)Sep 30, 2020  Courtney, What a great article you found. I found it interesting about the initiative to have the patient's seen 10 days after leaving the hospital. What a great practice that should be used more. I tend to think it is crazy that in some areas of healthcare patients can be in the hospital and then we just discharge them with really no follow-up care. Sure we can advise them to be seen but to make it a point for them to be seen can be a game-changer. Michelle (httpCourtney Lacoste(https://chamberlain.instructure.com/courses/68818/users/176034)Oct 1, 2020  Michelle, I agee! I think its a total game changer! Continue of care is so important in my opinion to help with readmission! Thank your for your response.! Courtney (httpJulie Allender(https://chamberlain.instructure.com/courses/68818/users/178923)Oct 2, 2020  Hi Cortney, Great discussion topic. a couple weeks ago I posted on the necessity of communication between health care team members and secondary care such as specialized educators. At my facility we utilize a stroke coordinator and a stroke navigator. The coordinator works to keep staff educated on best evidence based practice for post stroke intervention while the navigator works directly with the patients to educate them on stroke prevention and services such as rehab and follow up to help decrease re-admission rates and improve patient outcomes. Does your facility utilize something like this for cardiac patients? I find at my facility they only utilize the research for evidence based practice on one level but then do not implement it on another. An example of this is we have a stroke protocol and policy secondary to a special national stroke certification that stipulates we are to have a 4:1 patient nurse ratio. This is to 80359933651668035996035560 ensure that we are able to do Q1hr neuro checks on our patients for the first 24 hrs as well as other assessments that are required Q2hrs. Unfortunately the only time our management actually enforces this ratio is when the state or JHCHO is in house, or when we are up for our stroke recertification. The rest of the time we are forced to take 6 patients and are still expected to complete all necessary assessments to keep from

Related Products

NR 393 Week 3 Course Project Phase 2; Conversation with the Selected Nurse

Contributor: Heather Helm

$10.00

Buy