Category: Nursing

Professionalism and Social Media Essay

Professionalism and Social Media

Social media plays crucial roles in the personal and professional lives of nurses. Numerous social media platforms are available for nurses, including blogs and social networking sites. Social media can facilitate professional networking by enabling nurses to connect with colleagues. However, social media poses potential risks to nurses and patients regarding violation of professional-personal boundaries, violations of patient confidentiality, harm to professional image and legal or licensing issues.   The paper identifies social media items that would be regarded as unprofessional and possibly detrimental to a nurse’s career and that adversely impact the reputation of the nursing profession.

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Posts that may be considered inappropriate

After reviewing my posts, I have noticed that I have made several posts on Facebook that may be regarded as inappropriate. In one post, I  complained about how I had a hard day at work and how I was made to working beyond my working hours and how exhausted  IN another post, I stated how I was annoyed by a drunkard who staggered in and peed on himself on the waiting area. Although I did not mention any names or post ant photos, the posts are inappropriate. Professionalism and Social Media Essay According to Weiss et al., (2019), nurses should not describe patients in a criticizing way, even if they do not identify patients using names or photos.  It is inappropriate and unprofessional to publicly air discontentment with her or his employer or talks about problems at work that might make the employer susceptible to mockery or loss of image in the health care field or community (Cherry & Jacob, 2018).

Why nurses have a responsibility to uphold a standard of conduct

Nurses have the responsibility of upholding standards of conduct consistent with the standards governing the profession of nursing in their personal lives and at work to safeguard the reputation of the nursing profession and their careers.  According to Ventola (2014), when nurses post unprofessional content on social media, it can reflect adversely on them or their organizations.   The activities of nurses on social media sites are regarded as public activities. Thus, the content that nurses post directly reflects the whole professionalism of nurses and are capable of influencing the opinions that the public has on nurses as well.

Inappropriate behavior might damage the professional image of nurses as well as a health care setting’s reputation. Furthermore, a nurse might face adverse consequences such as fines, job termination, or permanent or temporary revocation of license (Selekman et al., 2019).  Several social media behaviors can be interpreted as unprofessional Professionalism and Social Media Essay. For example, infringement of patient confidentiality, use of biased or profanity language, images of intoxication or sexual suggestiveness along with disparaging comments about an employer or patients (Ventola, 2014).

Personal confidentiality can violate HIPPA or considered unethical or unprofessional if it breaches patient privacy or confidentiality.   The disclosure of confidential health data, either intentional or unintentional, is a breach of HIPPA guidelines. According to Hao and Gao (2017), infringement of patient’s privacy and confidentiality when utilizing social media can be either unintentional or intentional and can occur in numerous diverse manners. A nurse might breach the privacy of a patient by the information that they post on social media sites, for instance, photos or videos of clients with no any valid approval even if there is no any information identifying them,   comments about patients in demeaning or degrading manners and exposure of too many details of patients that makes them be easily identified such as their room numbers and their treatments or medical conditions Professionalism and Social Media Essay.

Social media activity that reflects Christian values

Keeping the information of all my patients, regardless of their age, medical condition, nationality ethnicity are areas of y social media activity that reflect Christian values connected with respect for human value and dignity for all individuals.  As a professional nurse, I am committed to preserving the value and dignity of my patients and I understand that I am ethically bound to offer compassionate care by respecting the innate worth and dignity of all people. As indicated by Hao and GAO (2017), the privacy of patients involves their expectation and rights that they are treated in a dignified way. When patients’ privacy is breached, even unintentionally, it can make patients have the feeling that they have lost dignity and their therapeutic relationship with nurses has been damaged.

The areas of my asocial media activity that could be improved include engaging in conversations with my patients on my social media sites and accepting friend requests from my current and past patients. I will avoid accepting a social media friend request from patients, and if any patient sends me a friend request, I will redirect them to a means of communication that is more secure or connect them to a professional social networking page like LinkedIn. Patients can become fans or friends of this page, which offers only information that is pertinent to the professional nursing practice. Professionalism and Social Media Essay According to Chism (2019), health care professionals need to observe professional boundaries when using social media. Similar to face to face interactions, it is the responsibility of the nurse to establish, talk about and implement professional boundaries with clients within an online environment.  Nurses should be cautious when initiating conversations with their clients or former clients or their families.  It might be sensible to keep away from having contact with patients.

References

Cherry, B., & Jacob, S. (2018
). Contemporary Nursing E-Book: Issues, Trends, & Management.
  St. Louis, MO: Elsevier.

Chism, L.  (2019).
The Doctor of Nursing Practice: A Guidebook for Role Development and Professional Issues.
Burlington, MA: Jones & Bartlett Learning

Hao, J., & Gao, B. (2017). Advantages and Disadvantages for Nurses of Using Social Media.
Journal of Primary Health Care and General Practice, 1
(1), 1-4.

Selekman, J.,  Shannon, R., & Yonkaitis, C. (2019). 
School Nursing: A Comprehensive Text
.  Philadelphia, PA: F.A. Davis.

Ventola, C. (2014).  Social Media and Health Care Professionals: Benefits, Risks, and Best Practice. 
Pharmacy and Therapeutics, 39
(7), 491-499 Professionalism and Social Media Essay.

Weiss, S., Tappen, R., & Grimley, K. (2019).  
Essentials of Nursing Leadership & Management.
Philadelphia, PA:  F. A. Davis.

 

 

Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.

Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field. Professionalism and Social Media Essay

In 500-750 words, summarize the findings of your review. Include the following:

Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.

Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.

Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this Professionalism and Social Media Essay assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Introduction

Family nurse practitioners (FNP) provide primary care and acute care services while focusing on health promotion and disease prevention. FNPs work in the community setting, nursing homes, clinics, and hospitals to diagnose, make appropriate prescriptions, perform examinations, and provide patient education (Gadbois et al., 2015). In Texas, nurse practitioners attend a high number of patients. Healthcare professionals are assigned with DEA numbers that allow one to prescribe drugs, and this includes legal prescription of controlled substances. This paper will discuss the appropriate prescriptive authority for Lori, a new FNP in Texas. additionally, the process of obtaining the DEA number will be described as well as the safe prescribing practices for Lori as a nurse practitioner.

Appropriate Prescriptive Authority

Lori will require a written agreement with the supervising physician outlining the medications and devices she may prescribe. In Texas, physicians can delegate prescribing and ordering of prescription medications, nonprescription medications, and medical devices and equipment to an APRN. In addition, the supervising can also delegate the prescribing and ordering of Schedules III-V Controlled Substances and Schedule II Controlled Substances to Lori as an APRN, with the specific requirements (Peterson, 2017).

DEA Registration Process

Lori will apply for the DEA number online. She will go to
www.deadiversion.usdoj.gov
website and then follow all the guiding steps during the application. During application, Lori will need to fill all the six sections that include personal information; practicing state; practice information; background; prescription schedules; and charges. Lori will also need to fill the drug schedules she intends to prescribe (Tierney et al, 2015). After applying, Lori will wait for three business days and the application will be availed for editing or approved. To confirm the approval of the DEA number or make any inquiries, Lori can call 800.882.9539. Lori is required to have an active license from the state she intends to practice when applying for the DEA number.

DEA will allow Lori to prescribe mediations classified as ‘controlled substances’ (Tierney et al, 2015). It is therefore clear that DEA regulates and controls prescription of controlled substances by ensuring that APRNs only prescribe the drugs they have authority to prescribe and also prevent APRNs from making illegal prescriptions.

Lori will have various responsibilities after obtaining her DEA number. Once Lori obtains the DEA number, it will be her responsibility to ensure that she accurately and appropriately prescribes the controlled substances. Texas allows APRNs to prescribe some schedule medications, and as per the agreement with the supervising physician. Therefore, Lori should ensure that she prescribes only the authorized schedule drugs (Dineen & DuBois, 2016).

It is also the responsibility of Lori to make sure that she does not do any illegal prescription and that she prescribes controlled substances on cases that are medically allowed and appropriate. Moreover, Lori will need to enquire if the prescription monitoring program (PMP) allows her to obtain any information regarding the prescription of the controlled substances (Marco et al, 2016). If she is allowed, she had the duty of obtaining the information to determine if there have been illegal prescriptions that have been dispensed utilizing her DEA number. In case she notes illegal prescriptions under her DEA numbers, she should report and forward the information to DEA for further investigations (Tierney et al, 2015).

 

Safe Prescribing Practices

Safe prescribing practices include Lori ensuring that she only prescribes the medications she is authorized to and as per her scope of practice. If Lori intends to prescribe the controlled substances, she should ensure that she registers with DEA (Green & Stacey, 2015).

Before prescribing opioids, barbiturates or benzodiazepines, Lori should ensure that she checks the history of the patient in the prescription monitoring program (PMP) because there is a PMP in Texas. the PMP collects information from pharmacists and other healthcare providers to facilitate safe patient care during prescription and use of controlled substances. Additionally, the PMP monitors the prescribing of controlled substances to establish if there is any misuse or abuse. Lori will be needed to confirm with the PMP for all prescriptions of the controlled substances to prevent any duplication of their prescriptions (Elder et al, 2018).

Conclusion

A written agreement with the supervising physician indicating the medications and devices Lori can prescribe will be necessary according to the Texas laws. Lori can obtain her DEA number online to allow her to prescribe medications, including controlled substances. Finally, Lori will need to prescribe according to her scope of practice and follow the required prescriptive laws.

 

 

References

Dineen K & DuBois J. (2016). Between a Rock and a Hard Place: Can Physicians Prescribe Opioids to Treat Pain Adequately While Avoiding Legal Sanction?
Am J Law Med
. 42(1), 7–52.

Elder J, Garett D & Pines. (2018). Optimal Implementation of Prescription Drug Monitoring Programs in the Emergency Department.
West J Emerg Med
. 19(2), 387–391.

Gadbois, E. A., Miller, E. A., Tyler, D., & Intrator, O. (2015). Trends in state regulation of nurse practitioners and physician assistants, 2001 to 2010.
Medical care research and review: MCRR
,
72
(2), 200–219.
https://doi.org/10.1177/1077558714563763
.

Green S & Stacey P. (2015). Optimizing the Use of State Prescription Drug Monitoring Programs for Public Safety.
Journal of Nursing Regulation
. 6(3), 4–10.

Marco C, Venkat A &Baker EF, et al. (2016). Prescription drug monitoring programs: ethical issues in the emergency department.
Ann Emerg Med
. 68(5), 589–98.

Peterson M. E. (2017). Barriers to Practice and the Impact on Health Care: A Nurse Practitioner Focus.
Journal of the advanced practitioner in oncology
,
8
(1), 74–81.

Tierney M, Finnell D, Naegle M, LaBelle C & Gordon A. (2015). Advanced Practice Nurses: Increasing Access to Opioid Treatment by Expanding the Pool of Qualified Buprenorphine Prescribers.
Substance Abuse
. 36(4).

Case Study on Death and Dying

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.

Based on ”Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?

How would George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?

As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person? Case Study on Death and Dying

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What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?

Based on the values and considerations above, what options would be morally justified in the Christian worldview for George and why?

Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic study materials.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Case Study on Death and Dying

Week 4 Journal

During my practicum as a family nurse practitioner (FNP), I came across a 16-year old female with depression. As an FNP, I was often the first to see patients with mental disorders. An FNP can diagnose and provide treatment to patients with uncomplicated mental disorders like anxiety and depression, within their scope of practice (Balestra, 2019). The patient reported and presented symptoms such as increased appetite, sadness, crying outbursts, irritation, increased weight, insomnia, concentration difficulties, social withdrawal, and feeling hopeless and worthless.  Since in the context of primary care I was seeing the client for health needs and the depression was acute, I was able to successfully diagnose the patient for depression and prescribe sertraline as the first-line treatment. I collaborated with a mental health provider in the organization during the initial diagnosis and the period management of the patient.

In line with my short-term goals, after handling this patient I decided to become involved in advocacy activities for people with mental illnesses within the organization and the community. I often sensitized community members about mental health conditions to reduce the stigmatization of people with mental health illnesses. I also educated the community members and the patients who visited the organization to actively seek medical attention without fear whenever faced with a mental health condition. According to Mannarini & Rossi (2019) people with mental health problems normally face social stigma associated with mental illnesses and this makes prevents people from seeking treatment and also make recovery difficult. Therefore, sensitizing the community about mental illness is the first step towards reducing the social stigma associated with mental ill-health (Stuart, 2016).

 

 

References

Balestra, M. L. (2019). Family nurse practitioner scope of practice issues when treating patients with mental health issues.
The Journal for Nurse Practitioners
,
15
(7), 479-482.

Mannarini, S., & Rossi, A. (2019). Assessing Mental Illness Stigma: A Complex Issue.
Frontiers in psychology
,
9
, 2722.
https://doi.org/10.3389/fpsyg.2018.02722
.

Stuart H. (2016). Reducing the stigma of mental illness.
Global mental health (Cambridge, England)
,
3
, e17. https://doi.org/10.1017/gmh.2016.11.

Family Nurse Practitioner Practicum Experience Reflection: Relationship with Professional Goals and Clinical Skills Self-Assessment

The family nurse practitioner (FNP) role is an important one as we provide both curative and preventive health services to marginalised communities (Hu & Forgeron, 2018). To be precise, the FNP provides primary health care or PHC to the underserved and vulnerable populations in the US who do not have access to a physician.

In my practicum experience as a trainee FNP, I faced some challenges given that it is now that I am beginning to accumulate clinical skills in practicums. A particular patient encounter stands out for me. This was a 34 year-old female patient who came with a chief complaint of dizziness. After history taking and physical examination under the supervision of my preceptor, we reached a diagnosis of vestibular migraine. To me, this was the first time that I was beginning to relate theoretical clinical concepts to a real clinical situation. The challenge was immense. I found the synthesis of information from the history and the physical examination to arrive at a diagnosis a challenging but critical clinical skill. Furthermore, ruling out the other differential diagnoses proved to be an uphill task. I however quickly realised that the difficulty I was experiencing was because I had no clinical experience and still did not know how to manage my time in the clinical area (I spent an inordinate amount of time performing each task, like physical examination). From my preceptor, I learnt that in the clinical area I needed to consult other professionals like the physician if I had any difficulty. This effective communication is important (Vermeir et al., 2015). Luckily, I am inclined towards using only evidence-based interventions from my training (EBP) and practice integrity and honesty in following policies, standards of practice, and professional guidelines (Correa-de-Araujo, 2016; Poorchangizi et al., 2019). These attributes helped me a lot.

My professional goal is to be a FNP that uses evidence-based practice (EBP) to solve community health problems.

References

Correa-de-Araujo R. (2016). Evidence-Based Practice in the United States: Challenges, Progress, and Future Directions.
Health Care for Women International
,
37
(1), 2–22.
https://doi.org/10.1080/07399332.2015.1102269
.

Hu, J., & Forgeron, P. (2018). Thinking, educating, acting: Developing advanced practice nursing.
International Journal of Nursing Sciences
,
5
(2), 99–100.
https://doi.org/10.1016/j.ijnss.2018.04.006
.

Poorchangizi, B., Borhani, F., Abbaszadeh, A.
et al.
(2019). The importance of professional values from nursing students’ perspectives.
BMC Nursing
, 18
(26).
https://doi.org/10.1186/s12912-019-0351-1
.

Vermeir, P., Vandijck, D., Degroote, S., Peleman, R., Verhaeghe, R., Mortier, E., Hallaert, G., Van Daele, S., Buylaert, W., & Vogelaers, D. (2015). Communication in healthcare: a narrative review of the literature and practical recommendations.
International Journal of Clinical Practice
,
69
(11), 1257–1267.
https://doi.org/10.1111/ijcp.12686
.

Professional Liability for APNs

In the above writings, I agree that organizations have the responsibility of information their providers on how to identify and minimize risks associated with professional liability. Any healthcare organization should guide its employees on risk management and educate them about risk-related issues. Nurse practitioners should be provided with continuing education in the assessment of risks and risk minimization regularly.   When nurse practitioners understand the potential liability risks, they will be able to prevent or mitigate these risks. Research and collection of data related to nursing malpractice liability should go on being published to increase nurse practitioner’s knowledge concerning malpractice and professional liability (NAPNAP, 2015).

The issue I would like to add to enhance the conversation is the importance of employers providing liability insurance for their staff and strategies that a nurse practitioner can use to reduce the risk for professional liability. According to NAPNAP (2015), liability insurance safeguards providers of health care as well as their clients. Even though the employer might provide coverage for malpractice insurance, it might not entirely safeguard the individual nurse practitioners of their license. Therefore, nurse practitioners must analyze the coverage provided by the employer to establish whether having individual malpractice is necessary.  Nurse practitioners have the obligation of understanding of malpractice risks within their work setting and have an awareness of the form of coverage paid for employer- provided insurance.

Stewart and DeNisco (2018) indicate that while a nurse practitioner may be covered by the malpractice program of his or her employer, it behooves the nurse practitioner to have personal malpractice insurance to avert an employer’s conflict of insurance. Also, the nurse practitioner can lessen the risk of professional liability by maintaining present clinical knowledge and skills, clearly documenting all treatments and carefully evaluating how a patient responds to treatment.

 

References

National Association of Pediatric Nurse Practitioners (NAPNAP). (2015). Position Statement on Malpractice Insurance for Nurse Practitioners.,
Journal of Pediatric Health Care, 29
(4), A11-A12.

Stewart, J., &  DeNisco, S. (2018).
Role Development for the Nurse Practitioner
. Burlington, MA: Jones & Bartlett Learning.

 

 

How your organization should identify and minimize the potential risks regarding professional liability for APNs?

Discuss specific strategies or actions the APN can utilize to ensure effective risk management.

Discuss how APNs will maintain standards of care to as they practice throughout your organization.

Hi All,

As we focus on potential risks and liabilities for our providers, it is important to outline these risks for our nurse practitioners. As with any providers, increased responsibility also brings more associated risks (Pearce, 2016). As mistakes occur it is important that our providers are informed, ready, and supported. A way to do this is by preparing and understanding potential risks. These risks include the following: possible clinical errors, malpractice, negative public view towards nurse practitioners, potential HIPAA violations or exposing confidential information, not informing patients, and additional direct practice risks (Buppert, 2018).

By ensuring our providers are aware of associated risks helps minimize potential risks. These risks can have anything to do with quality of care to the patients individual view of care or of the provider themselves (Buppert, 2018). Therefore, our company puts strain on keeping up with clinical professional appearance including physical as well as maintaining a positive reputation. Maintaining up to date clinical practice and utilizing those current practices in day to day care. Ensure our NP’s understand the importance of having personal insurance. Keeping NP’s aware of HIPAA laws and potential violations (Pearce, 2016).

In order for our company to help support our providers, it is important that we provide them with content to continue to be successful and minimize potential liability risks. This include educational content, providing up to date information to serve as educational documents as well as giving a consistent reference to standards of care. These standards are especially important to keep clear and intact for our company, especially in the case of any possible malpractice lawsuits (Norful, de Jacq, Carlino & Poghosyan, 2018).

In the above writings what do you agree with how they answered the questions and what would you add to enhance the conversation regarding the above question.. this is a discussion question

advanced registered nurse scope of practice essay

Scope of practice

Part 1. A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.

My motivation for gaining an advanced registered nurse qualification is to become an educator who prepares the next crop of nurses for practice. I expect that being a nurse educator will allow me to engage individuals aspiring to become nurses in a formal education process where I will impart professional nursing skills and concepts. I anticipate that being an educator is a specialty role for advanced registered nurses since it deviates from the traditional role of nurses to engage patients in providing primary care, and instead move towards preparing future nurses for practice (Grinspun & Bajnok, 2018) advanced registered nurse scope of practice essay.

I anticipate that my ability to practice as a nurse educator will be determined by four elements. The first element is the regulatory requirements. Like any other education program, nursing programs are managed by professional bodies that determine if the educators are qualified to prepare students at the level of education. This includes having the right accreditation and certification that is recognized by the relevant authorities, and considered as an indication of qualification as an educator. The second element is educational background. A higher level of education is typically preferred since it is indicative of professional proficiency and knowledge, as well as familiarity with important concepts that influence practice. It is not uncommon for educators to be engaged in research activities and to be authorities who have published materials. Successfully completing education courses are also preferred since this is an indication of an understanding of how to educate others having understood the different education theories and what learners require (Cherry & Jacobs, 2013).

The third element is the work conditions. Good earning potential and work conditions can be good motivators for taking on the role of an educator. For instance, a tenured position would be preferable over a non-tenured position since it offers greater job security, autonomy and permanency that reduces work-related stress. The final element is the educator responsibilities and roles. This element influences practice as an educator through matching capabilities to expectations such as advising students, teaching, practicing as a nurse, and conducting research advanced registered nurse scope of practice essay. Each education institution has unique expectations of its faculty members, and these expectations must be matched to capabilities (Milstead & Short, 2019).

There are two agencies that define the scope of practice for advanced registered nurses who take on the role of educators. The first agency is the National League for Nursing (NLN) that offers accreditation services for nurse educators across the USA. The agency exercises its accreditation authority through the Commission for Nursing Education Accreditation (CNEA), as a branch of NLN whose singular responsibility is to accredit nurse educators with a focus on ensuring that education services focus on the core values of excellence, caring, diversity and integrity. The second agency that defines the scope of practice for nurse educators is the National Commission for Certifying Agencies (NCCA). This is a national agency that offers certification to nurse educators. It draws its authority from the National Organization for Competency Assurance (NOCA). The NCCA has the primary responsibility of certifying nurse educators using the most current practice standards, a responsibility that it fulfils through regularly updating its certification requirements and ensuring that nurse educators meet the requirements before being permitted to practice.

There are two certification programs that define the scope of practice for nurse educators. Firstly, the certified nurse education program enables nurse educators to facilitate learning activities in nurse education facilities. Some of the activities that the program permits educators to engage in include curriculum design, as well as teaching, advising and evaluating nursing students advanced registered nurse scope of practice essay. Secondly, the certified nurse educator program enables nurse educators to facilitate the clinical components of nurse learning activities (Black, 2016).

Part 2. A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing.

The three professional nursing organizations that are most influential in advancing the scope and influence of advanced nursing are the NLN, American Association for Colleges of Nursing (AACN) and Organization for Associate Degree Nursing (OADN). The first organization is the NLN that draws members from among nurses and focuses on ensuring that nursing excellence is not compromised. It achieves this by facilitating professional development among advanced registered nurses. This occurs through managing testing services, research grants and teaching resources for its members. Besides that, the NLN has a direct influence on the scope of nurse educators through managing their qualifications for practice and credentialing (National League of Nursing, 2020). The second organization is the AACN, the national agency whose primary responsibility is to improve the quality of nurse academics advanced registered nurse scope of practice essay. It does this by promoting advanced nursing practice, research and education. This agency focuses on improving health care in general and nursing care delivery in particular through establishing the quality standards for nursing education, In addition, it aids the nursing education institutions to implement these standards. Besides that, it supports professional nursing practice (American Association for Colleges of Nursing, 2020). The third organization is the OADN, the national agency that represents advanced registered nurses and advocates for their interests. It draws its members from among nurses who have associate degree nursing qualifications. The agency’s primary responsibility is to promote an idealized future for advanced registered nurses while enhancing the quality of their education and strengthening their professional roles. Additionally, the agency presents a platform for unifying nurse professionals through supporting networking opportunities and disseminating information even as it partners with other organizations (Organization for Associate Degree Nursing, 2020).

Concerning the three organizations (NLN, AACN and OADN), perhaps the most important organization is the NLN. It is the oldest nurses’ organization in the USA since it was formed in 1893. It has the most number of members and has much influence. It has 37,000 individual members and 1,200 institutions. The organization focuses on promoting nursing education excellence as its primary mission advanced registered nurse scope of practice essay. It does this through building a diverse and strong nursing workforce with the capacity to advance the health agenda at the global and national levels (National League of Nursing, 2020). NLN is distinctive from the AACN and OADN since it draws members from across the world while the two are restricted to drawing members from the USA. Besides that, the members of NLN are not restricted to any single group and include health care organizations, education organizations, the public, nurse practitioners, and nurse educators. As a member of NLN, I expect to be exposed to nurse diversity since I will have access to a global network of nurses. Additionally, NLN members have access to assessment and testing services, research grants, networking opportunities and development programs that help with professional growth and development. In its long history of existence, the NLN has always remained current by revising its objectives and operations, and continuously renewing itself. These measures ensure that the organization remains relevant with regards to improving, enhancing and expanding the provision of nursing services while supporting efforts to deliver high quality nursing education (National League of Nursing, 2020).

The NLN is aligned with my worldview and philosophy of care. All through its long history, the organization has continuously evolved to remain relevant advanced registered nurse scope of practice essay. I believe that nursing is an evolving profession and there is always room for improvement. As such, I am always open to new knowledge and experiences. Through having access to a large network of nurses and other stakeholders, I am able to engage in discussions, discover new knowledge and contribute to practice changes so that I experience professional growth even as the profession matures. In addition, the organization offers research and education opportunities along with access to current evidence that enhance my practice. As a result, the organization presents many resources that nurses can use to improve professional skills, knowledge and practice advanced registered nurse scope of practice essay.

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Part 3. A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years.

Nurses play an important role in health care delivery. Although nursing is typically a rewarding career, particularly for those whose primary focus is on providing care, challenges abound to make it a demanding profession. One of the most controversial issues that nurses face is that they are underpaid and overworked. In fact, many nurses feel that their pay rates are low when considering their duties and responsibilities. The pressure is heightened by the fact that medical organizations are forced to comply with industry regulations and standards around nurse-to-patient ratios. This has created a situation in which nurses either find themselves single-handedly doing the work of two nurses or working for longer than they are supposed to work. The issue also places the health of nurses at risk. This controversial issue has had the inevitable distinction of causing high turnover rates among nurses and low recruitment rates so that nurse number populations remain low. The nurse populations are likely to remain low and the available nurses being overworked unless the pay rate and working hours can be improved (Huff, Kline & Peterson, 2015) advanced registered nurse scope of practice essay.

References

Accreditation Commission for Education in Nursing (2020).
Home
. Retrieved from https://www.acenursing.org/

American Association for Colleges of Nursing (2020).
About AACN
. Retrieved from https://www.aacnnursing.org/About-AACN

National League of Nursing (2020).
About
. Retrieved from http://www.nln.org/about

Organization for Associate Degree Nursing (2020).
About OADN
. Retrieved from https://www.oadn.org/about-us/about-oadn

Black, B. (2016).
Professional nursing-e-book: concepts & challenges
. New York, NY: Elsevier Health Sciences.

Grinspun, D. & Bajnok, I. (2018).
Transforming nursing through knowledge: best practices for guideline development, implementation science, and evaluation
. Indianapolis, IN: Sigma Theta Tau International.

Cherry, B. & Jacob, S. (2013).
Contemporary nursing, issues, trends, & management
(6
th
ed.). Amsterdam: Elsevier Health Sciences.

Huff, R., Kline, M. & Peterson, D. (2015).
Health promotion in multicultural populations: a handbook for practitioners and students
(3
rd
ed.). Thousand Oaks, CA: SAGE Publications, Inc.

Stanhope, M. & Lancaster, J. (2014).
Public health nursing: population-centered health care in the community
(8
th
ed.). Maryland Heights, MO: Elsevier/Mosby.

Milstead, J. & Short, N. (2019).
Health policy and politics: a nurse’s guide
(6
th
ed.). Burlington, MA: Jones & Bartlett Learning.

 

Advanced registered nursing graduates are entering the profession at dynamic time when roles and scope of practice are shifting based on developments in legislation and policy in response to the evolving needs of the health care system. Professional nursing organizations play an important role in making sure the perspectives of advanced registered nurses are heard, and in supporting nurse specialties in their efforts to expand their scope of practice and their full participation throughout the health care system advanced registered nurse scope of practice essay.

For this assignment, you will conduct research on the current scope of practice for your specialty and efforts that are being made to expand that scope and the role of the advanced nurse in positively influencing the health care system. Write a 1,250-1,500-word paper that includes the following:

A discussion of the scope of your future role as an advanced registered nurse, including any regulatory, certification, or accreditation agencies that define that scope.

A discussion of three professional nursing organizations that you think are most influential in advancing the scope and influence of advanced nursing. Of these organizations, evaluate the one that you would most like to join. How do its goals and mission fit in with your worldview and philosophy of care? How might membership in this organization improve your practice?

A discussion of a controversial or evolving issue that is most likely to affect your scope of practice or role in the next few years. How do you think this issue could influence the profession and other stakeholders, and why does it matters to the advanced registered nurse?

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required advanced registered nurse scope of practice essay.

Executive Summary

In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

The purpose of the quality improvement initiative.

The target population or audience.

The benefits of the quality improvement initiative.

The interprofessional collaboration that would be required to implement the quality improvement initiative.

The cost or budget justification.

The basis upon which the quality improvement initiative will be evaluated.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Quality Improvement Program for Nursing Home

Executive Summary

According to (WHO, 2020) facts, falls are the second leading cause of unintentional/accidental injury and cause an estimated 646000 deaths annually. Adults over 65 years account for the most casualties, with over 37 million falls requiring medical attention every year. Moreover, (CDC.gov, 2003), states that typical nursing home (with 100 beds or more) record hundreds of falls – many going unreported. A Bavarian study by (Büchele, 2014) postulates that the fall rates are higher in men (2.18 falls per person-year) than in women (1.49 falls per person-year) with three-quarters of the falls occurring in the residents’ rooms or bathrooms. Having worked in a seniors’ living facility for a couple of months, I realized that the facility had put very few measures to mitigate injury and death from falls in the facility. This quality improvement plan was created to help curb the prevalence of falls amongst older adults living within a nursing facility.

Target Population/Audience

More than 1.4 million seniors are living in over 15000 nursing homes across the US (CDC.gov, 2016). This plan is meant to benefit the 212 seniors living within the facility where I work as well as the millions of others living in nursing facilities in the US and globally.

Benefits of the Program

The plans seek to increase the number of support rails in the residents’ rooms, common areas, and high-risk areas as well as sensitizing residents on preventive measures against falls. Once implemented, the plan will benefit both the residents and staff living or working in the facility by reducing the number of falls. The sensitization program will also help older people to prevent any injuries or casualties resulting from accidental or unintentional falls during their stay within the facility.

Interprofessional Collaboration Strategy

For any quality improvement program to become successful and effective (Reeves, 2017) states that there must be a collaboration between healthcare professionals, stakeholders, and the target population. The plan will be useful and successful if a healthcare professional upholds collaboration in the facility and the members. The partnership will be required between facility staff, management, and the seniors living there. Each stakeholder plays a specific role in actualizing the program and ultimately boosting seniors’ safety within the facility. The main stakeholders include the Director of Nursing (DON) at the facility, Head Nurse (HN), CareGivers (CG), and the facility’s physical development team.

Director of Nursing (DON)

The DON plays an executive and oversight role in the program. As the chief decision-maker in the facility, she will approve all plans and models of the program and oversee its adoption and actualization in the facility. She also endorses program budgets and manages the accounts on behalf of all stakeholders. The DON receives briefings and opinions from the head nurse, registered nurses, and the facility’s physical development team.

Head Nurse (HN)

The HN oversees the implementation of the program at the ground level. She receives briefs from registered nurses and the facility’s physical development team and relays it to the DON for approval. The RN distributes resources and oversees program materials are provided and trickle-down promptly. As the project manager, the HN will ensure all plans are actualized and all steps put in place to ensure project success and effectiveness.

CareGivers (CG)

The CGs are the link between the seniors and the management. They are responsible for the actualization of the plans and training of the members on the program. CGs will ensure the support rails are fixed appropriately and in the right areas to minimize falls within the facility. They receive budget estimates from the physical development team and forward them to the registered nurses for approval.

Physical Development Team

The team is responsible for the erection and fixation of the support rails within the facilities. It will also ensure measures like resurfacing slippery floors, putting warnings and hazards in high-risk areas and ensuring common areas and seniors’ rooms are free from fall hazards.

Budget Estimates for the Program

           
The program entails fixing hand and support rails within the facility, seniors rooms, common areas and bathrooms. A few modifications will also be made in high risks areas like eradicating slippery floors. Support/grab rails cost $20-$30 per bar. The facility has 14 male shower rooms and 19 female shower rooms. Each shower requires at least 2 bars amounting to $100 per bath. All 212 seniors’ rooms will also need two support bars each – amounting to $50 per cabin. Physical improvements and training of members will require at least $1200 and $500 respectively. According to the above estimates, the entire program’s budget is approximately $15000.

Program Evaluation

           
Program evaluation is fundamental to any quality improvement program. According to (Pritham, 2016), the assessment allows stakeholders to determine the effects of the programs, its success, and possible improvements that can make it more effective. The program will be evaluated every month to determine whether it helps curb the number of falls amongst seniors living within the facility. Where loopholes are identified, actions will be taken swiftly to ensure the program runs effectively.

 

References

Büchele, G. B. (2014). Predictors of serious consequences of falls in residential aged care: analysis of more than 70,000 falls from residents of Bavarian nursing homes.
Journal of the American Medical Directors Association, 15(8)
, 559-563.

CDC.gov. (2003, February 27).
Centers for Disease Control and Prevention
. Retrieved from CDC.gov: https://www.in.gov/isdh/files/CDC_Falls_in_Nursing_Homes.pdf

CDC.gov. (2016, March 11).
Center for Disease Conntrol and Prevention
. Retrieved from CDC.gov : https://www.cdc.gov/nchs/fastats/nursing-home-care.htm

Pritham, U. A. (2016). Assessing DNP impact using program evaluations to capture healthcare system change.
The Nurse Practitioner, 41(4)
, 44-53.

Reeves, S. P. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes.
Cochrane Database of Systematic Reviews, (6)
.

WHO. (2020, March 20).
World Health Organization
. Retrieved from World Health Organization.int: https://www.who.int/news-room/fact-sheets/detail/falls

Write a 500-750 word about pressure ulcer prevention and treatment in inpatient rehabilitation. Make sure to include the following:

The problem, issue, suggestion, initiative, or educational need that will be the focus of the project

The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.

A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.

Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.

Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.

A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is not required

The problem, issue, suggestion, initiative, or educational need that will be the focus of the project

Pressure ulcers have been identified as one of the leading causes of morbidity in in-patients as well as a contributor to poor health outcomes and consequent high increase in costs of healthcare (Jaul et al., 2018). Pressure ulcers are classified among the leading causes of medical-related errors. However, with appropriate care and interventions, nurses can avoid pressure ulcers and the resultant deteriorating effects on the patient and additional costs to a healthcare facility.

The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed
.

Nurses working in healthcare facilities located in rural settings face a unique challenge as regards maintaining competency (Buerhaus et al., 2017). This is more so when these nurses face complications that are uncommon such as the treatment and prevention of pressure ulcers. Educational programs for nurses can improve their decision making processes. However, the programs need to be designed carefully and successfully implemented if sustained changes in practices are to be achieved as well as improved patient outcomes are to be realized (Stiggelbout et al., 2015).

A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need

Persons charged with nurse education in rural areas are required to educate nurses in a way that empowers them to offer care that is competent and knowledgeable including in lower frequency situations of patient care. Nurses in different competency levels have different prioritization of patient care (Meretoja et al., 2015). Beginner nurses have linear thinking while nurses that are more competent are capable of utilizing approaches that are more complex when prioritizing care to patients. Hence, understanding the needs of these categories of nurses helps in addressing complex care issues. The professional self-confidence and personal self-concept of nurses are related directly to the competency level of a nurse (Orta et al., 2016). Self-confidence is a necessary component of competence. Nurses with high levels of self-confidence also exhibit increased engagement and interest in care and management of patients, lifelong learning, as well as in addressing quality standards.

Nurses working in rural settings may be impeded by few resources in the quest to access continuous education necessary for achieving clinical competency (Hendrickx &Winters, 2017). One of the main concerns regarding rural setting nurses is access to educational opportunities. Additionally, when evidence-based information is used in the continuing education programs, it increases the potential for rural setting nurses to attend as well as value the programs (Kalb et al., 2011)

Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes

Prevention programs for pressure ulcers comprise of diverse components such as skin assessment, use of support surfaces and preventive measures, education and training, and assessment of risk (Mallah, Nassar, & Badr, 2015). Prevention programs for PU including nurse education have shown significant results as pertaining to the reduction in prevalence as well as a reduction in the time it takes to treat PU. When nurses’ knowledge improves, it results in enhanced patient outcomes such as a reduction in human suffering, reduction in pain, and a reduction in the time spent in hospitals (Dillie & Mengistu, 2015).

Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing

Studies have shown that PU treatment and prevention can be enhanced through nurse’s knowledge, intentions, attitudes, and practices towards the healthcare concern, the years of experience, as well as the gender of nurse play a significant role in relation to the intentions, attitudes, practices, and knowledge of nurses on PU treatment and prevention (Dillie & Mengistu, 2015). Thus an education program that targets nurses of all genders and various levels of experience is a powerful tool for improving their understanding. Education programs can assist nurses to improve on the nursing care quality.

A proposed solution to the identified project topic

Rural nurses would benefit from an education program on PU treatment and prevention. A multi-faceted educational intervention will be designed. The project will require an instrument to be crafted that will measure the nurse’s knowledge on pressure ulcers and permission sought from relevant ethical boards to utilize the said instrument. The PICO model will be used where a multi-faceted, evidence-based educational intervention that is linked to treatment and prevention of pressure ulcers, in comparison to absence of formal education will result in enhancing the confidence and knowledge of rural setting nurses in caring for patients that have pressure ulcers or are at risk of acquiring PUs. The purpose of the project will be to assess the impact that an education intervention that is multi-faceted would have on the competency and knowledge of nurses working in rural settings, in relation to PU treatment and prevention. The goal of the project t will be to measure the multifaceted educational intervention’s efficacy in aiding rural setting nurses to not only achieve but also maintain the confidence and knowledge that is related to the treatment and prevention of PUs.

 

References

Buerhaus, P. I., Skinner, L. E., Auerbach, D. I., & Staiger, D. O. (2017). Four challenges facing the nursing workforce in the United States. 
Journal of Nursing Regulation
, 
8
(2), 40-46.

Dilie, A., & Mengistu, D. (2015). Assessment of nurses’ knowledge, attitude, and perceived barriers to expressed pressure ulcer prevention practice in Addis Ababa government hospitals, Addis Ababa, Ethiopia, 2015. 
Advances in Nursing
, 
2015
.

Hendrickx, L., & Winters, C. (2017). Access to continuing education for critical care nurses in rural or remote settings. 
Critical care nurse
, 
37
(2), 66-71.

Jaul, E., Barron, J., Rosenzweig, J. P., & Menczel, J. (2018). An overview of co-morbidities and the development of pressure ulcers among older adults. 
BMC geriatrics
, 
18
(1), 1-11.

Kalb, K. A., O’Conner-Von, S. K., Brockway, C., Rierson, C. L., & Sendelbach, S. (2015). Evidence-based teaching practice in nursing education: Faculty perspectives and practices. 
Nursing education perspectives
, 
36
(4), 212-219.

Mallah, Z., Nassar, N., & Badr, L. K. (2015). The effectiveness of a pressure ulcer intervention program on the prevalence of hospital acquired pressure ulcers: controlled before and after study. 
Applied Nursing Research
, 
28
(2), 106-113.

Meretoja, R., Numminen, O., Isoaho, H., & Leino‐Kilpi, H. (2015). Nurse competence between three generational nurse cohorts: A cross‐sectional study. 
International journal of nursing practice
, 
21
(4), 350-358.

Orta, R., Messmer, P. R., Valdes, G. R., Turkel, M., Fields, S. D., & Wei, C. C. (2016). Knowledge and competency of nursing faculty regarding evidence-based practice. 
The Journal of Continuing Education in Nursing
, 
47
(9), 409-419.

Stiggelbout, A. M., Pieterse, A. H., & De Haes, J. C. (2015). Shared decision making: concepts, evidence, and practice. 
Patient education and counseling
, 
98
(10), 1172-1179.

Discussion: Where in the World Is Evidence-Based Practice? Example 1

Healthcare Organization Website Review

Evidence-based practice is a tool used in healthcare to provide the most effective care that is available, intending to improve patient outcomes. It’s beneficial for problem-solving in the clinical care setting. EBP (evidence-based practice) is well-designed studies that have been done by clinical expertise. In reviewing EBP, I have discovered the healthcare organization Join

The reviewed website for this discussion belongs to New York-Presbyterian Hospital (Nyp.org, 2019). It is one of America’s largest and most comprehensive healthcare delivery system devoted to providing the highest quality and most comprehensive care and services to patients. Besides, it is a leader in medical education and the only academic medical center in the whole of the US affiliated with two world-class medical schools. As a leading healthcare organization, NewYork-Presbyterian (NYP) The hospital should be at the forefront in implementing Evidence-based practice (EBP). This has not been a letdown, as shown by its mission, vision, purpose, and QPS domains. In its mission, EBP is evident as the organization strives to be a high-quality hospital that facilitates quality, safety, and best patient outcomes (Nyp.org, 2019). NYP’s mission is aligned with the objectives of EBP, which is the promotion of high-value health care through the provision of quality and reliable care, improve health outcomes, and minimize differences in costs and care (Melnyk, Gallagher-Ford, Long & Fineout-Overholt, 2014).

EBP is shown in its vision, whose aim is to make NYP the best and safest academic health system through the promotion of zero harm, and a culture of safety, and reliability. In the purpose of the NYP, EBP is evident as the facility supports initiatives designed to develop and share best practices and attain optimal patient outcomes and family experience. Regarding QPS domains, EBP is evident in NYP quality improvement initiatives, patient safety, analytics, and infection prevention and control.

Grounding of EBP

An evaluation of the NYP website indicates that the organization’s work is grounded in EBP practice. The organization has formed partnerships with other healthcare organizations to provide the best medical education, patient-centered clinical care, and revolutionary research and innovation in the healthcare sector. According to Kowalski (2017), there are various ways to implement EBP in a hospital setting, and it includes education, peer involvement, leveraging expertise, promoting EBP culture, and many more. NYP achieves EBP when it creates and encourages EBP culture, EBP programs, research, innovations, and development of clinical guidelines in the clinical arena. For instance, it supports staff interested in EBP besides promoting a wide range of activities such as clinical trials to bring quality improvement (Crabtree, Brennan, Davis & Coyle, 2016). Supporting and involving healthcare providers in EBP is an important step taken by NYP because they serve as the front line of the clinical care and possess an exclusive chance to improve care via EBP.

Perception of Healthcare Organization

The information obtained on the website has changed my whole perception of hospitals and EBP. For instance, I have learned that hospitals are an integral component in enhancing EBP practices through the support of staff interested in EBP. Still, I have learned that EBP is part and parcel of the current health care system, which is now patient-centered.

 

References

Kowalski, M. (2017). Strategies to heighten EBP engagement. 
Nursing Management (Springhouse)
, 
48
(2), 13-15. doi: 10.1097/01.numa.0000511928.43882.55

Melnyk, B., Gallagher-Ford, L., Long, L., & 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

Nyp.org. (2019). NewYork–Presbyterian Hospital Medical center. Retrieved 24 November 2019, from https://www.nyp.org/about-us/patient-safety

Nyp.org. (2019). NewYork–Presbyterian Hospital Medical center. Retrieved 24 November 2019, from https://www.nyp.org/about-us/patient-safety

 

 

 

 

Discussion: Where in the World Is Evidence-Based Practice? Example 2

Evidence-based practice (EBP) is a lifelong analytic process to clinical practice that combines external evidence from research, evidence-based theories, clinical expertise, and patient preferences and values (Melnyk & Fineout-Overholt, 2018).  Best practice only occurs when staff continually ask questions about treatment and care, have the resources and skills necessary to search for and appraise research evidence, implement the evidence in practice, and evaluate its effectiveness (Dawes et al., [ 1] ; Hockenberry et al., [ 2] ).

After researching for a healthcare organization that has evidence-based practice, I found the “The American Geriatrics Society” (AGS).  AGS is a nationwide, not-for-profit society of geriatrics healthcare professionals dedicated to improving the health, independence, and quality of life of older people (American Geriatric Society, 2020).  Founded in 1942, they have  6,000+ members which include geriatricians, geriatric nurses, social workers, family practitioners, physician assistants, pharmacists, and internists who are pioneers in advanced-illness care for older individuals, with a focus on championing interprofessional teams, eliciting personal care goals, and treating older people as whole persons( American Geriatric Society, 2020).   In addition, AGS hosts the premier industry scientific event annually where professional from all geriatric disciplines can garner the most current information and information-based research regarding aging research, and new and creative research based clinical care and delivery plans. Their vision, “We are all able to contribute to our communities and maintain our health, safety, and independence as we age; and older people have access to high-quality, person-centered care informed by geriatrics principles.” (American Geriatric Society, 2020).

One AGS program, The AGS Annual Scientific Meeting, is the premier educational event in geriatrics, providing the latest information on clinical care, research on aging, and innovative models of care delivery (American Geriatric Society, 2020).  Held annually, the AGS Annual Scientific Meeting addresses the educational needs of geriatrics professionals from all disciplines.  Physicians, nurses, pharmacists, physician assistants, social workers, long-term care and managed care providers, health care administrators, and others can update their knowledge and skills through state-of-the-art educational sessions, including invited symposia, workshops, and meet-the-expert sessions (American Geriatric Society, 2020).

The American Geriatric Society is grounded in evidence-based practice in their programs.  One can find evidence of this on their home page website under the program tab.  One example is the Geriatrics Workforce Enhancement Program where they participate in fall prevention for the elderly.  On July 2, 2019, AGS wrote a letter to the Senate Special Committee regarding fall-related injuries and deaths, which are a major threat to the health and independence of older adults (American Geriatric Society, 2020).

As a nurse working with elderly patients, their family members and friends, my perception of AGS is that they are helpful in our society because the organization aims for something as unique as it is necessary like training the workforce we need.  This appears to be especially important because America has an extremely large and growing population of baby boomers.  Elderly people need and will continue to need a greater amount of care and comfort to lead a healthy life without worries and anxiety.

References

American Geriatric Society. (2020). Learn more about who we are. Retrieved from

https://www.americangeriatrics.org/about-us

Dawes, M., Summerskill, W., Glasziou, P., Cartabellotta, A., Martin, J., Hopayian, K., & … Osborne, J. (2005). Sicily statement on evidence ‐ based practice. BMC Medical Education, 5, 1. Retrieved from

https://eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?vid=1&sid=1d908346-

Melnyk, B.M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

 

 

Discussion: Where in the World Is Evidence-Based Practice? Example 3

According to Melnyk & Fineout-Overholt (2018), evidence-based (EBP) practice enhances the quality of healthcare and improves patient outcomes, so it is imperative that professional healthcare organizations use evidence-based practice.  The healthcare organization I chose to examine is the National Institute of Health (NIH).  The NIH is a governmental agency of the United States that is responsible for public health research.

The foundation of the NIH is based on evidence-based practice and this is evident from browsing their website.  An example of their use of EBP is found in the mission and goals statement in which they state that “NIH’s mission is to seek fundamental knowledge about the nature and behavior of living systems and the application of the knowledge to enhance health, lengthen life, and reduce illness and disability” (www.nih.gov, n.d.).  Melnyk & Fineout-Overholt (2018) discuss the six steps of the evidence-based practice process, and based off of this mission statement, we see the second step, searching for and collecting the most relevant best evidence, come into play.  To demonstrate the NIH’s dedication to the use of EBP, the Feinstein Institute for Medical research, the largest healthcare provider in New York, was awarded a grant from the NIH for $850,000 to support their efforts to create tools for doctors and advanced practice medical personnel to make and implement evidence-based clinical practice, as it is estimated that a third of hospital deaths are due to a lack of EBP practice (PRNewswire, 2019).

The NIH’s work is grounded in EBP as each step in the EBP process is seen throughout this healthcare organization.  The NIH begins with a question based off of a clinical situation.  They then receive funds to collect and search for the best and most relevant evidence.  The results of the studies are examined for validity and reliability.  They then integrate the evidence, evaluate the outcomes, and lastly disseminate the information.  On their website, there is a page dedicated to their 16 research initiatives and each appear to use the EBP process to further their research.

My perception of this healthcare organization has changed.  I knew what the NIH’s purpose was, but was surprised by the amount of funding and emphasis put on evidence-based practice to help practitioners implement these processes in their healthcare systems.  As Melnyk & Fineout-Overholt (2018) discuss, while there is research evidence to help dictate best practice but many healthcare systems are steeped in tradition, and unwilling to change their policies.  Mccormack (2017) makes the point that it is often difficult for healthcare workers to maintain compliance in their healthcare facility to ensure they are meeting the national standard for accreditation, but at the same time are encouraged to research EBP, although it might go against the standard of practice set in one’s workplace.  I was impressed that the NIH provides research for EBP but also encourages and supports figuring out how to actually implement new research into medical personnel’s practice.

References

Effort to “nudge” doctor’s adoption of evidence-based clinical practice receives NIH support. (2019). PRNewswire. Retrieved from https://eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?vid=5&sid=0d897207-4e3e-4e11-a8a1-be03acbf85e1@pdc-v-sessmgr03&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ==#AN=201902131607PR.NEWS.USPR.CL53584&db=bwh

Mccormack, B. (2017). Compliance Versus Innovation in Evidence-Based Nursing. Worldviews on Evidence-Based Nursing, 14(3), 173–174. doi: 10.1111/wvn.12240

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: a guide to best practice (4th ed.). Philadelphia: Wolters Kluwer.

National Institutes of Health. (n.d.). Retrieved February 26, 2020, from https://www.nih.gov/

 

 

Discussion: Where in the World Is Evidence-Based Practice?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

Review the Resources and reflect on the definition and goal of EBP.

Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).

Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Post
 a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

By Day 6 of Week 1

Respond
 to at least 
two
 of your colleagues
 on two different days
 by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

 

Discussion: Where in the World Is Evidence-Based Practice? Example 4

The centers for Medicare & Medicaid services (CMS) is a government organization. Through this organization, many of our low-income families, pregnant women, people needing long term care and disabled individuals of all ages receive their access to proper health care. This is part of the department of Health and Human Services (HHS) which is used to provide benefits to these affected groups to ensure that medical care is provided whether it is for a routine doctor visit or hospital stay. As part of this agency, its mission to provide all Americans protection and provide essential human services (U.S. Department of Health and Human Services, 2017). Through this mission, it uses evidence-based findings to implement initiatives, provide information and address issues that affect the country.

One of the ways that they gather their information is through the collecting of data from providers that participate in Accountable Care Organizations (ACOs) that are a part of the Medicare Shared Savings Plan. They receive CAHPS scores from ACOs survey to determine the patient care as coordinated, quality care from the health care providers. The questions are core information used to assess the “specialist care, experience with care coordination, patient involvement in decision-making, experiences with a health care team, health promotion and patient education, patient functional status, and general health” (Centers for Medicare and Medicaid Services, 2018). The importance of the data is that it is stored as quality and financial data to compare care, cost and specialized procedures with health care providers to make informed health decisions.

To conclude, the collected information is important to identify trends in care and how to address them in a coordinated approach from health care professionals. This information that is collected and can be found on data.cms.gov, is information for research and implementing improvements that will benefit all American utilizing Medicare and Medicaid.

Reference

Centers for Medicare and Medicaid Services. (2018, October 22). CAHPS for ACOs. Retrieved from https://www.cms.gov/Research-Statistics-Data-and-Systems/Research/CAHPS/ACO

U.S. Department of Health and Human Services. (2017, February 10). HHS Historical Highlights. Retrieved from 
https://www.hhs.gov/about/historical-highlights/index.html

 

response

I enjoyed reading your discussion post. 
 
It provides helpful information about how the Center for Medical and Medicare (CMS) gathers its information. 
 
Another way in which CMS provides evidence-based practice (EBP) care to their patients is through research. 
 
For example, in Bill and Smith (2016) explained that CMS was directed to create goals that help reduce the number of hospital-acquired pressure injuries (Beal & Smith, 2016). 
 
As a result, hospitals now have developed methods such as turning patients every two hours and providing baths, to mention a few.

 Another way in which CMS has helped improve positive outcomes for hospitalized patients is through partnerships with other agencies such as the Center for Disease Control and Prevention. 
 
One of the quadrupled aim’s objective is to improve patient outcomes. 
 
To help with this, CMS has partnered with CDC in the past to provide evidence regarding CAUTI infection related to catheter use (Cantrell, 2016). 
 
Thus, to ensure that patients receive the most effective and current care, CMS limits reimbursements related to CAUTI infections in the hospital.
 

This decision forced hospitals to come up with CAUTI bundles to help prevent CAUTIs and improve patients’ outcomes.

Thank you for sharing this with us.

References

Beal, M. E., & Smith, K. (2016). Inpatient pressure ulcer prevalence in an acute care hospital using evidence-based practice.
 
Worldviews on Evidence-Based Nursing
,
 
13
(2), 112-117. http://dx.doi.org/10.1111/wvn.12145

Cantrell, S. (2016). CAUTI precaution.
 
Healthcare Purchasing News
,
 
40
(1), 18-21. Retrieved from https://eds-b-ebscohost-com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=7&sid=2ac2e86a-ef6d-4a8b-bf85-49852fe18cbe%40sessionmgr103

 

Discussion: Where in the World Is Evidence-Based Practice? Example 5

Based Evidence Practice plays a role when it comes to making decisions on promotion of good health or provision of care. The Implementation of EBP is important because it aims at giving patients the highest quality of care which leads to the best possible outcomes (Melnyk et al. 2018).

The organization of choice is the Center for Evidence and Practice Improvement (CEPI). It deals with creation of know-how, synthesis of evidence, translation of knowledge on what is functional in health care dissemination and advocates for improvement across the health scene. This organization plays the role of conducting and supporting research activities and evidence synthesis on delivery of health care, advances decisions and communication sciences so that patients can enjoy the luxury of informed treatment and decisions made on health care (Horn et al. 2010).

CEPI is made up of five constituent organizations, The Evidence Based Practice Center Program which is a source of evidence by review of information through the use of advanced methods so as to have impartial reviews, U.S. Preventive Service Task Force Program which avails technical data for the independent U,S Preventive Service Task Force empowering it to make recommendations which are grounded on evidence. The Division of Practice Improvement functions as a source of proof as well as method, means and analysis of practice enhancement while the Division of Health Information Technology comes up with policies of how health IT improves health care quality. The Division of Decision Science and Patient Engagement ensures informed decision making through the creation of tools and products based on findings which communicate and work in healthcare (Matchar et al 2013). From the roles played by its various divisions it is evident that CEPI is based on EBP and its role in the field of health care has made me appreciate what it stands for.

Reference.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Horn, S. D., Gassaway, J., Pentz, L., & James, R. (2010). Practice-based evidence for clinical practice improvement: an alternative study design for evidence-based medicine. 
Studies in health technology and informatics
, 
151
, 446-460.

Matchar, D. B., & Samsa, G. P. (2013). The role of evidence reports in evidence-based medicine: a mechanism for linking scientific evidence and practice improvement. 
The Joint Commission journal on quality improvement
, 
25
(10), 522-528.

internet Citation: Center for Evidence and Practice Improvement (CEPI). Content last reviewed January 2017. Agency for Healthcare Research and Quality, Rockville, MD.

https://www.ahrq.gov/cpi/centers/cepi/index.html