Attaching my peers answers to the original discussion question:

“Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?.”

Peer answers are attached.(2 peer answers in each document) I need substantial replies with apa references for each peer answe


Cristina Garcia Martinez 

1 posts

Re:Topic 10 DQ 2

Working in a cancer unit, I have learned that no matter what treatments, or surgeries doctors choose, unfortunately a lot of the time the cancer wins. However, as a nurse I have learned that even though I am unable to make a difference in their overall diagnosis outcome, I can make a difference in their care and well being by using evidence based practice. For example, I found that our unit has the highest CLABSI rate compared to the rest of the entire hospital. So clearly we are doing something wrong, and we need to find that problem and fix it. Our patients are already going through enough and it’s up to us as BSN prepared nurses to implement EBP in the clinical setting to protect our patients from these unnecessary and preventable infections. Making changes over time based on evidence is necessary in order to keep up with our continuously changing health care. BSN prepared nurses understanding of EBP across patient care gives them the unique ability to act as partners with other health professionals and to lead the improvement and redesign of the health care system (IOM, 2010). The first way I will continue to integrate evidence is by staying up to date with the changing health care system. It’s important to be aware of the changes going on outside of our work environment because the can make all the difference in your practice. I feel that nurses tend to get “comfortable” in the way they practice nursing. However, nursing and the health care system will continue to change and we must keep up with those changes. Second, I will make sure that I advocate for the nurses in our workplace by always asking questions, and requesting that our unit receives continuous training in changes occurring out in the nursing world. 

 Reference:

Institute of Medicine (2010). The Future of Nursing: Leading Change and Advancing Health. Retrieved from https://campaignforaction.org/resource/future-nursing-iom-report/

Josphina Chavara 

1 posts

Re:Topic 10 DQ 2

When an EBP is utilized by a nurse, he or she knows that the EBP stems from the result of trials, experiments, tests, routine examinations, and best practices that took a closer examination on the results and the intended results. The BSN-prepare nurse is confident that the EBP utilized is not something that comes from random ideas put together; it is the result of tried and true procedure that improves upon and evolves the nurse’s understanding of what treatment/medication/action works best for the patient currently. Furthermore, the EBP goes through several rigorous sets of eyes to see its role in improving healthcare. According to the Online Journal of Issues in Nursing (2013), for EBP to be successfully adopted and sustai

Martha Tothill 

3 posts

Martha’s – Re:Topic 10 DQ 2

According to (UNF, 2016), a lager percentage of employers are seeking employees who have furthered their education and have earned at least a Bachelor of Science in Nursing (BSN) degree. This is due to the movement of organizations wanting nurses to be move involved in the decision-making process. According to (UNF, 2016), evidence-based practice (EBP) in nursing is now a key component in improving patient care and outcomes. Evidence-based practice is taught in baccalaureate programs. According to (UNF, 2016), BSN prepared staff can offer many benefits, such as enhanced training and skills development in critical thinking, leadership and evidence-based practice. According to (UNF, 2016), the Institute of Medicine recommends that 80% of nurses have at least a BSN by 2020.

I found an article by (Farokhzadian & Poorchangizi, 2017) which lists some suggestions on strategies to integrate EBP in a clinical setting. One that I would suggest my organization use is the creation of a learning environment and designing and delivering training programs such as EBP journal clubs. My organization already has an online learning website that we use for our internal training. I would suggest that we get access to EBP journals from organizations such as the National Commission on Correctional Health Care. A second way that I would continue to integrate EBP in my organization is promoting a culture of evidence-based decision making in our clinical area. I would do this by continuing to read current research articles that could benefit my practice as a correctional health nurse.

The only obstacle I can think of would be, nurses who are not interested in taking the extra steps to learn about EBP. Some Nurses who aren’t BSN prepared in my unit are older nurses, who are set in their ways, and may be difficult to persuade to embrace EBP. I think if they are given access to printed journals or articles that they can read and receive their continuing education hours for doing so, may be a good way to encourage them to learn about new evidence-based practices.

References

Farokhzadian, J., & Poorchangizi, B. (2017). 115: STRATEGIES OF INTEGRATION OF EVIDENCE-BASED PRACTICE IN THE CLINICAL SETTINGS. Retrieved from http://bmjopen.bmj.com/content/7/Suppl_1/bmjopen-2016-015415.115.citation-tools

UNF. (2016). The Importance of Evidence-Based Practice in Nursing. Retrieved from https://onlinedegree.unf.edu/articles/the-importance-of-evidence-based-practice-in-nursing.aspx

Nancy Page 

5 posts

Re:Topic 10 DQ 2

 

When I graduated nursing school 40 years ago, nurses were taught to follow orders and learn procedures. There wa

Christine Barsi 

4 posts

Re:Topic 10 DQ 2 Chris B.

Before you can discuss why EBP is an essential practice of a BSN-prepared RN, you must understand why it is essential to, at a minimum, achieve a BSN level. The role of a nurse is continuously evolving and expanding as the practice of medicine becomes more and more complex (“10 Reasons Why,” 2018). The BSN-prepared nurse is going to have a more in-depth understanding of the complexity of the ever-evolving nursing situation(“10 Reasons Why,” 2018). Understanding that nursing practice is constantly evolving and changing, so should a nurses’ practice. In this nurses’ opinion, as a BSN-prepared nurse, the mindfulness to constantly strive for excellence is in the forefront. Thus, researching and seeking out the best or newest evidence-based practices to keep on with the evolving nursing practice is very imperative.

One of the two ways in which I promised myself I would continue to integrate EBP and integrate it into my work environment is by becoming a member of a professional nurse’s organization once again. Because these memberships generally include medical journals, I will have a greater opportunity to keep up with other peer reviewed research that has been published. These articles can be a step in the right direction towards possible policy change within my organization. Secondly, I am excited to attend more symposiums and conferences. Because of this BSN program, I have a greater appreciation and ability to really understand what lecturers are discussing. Thepvalues and other statistical numbers actually mean something to me now, as they didn’t before.

While I see no obstacles in becoming a member of a professional nursing organization, or attending conferences, I can only speak to my foreseen obstacles with EBP implementation. Two factors that I believe will be an issue are the size of my hospital and the fact that most of the nurses employed at my hospital are not BSN’s. The push for EBP and researching ways to implement it in my place of employment or community are not the focus for AND’s. The only way I can encourage a change in this way is to speak to the benefits of perusing a BSN degree and encouraging as many other nurses who were in my position to go for it.

 

References

10 reasons why rn’s should pursue their BSN degree. (2018). Retrieved from https://nursejournal.org/nursing-practice/10-reasons-why-rns-should-pursue-their-bsn-degree/

REMEDIOS San Pedro 

3 posts

Re:Topic 10 DQ 2

Before the discovery of Evidence Based Practice (EBP) implementation, the nurses delivered healthcare services without extended focus towards enhancement of patient safety, quality of life, and better outcomes. Overtime, EBP has continued to be viewed as a pivotal component in the growth and development of patient care delivery. It has constantly pr