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

Main Post

Healthcare is an everchanging field. The application of evidence-based practice will lead to an improvement in quality healthcare delivery. Evidence-based practice not only enhances healthcare quality, but it also leads to improved patient outcomes, reduces healthcare costs, and leads to less job burnout in healthcare providers (Melnyk & Fineout-Overholt, 2018). Remaining current in the latest trends and best practices, clinicians must continually educate themselves on the most recent research and technology advances. For this assignment, I will be reviewing the website of the American Association of Nurse Practitioners (AANP) and determining if the website supports evidence-based practice.

The AANP is a professional healthcare organization that grants membership to nurse practitioners and nurse practitioner students. As per the AANP (n.d.a), this organization has over 104,000 members that are working together to improve patient care and advance the profession. Membership benefits include access to continuing education, networking opportunities, state and federal advocacy, and access to the most up to date medical journals (AANP, n.d.b). While exploring the various tabs on the AANP’s website, I do feel that evidence-based practice is apparent on the website. There are numerous places I thought that it was evident, including the press room site, research opportunities site, and practice related research site.

I do believe that the AANP’s work is grounded in evidence-based practice. Through exploring the website, I was able to find an area with documentation that supports how nurse practitioners are involved in medically assisted treatment (MAT) and the opioid epidemic (AANP, n.d.c). This information was very insightful and documented how nurse practitioners are assisting with improving patient outcomes with opioid use disorder. Statistical data, including graphs and infographics, were also provided for review. As the opioid crisis is a national public health emergency, this evidence-based research helps shed light on ways that we, as advanced practice nurses, can assist in improving the quality of care, reduce healthcare costs, and improve patient outcomes.

As I embark on my academic career, I believe that I must become part of a professional nursing organization that supports evidence-based practice. As an advanced practitioner, I will be able to touch many lives, and I want to make sure that I do not get stuck in a rut and neglect to use evidence-based practice because the culture I work in does not embrace change. I will advocate for improved patient outcomes, reduced healthcare spending, and quality healthcare delivery.  I feel that by joining the AANP, I will be aligning myself with a network of likeminded professionals who are focused on the same goal and seeking to utilize evidence-based practice. Aligning myself with the AANP will be a benefit to myself as well as the patients I serve.

References

American Association of Nurse Practitioners (AANP). (n.d.a). About the American Association of Nurse Practitioners (AANP). Retrieved from https://www.aanp.org/membership/why-join

American Association of Nurse Practitioners (AANP). (n.d.b). AANP member benefits. Retrieved from https://www.aanp.org/membership/member-benefits

American Association of Nurse Practitioners (AANP). (n.d.c). Practice-related research: The latest information on the NP role. Retrieved from https://www.aanp.org/practice/practice-related-research

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?

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

 

Evidence-based practice (EBP) enhances the quality of nursing care, helps better patient outcomes, reduces medical costs, and strengthens the confidence of people as clinicians (Fineout-Overholt & Melnyk, 2019). These four benefits of EBP are known as the quadruple aim in healthcare. Hospitals and other healthcare systems in the U.S. are attempting to improve the safety of patient care by reaching the quadruple aim in healthcare.

For this discussion, I chose to research the National Association of Orthopedic Nurses (NAON). I work for an inpatient orthopedic hospital unit and have been a member of the NAON in the past.  The NAON was started in the year 1980 (National Association of Orthopedic Nurses, 2020). The NAON is a nonprofit organization that is run by volunteers to enhance the careers of orthopedic nurses.  It was originally made to promote higher standards of nursing practice. This was done by educating it’s health practitioners on current health practices, as well as encouraging research and effective communication between orthopedic nurses and other groups that have similar interests. The NAON is a leader when it comes to finding gaps and identifying opportunities to further education in the orthopedic nursing field (David et al., 2013). The NAON looks at important issues in the clinical setting that have a strong link to orthopedic nursing and have a direct affect on orthopedic patients (David et al., 2013).

The NAON promoted EBP by promoting research (NAON, 2020).  The NAON’s mission statement reads, “NAON’s mission is to advance the specialty of orthopedic nursing through excellence in research, education, and nursing practice” (NAON, 2020). In their mission statement the NAON emphasizes their focus on EBP and using it to improve patient care. In the vision statement of the NAON, it claims to, “deliver value through relevant and timely information, education and research on musculoskeletal conditions” (NAON, 2020). This statement shows that the NAON uses EBP to help their patients by using timely and relevant information. Timely and accurate information is gathered using EBP. The NAON helps to form and implement new practices based on evidence-based research and practice. That being said, the NAON is founded on evidence-based practice. The information that I discovered on the NAON’s website has helped to solidify my perception of them being a wonderful organization that helps change orthopedic care based on evidence-based practice for the best care for the patient.

References:

David, J., Eckhouse, D., Harvey, C., Kurkowski, T., Mains, C., & Roberts, D. (2013). The National Association of Orthopedic Nursing Practice, 3rd Edition. Orthopedic Nursing, 139-152.

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based Practice in Nurisng and Healthcare. Philadelphia: Wolters Kluwer.

. (2020). Retrieved from About NAON: http://www.orthonurse.org/page/aboutusNational Association of Orthopedic Nurses

Excellent Good Fair Poor
Main Posting
45 (45%) – 50 (50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.

Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

40 (40%) – 44 (44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.

Supported by at least three credible sources.

Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.

35 (35%) – 39 (39%)

Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.

Is somewhat lacking reflection and critical analysis and synthesis.

Somewhat represents knowledge gained from the course readings for the module.

Post is cited with two credible sources.

Written somewhat concisely; may contain more than two spelling or grammatical errors.

Contains some APA formatting errors.

(0%) – 34 (34%)

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.

Lacks reflection and critical analysis and synthesis.

Does not represent knowledge gained from the course readings for the module.

Contains only one or no credible sources.

Not written clearly or concisely.

Contains more than two spelling or grammatical errors.

Does not adhere to current APA manual writing rules and style.

Main Post: Timeliness
10 (10%) – 10 (10%)
Posts main post by day 3.
(0%) – 0 (0%)
(0%) – 0 (0%)
(0%) – 0 (0%)
Does not post by day 3.
First Response
17 (17%) – 18 (18%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

15 (15%) – 16 (16%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

13 (13%) – 14 (14%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

(0%) – 12 (12%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Second Response
16 (16%) – 17 (17%)

Response exhibits synthesis, critical thinking, and application to practice settings.

Responds fully to questions posed by faculty.

Provides clear, concise opinions and ideas that are supported by at least two scholarly sources.

Demonstrates synthesis and understanding of learning objectives.

Communication is professional and respectful to colleagues.

Responses to faculty questions are fully answered, if posed.

Response is effectively written in standard, edited English.

14 (14%) – 15 (15%)

Response exhibits critical thinking and application to practice settings.

Communication is professional and respectful to colleagues.

Responses to faculty questions are answered, if posed.

Provides clear, concise opinions and ideas that are supported by two or more credible sources.

Response is effectively written in standard, edited English.

12 (12%) – 13 (13%)

Response is on topic and may have some depth.

Responses posted in the discussion may lack effective professional communication.

Responses to faculty questions are somewhat answered, if posed.

Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.

(0%) – 11 (11%)

Response may not be on topic and lacks depth.

Responses posted in the discussion lack effective professional communication.

Responses to faculty questions are missing.

No credible sources are cited.

Participation
(5%) – 5 (5%)
Meets requirements for participation by posting on three different days.
(0%) – 0 (0%)
(0%) – 0 (0%)
(0%) – 0 (0%)
Does not meet requirements for participation by posting on 3 different days.
Total Points: 100

vidence-based practice (EBP) is a continued problem-solving approach to integrate current best practices into nursing care to improve patient outcomes (Melnyk & Fineout-Overholt, 2019).  EBP improves the quality of healthcare, reduces costs, and increases job satisfaction (Melnyk & Fineout-Overholt, 2019).  Nurses play a vital role in the use of EBP since they are on the frontline and can implement and evaluate the effectiveness of the practices (Crabtree, Brennan, Davis, & Coyle, 2016).  Healthcare organizations are one resource for adopting changes in clinical practice.

The Centers for Disease Control and Prevention (CDC) is one of the significant functioning parts of the Department of Health and Human Services (Centers for Disease Control and Prevention, n.d.).  The CDC plays a role in health promotion, prevention of diseases, and emergency preparedness (Centers for Disease Control and Prevention, n.d.).  The CDC initially started in 1946 to prevent the spread of malaria.  From a small, one-floor office space now to a fifteen-acre property purchased at the price of ten dollars from Emory University, which currently serves as the headquarters of the CDC (Centers for Disease Control and Prevention, n.d.).  The mission of the CDC as stated, “CDC works 24/7 to protect America from health, safety and security threats, both foreign and in the U.S. Whether diseases start at home or abroad, are chronic or acute, curable or preventable, human error or deliberate attack, CDC fights disease and supports communities and citizens to do the same” (Centers for Disease Control and Prevention, n.d.).  The CDC uses EBP to gain scientific advancement in surveillance, combating, and preventing diseases.  The organization consists of seventeen hundred scientists employed throughout two-hundred laboratories across the United States (Centers for Disease Control and Prevention, n.d.).  There are numerous examples of the use of EBP on the website timeline to show the importance of scientific research and changes in practice to benefit the public health https://www.cdc.gov/museum/timeline/1940-1970.html.  One example is the research done on malaria in 1946, with the changes in the way the United States managed and prevented the spread of the disease (Centers for Disease Control and Prevention, n.d.).  The use of scientific research helped to eliminate the disease in the United States by 1948 (Centers for Disease Control and Prevention, n.d.).  The CDC is an organization that is grounded in EBP; the use of research data can be beneficial to the public and even other countries.

 

References

Centers for Disease Control and Prevention. (n.d.). Mission, Role and Pledge. Retrieved February 23, 2020, from https://www.cdc.gov/about/organization/mission.htm

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving Patient Care Through Nursing Engagement in Evidence-Based Practice. Worldviews on Evidenced-Based Nursing, 172-175. doi:10.1111/wvn.12126

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-Based Practice in Nursing and Healthcare (Fourth ed.). Wolters Kluwer.

 

 

response

  Thank you for your post. EBP has acquired demand in healthcare due to its potential to effectively deliver quality health care to certain groups by using critically researched and methodically proven evidence (Majid, Foo, Luyt, et al., 2011). Thus, health organizations began to adopt and promote EBP and CDC is one of those health organizations. CDC is grounded on EBP. Strategies are implemented by the CDC to improve population health such as research on easily accessible and time- saving tools for implementing an evidence-based public health (EBPH) approach to improve population health (Jacobs, Jones et al., 2012).  These strategies are training tools such as training programs for EBPH training needs, and planning tools to improve population health (Jacobs, Jones et al., 2012). I believe that healthcare workers need to avail and utilize the resources and tools to be equipped in implementing EBPH.

Reference

Jacobs, J., Jones, E., Gabella, B., Spring, B., Brownson, R.C. (2012). Tools for implementing an evidence-based approach in public health practice. Preventing Chronic Disease  Public Health Research, Practice, and Policy, 9. Retrieved from

https://dx.doi.org/10.5888/pcd9.110324

Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y., Chang, Y., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: nurses’ perceptions, knowledge, and barriers. Journal of Medical Library Association: JMLA, 99(3)

Retrieved from https://doi.org/10.3163/1536-5050.99.3.010

Main Post:

The term Evidence-based practice became well known during the implementation of the affordable care act in 2010. Since then it has become the staple in healthcare and healthcare organizations when policies and procedures are being deliberated (Laureate education, 2018). Evidence-based practice has shown to enhance healthcare quality, and improve patient outcomes. Despite the availability of scientific evidence being easily accessible, and the use of it providing improved quality care and outcomes, it remains to not be the standard of care in all healthcare organizations in the United States (Melnyk & Fineout-Overholt, 2018, p 7).

The World Healthcare Organization (WHO) websites key values adhere to professionalism, integrity and a respect for diversity. The values inspired by WHO have a vision of the world in which all people attain the highest level of health and their mission is to promote health, keep the world safe and serve the vulnerable on a worldwide level (Our values, our DNA, 2020). EBP appears through out the mission and visions on the World Health Organization in that they are focused on the professional commitment to excellence in health which are guided by the best available science, evidence and technical expertise (WHO values charter, 2020).

The WHOs work is grounded in EBP, as it states that its commitment to health excellence reflects scientific evidence and expertise that is continually developing and improving upon to respond to the changes in the World. The standards that reflect the WHO organization ensure public trust, integrity, professional commitment and collaboration of the power of diversity to achieve the highest level of public health and wellbeing (Our values, our DNA, 2020).

The information discovered on the WHO organizational website has changed my perception on the healthcare organization, as it enlightened me on core values and visions of the organization that I was recently unaware of. I usually refer to the WHO website when there is a disease outbreak or epidemic, in order to inform myself on the diseases, there locations, and what to look for symptomatically in patients. The site has shown me what the organization stands for and the importance of public health worldwide. It is important for the WHO to remain as a credible organization in order to ensure the trust of the public, and in doing so they are committed to putting these philosophies and values into practice.

References

Laureate Education (Producer). (2018). Evidence-based Practice and the Quadruple Aim [Video file]. Baltimore, MD: Author

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

Our values, our DNA. (2020). Retrieved February 25, 2020, from World Health Organization website: https://www.who.int/about/who-we-are/our-values

WHO values charter. (2020). Retrieved February 25, 2020, from World Health Organization website: https://www.who.int/docs/default-source/documents/values-charter-en.pdf?Status=Temp&sfvrsn=4ed75cec_12

 

 

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