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NURS 5052 Discussion – Week 1 Module 1

DQ :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:
1. Review the Resources and reflect on the definition and goal of EBP.
2. Choose a professional healthcare organization’s website (e.g., a reimbursing body, an
accredited body, or a national initiative).
3. 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.
Click on the Reply button below to reveal the textbox for entering your message. Then click on
the Submit button to post your message.
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8 months ago
Carmen Molinari
RE: Discussion – Week 1
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NURS 5052 Module 1 discussion.docx (38.699 KB)
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8 months ago
Carmen Molinari
RE: Discussion – Week 1
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Where in the World Is Evidence-Based Practice?
Nurses have been relying on evidence-based practice in daily routines for many years.  This is
because so much of what has worked in past patient situations is used by nursing staff today to
promote better patient outcomes.  EBP is the gold standard in nursing practice by ensuring
optimal quality of care and positive patient outcomes (Brown et al., 2016).
One professional health organization that performs based on findings through evidence-based
practices is the Joint Commission.  The Joint Commission is the nation’s oldest and largest
standard-setting accreditation system in healthcare (The Joint Commission, 2021).  The use of
evidence-based practice appears right away in the website’s mission and vision when it mentions
improving healthcare by collaborating with stakeholders (The Joint Commission, 2021).  The
Medical University of South Carolina (MUSC) holds a project-based course for nurses looking
to improve on EBP and mentions the importance of working with internal and external
companies to achieve the best possible outcome (Brennan et al., 2016).
The Joint Commission’s work is grounded in EBP because it works with specific organizations
collecting data to analyze based on a hospital’s personal experience.
Hospitals accredited by The Joint Commission must select evidence based or peer reviewed
literature to support clinical practice guidelines (Kennedy, 2019).  The information I have

discovered on the organization’s website has not directly changes my views on the Joint
Commission except in the way that I have become more informed on the company’s
accreditations and tools and resources posted to help improve a business process that I was
previously not aware of.
References
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing
engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2),
172–175. https://doi.org/10.1111/wvn.12126
Kennedy, M., MA, RN, FAAN. (2019, May 11). Evidence-based practice: Something to
celebrate (really!). https://www.nursingcenter.com/ncblog/may-2019/embrace-evidence-based-
practice
Kim, S., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016).
Predictors of evidence-based practice implementation, job satisfaction, and group cohesion
among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5),
340–348. https://doi.org/10.1111/wvn.12171
The Joint Commission. (2021). About us. jointcommission.org.
https://www.jointcommission.org/about-us/

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8 months ago
Lisa South Walden Instructor Manager
RE: Discussion – Week 1
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Melnyk and Fineout-Overholt (2019) made some interesting points about evidence.  Evidence is
what we believe to be true (Melnyk & Fineout-Overholt, 2019, p. 9). Evidence comes from years
of research. Research that is conducted correctly can be used in many settings, beyond that
which was first used to collect the data. It is assumed that the same results would occur with all

settings.  I was interested to read more about quality indicators. Most of us have been involved in
quality improvement projects within our institution. Quality improvement projects often take
place within institutions and are based on their own internal evidence rather than research
generated evidence (Melnyk & Fineout-Overholt, 2019).  Agencies are not always using readily
available research to guide practice. Interventions are utilized that have no basis in fact. At the
same time, there are interventions that are known to have negative outcomes, yet are persistently
continued ( (Melnyk & Fineout-Overholt, 2019, p.10).
Melnyk, B., & Fineout-Overholt, E. (2019). Evidence based practice in nursing & health
care (4th ed).   Wolters Kluwer.
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7 months ago
Lawren Sah
RE: Discussion – Week 1
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Hello Carmen,

I agree with you that nurses rely on the evidence-based practice routine, which effectively
improves patient outcomes. Evidence-based practice acts as the standard that ensures that a
patient receives quality care and positive outcomes (Melnyk et al., 2018). The Joint Commission
is grounded on evidence-based practice from the vision. The Joint Commission vision is to give
the highest quality, ensure excellent patient experience and offer the best value to the patient part
of the Quadruple Aim.

The Joint Commission, which is to improve health care for the public through effective
collaboration with stakeholders, thus inspiring the organization to provide effective care, shows
that the organization is grounded on evidence-based practice. Collaboration with stakeholders

shows the focus that the Joint Commission has to fulfill the objective of offering quality care,
thus proving that it is grounded on evidence-based practice (Joint Commission, 2021). From the
Joint Commission website, I have changed my view about the need to use an evidence-based
practice within an organization since it can help foster a continuum of care, thus leading to zero
harm.

 

References

Joint Commission (2021).About The Joint Commission.https://www.jointcommission.org/about-
us/

Melnyk, B. M., Gallagher‐Ford, L., Zellefrow, C., Tucker, S., Thomas, B., Sinnott, L. T., &
Tan, A. (2018). The first US study on nurses’ evidence‐based practice competencies
indicates major deficits that threaten healthcare quality, safety, and patient
outcomes. Worldviews on Evidence‐Based Nursing, 15(1), 16-25.
https://sigmapubs.onlinelibrary.wiley.com/doi/abs/10.1111/wvn.12269

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