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NURS 6052 Discussion Where in the World Is Evidence-Based Practice?

NURS 6052 Discussion Where in the World Is Evidence-Based Practice?

RE: Discussion – Week 1

Where in the World Is Evidence-Based Practice

The Centers for Disease Control and Prevention (CDC) recommends cloth face coverings in community-based transmission areas during the U.S. novel coronavirus pandemic. Recent research suggests that asymptomatic and pre-symptomatic patients may transmit the virus without symptoms. The CDC suggests using household items to allow people to wear masks.

The CDC also states that approved fabric face covers are not surgical masks or N-95 respirators. These are essential resources that must remain reserved for healthcare staff and other first responders, as suggested by existing CDC guidelines. (CDC, 2020) Due to changes in existing government guidelines, fabric face coverings were not recommended to avoid virus transmission. In March, the government forced the CDC to publish new and revised coronavirus guidelines. NURS 6052 Discussion Where in the World Is Evidence-Based Practice?

In 2007, the CDC issued evidence-based practice guidelines and a summary of infection control recommendations to prevent infectious disease transmissions such as SARS, including respiratory protection such as face shield, mask, and goggles as well as gloves and gowns. 

The information I have learned does not reflect evidence-based procedures that nurses have relied on for decades but represents our government’s lack of preparedness and understanding, which in effect seems extremely dangerous.

NURS 6052 Discussion Where in the World Is Evidence-Based Practice?

References

(n.d.). Centers for Disease Control and Prevention. Coronavirus Disease 2019 (COVID-19).(2007). Centers for Disease Control and Prevention. Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (2007). Retrieved from https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.htm

Sun, L. (2020, March 19). The Washington Post. CDC, the top U.S. public health agency, is sidelined during coronavirus pandemic. Retrieved June 1, 2020, from https://www.washingtonpost.com/health/2020/03/19/cdc-top-us-public-health-agency-is-sidelined-during-coronavirus-pandemic/

RE: Discussion – Week 1

Great topic Shawn. Preventing healthcare-associated infections are always a hot topic. Where I work, it’s not a common thing to discuss on a constant basis, however, most of my friends at other hospitals tell me that they constantly have a staff meeting where this issue is mentioned. What I try to focus on a lot at work is hand-washing as this is a global preventative act and a very important step in avoiding the transferring of any infection, even if it’s just a simple cold. RFID are enabled hand sanitizers which are supposed to warn health care workers if they don’t wash their hands before treating a patient. The hand sanitizing dispensers will have a sensor that scans the employee’s badge then transmits the date, time, id and location to the computer. An article I read on RFID- enabled hand sanitizers say there is also sensors that can be put close to the patient’s bed so if the healthcare worker did not sanitize their hands

within a certain amount of time before approaching the bedside it would alarm (Swedberg, 2007). They have been using these systems in Europe for quite some time; I am interested to see if this new process will aid in hand hygiene compliance for healthcare providers in the United States. Nonetheless, basic hand washing goes a long way and it’s important to constantly remind staff of just how dangerous it can be if we avoid this since the truth is that we can get lazy. A study done in Nigeria revealed that nurses in the study setting had good knowledge of infection control, but not fully reflected in the level of their practice of infection control (Eqwuenu & Okanlawan, 2014). I see this all the time at work where I will go into the staff bathroom after an employee and notice that the sink is dry and wasn’t used. I’ve had my encounters after having to address this with them, which hasn’t always been pleasant but it’s my responsibility to ensure I keep prevention a priority. NURS 6052 Discussion Where in the World Is Evidence-Based Practice?

NURS 6052 Discussion Where in the World Is Evidence-Based Practice

NURS 6052 Discussion Where in the World Is Evidence-Based Practice

Reference:

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Eqwuenu, S., & Okanlawan, F. (2014). Infection control: nurses’ knowledge and practice of universal precaution in Delta State, Nigeria. African Journal Medical Science43(2), 127-134. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/25474987

Swedberg, C. (2007). Patient-safety center tests RFID-enabled hand sanitizers. Retrieved from RFID Journal: http://www.rfidjournal.com/articles/view?5142/2

RE: Discussion – Week 1 Peer Response

Thank you for your insights into the Center for Disease Control and Prevention (CDC) recommendations on the use of face masks to decrease the spread of COVID-19. I wanted to highlight the importance of the CDC and their role in guiding national policy and other health related initiatives.  The CDC’s mission is to protect Americans from a wide range of health threat categories through the use of critical science and provision of health information (Center for Disease Control and Prevention, 2019). This is done through extensive research and review of health care practices, health risk behaviors, and outcomes, etc.  Many health care organizations, accrediting institutions and reimbursement bodies base their own policies on CDC recommendations.  However, there are still gaps between what has been proven to be effective through research and what is actually being implemented.  In order to address the need for ongoing surveillance of public health practices, the CDC has developed Prevention Status Reports (PSR) which is a performance evaluation system to highlight state and federal level implementation of policies that are evidenced based, and use the results to encourage further improvements (Young, Lowry, Mumford & Graaf, 2018).  States are graded and compared, with the intent to push for further modifications of policy to better reflect evidence-based practices.

 

Center for Disease Control and Prevention. (2019). Mission, role and pledge.  Retrieved June 3,

2020 from https://www.cdc.gov/about/organization/mission.htm

Young, A. C., Lowry, G., Mumford, K., & Graaf, C. (2018). CDC’s Prevention Status Reports:

Monitoring the Status of Public Health Policies and Practices for Improved Performance

and Accountability. Journal of Public Health Management & Practice, 24(2), 121–128.

https://doi-org.ezp.waldenulibrary.org/10.1097/PHH.0000000000000507

RE: Discussion – Week 1 response2

Hi Sh…., interesting you focused on the directives from the Centers for Disease Control and Prevention (CDC). During this global pandemic I have been following their guidelines because in a health care organization, it is important that the organization’s mission, philosophies, and ethics are followed through properly. With the (CDC) it is no different. The Centers for Disease Control and Prevention’s “mission is to protect people’s health and to support the quality of life in humans by prevention and control of diseases, injuries, and disabilities” (About CDC, 2010, page or paragraph number with quotes). With the organization’s mission, philosophies, and ethics it is important that everyone’s health is protected, and proper prevention of diseases, illnesses, and disabilities are given to the public in a timely manner.

I have so much faith in the (CDC) that this morning listening to the radio driving from work, I heard someone on the radio saying that keeping the mask on for a long time will poison the body with the CO2 that we are breathing out because CO2 gets trapped in the mask and we rebreathe it into our lungs. If it is true, why is the (CDC) not telling the public that? What do you think?

References

http://www.cdc.gov/nccdphp/dach/chhep/about.htm

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.

Where in the World is Evidence-Based Practice?

Evidence Based Practice (EBP) is a problem-solving approach to clinical practice that integrates research evidence, clinical expertise, and patient preference to provide individualized patient care. Including EBP in nursing care provides nurses with the scientific research needed to make informed decisions that can improve their patient’s recovery outcomes (EIU, 2018).

Healthcare organizations can benefit from ensuring that EBP applications are implemented. EBP can help ensure better patient outcomes, decrease the need for healthcare resources and reduce expenses (EIU, 2018). The World Healthcare Organization (WHO) is a healthcare organization whose work is grounded in evidence-based practice. They manage and maintain a wide range of data related to global health and bring the world’s scientist together to accelerate research. They promote best practice and standards for emergency operations and public response to public health emergencies. They work for the greater good of all people, globally. The WHO’s commitment to healthcare excellence and scientific evidence is continually improving and advancing to reflect the changes in the world. The WHO uses diversity, professionalism, trust, and integrity to achieve the highest level of public health on a global scale (DNA, 2020). EBP is shown throughout the mission and vision of the World Health Organization, as they are focused on their commitment to excellence in health which is guided by evidence and technical expertise (WHO values charter, 2020).

Reading and learning more about The WHO has changed my perspective on the organization. I never realized how big their commitment is to global health. An example of such commitment is their Thirteenth General Program of Work (GPW 13). It is their 5-year strategy, 2019-2023 that focuses on their triple billion targets to show measurable impacts to people health at the country level. The triple billion targets include one billion more people having universal health coverage, one billion more people are protected from health emergencies, and one billion more people have better health and well-being. Measurable impact to global health is at the heart of the WHO’s mission to change and improve the future of public health (World health organization, 2021).

References

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

“Thirteenth General Program of Work 2019−2023.” World Health Organization, (2021), World Health Organization, https://www.who.int/about/what-we-do/thirteenth-general-programme-of-work-2019—2023.

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

“Why Is Evidence-Based Practice in Nursing so Important?” Eastern Illinois University Online, 10 Dec. 2018, https://learnonline.eiu.edu/articles/rnbsn/evidence-based-practice-important.aspx.

Name: NURS_6052_Module01_Week01_Discussion_Rubric

Excellent Good Fair Poor
Main Posting
Points Range: 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.

Points Range: 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.

Points Range: 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.

Points Range: 0 (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
Points Range: 10 (10%) – 10 (10%)
Posts main post by day 3.
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Points Range: 0 (0%) – 0 (0%)
Does not post by day 3.
First Response
Points Range: 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.

Points Range: 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.

Points Range: 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.

Points Range: 0 (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
Points Range: 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.

Points Range: 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.

Points Range: 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.

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