NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice

NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice
NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice?

RE: Discussion – Week 1

        The healthcare organization website that I reviewed was the Agency for Healthcare Research and Quality (AHRQ). The AHRQ conducts research using evidence-based practice (EBP) to improve practice guidelines and healthcare organizations’ quality of care. The AHRQ uses EBP to develop credible reports that are publicly accessible. AHRQ’s mission is founded on using EBP to uphold it’s core competencies of  “health systems research, practice improvement, and data and analytics” (Agency for Healthcare Research and Quality, 2019). The AHRQ aims to provide EBP guidance to organizations to improve the quality and safety of the care provided. NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice

       In the AHRQ website, there is an abundance of reliable articles backed up by EBP. I was able to find several articles listed under the research tab relating to medication error prevention, primary care, and chronic care research. A study that used the AHRQ guidelines under their research methods incorporated the SHARE Approach suggested by the AHRQ to improve shared decision-making (SDM) amongst healthcare providers and patients. The SHARE approach follows five SDM steps to guide decisions related to patients’ plan of care (Hargraves, I., Fournier, A., Monton, V., & Bierman, A., 2020). The study concluded that employing the SHARE approach positively impacted communication among patients and physicians.
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A second study used the AHRQ’s Health Literacy Universal Precautions Toolkit to perform a brown bag medication review to increase medication adherence. Patients were required to bring all their medications to their medical appointment and received teaching on each of their medications (Murtha, E., Elder, B., & Faragher, M., 2019). This study showed that using the AHRQ’s toolkit resulted in significant health outcomes and consistent adherence to medication regimens.
Since I was unaware of AHRQ’s existence, my perception of this organization did not change. Nevertheless, I will undoubtedly use AHRQ as a reliable source of information for future research. I also found it beneficial to have free access to hundreds of reports in the AHRQ website. NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice Overall, after reviewing the number of research studies conducted, I am impressed with the number of evidence-based findings produced, which can improve the quality of healthcare provided to patients in the U.S.A.
 

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References
 
Agency for Healthcare Research and Quality (AHRQ) (2019). AHRQ’s Core Competencies. https://www.ahrq.gov/cpi/corecompetencies/index.html
 
Hargraves, I., Fournier, A., Monton, V., and Bierman, A. (2020). Generalized shared decision-making approaches and patient problems: Adapting AHRQ’s SHARE Approach for purposeful SDM. Patient education and counseling.https://doi.org/10.1016/j.pec.2020.06.022
Murtha, E., Elder, B., & Faragher, M. (2019). Brown bag medication review: Using AHRQ’s brown bag medication tool. Journal of Nursing Care Quality, 35(1), 58-62.DOI: 10.1097/NCQ.0000000000000399 NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice

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1 year ago
Debra Sullivan WALDEN INSTRUCTOR MANAGER 

RE: Discussion – Week 1

COLLAPSE

Hi Alberto,
Your description of your experience in exploring a healthcare organization website (AHRQ) and learning about how EBP was utilized there was nicely stated. It is difficult to enculturate EBP at an organization. An article by Sanares-Carreon et al. (2015) offers an interesting perspective on how to fast track EBP at the bedside. Do you agree that this novel pathway would encourage enculturation of EBP?
Thanks,
 
Dr. Sullivan
Sanares-Carrion, D., Comeau, O.,  Heliker, D., Marshall, D., Machner, D., Bell, L., …Sandridge, J. (2015). An educational pathway to fast track evidence-based practice at the bedside. Journal of Nurses ProfessionalDevelopment 31(1), E1-6. doi: 10.1097/NND.0000000000000113

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1 year ago

Week 1(reply#1)

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Hi, Exciting post!
 
NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice  Agency for Health care Research and Quality (AHRQ) website is one of my favorite health care organization websites. You are right; it has got an incredible amount of evidence-based research data. Failure to adhere to medication is a serious problem that affects the patient and the health care system. Medication non-adherence in patients leads to substantial worsening of the disease, death, and increased health care costs. Research shows medication nonadherence is due to a lack of health literacy. AHRQ’s primary objective was to assess whether the use of this tool helped those practices improve the rate with which patients bring all their medications to office visits for review. A second objective was to investigate the percentage of patients who had drug therapy problems identified during the reviews and whose medication regimens were modified due to reviews performed before and after implementing the tool. Evaluation before and after implementation revealed a 3-fold increase in the percentage of patients who brought all their prescription medications and a 6-fold increase in the number of prescription medications brought to office visits. The percentage of reviews in which drug therapy problems were identified doubled, as did the percentage of medication regimens revised (Weiss et al., 2016) NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.
 
 
References
 
Conduct Brown Bag Medicine Reviews: Tool #8. AHRQ. (2020, September). https://www.ahrq.gov/health-literacy/improve/precautions/tool8.html.
Weiss, B. D., Brega, A. G., LeBlanc, W. G., Mabachi, N. M., Barnard, J., Albright, K., … West, D. R. (2016). Improving the Effectiveness of Medication Review: Guidance from the Health Literacy Universal Precautions Toolkit. Journal of the American Board of Family Medicine: JABFM. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5091803/#:~:text=The “brown bag medicine review, to their clinician for review. NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice
 
 
 

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1 year ago
maame oppong 

Maame Response to Alberto Leyva

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Alberto, your post was very informative in describing the Agency for Healthcare Research and Quality (AHRG). Evidence-based practice is beneficial in nursing because it can reduce costs and improve the outcomes of patients.  According to Rahmayanti et al., (2020), evidence-based practice is fundamental in nursing in improving patient care. Since, 1998 AHRG became the  parental company with the U.S. Preventive Services Task Force (USPSTF)  (U. S. Preventive Services Task Force, 2020). One of the goals of the USPSTF is the use of the evidence-based practice to prevent diseases and clinical recommendations and services (U. S. Preventive Service Task Force, 2020).
The USPSTF has similar goals as AHRG. Both have a purpose for health systems in providing evidence-practice about delivering safe, high-quality, high-value healthcare and for frontline clinicians to offer strategies to high-quality, safe, high-value healthcare (Agency for Healthcare Research and Quality, 2019). The USPSTF is also bounded to evidence-based practice and tries to secure the quality of recommendations and safety.
References
Agency for Healthcare Research and Quality. (2019). AHRQ’s Core Competencies. Retrieved March 2, 2021 from https://www.ahrq.gov/cpi/corecompetencies/index.html
Rahmayanti, E. I., Kadar, K. S., & Saleh, A. (2020). Readiness, Barriers and Potential Strenght of Nursing in Implementing Evidence-Based Practice. International Journal of Caring Sciences, 13(2), 1203–1211. Retrieved  March 3, 2021 from 44_rahmayanti_original_13_2 (internationaljournalofcaringsciences.org)

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1 year ago
Bethany Baldwin 

Discussion Response 2 – Week 1

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1 year ago
Debra Sullivan WALDEN INSTRUCTOR MANAGER 

RE: Discussion – Week 1

COLLAPSE

Hi Everyone,
Welcome to the first week discussion board. For this week you are to reflect on the definition and goal of EBP. Then find a healthcare organization’s website and explore the site to determine the where and what extent EBP is evident.
It is always a good idea to use subheadings on the discussion board postings, for a couple of reasons. One it helps you to be sure you have addressed all of the expectations and two it keeps you focused. For this week your subheadings could be the following:

Healthcare Organization Website Review
EBP Utilization
Grounding of EBP
New Perception of Healthcare Organization

I look forward to reading your discussions.
Thanks
Dr. Sullivan

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1 year ago
maame oppong 

Main Post- Discussion 1- Maame Oppong

COLLAPSE

According to Melnyk et. al., (2014), evidence-based practice (EBP) has been widely adopted in the clinical setting because it improves healthcare safety, reliability, quality, and patients outcomes. EBP also reduces the overall cost of care. However, to effectively implement EBP, healthcare organizations and caregivers must cultivate the spirit of inquiry, ask clinical questions, search for quality evidence, assess the evidence, implement that evidence and evaluate the results or outcomes before sharing (Melnyk and Fineout-Overholt, 2018). This procedure is evident in the healthcare organization website reviewed in this discussion post.
Hence, the healthcare organization website I reviewed is known as the Center for Evidence and Practice Improvement (CEPI). CEPI is an organization to conducts and supports research work and synthesize evidence on care delivery and improvement. The organization’s mission is to generate evidence to make healthcare higher quality, safer, equitable, more accessible, and affordable (Center for Evidence and Practice Improvement, 2014).   The organization’s philosophy is centered on generating new knowledge, synthesizing evidence, translating research on what works in healthcare delivery, and encourages practice improvement across the clinical setting.  It is evident that EBP appears in the organization’s mission and core philosophy (Center for Evidence and Practice Improvement, 2014).
So, CEPI’s work is centered on five divisions. One of the categories is the “evidence-based practice center program,” which generates evidence synthesis by undertaking systematic evidence appraisals or reviews using rigorous and robust methodologies (Center for Evidence and Practice Improvement, 2014). The organization also advances evidence evaluation and synthesis approaches to ensure unbiased reviews and scientific rigor (Center for Evidence and Practice Improvement, 2014). The information I have found on the website has made me understand that EBP can only be a practical care delivery approach or model unless implemented appropriately (Crabtree et al., 2016). For example, healthcare organizations should focus on the value of data to produce knowledge from rigorously synthesized research NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.
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. Retrieved February 28, 2021 from doi:10.1111/win.12126.
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & 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.  Retrieved February 28, 2021 from https://doi.org/10.1111/wvn.12021.
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

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1 year ago
Debra Sullivan WALDEN INSTRUCTOR MANAGER 

RE: Main Post- Discussion 1- Maame Oppong

COLLAPSE

Hi Maame,
Thank you for such a nice description of your experience in exploring a healthcare organization website ( Center for Evidence and Practice Improvement ) and learning about how EBP was utilized there was nicely stated. One of your articles in your week 1 resource list, Melnyk et al. (2010) does a nice job of summarizing the seven steps of EBP. We will follow this format in this class, did you find this article helpful in understanding the basic concepts of EBP?
Thanks,
Dr. Sullivan
 
http://download.lww.com/wolterskluwer_vitalstream_com/PermaLink/NCNJ/A/NCNJ_165_516_2010_08_23_DGSODKGNM_1651_SDC516.pdfMelnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2.

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1 year ago
maame oppong 

RE: Main Post- Discussion 1- Maame Oppong

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The article was very helpful in understanding evidence practice.  With thorough reading, I can learn about evidence-based that aids in pinpointing strategies to help my patients in my organization.  With the knowledge gained from this reading, I am confident about how much emphasis I will place on a study, report,  and clinical practice guidelines when making decisions about a patient’s care.

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1 year ago
maame oppong 

RE: Main Post- Discussion 1- Maame Oppong

COLLAPSE

Dr. Sullivan
The article was very helpful in understanding evidence practice.  With thorough reading, I can learn about evidence-based that aids in pinpointing strategies to help my patients in my organization.  With the knowledge gained from this reading, I am confident about how much emphasis I will place on a study, report,  and clinical practice guidelines when making decisions about a patient’s care.

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1 year ago
Margareth Dolcin 

RE: Main Post- Discussion 1- Maame Oppong

COLLAPSE

Dear Maame,
I agree with your statement that evidence-based practice improves health care quality and reduces the cost associated with it. Health care decisions backed up with proof will reduce the associated errors, and thus, the quality of health care will upsurge (Li et al., 2019). Your choice of Center for Evidence and Practice Improvement is commendable since it is an organization whose primary purpose is to support evidence-based practice in the area of jurisdiction. The organization’s mission and philosophies connect an evidence-based approach, making them champion research work and improve healthcare quality. The organization produces evidence fusion by undertaking systematic evidence assessments by using strong and vigorous procedures which are essential in supporting evidence-based practice. I have enjoyed reading your work. Keep it up.
References
Li, S., Cao, M., & Zhu, X. (2019). Evidence-based practice. Medicine, 98(39), e17209. https://doi.org/10.1097/md.0000000000017209

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1 year ago
Sherin George Cherian 

Discussion – Week 1(Main Post)

COLLAPSE

Evidence-based practice is a conscientious way of providing health care through a problem-solving approach to clinical practice that incorporates the best evidence from well-designed studies, patient values and preferences, and clinical expertise in patient care decision-making (Titler, 2008). Health care agencies, government agencies, and national professional organizations support evidence-based practice (EBP). Studies continue to show improved outcomes when the best evidence is used to deliver patient care.
Healthcare Organization website reviews
The healthcare organization that I chose is Advent Health Systems, Florida. The organization’s mission and promise are to help you feel whole through compassionate care and world-class expertise (Advent Health, 2021).
EBP Utilization
Evidence-based practice (EBP) is one such technique and is quickly gaining popularity due to its potential to handle clinical issues and provide better patient care effectively. The care plans are based on hard science, data, and the latest research at advent health. Advent health uses EBP in various day-to-day operations. They provide excellence in patient care through improvement projects and research data to compare the patient outcomes with other hospitals. EBP enables nurses to evaluate the research to understand the risks or effectiveness of a diagnostic test or treatments.
Grounding Of EBP
Advent health website says clinical trials are the mainstay of evidence-based care. The Advent Health team conducts hundreds of clinical trials each year; currently, more than 550 clinical trials underway at Advent Health, which gives access to exclusive recent treatment options to improve whole-person treatment. I work at CVICU always gets passionate about clinical trials based on cardiovascular research. It is essential that nurses follow evidence-based practice; recently, there was a clinical trial, oxygen requirement of COPD patients after cardiac surgery in my ICU. Many clinicians are concerned about worsening hypercarbia and respiratory failure when oxygen is administered to this group of patients. EBP shows that patients should receive the necessary amount of oxygen to maintain an oxygen saturation just above 90% (B. Ibanez et al., 1970).
Another evidence-based practice for patient safety is recommending a strict transfusion protocol for cardiac surgery patients with hemoglobin levels below 7 g/dL. Blood transfusions are reasonable and lifesaving if the patient exhibits hemodynamic instability. The study shows that blood transfusion in cardiac surgical patients can lead to increased short-and long-term mortality, organ injury, stroke, myocardial infarction, sepsis, surgical site infections, and increased use of health care resources with prolonged intensive care hospital stays (Patel & Murphy, 2017).
Perception of Healthcare Organization
By reviewing this website, goals and evidence-based practice have positively changed my perception of this organization. I like the CREATION life principles of this organization Choice, Rest, Environment, Activity, Trust, Interpersonal Relationships, Outlook, and Nutrition — designed to improve health and happiness by living a balanced life. Also, they are committed to providing the best and quality care for their patients based on evidence-based practice (Advent Health, 2021).
Conclusion
Clinicians can achieve tremendous outcomes in patients care through EBP. Still, they often fail to share their experiences with colleagues and their own or other health care organizations, which can lead to needless duplication of effort and perpetuates clinical approaches that are not evidence-based.
 
References
A Leader in Whole-Person Health Care. AdventHealth. (2021). https://www.adventhealth.com/.
B. Ibanez, S. J., PT. O’Gara, F. G. K., WJ. Powers, A. A. R., A. Kobayashi, A. C., CM. Morkane, H. M. K., Meyhoff, C. S., … RAC. Siemieniuk, D. K. C. (1970, January 1). Oxygen administration for postoperative surgical patients: a narrative review. Journal of Intensive Care. https://jintensivecare.biomedcentral.com/articles/10.1186/s40560-020-00498-5.
Patel, N. N., & Murphy, G. J. (2017, June 21). Evidence-Based Red Blood Cell Transfusion Practices in Cardiac Surgery. Transfusion Medicine Reviews. https://www.sciencedirect.com/science/article/abs/pii/S0887796317300470.
Titler, M. G. (2008, April). The Evidence for Evidence-Based Practice Implementation. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. https://www.ncbi.nlm.nih.gov/books/NBK2659/.
 
 
 

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1 year ago
Debra Sullivan WALDEN INSTRUCTOR MANAGER 

RE: Discussion – Week 1(Main Post)

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Hi Sherin,
You did a nice job describing your experience in exploring a healthcare organization website ( Advent Health Systems, Florida.) and learning about how EBP was utilized there was nicely stated. One of your articles in your week 1 resource list by Boller (2017) discuss the quadruple aim sweet spot. What do the authors mean by this this title?
Thanks,
Dr. Sullivan
Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01

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1 year ago
Sherin George Cherian 

Reply to Dr.Sullivan

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1 year ago
kristen konick 

RE: Discussion – Week 1(Main Post)

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1 year ago
Erin Ward 

RE: Discussion – Week 1

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1 year ago
Debra Sullivan WALDEN INSTRUCTOR MANAGER 

RE: Discussion – Week 1

COLLAPSE

Hi Erin,
You have presented a nice description of your experience in exploring a healthcare organization website (WHO) and learning about how EBP was utilized there was nicely stated. One of your articles in your week 1 resource list, Melnyk et al. (2014) discuss  a “set of clear EBP competencies for both practicing registered nurses and APNs in clinical settings that can be used by healthcare institutions in their quest to achieve high performing systems that consistently implement and sustain EBP.”(p. 5) Do you think having these competencies is a good idea?
Thanks,
Dr. Sullivan
 
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & 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. https://sigmapubs.onlinelibrary.wiley.com/doi/full/10.1111/wvn.12021

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1 year ago
Shannon McBrayer 

RE: Discussion – Week 1

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Shannon McBrayer Response to Erin Ward
          Erin, the World Health Organization (WHO) has great potential to impact global health as the organization committed to overall global health matters. I perused the website to see just how much mention of evidence-based practice I could find. The first place I like to look is the section that talks about an organization. In About Us, I found the section on the WHOs values and DNA which describes professionals that are “guided by the best available science, evidence and technical expertise” (WHO, n.d., About Us tab). Part of what the WHO does is provide information in the form of nearly 200 fact sheets on health topics such as Autism, abortion, Hepatitis, Chikungunya, Poliomyelitis, mercury health, HIV/AIDS, and many more global health concerns (WHO, n.d., Fact sheets tab). Many of these fact sheets have WHO recommendations regarding the health issue and some specifically state they are evidence-based recommendations. 
          I did find a section on WHO Academy to begin online in May this year, that was spoke to the challenge of getting the latest evidence and information disseminated to healthcare providers who can use it, noting it can take 10 years to implement new practices (WHO, n.d., About WHO tab). Melnyk & Fineout-Overholt (2018) note this problem stating that translating new evidence into practice can take many years or decades because clinicians lack the evidence-based practice skills to apply and use in their practices. The fact that the WHO has recognized this problem and is taking measures to address it is a true indicator of their commitment to a global movement toward evidence-based practice. 

References
Melnyk, B., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice ( 4th ed.). Wolters Kluwer.
World Health Organization. (n.d.). Retrieved March 6, 2021. https://www.who.int

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1 year ago
Margareth Dolcin 

RE: Discussion – Week 1

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Evidence-Based Nursing
The evidence-based practice incorporates the greatest research proof with clinical knowledge and patient standards (Li et al., 2019). It implies that when health specialists make a treatment pronouncement with their client, they ground it on their medical knowledge, the client’s inclinations, and the best existing proof. EBP is significant due to its purpose to offer the most effective nursing care that is accessible, intending to enhance patient results. Patients presume to obtain the most nominal care grounded on the paramount accessible evidence (Lehane et al., 2018, p. 107).  The healthcare organization that I select to evaluate for evidence-based practice information is the American Academy of Medical-Surgical Nurses.
I noticed that evidence-based practice data is contained on the American Academy of Medical-Surgical Nurses’ website. American Academy of Medical-Surgical Nurses has a practice tab on the website and professional publications for a broad range of health-related matters that are made by applying evidence-based practice research information easily accessible (Academy of Medical-Surgical Nurses, 2021). The website also has data gathering tools that the American Academy of Medical-Surgical Nurses uses to gather and scrutinize data on modern subjects that influence the association (Gigli et al., 2020). American Academy of Medical-Surgical Nurses seems to be grounded in evidence-based practice by applying the technique to back up the information related to the health matters that are accessible on the website and publications.
American Academy of Medical-Surgical Nurses’ duties are focused on the various section. One of the section is the “practice,” which holds evidence fusion by making methodical evidence evaluations or assessments by applying difficult and vigorous practices. American Medical-Surgical Nursing uses too much research to base their investigations and back up their publication, which is very rich in knowledge (Academy of Medical-Surgical Nurses, 2021). Observing the American Academy of Medical-Surgical Nurses’ work and publication, I gain enough confidence as the work is dully validated.
 
References
Academy of Medical-Surgical Nurses. (2021). Practice | Academy of Medical-Surgical Nurses (AMSN). Www.Amsn.Org. https://amsn.org/practice
Gigli, K. H., Davis, B. S., Ervin, J., & Kahn, J. M. (2020). Factors Associated With Nurses’ Knowledge of and Perceived Value in Evidence-Based Practices. American Journal of Critical Care, 29(1), e1–e8. https://doi.org/10.4037/ajcc2020866
Lehane, E., Leahy-Warren, P., O’Riordan, C., Savage, E., Drennan, J., O’Tuathaigh, C., O’Connor, M., Corrigan, M., Burke, F., Hayes, M., Lynch, H., Sahm, L., Heffernan, E., O’Keeffe, E., Blake, C., Horgan, F., & Hegarty, J. (2018). Evidence-based practice education for healthcare professions: an expert view. BMJ Evidence-Based Medicine, 24(3), 103–108. https://doi.org/10.1136/bmjebm-2018-111019
Li, S., Cao, M., & Zhu, X. (2019). Evidence-based practice. Medicine, 98(39), e17209. https://doi.org/10.1097/md.0000000000017209
 

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1 year ago
Debra Sullivan WALDEN INSTRUCTOR MANAGER 

RE: Discussion – Week 1

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Hi Margareth,
You have offered a great description of your experience in exploring a healthcare organization website ( American Academy of Medical-Surgical Nurses) and learning about how EBP was utilized there was nicely stated. Kaplan et al. (2014) discuss the problem of how EBP is not widely adopted. Their study conducted a survey after an interviention of increase EBP confidence. Do you think their intervention has merit?
Thanks,
Dr. Sullivan
Kaplan, L., Zeller, E., Damitio, D., Culbert, S. & Bayley, B. (2014). Improving the culture of evidence-based practice at a Magnet hospital.  Journal for nurses in professional development 30(6), 274-280. https://www.nursingcenter.com/cearticle?an=01709760-201411000-00002&Journal_ID=54029&Issue_ID=2651313

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1 year ago
Bethany Baldwin 

Peer Response # 1 Week 1

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Margareth,
Thanks for the information you shared regarding the American Academy of Med-Surg’s (AMSN) website.  When I visited
their website, one of the first things that I noticed was the Professional Development area. As nurses, we must be informed in the
evidence in order to base our practice it.  It is clear to me through all the resources offered by the AMSN (2021) like CEs, access
to medical journals, webinars and more, that they place education and growth as a top priority.  I agree that this organization is
grounded in evidence-based practice and encourages nurses towards achieving the quadruple aim. With continuing education
and professional education, we as nurses can improve population health, enhance the patient experience, decrease healthcare
costs and improve our own work-life (Laureate Education, 2018).
References 
Academy of Medical-Surgical Nurses. (2021). Professional Development | Academy of Medical-Surgical Nurses (AMSN).
https://www.amsn.org/index.php/career-development/professional-development
Laureate Education (Producer). (2018). Evidence-based Practice and the Quadruple Aim [Video file]. Baltimore, MD: Author.

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1 year ago
Erin Ward 

RE: Discussion – Week 1

COLLAPSE

Week 1 Response Post to Margareth
Margareth,
I never knew about the Academy of Medical-Surgical Nurses. It’s good to see their web page. I found the information to be grounded in EBP research as well. I am not a member of the organization but If you are a member, they have access to research articles using the database CINAHL and MEDLINE Access (Academy of Medical-Surgical Nu