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

Discussion – Week 1

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

ORDER HERE

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

PATRICK IGBOKWE

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The Centers for Disease Control and Prevention (CDC) and Evidence Translation

The importance of evidence-based practice in the care of patients and the attendant positive outcomes has made EBP the bedrock of nursing practice. Practices have been enhanced, updated, and sometimes totally discarded based on current Evidence. The importance of systematic dissemination of evidence-based guidelines across organizations and researchers is vital to ensure EBP guidelines and frameworks reach the intended users and foster practice based on Evidence across the board Discussion: Where in the World Is Evidence-Based Practice?.

The CDC and the National Institute for Health (NIH) has adopted a framework that emphasizes the partnership between researchers and organization and the use of social marketing to ensure closer collaboration with organizations that are most likely to use evidence in practice (Harris et al., 2011). To improve the process of evidence translation, the CDC and NIH continue to emphasize the importance of structured and effective ways of passing evidence from researchers to organizations that utilize them for health promotion, prevention of chronic disease, and to improve public health (Wilson, Brady and Lesesne, 2011).

To ensure evidence from research is translated into practice, the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) formed a workgroup consisting of scientists and practitioners to collaborate and share experiences related to evidence translation personal observations (Wilson and Fridinger, 2008).

References

Harris, J., Cheadle, A., Hannon, P., Forehand, M., Lichiello, P., Mahoney, E., Snyder, S. and Yarrow, J., 2011. A Framework for Disseminating Evidence-Based Health Promotion Practices.

Wilson, K. and Fridinger, F., 2008. Focusing on Public Health: A Different Look at Translating Research to Practice. Journal of Women’s Health, 17(2), pp.173-179.

Wilson, K., Brady, T. and Lesesne, C., 2011. An Organizing Framework for Translation in Public Health: The Knowledge to Action Framework. [online] Cdc.gov. Available at: <http://www.cdc.gov/pcd/issues/2011/mar/10_0012.htm> [Accessed 25 February 2022].

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8 months ago

Sara Wilbur

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Evidence based practice is a foundation for the future of nursing. According to Melnyk & Fineout-Overholt (2018) “Evidence-based practice (EBP) enhances healthcare quality, improves patient outcomes, reduces costs, and empowers clinicians; this is known as the quadruple aim in healthcare”. As professionals we need to make sure we are doing our best to incorporate up to date practices to ensure positive outcomes. I feel like in todays age the hospitals or companies tend to have more of their own research groups that keep our policy guidelines up to date and inform us of the changes when they come. As nurses we rely on other people on what is the correct protocol for our jobs. EBP moves nursing research to the bedside by evolving from using traditional practice models to models based on evidence and data (Laureate Education, 2018). Nurses should take the opportunities to be able to be able to gain the knowledge themselves and be a leading force in advancements in medicine. Not enough nurses actively participate in the research and only wait for new transitions. I feel like as staff we could do better if we had more time and focus from employer’s to be the best at our occupation.

Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Videofile]. 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.

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8 months ago

Heidi Thornton

RE: Discussion – Week 1-Response #1

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Response #1

Hello Patrick,

I enjoyed reading your post. The CDC’s mission statement states that “the 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, 2022) This mission statement seems strong and supportive and all-encompassing of the diverse population. The CDC website highlights their role in the importance of health security, putting science into action, helping medical care, fighting diseases before they reach the public, and nurturing public health. (Centers for Disease Control and Prevention, 2022) This philosophy shows their integration of evidence-based practice within their work by using science, research, and education, to constantly improve their practices. The incorporation of evidence-based practice into their foundation leads to the highest quality of care and best outcomes for people. (Melnyk, & Fineout-Overholt, 2018, pg. 12)

References

Centers for Disease Control and Prevention (2022). Mission, Role and Pledge. Retrieved March 2, 2022 from https://www.cdc.gov/about/organization/mission.htm

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

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8 months ago

Jolly Murithi

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Response 1

Great Post Patrick.

Evidence based practice (EBP) is essential to health care and can be considered as collection of facts that are believed to be true. it’s considered a lifelong problem-solving approach to clinical practice which enhances health care quality, improves patient’s outcome, reduces cost, and empowers clinicians (Melnyk & Fineout-Overholt. 2018). When translating EBP, nurses serve on the frontline and have the unique opportunity to improve patient care through EBP.

Though EBP in nursing and health care discipline is considered as the global standards in nursing practice that is essential in ensuring good outcomes, it is important to note that many collaborations have been formed to help implement this tool that is essential in patient outcomes, however it still meets great challenges like nursing workload , lack of organization support, lack of EBP knowledge, and skills and poor attitudes towards EBP (Kim, S., et al 2016). Ensuring nurses/practitioners are more equipped with knowledge, have a chance to participate in EBP research may be a few driving factors that can encourage more involvement and help aid in translating research of EBP into practice.

References

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A., & Davinson, 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 Discussion: Where in the World Is Evidence-Based Practice?

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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8 months ago

Maria Caridad Arnobit WALDEN INSTRUCTOR MANAGER

RE: Discussion – Week 1-Response #1

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Well said, Heidi! For decades, the recommendation for best practice from research and EBP has dramatically improved patient outcomes in multiple facets and dimensions. The provision of benchmarks in various methods has led organizations to adopt EBP to improve patient outcomes.

Centers for Disease Control and Prevention. (2015, November 9). CDC – evidence-based practices – health system resource – STLT gateway. Centers for Disease Control and Prevention. Retrieved March 4, 2022, from https://www.cdc.gov/publichealthgateway/program/resources/evidence.html

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8 months ago

Heidi Thornton

RE: Discussion – Week 1-Response #1

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Thank you Dr. Arnobit!

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8 months ago

Jolly Murithi

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Great Post Patrick.

References

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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8 months ago

Alex Townsend

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EBP: Reply #1

Hey Patrick:

The Centers for Disease Control and Prevention (CDC) offers education and information for the entire population to view. The CDC, (government agency) must stay up to date on policies and procedures for the population relies on such information. According to the CDC, evidence-based practices are utilized in the Advisory Committee on Immunizations, CDC Guidelines, Prevention of HIV/AIDS, and Guide to Community Prevention Services. “Increasing emphasis has been placed on the importance of evidence-informed prevention strategies and evidence-based decision making. Definitions of what constitutes “evidence” have been debated but most agree that evidence is extremely important for researchers, practitioners, and policy makers charged with the task of making decisions around the funding and implementation of violence prevention strategies” (Centers for Disease Control and Prevention [CDC], n.d., para. 4).

As we reminded on a daily basis regarding COVID-19, the CDC was the website of choice for society to receive the most up to date information. As noted earlier, EBP is the framework for the CDC. As research and data changes, the CDC continues to update previous education to stay current. The COVID pandemic would be a great example of such changes.

“Evidence-based practice is now widely recognized as the key to improving healthcare quality and patient outcomes. Although the purposes of nursing research and evidence-based nursing practice seem quite different, an increasing number of research studies have been conducted with the goal of translating evidence effectively into practice. Clearly, evidence from research must be accompanied by effective implementation, and an enabling context to achieve significant outcomes” (Chien, 2019, para. 2). In the viewpoint of Chien, EBP appears to be a universal language. Either debated or not, EBP will continue to change healthcare in the positive direction.

References

Centers for Disease Control and Prevention. (n.d.). Understanding Evidence: Part 1 [PDF]. https://www.cdc.gov/violenceprevention/pdf/understanding_evidence-a.pdf

Centers for Disease Control and Prevention. (2022). Public Health Professional Gateway. Centers for disease control nd prevention. https://www.cdc.gov/publichealthgateway/program/resources/evidence.html

Chien, L.-Y. (2019). Evidence-based practice and nursing research. Journal of Nursing Research, 27(4), e29. https://doi.org/10.1097/jnr.0000000000000346

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8 months ago

Aicha Bah

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Hello Patrick,

Evidence-based practice is an integral part of our clinical practice, especially in psychiatry. Many patients are being treated for posttraumatic stress disorder (PTSD). PTSD is an anxiety disorder that occurs post a severe traumatic event or experience Discussion: Where in the World Is Evidence-Based Practice?. The event may be related to combat, sexual assault, natural disaster (Watkins, Sprang, & Rothbaum, 2018), or the violence inflicted on nurses that may occur in psychiatric units. PTSD is a chronic, painful, and incapacitating disorder (Watkins, Sprang, & Rothbaum, 2018). People with PTSD have a range of distressing emotions and tend to avoid any trauma reminders but are re-experiencing it in dreams, nightmares, flashbacks. Unfortunately, some people turn to alcohol and drugs-pharmacological or illicit- as coping mechanisms, and others experience suicidal ideation or even attempt to commit suicide. There are, however, treatments that may alleviate the pain and suffering. These treatments consist of evidence-based psychotherapies, such as cognitive-behavioral therapy (CBT), and evidence-based pharmacotherapies, such as selective serotonin reuptake inhibitors (Lancaster et al., 2016).

Lancaster, C. L., Teeters, J. B., Gros, D. F., & Back, S. E. (2016). Posttraumatic stress disorder: Overview of evidence-based assessment and treatment. Journal of clinical medicine, 5(11), 105. DOI:10.3390/jcm5110105

Watkins, L. E., Sprang, K. R., & Rothbaum, B. O. (2018). Treating PTSD: A review of evidence-based psychotherapy interventions. Frontiers in behavioral neuroscience, 12, 258. DOI:10.3389/fnbeh.2018.00258

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8 months ago

Heidi Lauinger

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Heidi Lauinger

NURS 5052

Discussion Response

Response Patrick Igbokwe

Patrick, I enjoyed reading your post on the use of evidence-based practice (EVP) by the Center for Disease Control (CDC). The use of evidence-based practice in healthcare has allowed nurses to bring new research to the bedside (Laureate Education, 2018). We are fortunate to work as nurses at a time in which our practice is most commonly based on up-to-date information. The CDC has taken a leading role in transforming research into evidence-based guidelines (Carande-Kulis et al., 2022). The CDC has published hundreds of guidelines over greater than a decade that are evidence-based (Carande-Kulis et al., 2022). These guidelines are developed by “internal workgroups” made up of experts (Carande-Kulis et al., 2022). These experts perform a systemic review of literature and transform the information into summaries of evidence (Carande-Kulis et al., 2022).

Under normal circumstances, the process taken by the CDC in developing guidelines is solid. Their six-step process includes; assessing the need for guidelines, determining the scope of the guidelines, identifying roles and competing interests, summarizing and assessing evidence, developing review questions, and drafting recommendations (Carande-Kulis et al., 2022). There is another category of guidelines that occurs in emergencies. During these times, the guidelines are developed based on expert opinion and indirect or emerging evidence. These guidelines are called “interim” (Carande-Kulis et al., 2022). In the past, I have always looked to the CDC for sound guidelines based on research and review. My perception has changed over the past 18 months during the COVID-19 pandemic.

During the pandemic, the CDC has put out “interim” guidelines influenced by outside sources rather than experts, including teacher’s unions. For example, masking children during the early months of returning to school seemed reasonable, but data emerged early in the pandemic which questioned the efficacy of masks on children. Very few showed concern about the adverse effects that masks have on children. We have thus seen dramatic increases in anxiety, depression, suicide, overdose deaths, and the majority of children falling behind in school. Many parents come to me as a nurse and parent, questioning the science behind masking their children. I could not, and am still unable to provide them with rational answers to support continual mask mandates. I have yet to see strong evidence in support of mask requirements for children, only that it makes people feel safe. I have never seen healthcare become political like this, putting feelings of a few ahead of our children’s health. I hope that our nation can soon return to using evidence and science in the decisions of our leading healthcare organizations.

References

Carande-Kulis, V., Elder, R. W. & Matson-Koffman, D. (2022). Standards required for the development of CDC evidence-based guidelines. Morbidity and Mortality Weekly Report. 71(1), 1-6. https://doi:10.15585/mmwr.su7101a1

Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video

file]. Baltimore, MD: Author.

Melnyk, B. M. & Fineout-Overholt, E. (2017). Evidence-based practice in nursing & healthcare: A guide to

best practice (4^th ed.). Philadelphia, PA: Wolters Kluwer. p. 7-8.

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8 months ago

Maria Caridad Arnobit WALDEN INSTRUCTOR MANAGER

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Patrick,

CDC and NIH had played an important role in our daily practice but most of all their active participation during these times of pandemic. The dissemination of information and as a source of best practices. Can you provide an EBP that your organization had adopted from these organizations?

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8 months ago

Shanaa Wheeler-Yard

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Great post,

The CDC is a worldwide health standard resources utilized by the real general public and medical professionals worldwide. Well respected and leader of COVID 19 direction the CDC provides accurate real time health care updates directing the public in the charge of public safety (CDC Works 24/7, 2022). Although not listed in listed on the immediate homepage the CDC definitely covers and utilizes EBP on its website and overall platform. Evidenced-based medicine professionals work collectively to prevent disease using preventative evidence-based methods describes the US preventive task force. Medical professionals volunteer to work to sustain public health by identifying new practices to prevent disease (Home page | United States Preventive Services Taskforce, 2022) Task force information can be located on the CDC website.

Reference

Centers for Disease Control and Prevention. 2022. CDC Works 24/7. [online] Available at: <https://www.cdc.gov/> [Accessed 4 March 2022].

Uspreventiveservicestaskforce.org. 2022. Home page | United States Preventive Services Taskforce. [online] Available at: <https://www.uspreventiveservicestaskforce.org/uspstf/> [Accessed 4 March 2022] Discussion: Where in the World Is Evidence-Based Practice?.

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7 months ago

Maria Caridad Arnobit WALDEN INSTRUCTOR MANAGER

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Hello Shana,

You brought great thoughts about CDC and its research data base. As the COVID pandemic challenged all health workers and organization to act upon the needed health care needs of the patients, nurses took about themselves to make innovations and decisions as a response to PPE shortage. Some of the clinical decision on PPE shortage gave nurses a different perspective of the way we handle care. Alternations in carrying out infection control practices had been modified that may have been carried not in accordance to EBP. (Yingling, 2021). What are your thoughts about best practice modification in infection control practices (PPE utilization)? Any recommendations and or comments?

Reference:

Yingling, J. K. (2021). Rationing Evidence-Based Nursing Practice: Considering a Resource-Based Approach. Online Journal of Issues in Nursing, 26(1).

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8 months ago

Michelle Widdows

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Discussion: Where in the World is Evidence-Based Practice

Michelle D. Widdows BSN, RN

NURS 6052-Dr. Dr. Maria Caridad B. Arnobit

February 27, 2022

The purpose of this discussion post is to explain the process of Evidence Based Practice (EBP), where we explore the NCQA (National Committee on Quality Assurance) and analyze how EBP is utilized in this healthcare organization. The process will identify whether the NCQA requires EBP and explain how this new information may change my perception of the NCQA. According to Melnyk & Fineout-Overholt (2018), “Evidence is a collection of facts that are believed to be true.” Evidence Based Practice (EBP) is conducted by utilizing randomized studies, clinical expertise and patient preferences and values (Melnyk & Fineout-Overholt (2018). The goal of EBP is, “…to bring together research, a clinician’s expertise and patient preferences and values to drive the best care and outcomes (Ohio State University, 2018).” EBP is evidenced in the Diabetes Recognition Program (DRP) within the National Committee of Quality Assurance (NCQA). The sole purpose of the NCQA is, “To improve the quality of healthcare (NCQA, 2021).”

The NCQA is known for its evidence based practices and reimburses medical providers who follow these evidence based practices with a premium. In order to receive the premium for the DRP, the provider must document certain measures to become certified as a notable NCQA-DRP provider. These quality measures include, “…HbA1c Control, blood pressure control, eye examinations, neuropathy assessment, foot examination and smoking cessation (NCQA, 2021).” For example, if a diabetic patient in a provider’s practice is not being evaluated for ALL of the quality measures, the provider will not receive special reimbursement for that particular diabetic patient. The practice must also have a minimum number of controlled diabetics in order to ensure EBP is being followed.. EBP supports NCQA enhanced billing by narrating the flow of a diabetic visit, which improves the quality of care for the patient and aids the medical community in best practices.

As a nurse this new information regarding the NCQA changes my perception in a positive way due to the enhanced level of care the diabetic patient receives. The process of Evidence Based Practice (EBP) is well-defined through the NCQA-DRP example. We explored the NCQA and analyzed how EBP is utilized in this healthcare organization. The process identified that the NCQA utilizes EBP to enhance quality of care and changed my perception of the NCQA in a positive light.

References

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

Mitchell, B. G., Fasugba, O., & Russo, P. L. (2020). Where is the strength of evidence? A review of Infection Prevention and Control Guidelines. Journal of Hospital Infection, 105(2), 242–251. https://doi.org/10.1016/j.jhin.2020.01.008

NCQA’s vision and mission statement. NCQA. (2021, July 19). Retrieved February 26, 2022, from https://www.ncqa.org/videos/ncqas-vision-and-mission-statement/#:~:text=NCQA’s%20mission%20is%20to%20improve,Better%20choices.

The Ohio State University. (2018, July 24). Evidence-based health care: The care you want, but might not be getting. Retrieved February 26, 2022, from https://news.osu.edu/evidence-based-health-care-the-care-you-want-but-might-not-be-getting/#:~:text=Evidence-based%20practice%20brings%20together%20research%2C%20a%20clinician%E2%80%99s%20expertise,2020.%20But%20the%20approach%20is%20not%20the%20norm.

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8 months ago

Erica Elliott

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Hello Michelle,

I appreciate your post on the National Committee on Quality Assurance (NCQA). Bringing our awareness to this organization highlights yet another way in which evidence-based practice is used to promote quality in healthcare. Furthermore, the improvement in quality of care is directly correlated with better patient outcomes (Ellis, 2019). You specifically mentioned diabetes research and this topic definitely deserves focus. Current Diabetes Reports that evidence-based research on diabetes does more than affect healthcare organizations, but also affects population health as a whole (Golden et al., 2017).

References

Ellis, P. (2019). Evidence-based practice in nursing . Learning Matters.

Golden, S. H., et al. (2017). The case for diabetes population health improvement: evidence-based programming for population outcomes in diabetes. Current diabetes reports , 17 (7), 1-17.

The National Committee on Quality Assurance. (2021). Main page. https://www.ncqa.org/

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8 months ago

Maria Caridad Arnobit WALDEN INSTRUCTOR MANAGER

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8 months ago

Brenda Reese

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Hi Michelle

I enjoyed reading your discussion post regarding EBP.

EBP is defined as “A paradigm and lifelong problem-solving approach to clinical decision making that involves the conscientious use of the best available evidence, with one own clinical expertise and patient values and references to improve outcomes for individuals, groups, communities, and systems” (Melnyk & Fineout-Overholt, 2019).

When visiting the NCQA website, there were several areas in which EBP is evident, such as the Health Plan Accreditation. NCQA Health Plan Accreditation builds upon more than 25 years of experience to provide a current, rigorous, and comprehensive framework for essential quality improvement and measurement (2021, July 19). It is the only program in the industry that bases results on clinical performance and consumer experience, incorporating EBP.

References:

Melnyk, B. M., & Fineout-Overholt, E. (2019). She is making the case for evidence-based practice and cultivating a spirit of inquiry. In Evidence-based Practice in Nursing & Healthcare: A guide to best practice (pp. 7–8). essay, Wolters Kluwer Discussion: Where in the World Is Evidence-Based Practice?.

NCQA’s vision and mission statement. NCQA. (2021, July 19). Retrieved February 26, 2022, from https://www.ncqa.org/videos/ncqas-vision-and-mission-statement/#:~:text=NCQA’s%20mission%20is%20to%20improve,Better%20choices.

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8 months ago

PATRICK IGBOKWE

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Hello Michelle,

I enjoyed reading about the National Committee for Quality Assurance (NCQA) and the Diabetes Recognition Program (DRP) program, which helps advance the care of diabetic patients using evidence-based practice. Before reading your post, I didn’t know much about NCQA and am glad you highlighted their excellent work. With its goal of existence being the Improvement of healthcare delivery using evidence-based practice (EBP), NCQA strives to ensure better health care delivery, expand patient choice, and make EBP health care accessible (NCQA, 2022). The NCQA-DRP program, which ensures provides following EBP in the assessment, treatment, and follow-up care for diabetic patients, makes it one of the organizations striving to improve and enhance care for diabetes patients.

The new information from your post and NCQA website and the evidence-based resources they provide will guide my nursing practice and be a resource for future EBP education for my diabetic patients.

Reference

NCQA. (2022). Health Care Accreditation, Health Plan Accreditation Organization – NCQA – NCQA. NCQA. Retrieved 4 March 2022, from https://www.ncqa.org/.

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8 months ago

Jessica Manning

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Improving the quality of healthcare is something we should all be striving for at all times. Reading the information you gathered from NCQA was great, as I see that their goal is to improve the quality of healthcare. Their use of evidence based practice to ensure quality care is being provided, as well as the reimbursement given to medical providers who utilize best practice standards provided by EBP is a wonderful incentive for providers. “Supportive leaders obtain funding, provide resources, allow the time necessary for nurses to engage in EBP implementation, and reward those nurses who participate in evidence-based change projects in performance evaluations” (Kim et al., 2016). It is really wonderful that organizations are recognizing the importance of EBP and watching how they move forward with the information provided and put it into practice.

Kim, S. C., Stickler, J. F., Scoff, 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. doi:10.1111/wvn.12171

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8 months ago

Lisa Sabo

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8 months ago

Aeneas Osei

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Hello Lisa,

Great post and thanks for sharing. Evidence-based practice will help to improve patient outcomes, the quality of services, decreased medical costs, and support healthcare providers. This quadruple aim is an evolving diagram in which the success of one issue with help to improve another. This new four sphered head model aims at guiding health services research with an interdisciplinary real-time view that will assist in making the best patient care decisions (Satterfield et al., 2009). Making the right decisions for patients improves the quality of services, shortens the stay in the hospital, and provides a guideline for healthcare providers to follow. Most healthcare systems today utilize evidence-based practices to mirror their care for patients. For the sake of advancing care, it is time for practitioners to move on from traditional practices and phrases such as “we have always done it that way” to update policies with sound evidence (Melnyk & Fineout-Overholt, 2018).

References

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

Satterfield, J., Spring. B., Brownson, R. C., Mullen, E. J., Newhouse, R. P., Walker, B. B., &

Whitlock, E. P. (2009). Towards a Transdisciplinary Model of Evidence-Based Practice.

The Milbank Quarterly, 87(2), 368-390.

https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=edsovi&AN=edsovi.00005716.200906000.00003&site=eds-live&scope=site&custid=s6527200

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8 months ago

Kathleen Sease

RE: Discussion – Week 1 – Response #1

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Hi Lisa,

I enjoyed your post on WebMD. I have always told my patients, family, and friends how important it is to advocate for their health care. Education is the first step in the ability to do that. I am gratified to hear that the information on this popular website is a somewhat reliable source for those not in the health care industry to visit for evidence-based information. Significant health improvements can be accomplished by educating patients regarding their health conditions. In a clinical research study of patients with atrial fibrillation, the group presented with evidence-based education on their condition had 36% fewer re-hospitalizations in the following six months than those given no in-home education (Hendriks et al., 2019). I would like to see this education model used for patients with mental illness and other behavioral health conditions Discussion: Where in the World Is Evidence-Based Practice?. The use of EBP in patient care and education has the potential to increase positive outcomes and change the face of health care for both patients and providers

References

Hendriks, J. M., Brooks, A. G., Rowett, D., Moss, J. R., Gallagher, C., Nyfort-Hansen, K., Simmons, S., Middeldorp, M. E., Jones, T., Thomas, G., Lau, D. H., & Sanders, P. (2019). Home-based education and Learning Program for Atrial Fibrillation: Rationale and design of the help-AF study. Canadian Journal of Cardiology, 35(7), 846–854. https://doi.org/10.1016/j.cjca.2019.03.020

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8 months ago

Alicja Stryck

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8 months ago

Lisa Sabo

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Alicja Stryck

Thank you for commenting on my post. I am glad you were able to appreciate why I chose a site like WebMD. Most people will automatically look up their illness before going to their primary care office or emergency room. While I always prompt my patients to be an advocate for themselves and understand their medications, illness, or condition, it is important that they access evidence-based sites. The National Institutes of Health advises patients preparing for a doctor’s visit to make a list of concerns, and cautions patients against diagnosing their own condition (2021).

Lisa Sabo

References

U.S. Department of Health and Human Services. (2021, November 29). Talking with your doctor or Health Care Provider. National Institutes of Health. Retrieved March 6, 2022, from https://www.nih.gov/institutes-nih/nih-office-director/office-communications-public-liaison/clear-communication/talking-your-doctor

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8 months ago

ISATU JOHNSON

RE: Discussion – Week 1 response#2

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Hello Lisa

Great post,

For this discussion, the National Association of Orthopedic Nurses (NAON) will be analyzed. I chose the organization because I have been a member for the last five years. I have also worked as an orthopedic Nurse for the last seven years. The NAON is a non-profit organization run by volunteers. Its main aim is to enhance the careers of orthopedic nurses by promoting higher standards of nursing practice (National Association of Orthopedic Nurses, 2022). The organization has been educating its members on the current health practices, encouraging them to get involved in research, and encouraging effective communication between the members and groups with similar interests. The NAON has provided leadership in identifying gaps and providing opportunities for further training and education in the orthopedic nursing field (NAON, 2022). NAON addresses significant issues in clinical setting that have a direct effect on orthopedic nursing as well as orthopedic patients.

NAON has promoted evidence-based practices by supporting research in orthopedics. It is through research that the best evidence-based practices that are discovered and implemented. The organization’s mission statement is to advance the specialty of orthopedic nursing by promoting excellence in education, research, and nursing practice (NAON, 2022). The organization emphasizes its focus on EBP and applying it to improve patient care. The vision statement of NAON is to deliver value by providing relevant and timely information and research on musculoskeletal conditions (NAON 2022). From the vision statement, it is evident that NAON promotes EBP to assist their patients through use of relevant and timely information Discussion: Where in the World Is Evidence-Based Practice?.

The information is gathered using EBP and evaluated to ensure it promotes best practices. The organization’s value statement promotes a culture of collaboration and innovation among members. This helps the members in developing interest in musculoskeletal research and care. NAON has helped in the formation and implementation of new practices using evidence-based research. The organization has been founded on EBP as it promotes use of modern treatment options and adoption of modern nursing practices in orthopedics. The information I have found on NAON website has enlightened me on orthopedic care. In addition, it has made me know that NAON is an organization that promoted EBP for best care of patients and improvement of patient care.

References

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

Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomes. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188.

National Association of Orthopedic Nurses (2022). About NAON. http://www.orthonurse.o

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8 months ago

Maria Caridad Arnobit WALDEN INSTRUCTOR MANAGER

RE: Discussion – Week 1

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Hello Lisa,

You bring an excellent point on the comparisons of multiple websites. These websites present numerous research studies that will allow us to adapt effective interventions with proven results. The variety and multifaceted areas of nursing practice in healthcare will constantly challenge each organization to improve patient outcomes. Having resource websites such as you mentioned will genuinely guide the quest for answers and newer evidence. Great post!

Dr. Arnobit

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8 months ago

Angela Johnson

RE: Discussion – Week 1

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The Joint Commission on Accreditation of Health care Organizations

A commitment to evidence based practice is a required component of various accreditation processes. The goal is to ensure that 90% of clinical decisions are individualized yet supported by the most current, relevant, and best available evidence and effective tools are in place to measure outcomes. Standards are constantly evolving with input from healthcare providers, latest scientific literature, government agencies and consumers all with the goal of improving healthcare quality.

The Joint Commission on Accreditation of Healthcare Organizations is a non profit organization based in the United States that accredits over 20,000 healthcare organizations and programs in the country. It consists of a 21 member Board of Commissioners that include healthcare providers, educators and advocates. The goal is to continuously improve healthcare for the public by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.

The Joint Commission National Patient Safety Goals and accreditation standards include expectations that care interventions are evidence based. (Wyant, 2017)

What is JCAHO? Retrieved from www.healthcare-mangement-degree.net

www.jointcommission.org

Wyatt, T., (2017). Strengthen a Commitment to Practice Change Through Evidence Based Practice. Ons Voice.

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8 months ago

Shanaa Wheeler-Yard

RE: Discussion – Week 1

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Good post Angela thank you for sharing,

The Joint Commission website highlights the organization’s commitment to patient safety. Speaking to healthcare provider collaborations, the Joint Commission analyses patient safety issues using evidenced based methods for resolve (Search, 2022). Evidence based practice incorporates researched best practice methods into patientcare practices to promote positive patient outcomes (Crabtree et al., 2016). Joint Commission sets a standard for patient centered safe 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. https://doi.org/10.1111/wvn.12126

Jointcommission.org. 2022. Search. [online] Available at: <https://www.jointcommission.org/search/#q=evidence%20based%20practice&t=_Tab_All&sort=relevancy&f:_SitesOrganizations=[The%20Joint%20Commission]> [Accessed 3 March 2022].

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8 months ago

PATRICK IGBOKWE

RE: Discussion – Week 1

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Hello Angela,

I agree with you on the role of The Joint Commission (TJC). The role of TJC in ensuring that hospitals maintain the highest standard and a safe environment of care is an invaluable contribution to the goal of consistently achieving safe care for patients in all hospitals in the United States. The consistent efforts of some of the hospitals I have worked to maintain TJC standards highlight the commission’s important role in ensuring evidence-based practice through its unbiased assessment of hospital practices’ level of compliance to quality and safe care (The Joint Commission, 2022). The role of independent accreditation programs such as TJC is to help hospitals and health departments to improve health practices, enhance transparency and responsibility and ensure an improved utilization of evidence-based practice for the safe and enhanced care of the patient (CDC, 2021)

However, it still baffles me why the commission informs the hospital of their intending visits, which allows the hospitals to fix their lapses and present an environment that always implies compliance. Sometimes I wonder if a random vibist by the commission would not achieve a better outcome by ensuring hospitals always maintain the approved standard, not sure when the commission would visit

References

CDC. (2021). CDC – Benefits and Impacts of Accreditation – Health Department Accreditation – STLT Gateway. Cdc.gov. Retrieved 4 March 2022, from https://www.cdc.gov/publichealthgateway/accreditation/benefits.html.

The Joint Commission. (2022). Why The Joint Commission. Jointcommission.org. Retrieved 4 March 2022, from https://www.jointcommission.org/accreditation-and-certification/why-the-joint-commission/.

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8 months ago

Wania Imran

RE: Discussion – Week 1

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Response

Hi Angela. By reviewing the website for The Joint Commission I understand its goal is to have patients experience the safest, best quality, and highest value health care across all settings (The Joint Commission, n.d.). They want to set a standard for all healthcare facilities so patient outcomes aren’t affected. Quality and consistency are essential in healthcare facilities. Research has shown that EBP “leads to higher quality care, improved patient outcomes, reduced costs, and greater nurse satisfaction than traditional approaches to care” (Melnyk et. al., 2010). These outcomes align with The Joint Commission’s goals.

Reference:

The Joint Commission. (n.d.). About Us. Retrieved March 3, 2022, from https://www.jointcommission.org/about-us/

Melnyk, B.M., Fineout-Overhold, 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.

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8 months ago

Jolly Murithi

RE: Discussion – Week 1

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Response 2

Great post Angela!

I concur with your statement as the Joint Commission provides patient safety by ensuring standards that are based on objective evaluation process that help health care organizations measure, assess, and improve performance by focusing on patient, individual, or resident through ensuring organization functions that are essential in providing safe, high quality of care (The Joint Commission n.d.).These are paramount to ensuring safe patient outcomes of care. Evidence-based practice (EBP) can be considered as categorical, conscientious approach towards patient holistic health through use of current and most appropriate clinical literature available that is tailored to fit the patients specific health conditions and requirements ( Samonte & Vallente 2020). Not only do joint Commission emphasize on EBP, its also important to note that the institute of medicine recommends that 90% of clinical decisions should be evidence based with both institute of medicine and American association of critical care nurses having identified EBP as a core competency for practice (Orta, et al 2016).

The Joint Commission. Standards. https://www. jointcommision.org/standards/

Samonte, P.R., & Vallente, R. U. (2020). Evidence-based practice (EBP). Salem Press Encyclopedia

Orta, R., Messmer, P. R., Valdes, G. R., Turkel, M., Fields, S. D., & Wei, C. C. (2016). Knowledge and competency of nursing faculty regarding evidence-based practice. The Journal of Continuing Education in Nursing. 47(9), 409-419. https://doi.org/10.3928/00220124-20160817-08

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8 months ago

Brenda Reese

RE: Discussion – Week 1

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Hi Angela,

As your discussion post stated, the Joint Commission is the leader for health care accreditation. EBP is identified in the patient safety component of The Joint Commission website, as stated: “together with providers, we constantly study emerging patient safety issues and roll out evidence-based methods to solve them” (2021). Joint Commission accreditation does not begin and end with the onsite survey, its a continuous process. The Joint Commission’s emphasis on clinical practice guidelines helps hospitals establish a consistent approach to care and reduce errors. (2017)

References:

The Joint Commission. (2021, September 26). Why the Joint Commission. The Joint Commission. Retrieved March 1, 2022, from https://www.jointcommission.org/accreditation-and-certification/why-the-joint- commission/

Wolters Kluwer. (2017, April 14). Benefits of Joint Commission accreditation. Benefits of Joint Commission accreditation. Retrieved March 6, 2022, from https://www.wolterskluwer.com/en/expert-insights/benefits-of-joint-commission-accreditation#:~:text=Joint%20Commission%20certification%20improves%20the%20quality%20of%20patient,approach%20to%20care%2C%20reducing%20the%20risk%20of%20error.

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8 months ago

Jessica Manning

RE: Discussion – Week 1

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Hey Angela!

JCAHO is the same organization that I chose as well! I enjoyed reading your post and how you stated all of the components that are a part of their organization and how their goal is to continuously improve healthcare. “Best practice only occurs when staff continually ask questions about treatment and care, have the resources and skills necessary to search for and appraise research evidence, implement the evidence in practice, and evaluate its effectiveness” (Crabtree, Brennan, Davis & Coyle, 2016). I think JCAHO’s presence in the healthcare community is very strong and one that is helping us institute best practices and quality care for our patients.

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. Doi:10.111/wvn.12126

Joint Commission Center For Improving Healthcare. The Joint Commission. (n.d.). Retrieved March 5, 2022, from https://www.jointcommission.org/accreditation-and-certification/health-care-settings/hospital/excel/improvement-resources/

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8 months ago

Sara Wilbur

RE: Discussion – Week 1

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Evidence based practice was introduced and became a widely implemented part of nursing. EBP help us as professionals to not just guess on how to properly care for the community, but to use backed data and research to help show us what really works. EBP is the integration of the best research, clinical expertise, patient preference, and values, with a problem-solving approach (Melnyk & Fineout-Overholt, (2017). This helps us to increase positive outcomes with our patients and to promote overall wellness. According to Kim et al (2016) ” The staff nurse is critical link in bringing evidence-based changes into clinical practice.” Without nursing staff keeping accurate data and charting we would not be able to have the positive outcomes. We rely on nurses to collect information, make clinical judgments, and to also implement the new information supported by the EBP. This takes flexible staff, communication, and a good knowledge base of overall holistic care.

As a school nurse I have been using the website for the local Sandusky County Health Department more recently due to Covid. This website does participate in using the newest up to date information available and making changes. While Covid made our world ever changing, EBP being completed in the background has helped us as professionals with following the best information possible. Sandusky County Health Department website stayed up to date with information and followed the guidelines set forth after every change was adapted. The website kept this information current so we could make accommodations. The changes came in so quickly that it was difficult to keep up with this flow of information. Reading journal articles and checking government website for rules and regulations has now become more integrated in my current practice.

According to Crabtree et al (2016) “Althought EBP is considered to be the gold standard in nursing practice, the actual implementation of EBP has been inconsistent due to barriers related to nursing workload, lack of organizational support, lack of EBP knowledge and skills, and poor attitudes towards EBP”. Due to staff being so bombarded with new information and influx in patients it can be difficult to make research a priority. This is all the more reason to be an person who researches and does the best possible practice. Not everyone maybe informed or completing task properly, we should all have a team that helps to promote EBP and be able to implement this in a timely fashion at our own facilities.

Crabtree, E., Brenan, 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. Doi:10.1111/wvn.12126

Kim, S.C., 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. Doi: 120.111/wvn.12171

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

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8 months ago

Lisa Sabo

RE: Discussion – Week 1 – 1st Response

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Sara Wilbur – 6052 Week 1 Discussion 1st Response

First how impressive that you are a school nurse! I did school nurse as a per diem up until starting my MSN and I enjoyed all the schools and met great teachers! Indeed, it was extremely hard when Covid-19 hit.

I visited the Sandusky County Health Department site and because of Covid-19 I bet you were on that county health site every day. The pandemic had all health care professionals examining every aspect of health care and how to continue to provide services with such a lethal virus in our world. I see that their website is current and offers ten essential health services: assessing population health, investigating health problems and hazards, communicate with the public, make partnerships to improve health, mandate legal and regulatory actions, provide equitable access, support a diverse and skilled workforce, research, and quality improvement, and maintain a strong infrastructure for public health (SC Public Health, n.d.). The Sandusky County Health Department is accredited by a public health accreditation board (SC Public Health, n.d.) and this provides assurance that this organization has met certain standards in public health. I also see that Sandusky County Health Department offers a wealth of community health services such as a naloxone program and emergency preparedness. The health department also offers environmental health services like rabies vaccinations and food inspections. Melnyk & Fineout-Overholt (2019) states that the most important reason for implementing EBP is that it provides the highest quality of care and best outcomes and after reviewing the Sandusky County Health Department site, I know it is grounded in EBP.

References

Accreditation. SC Public Health. (n.d.). Retrieved March 1, 2022, from https://www.scpublichealth.com/accreditation

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Public health nursing. SC Public Health. (n.d.). Retrieved March 1, 2022, from https://www.scpublichealth.com/publichealth

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7 months ago

Maria Caridad Arnobit WALDEN INSTRUCTOR MANAGER

RE: Discussion – Week 1

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Hello Sara,

Great discussion post. What is the official website for Sandusky County Health Department? What is there mission, vision, goals. You did mention that you have integrated in your practice some rules and regulations contained in their website, can you give us a particular example?

Dr. Arnobit

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8 months ago

Heidi Lauinger

RE: Discussion – Week 1

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Heidi Lauinger

NURS 5052

Week 1 Discussion

Initial Post

The use of current research data in combination with decision-making about patient care is considered Evidence-Based Practice, or EBP (Melnyk & Fineout-Overholt, 2017 p.8). EBP is the integration of the best research, clinical expertise, patient preference, and values, with a problem-solving approach (Melnyk & Fineout-Overholt, 2017 p.8). EBP moves nursing research to the bedside (Laureate Education, 2018). Nursing care is evolving from using traditional practice models to models based on evidence and data. This improves best practices in nursing (Laureate Education, 2018).

Providence is a healthcare organization that serves the four west coast states, including Alaska and Montana (Providence Healthcare, n.d.). They have many affiliates, one of which is my most recent place of employment, Swedish Health Services (Providence Healthcare, n.d.). The merger of Swedish and Providence in 2018 was troubling from the standpoint of the nursing staff at Swedish. Swedish was required to change elements of the current charting system and staffing matrix. Within months, nursing satisfaction diminished due to the excessive increase in charting requirements, paired with a decrease in staffing. Since the merger, there has been a mass exodus from the unit that I worked on, retaining less than 50 percent of the staff by the end of 2021. My dissatisfaction with Providence is what led me to look into the organization to see if my perspective of the organization might change.

The mission of Providence states that, “As expression of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable” (Providence Healthcare, n.d.). Their core values include compassion, dignity, justice, excellence, and integrity (Providence Healthcare, n.d.). I was unable to find mention of evidence-based practice as I poured over Providence’s website, so I searched further. In the Providence strategic plan for 2019 to 2026, there is a section that discusses how an individual can learn, grow, imagine, and bring forward new ideas (Providence Healthcare Strategic Plan, n.d.). It discusses how transformation can occur in individuals and their practice when there is an opportunity to put forth new ideas and potential changes (Providence Healthcare Strategic Plan, n.d.). Providence would like to become the “go-to place to prototype new ideas, incubate novel concepts, and test creative theory” (Providence Healthcare Strategic Plan, n.d.). Though this is not full use of EBP, it does utilize some components when allowing staff to put forth new ideas along with testing theory.

As an organization, Providence’s focus on reaching the most vulnerable and underprivileged is admirable. Providence has a long history of providing charitable care going back to the late 1800s as a Catholic and faith-based organization (Providence Healthcare, n.d.). I do not see direct evidence of the use of EBP and I could not reasonably state that the organization’s work is grounded in it. Based on my research, the information I discovered on Providence’s website has not changed my perception of the organization. I was hoping to see more information about the quality of care in relation to nursing, staff, and patient satisfaction. I do also realize that I came into this assignment with a biased outlook which does affect my perceptions.

References

Laureate Education (Producer). (2018). Introduction to Evidence-Based Practice and Research [Video

file]. Baltimore, MD: Author.

Melnyk, B. M. & Fineout-Overholt, E. (2017). Evidence-based practice in nursing & healthcare: A guide to

best practice (4^th ed.). Philadelphia, PA: Wolters Kluwer. p. 8.

Providence Healthcare (n.d.) Our Mission. Retrieved February 27, 2022, from

https://www.providence.org/about/our-mission

Providence Healthcare Strategic Plan (n.d.). Providence Healthcare. Retrieved February 27, 2022, from

https://www.missionforward.ca/wp-content/uploads/2019/09/STRAT-PLAN-book-FULL-s.pdf

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8 months ago

Sara Wilbur

RE: Discussion – Week 1

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I am sorry to hear that the company you are working for is not looking out for the best interest of it’s patients or staff. I feel that most companies have this goal in mind but is sometimes overshadowed by business ideals instead of medical concepts of what is best. According to Kim et al (2016) ” Although EBP is considered to be the gold standard in nursing practice, the actual implementation of EBP has been inconsistent due to barriers related to nursing workload, lack of organizational support, lack of EBP knowledge and skills, and poor attitudes towards EBP. Sufficient training and taking time getting people used to the new programs is more beneficial in keeping staff happy and in their position. If you think about it, the company did not realize it would lose 50 percent of staff with a merger just because they had work load increase due to system changes; it more than likely ended up costing them more money in hiring new staff and training in the long run. The company would have been more prosperous and benefiting everyone involved if they just completed the task properly and giving people time to learn the changes. According to Melnyk & Fineout-Overholt (2018) “The value of our work is measure by the impact is has on advancing best practice in health care and how it helps point-of-care providers and educator make a difference in patients and students’ lives and health experiences”. According to Kim et al (2016) ” An organizational culture that emphasizes making clinical decisions based on evidence is critical for improving and sustaining safe and high quality patient care”. Some of the nurses could have organized a meeting to have with the bosses and stated they the need to slow down the merging process was in the best interest of the company, bring forth new ideas is difficult but something we must do to preserve our growth in future.

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

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8 months ago

Heidi Lauinger

RE: Discussion – Week 1

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Thank you for the feedback Sara! You are spot on.

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8 months ago

UCHE OCHIA

RE: Discussion – Week 1

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Hi Heidi,

I enjoyed reading your informative post, which piqued my curiosity, and I wanted to learn more about how Providence organizations integrate EBP. Some Providence Health services have been designated as Magnet Hospitals, including Providence Alaska Medical Center. The Providence Alaska Medical Center website stated that nurses at Providence Hospital Alaska Medical Center strive to strengthen our culture of excellence and follow the Sisters of Providence’s purpose. Nurses participate in shared governance to analyze and apply evidence to improve our processes and to improve patient outcomes. I am a little surprised that Providence is not grounded in EBP, especially the Providence St. Patrick Practice Model, which noted that by implementing evidence-based practice and research breakthroughs into their profession; they could provide high-quality, efficient therapy that improves patient outcomes (Providence, 2022).

However, I agree with your assessment of the organization’s basic values and mission statement, which resonate well with many people. And they are very much committed to helping the most vulnerable and disadvantaged communities due to their long history of generosity, as you stated. The EBP’s nature must be expressed, including efficiency, task relevancy, and high status, which are all factors that influence the implementation of EBP. For example, the EBP issues are seen as relatively basic by consumers. They are more easily embraced than any other items perceived to be more difficult. Implementation of elementary EBP subjects is aided by using a quick reference guide. Therefore, nurses must evaluate/apply evidence to their work and how EBP will help to facilitate their work for the benefit of their patients.

Thank you for sharing!

References

Providence Alaska Medical Center (2022). Nursing Excellence. Retrieved on March 3, 2022, fromhttps://www.providence.org/locations/ak/alaska-medical-center/nursing-excellence/pamc-magnet-journey

Providence St. Patrick Practice Model (2022). Retrieved on March 3, 2022, from https://www.providence.org/locations/mt/st-patrick-hospital/health-care-professionals/nurses/practice-models

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8 months ago

Heidi Lauinger

RE: Discussion – Week 1

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Thank you for your response! I had not seen the information about the Magnet hospitals so that is good information.

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8 months ago

Angela Johnson

RE: Discussion – Week 1

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Hi Heidi,

Thank you Heidi for your post! I was inspired to look up the mission statement for the organization I work for.

Prime healthcare’s mission statement: To deliver compassionate, quality care to patients and better healthcare to communities. The website states they promise to provide compassionate care and clinical excellence to all patients as they create hospitals that improve healthcare in every community they serve. Values are mentioned, which include quality, compassion, community and physician led.

There is nothing related to EBP which concerns me. I hate to say that I am not surprised. I hope one day the organization decides to incorporate EBP into their decisions and operations. EBP is the integration of clinical expertise and evidence.

Mission, Vision and Values: Prime Healthcare. https://www.primehealthcare.com

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8 months ago

Heidi Lauinger

RE: Discussion – Week 1

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Hopefully in the near future your organization will make a change. Maybe you will be a voice that leads them in that direction!

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8 months ago

Erica Elliott

RE: Discussion – Week 1

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The American Association on Health and Disability (AAHD) is an organization headquartered in Rockville, MD that seeks to ensure “health equity for children and adults with disabilities through policy, research, education, and dissemination”(The American Association on Health and Disability, 2022). This organization drew my attention first because it used the word research in its “About Us” description and that is a close link to the creation of evidence-based practice (EBP). Our lesson this week points to EBP as a vehicle for optimization of healthcare performance which is in line with the goals of the selected organization AAHD (Walden University, LLC, 2018). The AAHD’s commitment to research and dissemination weighs strongly in EBP. In this same vein, EBP helps to create solutions to clinical problems thus creating environments for the best care possible at the bedside (Walden University, LLC., 2018).

In the nursing field, many patients will have pre-existing conditions that classify as disabilities. More importantly, mobility and the lack of it, is one of the leading causes of health care complications for admitted patients. The research and EBP presented on the AAHD’s website proves beneficial to the nursing practice. For example, the AAHD has an article about increased blot clot formation in persons with mobility issues. The article goes on to present evidence-based considerations for diagnosis, prevention, and treatment. I am glad that I found this organization’s website because it adds yet another resource to my arsenal and in my journey to providing the best care possible for my patients.

References

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

The American Association on Health and Disability. (2022). Main page. https://aahd.us

Walden University, LLC. (producer). (2018). Evidence-based practice and the quadruple aim [Video file]. Baltimore, MD: Author.

Walden University, LLC. (Producer). (2018). Introduction to evidence-based practice and research [Video file]. Baltimore, MD: Author.

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8 months ago

Alex Townsend

RE: Discussion – Week 1

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Reply #2

Hey Erica:

I really enjoyed your post. I was unaware The American Association on Health and Disability (AAHD) even existed. The AAHD is a great resource for patients and their families who suffer from disabilities. “AAHD is dedicated to ensuring health equity for children and adults with disabilities through policy, research, education, and dissemination at the federal, state and community level. AAHD strives to advance health promotion and wellness initiatives for people with disabilities. AAHD’s goal are to reduce health disparities between people with disabilities and the general population, and to support full community inclusion and accessibility. AAHD is governed by an esteemed group of board members representing people with disabilities, disability researchers, disability advocates, health care and public health professionals” (American Association on Health and Disability [AAHD], 2022).

I also found it very interesting to understand the story behind AAHD. The Institute of Medicine received a grant from the CDC that increased public awareness for the need to help those with disabilities. The AAHD website also provides updates on current issues and research on common forms of disabilities. To date, traumatic brain injuries (TBI) was the topic of tweets to promote increased research. From working in trauma ICU, TBI’s were unfortunate very common.

Even though I have never assessed this website prior to your post, my opinion on the AAHD is just as high as I am sure the rest of society believes. It doesn’t dwell on the negative aspects of disabilities but the positive outcomes and resources available. The journals that are offered with membership are peer reviewed with evidenced based subsets. Evidenced based practices continue to change the nursing profession as the times change. “When evidence is used to define best practices rather than to support existing practices, nursing care keeps pace with the latest technological advances and takes advantage of new knowledge developments” (Youngblut & Brooten, 2001, p. 468).

References

American Association on Health and Disability. (2022). About AAHD [American Association on Health and Disability]. https://aahd.us/about/

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

Youngblut, J. M., & Brooten, D. (2001). Evidence-based nursing practice: Why is it important? AACN Clinical Issues: Advanced Practice in Acute and Critical Care, 12(4), 468–476. https://doi.org/10.1097/00044067-200111000-00003

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8 months ago

Jolly Murithi

RE: Discussion – Week 1

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Evidence Based Practice (EBP) improves health care quality, reliability, and patient outcome as well as reduce variations in care cost. Adoption of EBP competencies for nurses can help the institutions they work for achieve high value, low-cost evidence-based care. To implement EBP consistently, there is need to cultivate the spirit of inquiry, ask clinical questions, search for the best evidence, appraise the evidence, implement evidence, evaluate outcome then share results (Melnyk, 2010). As health disparities increase and trends in health care are changing globally, the need to adapt to the ever-changing needs of healthcare recipients is crucial. Patient are looking for care that is based on scientific evidence and not tradition. EBP is on ongoing problem-solving approach that considers external scientific evidence, clinician expertise, and the patient’s perspective (Melnyk, et al. 2014).

I have chosen the Substance Abuse and Mental Health Services Administration (SAMHSA) as an agency that has adopted ABP in their approach to care. SAMHSA is and agency based within the Department of Health and Human Services here in the United States and it aims at leading in the public health efforts to advance the behavioral health of the nation through its mission to reduce substance abuse and mental health impacts on communities (SAMSHA, n.d.). SAMSHA offers EBP resource center that aims at being dynamic and responsive to changing science and evidence. It provides leadership and resources to communities, clinicians, and policy makers with an aim of improving health of individuals, communities and public. SASHA work is based on EBP as its comprehensive approach to its identity and disseminate clinically sound and scientifically based programs, policies, and practices (SAMSHA, n.d). The agency is also rich with great articles and manuals that offer the best practices on collaborative treatments, guides, fact sheets, data reports on treatment, and prevention of mental illness and substance abuse, and recovery.

References

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B. & Williamson, K. (2010). Evidence-Bases Practice: Step by Step: The Seven Steps of Evidence-Based Practice. AJN, American Journal of Nursing, 110(1), 51-53. Doi: 10.1097/01.NAJ.0000366056.06605.d2

Substance Abuse and Mental Health services administration (SAMSHA). (n.d).About us. https://www.samhsa.gov/about-us

Substance Abuse and Mental Health Services Administration (SAMSHA). (n.d). About the Evidence-Based Practices resource Center. https://www.samhsa.gov/ebp-resource-center/about

Melnyk, B. M., Gallegher-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. https://doi.org/10.1111/wvn.12021

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8 months ago

Melissa Casadonti

RE: Discussion – Week 1

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Hello Jolly,

I thoroughly enjoyed your post regarding SAMSHA. Honestly, I did not even realize they existed. I am a strong believer that we need more facilities, and

more research when it comes to mental health. In recent years, mental health has reached a crisis level. Of course, Covid-19 has undoubtedly affected

this. Mental health is it’s own section in healthcare that requires it’s own clinicians and research teams to make sure everyone stays up to date on all

current practices and new ones being studied. Without SAMSHA, mental health wouldn’t have the resources it currently has. It would make sense that

SAMSHA would have its own evidence-based research team within their organization.

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

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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8 months ago

Kathleen Sease

RE: Discussion – Week 1

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HI Jolly,

Great post! I really appreciate the SAMSHA website. I have used the information found there for patient education and advocacy. The psychiatric unit where I work has stumbled as far as quality of care in the last several years due to a change in leadership resulting in the loss of many of our providers and seasoned staff. In this work environment, I have found it imperative to become my own knowledge worker, and SAMSHA has been one of my go to sources. I have been able to advocate for my patient’s safety and quality of care by disseminating the information and research publications found on the SAMSHA website (Disch, 2014) . Use of evidence-based practices significantly increases positive outcomes, and I believe it is my responsibility to ensure this happens for the patients we care for to the best of my ability (Walker et al., 2015). This website has been a valuable tool in reaching that goal.

References

Disch, J. (2014). Using evidence-based advocacy to improve the nation’s health. Nurse Leader, 12(4), 28–31. https://doi.org/10.1016/j.mnl.2014.05.003

Walker, D. K., Barton-Burke, M., Saria, M. G., Gosselin, T., Ireland, A., Norton, V., & Newton, S. (2015). Everyday advocates. AJN, American Journal of Nursing, 115(8), 66–70. https://doi.org/10.1097/01.naj.0000470409.04919.0f

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8 months ago

Aeneas Osei

RE: Discussion – Week 1- Response 2

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Hello Jolly,

Thank you for the terrific post; after reviewing the substance Abuse and Mental Health Services Administration (SAMSHA) website, there are several areas that evidence-based practice (EBP) can be found. Including the vision and mission statements “To provide leadership and resources – programs, policies, information and data, funding, and personnel – advance mental and substance use disorder prevention, treatment, and recovery services to improve individual, community, and public health. To reduce the impact of substance misuse and mental illness on America’s communities.” (SAMSHA, n.d.). These statements address the quadruple aim “improving the experience of care, improving the health of populations, reducing per capita costs of health care, and improve the work-life of health care providers” (Boller, J. 2017). The SAMSHA also has a tab for evidence-based practice articles and education for providers and visitors. This organization has a wealth of information that I find useful working in mental health, and I will use it in the future for patient education.

References

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

Substance Abuse and Mental Health Services Administration (SAMSHA). (n.d.). Who are we?

Retrieved from https://www.samhsa.gov/about-us/who-we-are

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8 months ago

Lisa Sabo

RE: Discussion – Week 1 – 2nd Response

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Jolly Murithi – Discussion Week 1 – 2^nd Response

Jolly,

I think it is that spirit of inquiry that makes nursing such an interesting profession. It is important that all health professionals ask those burning clinical PICOT (patient population, intervention or issue, comparison intervention, outcome and time frame) questions to evaluate their current practices (Melnyk & Fineout-Overhold, 2019). I agree with you Jolly that EBP competencies do help to provide quality, low-cost care. I do also agree with Melnyk & Fineout-Overhold (2019) that there must be administrative support and a leadership culture that values what nurses are evaluating and trying to change.

I frequently use the Substance Abuse and Mental Health Services Administration (SAMHSA) site for educational purposes. The mission of SAMHSA is to reduce the impact of mental health in America (SAMHSA, n.d.). Through its many programs, SAMHSA (n.d.) is tasked with coordinating responses to substance use disorders of tribal/Native peoples, older adults, children, and the workforce. SAMHSA ensures that all populations have equal access to prevention, treatment, and recovery services (SAMHSA, n.d.). I like that SAMHSA must ensure all populations receive help.

References

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in Nursing & Healthcare: A guide to best practice. Wolters Kluwers.

Programs. SAMHSA. (n.d.). Retrieved March 4, 2022, from https://www.samhsa.gov/programs

Who we are. SAMHSA. (n.d.). Retrieved March 4, 2022, from https://www.samhsa.gov/about-us/who-we-are

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8 months ago

Alicja Stryck

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Jolly-

I appreciated your choice of evaluating the Substance Abuse and Mental Health Services (SAMHSA) for their use of EBP. According to the United States Department of Health and Human Services (HHS) (2022), SAMHSA is a program within the HHS which “reduces barriers to high quality, effective programs and services” for people with substance abuse disorders including their families and communities. According to the HHS (2022), their operating divisions conduct research to protect and serve Americans. The HHS is a trusted source for information as it is a government source. I would recommend anyone struggling with substance abuse to turn to this site for resources. I believe that the SAMHSA site can help population health reach the “quadruple aim” of improving health and enhancing the patient experience by giving patients the resources they need (Walden University, 2018). Lowering healthcare costs and improving the work-life of healthcare providers are other goals within the quadruple aim, which can be satisfied when patients with substance abuse (SA) disorders are well taken care of, preventing adverse effects that substance abuse can cause, and decreasing hospitalizations (Walden University, 2018). To conclude, SAMHSA is a great evidence-based resource that can be given to patients with SA disorders.

References:

United States Department of Health and Human Services. (2022). HHS agencies & offices.

https://www.hhs.gov/about/agencies/hhs-agencies-and-offices/index.html

Walden University, LLC. (Producer). (2018). Evidence-based Practice and the quadruple aim. [Video file]. Baltimore, MN: Author.

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8 months ago

Nimota Raji

RE: Discussion – Week 1

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Hi Jolly,

Your discussion on the Substance Abuse and Mental Health Services Administration (SAMSHA) has introduced me to the organization. Going through their home page revealed the extensive work they have done and are still doing to help those with substance abuse and mental health problems. SAMSHA has a program called the Evidence-based Practices (EBP) Resource Center with the aim to provide communities, clinicians, policymakers, and others in the field with information and tools needed to incorporate evidence-based practices into their communities or clinical settings. The site also revealed that they have been publishing peer-reviewed journals to reveal different new scientific findings on suicide prevention, mental health and also provides direct clinical support to mental institutions. Melnyk et al, (2014) research has shown the impact EBP has made on healthcare delivery, outcomes, and financial effectiveness when incorporated into clinical settings and care models (p.5). SAMSHA has been delivering evidence-based research to the end-users for the benefit of the patients, communities, and the public.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Making a case for evidence-based practice and cultivating a spirit of inquiry. In Evidence-based practice in Nursing & Healthcare: A guide to best practice (pp. 14–15). essay, Wolters Kluwer Health

Substance Abuse and Mental Health Services Administration (SAMSHA). (n.d). About the Evidence-Based Practices resource Center. https://www.samhsa.gov/ebp-resource-center/about

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8 months ago

Heidi Lauinger

RE: Discussion – Week 1

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Heidi Lauinger

NURS 5052

Discussion Response

Response Jolly Murithi

Jolly, I enjoyed reading your discussion post about SAMSHA, the Substance Abuse and Mental Health Services Administration. You made many good points about their use of evidence-based practice. Agencies like SAMSHA are vital in combating the growing substance and opioid abuse crisis in America. SAMSHA is part of the U.S. Department of Health and Human Services (HHS), leading the effort of improving the mental health of Americans with mental conditions as well as their families (SAMHSA, n.d.b.) The organization is critical as the substance and opioid abuse crisis has worsened during the pandemic. Prior to the pandemic, in 2019, the CDC reported an average of 136 individuals dying from an opioid overdose every day in America (Center for Disease Control, n.d.). We can expect that the reports from 2020 and 2021 will be much worse. Two years of isolation for those struggling with substance abuse can be quite detrimental. Colleagues have informed me that isolation is one of the leading causes of relapse in those struggling with addiction.

EBP in mental health has been shown to improve quality of life. Through evidence-based resources, clinicians have seen improved results through involving peer and family help in treatment (Lesser, B., 2021). This is in combination with resources that focus on improving quality of life and individual accountability for patients (Lesser, B., 2021). The Evidence-based recovery approach is inclusive of all aspects of the patient’s life, not just the addiction alone (Lesser, B., 2021). SAMHSA, as you mentioned, has launched a resource center solely focused on EBP in mental health. They have seen improved outcomes by utilizing the most current evidence in their recommendations (SAMHSA, n.d.a). For example, SAMSHA provides information about the use of medication-assisted treatment (MAT) along with therapies that provide a “whole-patient” approach (SAMHSA, n.d.a.). EBP has shown that this approach has been more successful in sustaining recovery in patients (SAMHSA, n.d.a.). SAMSHA is doing a great service to those suffering from substance abuse as well as mental disorders.

References

Center for Disease Control. (n.d.). Combatting the opioid overdose epidemic.

https://www.cdc.gov/drugoverdose/epidemic/index.html

Lesser, B. (2021). The evidence-based treatment practices (EBP). Retrieved March 2, 2022 from

https://dualdiagnosis.org/treatment-therapies-for-dual-diagnosis-patients/evidence-based- treatments-practices/

Substance Abuse and Mental Health Services Administration. (n.d.a.) Medication-assisted treatment

(MAT). U.S. Department of Health and Human Services. https://www.samhsa.gov/medication- assisted-treatment

Substance Abuse and Mental Health Services Administration. (n.d.b). SAMHSA launches Evidence-based

practices resource center to equip clinicians, strengthen communities. U.S. Department of Health and Human Services. https://www.samhsa.gov/newsroom/press-announcement/201804050230

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