WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

NURS6052N Essent of Evidence-Based Pract

Module 1: Discussion

 

 WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

 

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

 

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

 

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

 

RESOURCES

 

Be sure to review the Learning Resources before completing this activity.

 

Click the weekly resources link to access the resources.

 

WEEKLY RESOURCES

 

To Prepare:

 

Review the Resources and reflect on the definition and goal of EBP.

 

Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).

 

Explore the website to determine where and to what extent EBP is evident.

 

BY DAY 3 OF WEEK 1

 

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

 

BY DAY 6 OF WEEK 1

 

Respond to at least two of your colleagues on two different days by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

 

 

 

NURS6052N Essent of Evidence-Based Pract

 

Module 3 Discussion

 

SEARCHING DATABASES

 

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.

 

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

 

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

 

RESOURCES

 

Be sure to review the Learning Resources before completing this activity.

 

Click the weekly resources link to access the resources.

 

WEEKLY RESOURCES

 

 To Prepare:

 

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

 

Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.

 

Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.

 

Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.

 

*Library tip:

 

Walden Library recommends starting your search broadly with one concept or search word and adding more elements one at a time. Depending on your topic, the evidence will not necessarily address all the aspects of your PICO(T) question in one article. Select the most important concepts to search and find the best evidence available, even if that means assembling evidence from multiple articles.

 

Nursing Research PageLinks to an external site. – databases and resources specifically for Nursing

 

Evidence-Based Practice guide: Evidence TypesLinks to an external site.

 

Nursing and Health research videosLinks to an external site., including a 15-minute introduction

 

Get HelpLinks to an external site. page, including Ask a LibrarianLinks to an external site. service

 

Quick Answers:

 

How do I find an article that reports on research that uses a specific methodology?Links to an external site.

 

How do I find original or primary research that analyzes empirical data?Links to an external site.

 

What is the Find at Walden button?Links to an external site.

 

BY DAY 3 OF WEEK 4

 

Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.

 

BY DAY 6 OF WEEK 4

 

Respond to at least two of your colleagues on two different days and provide further suggestions on how their database search might be improv

 

 

 

NURS6052N Essent of Evidence-Based Pract

 

Module 5 Discussion

 

DEVELOPING A CULTURE OF EVIDENCE-BASED PRACTICE

 

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

 

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

 

RESOURCES

 

Be sure to review the Learning Resources before completing this activity.

 

Click the weekly resources link to access the resources.

 

WEEKLY RESOURCES

 

To Prepare:

 

Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

 

This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

 

Reflect on which type of dissemination strategy you might use to communicate EBP.

 

BY DAY 3 OF WEEK 9

 

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

 

BY DAY 6 OF WEEK 9

 

Respond to at least two of your colleagues on two different days by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.

 

 

 

NURS6052N Essent of Evidence-Based Pract

 

Module 6 Discussion

 

 PATIENT PREFERENCES AND DECISION MAKING

 

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

 

What has your experience been with patient involvement in treatment or healthcare decisions?

 

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

 

RESOURCES

 

Be sure to review the Learning Resources before completing this activity.

 

Click the weekly resources link to access the resources.

 

WEEKLY RESOURCES

 

To Prepare:

 

Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.

 

Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/Links to an external site..

 

Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

 

After you have chosen a topic (or condition) and a decision aid, consider if social determinants of healthLinks to an external site. were considered in the treatment plan Social determinants of health can affect a patient’s decision as these are conditions in the patient’s environment, such as economic stability, education access, health care access and quality, neighborhood, and social and community context.

 

NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

 

BY DAY 3 OF WEEK 11

 

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences, social determinants of healthLinks to an external site., and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences, social determinants of health, and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

 

(Please Note: The underlined “social determinants of health” in the above content is meant to hotlink to the following Walden webpage and content:

 

Social Determinants of Health – Social Determinants of Health – Academic Guides at Walden Links to an external site.University)

 

Respond to at least two of your colleagues on two different days and offer alternative views on the impact of patient preferences on treatment plans or outcomes, or the potential impact of patient decision aids on situations like the one shared.

WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

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