Posts

Florence Nightingale: A Pioneer in Evidence-Based Practice

/in /by

Florence Nightingale: A Pioneer in Evidence-Based Practice

Outline:

  1. Introduction
  2. Florence Nightingale’s Early Life and Background
  3. Florence Nightingale’s Contributions to Nursing a. The Crimean War and Nursing Reforms b. Statistical and Epidemiological Pioneering c. The Influence of Nightingale’s Work on Modern Nursing
  4. What Is Evidence-Based Practice?
  5. Florence Nightingale’s Impact on Evidence-Based Practice
  6. Frequently Asked Questions
  7. Conclusion

Introduction

In the world of healthcare, the term “evidence-based practice” has become increasingly significant in recent years. It represents a crucial approach to healthcare decision-making that relies on the best available evidence to guide clinical practice. However, evidence-based practice is not a new concept; it has roots dating back to the 19th century, and one of its pioneers was none other than Florence Nightingale.

This blog post will delve into the life and contributions of Florence Nightingale, a remarkable figure in nursing history who played a pivotal role in shaping modern nursing practices, particularly in the context of evidence-based practice. We will explore her early life, her contributions to nursing during the Crimean War, her statistical and epidemiological pioneering, and her enduring influence on the field of healthcare. Let’s embark on a journey through history to understand how Florence Nightingale laid the foundation for evidence-based practice in healthcare.

Florence Nightingale’s Early Life and Background

Florence Nightingale was born on May 12, 1820, in Florence, Italy, to a wealthy British family. She received a well-rounded education, which was unconventional for women of her time. Florence’s strong desire to pursue nursing as a profession was met with resistance from her family, who expected her to conform to the societal norms of a woman’s role.

However, Nightingale was undeterred by societal expectations and felt a calling to serve humanity through nursing. She enrolled in the Lutheran Hospital of Pastor Fliedner in Kaiserswerth, Germany, where she received formal training in nursing. This training laid the groundwork for her future contributions to the field of healthcare.

Florence Nightingale’s Contributions to Nursing

a. The Crimean War and Nursing Reforms

Florence Nightingale’s most significant contributions to nursing came during the Crimean War (1853-1856). When she heard about the deplorable conditions in military hospitals and the high mortality rates of soldiers due to infections and poor sanitation, Nightingale volunteered her services to lead a group of nurses to Crimea.

Transforming Healthcare in the Crimean War

Upon arrival in Scutari, Turkey, Nightingale was confronted with appalling conditions. Overcrowded and unsanitary hospitals, lack of clean water, and inadequate supplies posed significant challenges. Despite these obstacles, Nightingale and her team worked tirelessly to transform healthcare practices. They implemented rigorous sanitation measures, ensured proper ventilation, and improved the quality of food and nutrition for patients.

Statistical Analysis and Record Keeping

One of Nightingale’s most notable contributions during the Crimean War was her meticulous record-keeping and statistical analysis. She collected extensive data on patient outcomes, including mortality rates, causes of death, and other health-related information. These data-driven insights allowed her to identify key factors contributing to the high mortality rates.

b. Statistical and Epidemiological Pioneering

The Rose Diagram

One of Florence Nightingale’s most famous statistical innovations was the “Rose Diagram” or “Coxcomb,” which she used to visually represent the causes of mortality among soldiers in the Crimean War. This diagram provided a clear and compelling way to convey complex statistical information to policymakers and the public. It highlighted the predominant causes of death, with preventable diseases and infections being the most prominent. This visualization played a crucial role in advocating for healthcare reforms.

Advocating for Evidence-Based Practices

Florence Nightingale’s statistical analysis and use of evidence laid the groundwork for what we now recognize as evidence-based practice. She believed that healthcare decisions should be guided by empirical evidence rather than tradition or conjecture. Her work in Crimea demonstrated the effectiveness of evidence-based interventions in improving patient outcomes and reducing mortality rates.

c. The Influence of Nightingale’s Work on Modern Nursing

Florence Nightingale’s pioneering efforts in nursing and her emphasis on evidence-based practice had a profound and lasting impact on the field of healthcare. Her work laid the foundation for modern nursing standards and practices, emphasizing the importance of hygiene, sanitation, and data-driven decision-making.

What Is Evidence-Based Practice?

Before we delve further into Florence Nightingale’s impact on evidence-based practice, let’s clarify what evidence-based practice means in contemporary healthcare.

Evidence-based practice is an approach to healthcare decision-making that involves the integration of the best available evidence from research, clinical expertise, and patient values and preferences. It is a systematic process that ensures healthcare professionals make informed decisions based on the most current and reliable evidence.

Florence Nightingale’s Impact on Evidence-Based Practice

Pioneering Data-Driven Decision-Making

Florence Nightingale’s work in the Crimean War was a prime example of evidence-based practice in action, long before the term was coined. Her emphasis on collecting and analyzing data to inform healthcare decisions set a precedent for modern healthcare professionals.

The Role of Data in Nursing

Nightingale recognized the significance of data in improving patient care. She believed that healthcare professionals should systematically collect data on patient outcomes, treatment efficacy, and the prevalence of diseases to identify best practices and areas in need of improvement. This commitment to data-driven decision-making aligns perfectly with the core principles of evidence-based practice.

Emphasis on Preventive Measures

One of Nightingale’s key insights during the Crimean War was the importance of preventive measures in healthcare. She observed that many soldiers were dying from preventable diseases and infections, often due to unsanitary conditions. This realization led her to advocate strongly for cleanliness, proper sanitation, and infection control measures. These principles are central to evidence-based practice, which emphasizes preventing harm and optimizing patient outcomes.

Advocacy for Continuous Learning

Florence Nightingale was not only a practitioner but also an advocate for education and continuous learning in nursing. She believed that nurses should stay updated on the latest advancements in healthcare and adapt their practices accordingly. This commitment to lifelong learning aligns with the spirit of evidence-based practice, which encourages healthcare professionals to stay current with the latest research and incorporate new evidence into their clinical decision-making.

Frequently Asked Questions

How did Florence Nightingale’s work impact nursing during her time?

Florence Nightingale’s work had a profound impact on nursing during her time. She transformed healthcare practices in military hospitals during the Crimean War, reducing mortality rates through improved sanitation and evidence-based interventions. Her statistical analysis and data-driven approach laid the foundation for modern nursing and evidence-based practice.

What is the significance of Florence Nightingale’s Rose Diagram?

The Rose Diagram, created by Florence Nightingale, visually represented the causes of mortality among soldiers during the Crimean War. Its significance lies in its ability to convey complex statistical information in a clear and compelling way. It highlighted the predominant causes of death, emphasizing the importance of preventable diseases and infections. This diagram played a crucial role in advocating for healthcare reforms and evidence-based practices.

How did Florence Nightingale’s work influence modern nursing?

Florence Nightingale’s work laid the foundation for modern nursing. Her emphasis on hygiene, sanitation, data-driven decision-making, and preventive measures became integral components of nursing practice. Her commitment to evidence-based practice continues to influence healthcare professionals today, guiding them in providing the best possible care to patients.

Conclusion

Florence Nightingale, a visionary nurse and statistician, made lasting contributions to healthcare that continue to influence nursing practices today. Her pioneering efforts during the Crimean War, including improved sanitation, data collection, and evidence-based interventions, set the stage for modern nursing and the concept of evidence-based practice.

As healthcare professionals strive to provide the best care possible, they can look to Nightingale’s legacy as a reminder of the power of evidence-based practice. By integrating the best available evidence with clinical expertise and patient preferences, healthcare practitioners can make informed decisions that improve patient outcomes and enhance the quality of care provided.

Florence Nightingale’s dedication to evidence-based practice serves as a timeless example of how data, research, and innovation can shape the future of healthcare. Her legacy reminds us that even in the face of adversity, one person’s commitment to improving healthcare can leave an indelible mark on the world.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

The Evolution of Evidence-Based Practice in Nursing

/in /by

The Evolution of Evidence-Based Practice in Nursing

In the ever-evolving field of healthcare, evidence-based practice (EBP) has become the gold standard for providing high-quality patient care. As the cornerstone of modern nursing, EBP empowers nurses to make informed decisions based on the latest scientific evidence, clinical expertise, and patient preferences. In this comprehensive guide, we will delve into the history, significance, and implementation of evidence-based practice in nursing.

Outline

  1. Introduction
  2. Historical Context of Nursing Practice
    • Florence Nightingale: Pioneering the Art of Nursing
    • The Evolution of Nursing Education
  3. The Emergence of Evidence-Based Practice
    • The Cochrane Collaboration: A Catalyst for Change
    • Defining Evidence-Based Practice in Nursing
  4. Steps in the EBP Process
    • Formulating Clinical Questions
    • Searching for Evidence
    • Appraising Evidence
    • Integrating Evidence with Clinical Expertise and Patient Preferences
    • Evaluating Outcomes
  5. Benefits and Challenges of EBP in Nursing
    • Advantages
    • Common Challenges
  6. Frequently Asked Questions (FAQs)
  7. Conclusion

Introduction

In the realm of healthcare, evidence-based practice (EBP) has become a driving force behind clinical decision-making, ensuring that patients receive the best care possible. This approach combines the most current and relevant research evidence with the clinical expertise of healthcare providers and the unique preferences of individual patients. Evidence-based practice is not a new concept, but its systematic integration into nursing practice has evolved over time.

Let’s embark on a journey through history to uncover the roots of evidence-based practice in nursing and explore its significance in today’s healthcare landscape.

Historical Context of Nursing Practice

Florence Nightingale: Pioneering the Art of Nursing

The history of evidence-based practice in nursing can be traced back to the early 19th century when Florence Nightingale, the founder of modern nursing, revolutionized healthcare. During her service in the Crimean War, Nightingale introduced data-driven practices by meticulously collecting and analyzing patient outcomes. Her work demonstrated the critical importance of sanitation, hygiene, and nursing care in improving patient survival rates. This marked the beginning of a more scientific approach to nursing care.

The Evolution of Nursing Education

As nursing continued to evolve, the standardization of education became paramount. The Flexner Report of 1910, which assessed medical education in the United States and Canada, also had a profound impact on nursing education. This report emphasized the importance of scientific knowledge and research in nursing education, pushing nursing schools to incorporate evidence-based principles into their curricula.

The Emergence of Evidence-Based Practice

The Cochrane Collaboration: A Catalyst for Change

The Cochrane Collaboration, founded in 1993, played a pivotal role in promoting evidence-based practice in healthcare, including nursing. This international network of researchers and healthcare professionals is dedicated to synthesizing and disseminating high-quality evidence for clinical decision-making. The Cochrane Library, a repository of systematic reviews and meta-analyses, has become an invaluable resource for nurses seeking evidence to inform their practice.

Defining Evidence-Based Practice in Nursing

Evidence-based practice in nursing is a process that integrates the best available research evidence, clinical expertise, and patient preferences to guide nursing care decisions. It is a dynamic approach that requires nurses to continuously update their knowledge and adapt to new evidence. The core components of EBP in nursing include:

  • Formulating Clinical Questions: Nurses identify specific questions related to patient care that can be answered through evidence.
  • Searching for Evidence: Comprehensive literature searches are conducted to locate relevant research studies, systematic reviews, and clinical guidelines.
  • Appraising Evidence: Nurses critically assess the quality and relevance of the identified evidence, considering factors like study design and sample size.
  • Integrating Evidence with Clinical Expertise and Patient Preferences: EBP requires nurses to balance research evidence with their own clinical expertise and the unique needs and preferences of their patients.
  • Evaluating Outcomes: After implementing evidence-based interventions, nurses evaluate patient outcomes to determine the effectiveness of their interventions and make adjustments as necessary.

Steps in the EBP Process

Now that we have a clear understanding of the components of evidence-based practice, let’s dive deeper into each step of the EBP process.

Formulating Clinical Questions

The EBP journey begins with the formulation of clear and concise clinical questions. These questions typically follow the PICO(T) framework, which stands for:

  • P – Patient or Population
  • I – Intervention
  • C – Comparison (if applicable)
  • O – Outcome
  • T – Timeframe (optional)

For example, a clinical question might be: “In adult patients with type 2 diabetes (P), does regular exercise (I) compared to medication alone (C) result in better glycemic control (O) over a six-month period (T)?”

Searching for Evidence

Once clinical questions are formulated, nurses embark on the search for relevant evidence. They access databases like PubMed, CINAHL, and the Cochrane Library to identify research studies, systematic reviews, and clinical guidelines that address their questions.

Appraising Evidence

Critical appraisal is a crucial step in evidence-based practice. Nurses evaluate the quality and validity of the evidence they find. This involves assessing the study design, sample size, potential bias, and the relevance of the research to the clinical question.

Integrating Evidence with Clinical Expertise and Patient Preferences

Evidence-based practice recognizes the importance of not only scientific evidence but also the expertise of the nurse and the preferences of the patient. Nurses must synthesize these three components to make informed decisions about patient care.

Evaluating Outcomes

After implementing evidence-based interventions, nurses continuously monitor and evaluate patient outcomes. This step allows them to assess the effectiveness of their interventions and make adjustments as needed to optimize patient care.

Benefits and Challenges of EBP in Nursing

Advantages

Evidence-based practice in nursing offers numerous advantages:

  1. Improved Patient Outcomes: EBP is associated with better patient outcomes, including reduced mortality rates, shorter hospital stays, and improved quality of life.
  2. Enhanced Patient Safety: By relying on evidence-based guidelines, nurses can reduce the risk of medical errors and adverse events.
  3. Increased Job Satisfaction: Nurses who practice EBP report higher job satisfaction as they feel more confident in their ability to provide effective care.
  4. Efficient Resource Allocation: EBP helps healthcare organizations allocate resources more efficiently by focusing on interventions that have been proven effective.
  5. Professional Growth: Engaging in evidence-based practice fosters continuous learning and professional growth among nurses.

Common Challenges

Implementing evidence-based practice in nursing is not without its challenges:

  1. Limited Access to Evidence: Some nurses may struggle to access the latest research evidence due to subscription costs or limited institutional resources.
  2. Time Constraints: Nurses often face time constraints in their daily routines, making it challenging to engage in the extensive literature searches and critical appraisal required for EBP.
  3. Resistance to Change: Embracing EBP can be met with resistance, as it may require changes in established practices and workflows.
  4. Complexity of Evidence: Understanding and interpreting research evidence can be challenging for nurses without advanced training in research methods.
  5. Patient Variability: EBP emphasizes individualized care based on patient preferences, but accommodating these preferences can be complex in a healthcare system with multiple constraints.

Frequently Asked Questions (FAQs)

1. Is evidence-based practice only applicable to clinical nurses?

No, evidence-based practice is relevant to all nurses regardless of their specialization. It is a fundamental approach that guides nursing care in various settings, including clinical, community, research, and educational roles.

2. How can nurses stay updated with the latest evidence?

Nurses can stay updated by regularly accessing reputable databases like PubMed, subscribing to nursing journals, attending conferences and workshops, and collaborating with colleagues who are knowledgeable about EBP.

3. Are there specific tools or resources for evidence-based practice in nursing?

Yes, there are several resources and tools designed to support EBP in nursing, including online databases, critical appraisal checklists, and evidence-based practice guidelines.

4. Can EBP be applied in resource-limited healthcare settings?

Yes, EBP can be adapted to resource-limited settings by focusing on interventions that are feasible and cost-effective while still adhering to evidence-based principles.

5. What role do nurse educators play in promoting EBP?

Nurse educators have a critical role in preparing future nurses to embrace EBP. They teach EBP principles, provide resources, and foster a culture of inquiry among students.

Conclusion

The history of evidence-based practice in nursing is a journey that spans centuries, evolving from the visionary insights of Florence Nightingale to the systematic integration of research evidence, clinical expertise, and patient preferences in modern nursing care. As healthcare continues to advance, evidence-based practice remains an essential framework for ensuring the delivery of high-quality, patient-centered care.

Nurses are at the forefront of this movement, driving innovation and improvement in patient outcomes. While challenges may exist, the benefits of evidence-based practice in nursing are undeniable, making it an indispensable tool in the nurse’s toolkit for providing optimal care to patients and communities around the world. Embracing evidence-based practice is not just a choice; it is a commitment to excellence in nursing care.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Evidence-Based Practice in Nursing

/in /by

Evidence-Based Practice in Nursing: A Comprehensive Guide

In the ever-evolving field of healthcare, nurses play a vital role in patient care, and their decisions can have a profound impact on patient outcomes. To ensure that these decisions are informed and effective, nurses rely on evidence-based practice (EBP). In this comprehensive guide, we’ll delve into the world of evidence-based practice in nursing, exploring what it is, why it’s crucial, examples of its application, potential topics, the step-by-step process, and the numerous benefits it offers to both patients and healthcare professionals.

Table of Contents

  1. Introduction
    • Defining Evidence-Based Practice
    • Significance in Nursing
  2. What is Evidence-Based Practice in Nursing?
    • Core Principles
    • Historical Context
  3. Why is Evidence-Based Practice Important?
    • Enhancing Patient Outcomes
    • Reducing Medical Errors
    • Cost-Effective Care
  4. Examples of Evidence-Based Practice in Nursing
    • Fall Prevention Strategies
    • Pain Management Protocols
    • Pressure Ulcer Prevention
  5. Nursing Evidence-Based Practice Topics
    • Chronic Disease Management
    • Infection Control
    • Patient Education
  6. Steps of Evidence-Based Practice
    • Formulating a Clinical Question
    • Searching for Evidence
    • Critical Appraisal
    • Implementation
    • Evaluation
  7. Benefits of Evidence-Based Practice
    • Improved Patient Safety
    • Enhanced Quality of Care
    • Professional Growth
    • Increased Job Satisfaction
  8. Frequently Asked Questions
    • How do I start implementing EBP in my nursing practice?
    • What challenges do nurses face when adopting EBP?
    • Are there any resources to support EBP in nursing?
    • How can EBP impact healthcare policy?
  9. Conclusion

Introduction

Defining Evidence-Based Practice

Evidence-Based Practice (EBP) in nursing is an approach that integrates the best available evidence from research, clinical expertise, and patient preferences and values to inform clinical decision-making. It emphasizes the use of scientifically sound research to guide nursing practice, ensuring that the care provided is effective, safe, and patient-centered.

Significance in Nursing

Nursing is a dynamic field that requires constant adaptation to new information and technologies. EBP serves as the compass guiding nurses through the ever-changing landscape of healthcare. By grounding their decisions in evidence, nurses can provide the highest quality of care to their patients, ultimately improving patient outcomes and safety.

What is Evidence-Based Practice in Nursing?

Core Principles

Evidence-Based Practice in nursing is founded on three core principles:

  1. Integration of Best Evidence: Nurses should incorporate the most up-to-date and relevant research findings into their clinical decision-making processes.
  2. Clinical Expertise: The experience and expertise of the nurse play a vital role in EBP. This expertise is used in conjunction with research evidence to make informed decisions.
  3. Patient Values and Preferences: EBP recognizes the importance of considering each patient’s unique values, preferences, and individual circumstances when making clinical decisions.

Historical Context

The concept of EBP emerged in the early 1970s but gained significant momentum in healthcare in the 1990s. It was initially introduced as a means to improve patient outcomes and reduce variations in care. Since then, it has become a cornerstone of modern healthcare, influencing policy, education, and practice across the globe.

Why is Evidence-Based Practice Important?

Enhancing Patient Outcomes

The primary goal of nursing is to provide the best possible care to patients. EBP is a powerful tool for achieving this goal by ensuring that nursing interventions and treatments are rooted in solid scientific evidence. This, in turn, leads to improved patient outcomes, reduced complications, and shorter hospital stays.

Reducing Medical Errors

Medical errors can have serious consequences for patients, ranging from minor complications to life-threatening situations. EBP helps nurses make informed decisions that reduce the likelihood of errors, enhancing patient safety and trust in the healthcare system.

Cost-Effective Care

In an era of rising healthcare costs, EBP can also lead to cost savings. By focusing on interventions that have been proven effective, nurses can reduce unnecessary tests, treatments, and hospital readmissions, ultimately lowering the overall cost of care.

Examples of Evidence-Based Practice in Nursing

To better understand how EBP is applied in nursing, let’s explore some real-world examples:

Fall Prevention Strategies

Falls are a common and serious concern in healthcare settings, especially among elderly patients. Nurses can use evidence-based fall prevention strategies such as regular assessment of patient fall risk, maintaining a clutter-free environment, and using bed alarms when appropriate to reduce the incidence of falls.

Pain Management Protocols

Managing pain is a fundamental aspect of nursing care. Evidence-based pain management protocols guide nurses in selecting the most appropriate pain relief interventions based on the patient’s condition, history, and the latest research on pain management.

Pressure Ulcer Prevention

Pressure ulcers, also known as bedsores, can develop when patients remain immobile for extended periods. EBP provides guidelines on repositioning patients, using pressure-relieving devices, and implementing comprehensive skin care routines to prevent pressure ulcers.

Nursing Evidence-Based Practice Topics

EBP is a versatile approach that can be applied to a wide range of nursing topics. Here are some common areas where evidence-based practice is particularly relevant:

Chronic Disease Management

Nurses often play a central role in managing chronic diseases such as diabetes, hypertension, and asthma. Evidence-based guidelines help nurses develop effective care plans, monitor patients’ progress, and adjust treatments as needed to achieve optimal outcomes.

Infection Control

Infection control is crucial in healthcare settings to prevent the spread of pathogens. EBP informs nurses about the most effective methods for hand hygiene, personal protective equipment (PPE) use, and isolation procedures to minimize the risk of healthcare-associated infections.

Patient Education

Patient education is a cornerstone of nursing practice. EBP assists nurses in providing patients with accurate and up-to-date information about their conditions, treatments, and self-care. This empowers patients to actively participate in their healthcare decisions and improve their health outcomes.

Steps of Evidence-Based Practice in Nursing

Implementing EBP in nursing involves a systematic approach. Here are the key steps to follow:

1. Formulating a Clinical Question

The first step is to identify a clinical issue or problem that requires attention. Nurses formulate clear and concise questions based on the PICO(T) framework:

  • P: Patient or problem
  • I: Intervention
  • C: Comparison
  • O: Outcome
  • T: Time

For example, a clinical question could be, “In diabetic patients (P), does regular exercise (I) compared to medication alone (C) lead to better glycemic control (O) within six months (T)?”

2. Searching for Evidence

Once the question is formulated, nurses conduct a thorough literature search to find relevant research articles, systematic reviews, and clinical guidelines. Databases such as PubMed, CINAHL, and the Cochrane Library are valuable resources for accessing high-quality evidence.

3. Critical Appraisal

Nurses critically evaluate the gathered evidence to assess its validity, relevance, and applicability to the clinical question. This step involves considering factors like study design, sample size, and the quality of the research methods used.

4. Implementation

After determining the best available evidence, nurses integrate it into their clinical practice. This may involve modifying care plans, treatment protocols, or patient education materials to align with the evidence-based recommendations.

5. Evaluation

Nurses continually monitor and evaluate the outcomes of their practice changes. This step ensures that the implemented interventions are achieving the desired results and allows for adjustments if necessary.

Benefits of Evidence-Based Practice

The adoption of EBP in nursing offers a multitude of benefits to both patients and healthcare professionals:

Improved Patient Safety

By relying on evidence-backed interventions and practices, nurses can reduce the risk of medical errors, adverse events, and complications. This leads to safer care environments and better patient outcomes.

Enhanced Quality of Care

EBP encourages nurses to provide care that is both effective and efficient. Patients receive treatments and interventions that have been proven to work, resulting in improved health and overall satisfaction with their care.

Professional Growth

Engaging in evidence-based practice encourages nurses to stay current with the latest research and developments in healthcare. This ongoing learning enhances their professional knowledge and skills, making them more effective practitioners.

Increased Job Satisfaction

Nurses who practice EBP often report higher job satisfaction. Knowing that their decisions are based on the best available evidence gives them confidence in their abilities and a sense of accomplishment in their role.

Frequently Asked Questions

How do I start implementing Evidence-Based Practice in my nursing practice?

To begin implementing EBP in your nursing practice, start by identifying a clinical question or issue you’d like to address. Then, follow the steps of EBP, including formulating a clear question, conducting a literature search, critically appraising the evidence, implementing changes, and evaluating outcomes. Collaboration with colleagues and mentors can also be helpful in this process.

What challenges do nurses face when adopting EBP?

Nurses may encounter challenges such as limited access to research resources, time constraints, resistance to change, and the need for additional education and training. Overcoming these challenges often requires dedication, support from healthcare organizations, and a commitment to lifelong learning.

Are there any resources to support Evidence-Based Practice in nursing?

Yes, numerous resources support EBP in nursing. These include online databases like PubMed and organizations like the Joanna Briggs Institute (JBI) and the Agency for Healthcare Research and Quality (AHRQ), which provide evidence-based guidelines and tools. Additionally, many universities and healthcare institutions offer EBP workshops and courses.

How can EBP impact healthcare policy?

EBP has the potential to influence healthcare policy by providing a solid foundation of evidence for decision-makers. When policymakers are informed by high-quality research and clinical evidence, they can develop policies that prioritize patient safety, quality of care, and cost-effectiveness.

Conclusion

Evidence-Based Practice in nursing is a fundamental approach that empowers nurses to provide the best possible care to their patients. By integrating the best available evidence, clinical expertise, and patient values, nurses can make informed decisions that enhance patient outcomes, reduce medical errors, and contribute to cost-effective healthcare. As the field of healthcare continues to evolve, EBP remains a critical tool for ensuring the highest quality of nursing care. So, whether you’re a seasoned nurse or just starting your nursing career, embracing evidence-based practice is a pathway to success in delivering optimal patient care.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Unpacking Evidence-Based Practice: A Comprehensive Guide

/in /by

Title: Unpacking Evidence-Based Practice: A Comprehensive Guide

Outline:

  1. Introduction
  2. What is Evidence-Based Practice? 2.1 Defining Evidence-Based Practice 2.2 The Importance of Evidence-Based Practice
  3. The Steps of Evidence-Based Practice 3.1 Formulating a Clinical Question 3.2 Searching for Evidence 3.3 Appraising the Evidence 3.4 Applying the Evidence 3.5 Evaluating the Outcome
  4. Common Misconceptions about Evidence-Based Practice 4.1 Misconception #1: Evidence-Based Practice is Rigid 4.2 Misconception #2: Evidence-Based Practice Ignores Clinical Experience 4.3 Misconception #3: Evidence-Based Practice Means Following Guidelines Blindly
  5. Challenges in Implementing Evidence-Based Practice 5.1 Resistance to Change 5.2 Limited Access to Evidence 5.3 Lack of Skills in Appraising Evidence
  6. The Role of Guidelines and Clinical Pathways
  7. FAQ about Evidence-Based Practice
  8. Conclusion

Introduction

In today’s ever-evolving healthcare landscape, healthcare professionals are continuously seeking ways to enhance the quality of patient care. Evidence-based practice (EBP) is a cornerstone of modern healthcare, but it’s often misunderstood and faces various challenges in implementation. This comprehensive guide aims to shed light on EBP, debunk common misconceptions, and provide practical insights for its effective utilization.

What is Evidence-Based Practice?

2.1 Defining Evidence-Based Practice

EBP is an approach that integrates the best available evidence from research, clinical expertise, and patient preferences to inform healthcare decision-making. It emphasizes the use of scientific evidence as a foundation for clinical practice, ensuring that patients receive the most effective and appropriate care possible.

2.2 The Importance of Evidence-Based Practice

EBP offers several advantages:

  • Improved Patient Outcomes: By basing decisions on robust evidence, EBP can lead to better patient outcomes and enhanced overall quality of care.
  • Efficient Resource Allocation: It helps healthcare institutions allocate resources wisely, focusing on interventions with proven effectiveness.
  • Reduced Variability in Care: EBP standardizes care protocols, reducing unwarranted variations in practice that can compromise patient safety.
  • Enhanced Accountability: EBP promotes transparency and accountability in healthcare by requiring practitioners to justify their choices based on evidence.

The Steps of Evidence-Based Practice

EBP is not a one-size-fits-all approach; instead, it follows a structured process to guide healthcare professionals in making informed decisions. These steps are often referred to as the “5 A’s”:

3.1 Formulating a Clinical Question

The first step in EBP involves crafting a clear and focused clinical question. This question should specify the patient population, intervention or exposure, comparison, and expected outcome (PICO framework). A well-defined question ensures that the subsequent steps are focused and relevant.

3.2 Searching for Evidence

Once the question is formulated, healthcare professionals search for relevant evidence. This involves systematically reviewing the literature, using databases like PubMed, Cochrane Library, and others, to find research studies, systematic reviews, and clinical guidelines related to the question.

3.3 Appraising the Evidence

Not all evidence is created equal. In this step, practitioners critically evaluate the quality and relevance of the gathered evidence. Common tools like the GRADE framework are used to assess the strength of recommendations and the quality of evidence.

3.4 Applying the Evidence

Having assessed the evidence, healthcare providers apply it to their specific clinical scenario, taking into consideration patient preferences and values. This step requires clinical judgment and expertise to tailor the evidence to individual patients.

3.5 Evaluating the Outcome

After implementing the evidence-based intervention, practitioners must assess the outcomes and monitor the patient’s progress. This step completes the EBP cycle and informs future decision-making.

Common Misconceptions about Evidence-Based Practice

4.1 Misconception #1: EBP is Rigid

One common misconception is that EBP is inflexible and mandates a one-size-fits-all approach. In reality, EBP encourages individualized care and emphasizes clinical judgment alongside evidence.

4.2 Misconception #2: Evidence-Based Practice Ignores Clinical Experience

Some believe that EBP disregards the importance of clinical experience. However, it actually values clinical expertise and integrates it with evidence to make informed decisions.

4.3 Misconception #3: Evidence-Based Practice Means Following Guidelines Blindly

EBP does involve following clinical guidelines, but not blindly. Guidelines are based on the best available evidence, and practitioners should consider them as a starting point while still accounting for individual patient needs.

Challenges in Implementing Evidence-Based Practice

5.1 Resistance to Change

Resistance to change within healthcare organizations can hinder the adoption of EBP. Addressing this resistance requires effective communication and education to demonstrate the benefits of EBP.

5.2 Limited Access to Evidence

Access to up-to-date and relevant evidence can be challenging, especially in resource-constrained settings. Healthcare institutions should invest in providing easy access to evidence-based resources.

5.3 Lack of Skills in Appraising Evidence

Not all healthcare professionals are proficient in appraising evidence. Training and support in critical appraisal skills are crucial to EBP implementation.

The Role of Guidelines and Clinical Pathways

Clinical guidelines and pathways provide standardized, evidence-based recommendations for specific conditions or interventions. They serve as valuable tools to guide healthcare professionals in delivering consistent and high-quality care. Guidelines are typically developed by expert panels who rigorously review the evidence and offer recommendations based on their findings.

FAQ about Evidence-Based Practice

Q1: Is EBP only relevant for physicians?

No, EBP is relevant to all healthcare professionals, including nurses, therapists, pharmacists, and more. It’s a multidisciplinary approach to improve patient care.

Q2: How can I stay updated with the latest evidence?

To stay updated, healthcare professionals can subscribe to relevant journals, attend conferences, join professional organizations, and use evidence-based databases and tools.

Q3: Does EBP apply to alternative medicine?

EBP can be adapted to alternative medicine, but it requires robust scientific evidence to support its effectiveness, just like conventional medicine.

Q4: Can patients participate in EBP decisions?

Absolutely. EBP encourages shared decision-making, where patients actively participate in their care by considering their preferences and values.

Conclusion

Evidence-Based Practice is a powerful tool that empowers healthcare professionals to provide the best possible care to their patients. By following a systematic approach to integrate evidence, clinical expertise, and patient values, EBP enhances the quality of care, reduces variations in practice, and ultimately improves patient outcomes. Overcoming challenges and addressing misconceptions is essential to fully realize the potential of EBP in healthcare, ensuring that every patient receives the highest standard of care possible. Embracing EBP is not only a responsibility but also a commitment to continuously improve the quality of healthcare services worldwide.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Journal – Major Issues Anticipated while Writing the Essay

/in /by

Journal – Major Issues Anticipated while Writing the Essay

 

In 300 words, Discuss what major issue you anticipate having when you begin writing this essay. How do you plan to address this issue when it arises?

 

FYI:

Essay topic: Fake News Outcry is Misguided

 

FYI: These are the essay instructions that the above question is referring to:

Essay 3 will be a research argument essay. This week you will receive a course message with an article attached to it. The article will be taking a position on a current event. Your essay will be an classical argument paper that either agrees with or disagrees with the author’s of the article’s position.

Research Paper Help

You must support your argument with evidence from the academic databases found in the college library–Academic Search Complete, EBSCO, CQ Researcher, etc. Please review the library orientation videos to refresh your understanding of including reputable sources for research papers. Sources that are found outside of the academic databases will not count and may even harm your grade for this essay.

Essay guidelines:

-7-10 pages of content typed in MLA format with a work-cited page (work cited page does not count as a page of content).

-You must include at least 4 sources for you paper–these sources must be indicated in the annotated bibliography.

 

SAMPLE ANSWER

WK 8 Journal – Major Issues Anticipated while Writing the Essay

The main issue that I anticipate in writing this essay is the introduction. The introduction is supposed to serve as the icebreaker for the audience that will read my work and therefore, I acknowledge that I need to put more focus on how to grab the attention of the audience in my introduction. I am not sure I will be able to attract the interest of the specific audience and still be able to focus on the subject matter of the argument. The essay topic also has a lot of information and I am afraid about the idea of providing enough background information so that I can ensure that the audience is aware of the general problem or issue that I am addressing. The challenge is on identifying the elements of background or context that needs to be resented in the introduction amidst the large pool of information that exists.

ORDER A PLAGIARISM FREE PAPER HERE

However, I plan to address the issue as soon as it arises through several techniques. The first one will be to find the best way to capture and focus the audience’s attention. On this, I will choose to focus on quotations, or a representative analogy or case. Also, a useful strategy would be to attack an opposing point of view which will focus on grabbing the attention of the audience so that they can be prepared for my thoughts. Also, I intend to carefully elect worlds so that I can be able to use my introduction to signal my specific position on the topic of discussion and the direction of my argument. In addition, I will ensure that I establish my image and bring out exactly what I would like to project in the argument such as aggression and passion on the topic for the readers to understand my point.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Trends and Best Practices in “Best Hospitals”

/in /by

Trends and Best Practices in “Best Hospitals”

It is important for health care leaders to be aware of industry trends and best practices that might impact their organizations. By strategically implementing these trends and best practices, organizations can improve patient health outcomes and remain competitive within the industry. For this Discussion, you examine the trends and best practices hospitals implement for organizational excellence, information technology, and informatics.

To prepare:

  • Locate the most current “Best Hospitals” report from the U.S. News & World Report.
  • Select a hospital from the report and locate the hospital’s annual statement.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post: a cohesive response to the following:

Identify the hospital you selected from the “Best Hospitals” report. Analyze the trends and best practices that the hospital implements for operational excellence, information technology, and health care informatics. Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.

Read a selection of your colleagues’ postings. Consider how your colleagues’ postings relate to the information presented in the Learning Resources and to your own posting.

 

SAMPLE ANSWER

Trends and Best Practices in “Best Hospitals

The Mayo Clinic in Minnesota was selected from the “Best Hospitals” report. The hospital was developed in 1889 (Lindquist, 2018) and has become a role model in the healthcare industry because of the best practices used in the organization. Best practices are techniques that help to ensure quality in health care delivery and are founded upon self-evaluation and benchmarking (Jaana, Teitelbaum, & Roffey, 2014). Therefore, Mayo Clinic is rated as a high-performance healthcare institution because of the best practices and quality of care provided in the healthcare institution.

Operational excellence is a vital feature of the institution because they have a model of improving and delivering care (Walston, 2018).  The stepwise approach is used by the organization to help gain support from senior leadership, selecting employees with appropriate knowledge and skills, measuring costs and patient outcomes, involve in staff training, and test project improvement propositions (Jaana, Teitelbaum, & Roffey, 2014). For example, Mayo Clinic uses the CaringBridge website as the best information technology to help share health updates between nurses and patients (Lindquist, 2018).  The hospital also provides virtual consultations to help reach more patients through digital connection opportunities, video appointments, and online services to patients.

ORDER A PLAGIARISM FREE PAPER HERE

Mayo Clinic is also involved in community support through contribution millions of dollars to sustain community needs (Lindquist, 2018). The hospital also offers the Adult Survivorship Program to help in treatment of cancer. Other best practices used in the hospital include the use of automated physician entry order system that provides handwritten orders for patient’s medication, assessments, and tests (Lindquist, 2018). Therefore, the success and performance of Mayo clinic have contributed to its ranking as one of the best hospitals in the US, including its useful project management techniques, strategic leadership, and better IT infrastructure (U.S. News & World Report, n.d.)

References

Jaana, M., Teitelbaum, M., & Roffey, T. (2014). IT strategic planning in hospitals: From

theory to practice. International Journal of Technology Assessment in Health Care,

30(3), 289–297. https://www.ncbi.nlm.nih.gov/pubmed/25308692

Lindquist, S. B. (2018, February 20). Mayo Clinic is strong, well-positioned for future;

leadership transition begins. Retrieved from

https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-is-strong-well-positioned-for-future-leadership-transition-begins/

U.S. News & World Report. (Ed.). (n.d.). Where Are America’s Best Hospitals? Retrieved from

Walston, S. L. (2018). Strategic healthcare management: Planning and execution (2nd

Ed.). Chicago, IL: Health Administration.

 

 

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Client Termination Summary

/in /by

Client Termination Summary

Assignment 1: Practicum – Client Termination Summary

Although termination is an inevitable part of the therapeutic process, it is often difficult for clients. However, by discussing termination throughout therapy, you can better prepare your clients for life without you. Once a client has achieved his or her therapeutic goals, termination sessions should be held and documented in a client termination summary. For this Assignment, you have the opportunity to practice writing a termination summary for a client with whom you have worked during your practicum experience.

Learning Objectives

Students will:

  • Develop client termination summaries

To prepare:

  • For guidance on writing a client termination summary, review pages 693–712 of Wheeler (2014) in this week’s Learning Resources.
  • Identify a client who may be ready to terminate therapy.

The Assignment

  • Identifying information of client (e.g., hypothetical name and age)
  • Date the client initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
  • Total number of sessions, including number of missed sessions
  • Whether termination was planned or unplanned
  • Presenting problem
  • Major psychosocial issues
  • Types of services rendered (e.g., individual, couple/family therapy, group therapy)
  • Overview of treatment process
  • Goal status (goals met, partially met, unmet)
  • Treatment limitations (if any)
  • Remaining difficulties and/or concerns
  • Recommendations
  • Follow-up plan (if indicated)
  • Instructions for future contact
  • Signatures

With the client you selected in mind, address in a client termination summary (without violating HIPAA regulations) the following:

 

SAMPLE ANSWER

Termination Summary

Client Name: John Edward

Client Age: 46 Years

Client Number: R456798

Date of Report: 10/20/2019

Date of Initial Contact: 8/10/2019

Duration of Therapy: 9 weeks

End of Therapy: 10/22/2019

Total Number of Sessions: 18 sessions (missed 4 sessions)

Viability of the Termination: Termination was planned by the practitioner since the client showed signs of steady recovery from his anger issues (Cohn, 2014).

Presentation of the Problem: Edward depicted difficulties in anger management and interpersonal relations. His problem is revealed to have started during his childhood. He was eager to engage in the individual therapy which involved self-efficacy techniques (Silva, Siegmund, & Bredemeier, 2015).

Major Psychosocial Issues: The client showed poor interaction levels with people around him. He also depicted to have a short temper.

Type of Services: The client underwent an individual therapy.

Overview of the Treatment Process: The process involved evaluation and challenging psychological thoughts. It also developed the use of role play to enable the client get more assertive. During the process, the client understood the emotions and painful thoughts that were brought by his anger. He was able to improve on his aggressive behavior (Simon & Willick, 2016).

ORDER A PLAGIARISM FREE PAPER HERE

Goal Status: The treatment goals have been met

Remaining Concerns: John needs to continue working actively on his developing skills to enhance better management of anger and interpersonal relationship problems. He also needs to monitor his way of communication to ensure that his assertiveness is well developed.

Nursing Paper Help

Recommendations:  The client needs to monitor his progress. In case of any problems, he needs to come for consultation at the clinic. He also needs to increase his socialization to enhance better interpersonal skills.

Instructions for Future Contact:  The client should be ready for any individual therapy sessions. A different therapeutic method may be used.

 

AKD                                                                                                      FNB  

Therapist                                                                                         Supervisor

 

 

References

Cohn, A. S. (2014). Romeo and Julius: A narrative therapy intervention for sexual-minority

couples. Journal of Family Psychotherapy, 25(1), 73–77.

Silva, J. A. M. D., Siegmund, G., &Bredemeier, J. (2015). Crisis interventions in online

psychological counseling. Trends in Psychiatry and Psychotherapy, 37(4), 171-182.

Simon, R. A., & Willick, D. H. (2016). Therapeutic privilege and custody evaluations: Discovery

of treatment records. Family Court Review, 54(1), 51-60.

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Chronic and Acute Asthma

/in /by

Chronic and Acute Asthma

Write a 2- to 3-page paper that addresses the following:

 

1. Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.

2. Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.

3. Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

 

SAMPLE ANSWER

Asthma

Asthma is referred to as a chronic inflammatory disorder that causes constriction and obstruction of the bronchial mucosal. Asthma attack can also lead to inflammation of the smooth muscles due to the hyper- responsiveness of the airway resistance or narrowed (Wenzel et al. 2016). Both acute and chronic asthma are often similar in their pathophysiology. This paper analyzes the pathophysiological mechanisms of chronic asthma and acute asthma and explains the changes in the arterial blood gas patterns during an exacerbation (Wenzel et al. 2016). The paper also explains how age factor impact the pathophysiology of both disorders.

Chronic Asthma Exacerbation

The pathophysiology of chronic asthma is characterized by bronchoconstriction stimuli and mucus secretion. The bronchoconstriction is caused by peptide neurotransmitters, the bronchial neural function, and induced by smooth muscle contractions (Evans et al. 2012). In the early stages, the toxic neuropeptides, and eosinophils are released leading to the inflammatory response and bronchial hyper-responsiveness (Evans et al. 2012). Oxygenation is also involved in chronic asthma because of the bronchial airway restriction. Hyperventilation often affects the arterial blood gas leading to hypoxemia and respiratory alkalosis in patents.

ORDER A PLAGIARISM FREE PAPER HERE

Acute Asthma Exacerbation

The pathophysiologymechanism of acute asthma results when bronchial airways are affected leading to resistance in the airway.  Many cells often lead to hypersensitivity of the airway in acute Asthma such as basophils, eosinophil, neutrophils, mast cells, B lymphocytes, T helper 2 lymphocytes, and dendritic (Lemanske & Busse, 2010). These cells react differently causing inflammatory that may lead to increase in secretions, edema, and bronchospasm. The arterial blood gas in chronic asthma also results due to short inspirations and long expirations due to lack of oxygenation. Patients often trap air due to short and long inspirations that cause respiratory acidosis due to respiratory disadvantage increase in carbon dioxide and a decrease intidal volume (Lemanske & Busse, 2010).

Impact of Age Factor

Asthma as a chronic pulmonary infection affects both adults and children. However, researchers have shown that it is more affected by children below the age of 17 years old (Hasegawa et al. 2015).  Therefore, asthma affects people of all ages, from infants to older adults.  Although treatment may be challenging due to detailed assessment, the inability to distinguish the signs and symptoms of asthma and manage treatments may occur (Ponikowski et al. 216). When assessing patients with respiratory issues, nurses and physicians must conduct analysis of the vaccination, history and physical records to help understand the patient condition and present re-infection of other diseases.

Asthma may be acute or chronic in both children and adults leading to inflammation and increase level of mucus affecting the flow of air. Exacerbation is caused by inflammation and sensitivity. However, it is sometimes due to asymptotic attacks (Ponikowski et al. 216). During exacerbation, patients may experience the use of accessory muscles, increased heart rate, prolonged expiration, expiratory wheezing, nonproductive cough, dyspnea, inability to breathe, and tightness of the chest (Ponikowski et al. 216). Thus, many factors can lead to exacerbation, in all ages including not get enough inhalers, not using medication properly, second-hand smoking in children, allergy season, and flowering season.

 

 

Mind Maps

Acute Asthma

Chronic Asthma and Acute Asthma

 

Chronic Asthma

Acute and Chronic Asthma

Summary

Asthma clinical presentation may be challenging to understand but identifying its signs and symptoms early is important to prevent acute or chronic asthma. Asthma is primarily linked with recurrent of episodes of dyspnea and wheezing, hyper-responsiveness of the airway to stimuli and physical of allergies. Asthma can be prevented through compliant with medications and treatments since its pathophysiology is similar in adults and children.  If it remains untreated, it can lead to death making prevention of recurrence asthma critical.

 

References

Wenzel, S. E., Jayawardena, S., Graham, N. M., Pirozzi, G., & Teper, A. (2016). Severe asthma

and asthma-chronic obstructive pulmonary disease syndrome–Authors’ reply. The Lancet, 388(10061), 2742. DOI:https://doi.org/10.1016/S0140-6736(16)31720-2

Ponikowski, P., Voors, A. A., Anker, S. D., Bueno, H., Cleland, J. G., Coats, A. J., … & Jessup,

  1. (2016). 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. European journal of heart failure, 18(8), 891-975.

https://doi.org/10.1002/ejhf.592

Hasegawa, K., Cydulka, R. K., Sullivan, A. F., Langdorf, M. I., Nonas, S. A., Nowak, R. M., …

& Camargo Jr, C. A. (2015). Improved management of acute asthma among pregnant women presenting to the ED. Chest, 147(2), 406-414. https://search.proquest.com/openview/dced603cde8234803185d32130a4b1ba/1?pq-origsite=gscholar&cbl=40575

Evans, R. L., Nials, A. T., Knowles, R. G., Kidd, E. J., Ford, W. R., & Broadley, K. J. (2012). A

comparison of antiasthma drugs between acute and chronic ovalbumin-challenged guinea-pig models of asthma. Pulmonary pharmacology & therapeutics, 25(6), 453-464. DOI: 10.1183/09031936.00057710

Lemanske Jr, R. F., & Busse, W. W. (2010). Asthma: clinical expression and molecular

mechanisms. Journal of Allergy and Clinical Immunology, 125(2), S95-S102. https://www.sciencedirect.com/science/article/pii/S0091674909016133

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Operating and Financial Performance Indicators

/in /by

Operating and Financial Performance Indicators

Health care leaders depend on sound operating and financial performance indicators to make decisions regarding working capital management, capital budgeting, and resource allocation. These indicators help organizations maximize performance and strategically plan for new initiatives. For this Discussion, you select a health care organization and examine how its leaders and managers use operating and financial performance indicators in their decision making.

To prepare:

  • Select a health care organization and locate its operating (i.e., utilization rate) and financial data. You may want to use a not-for-profit health care system, as they usually post their annual reports online.
  • Identify one operating indicator (e.g., length of stay, admission, etc.) and two financial performance indicators (e.g., cash and cash equivalents, accounts receivable, accounts payable, short-term loans, etc.).

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post a cohesive response to the following:

Identify the health care organization you selected, and describe one operating indicator and two financial performance indicators of the organization. Analyze how leaders and managers use these indicators when making decisions about working capital management, capital budgeting, and resource allocation. Support your response by identifying and explaining key points and/or examples presented in the Learning Resources.

Read a selection of your colleagues’ postings. Consider how your colleagues’ postings relate to the information presented in the Learning Resources and to your own posting.

 

SAMPLE ANSWER

Operating and Financial Performance Indicators: Barnes-Jewish Hospital

The healthcare organization selected is Barnes-Jewish Hospital. It is one of the biggest not for profit hospitals in the United States. It has a total annual revenue of 5.9 billion dollars annually and a total of 1241 beds (Barnes-Jewish Hospital, n.d.). The operating indicator selected from the company is the average length of stay and the two financial performance indicators selected are the annual revenue and the expenses going towards the employees. According to the financial reports and as stated earlier, the hospital had a total annual revenue realized of 5.9 billion dollars (Barnes-Jewish Hospital, n.d.). The expenses that goes towards the salaries and benefits paid to the employees is 3.2 billion dollars.  Therefore, the hospital spends more than half of its annual revenue paying the salaries and benefits of its employees.

ORDER A PLAGIARISM FREE PAPER HERE

The indicators are important when making decisions on areas of working capital management, capital budgeting and resource allocation. For example, if the average rate of discharge is high because of hospital falls then it would be important to analyze the hospital staff members and whether there are enough nurses providing services to hospitals. The indicators are also important in capital budgeting because for example, revenue raised can show if past projects have been effective or not. The knowledge can be used in determine which project in the appraisal level will be invested in and help in making the capital budgeting process more accurate and beneficial to the hospital. The same indicators are also useful in resource allocation (Wayland & Mcdonald, 2016). For example, the hospital reported that helping patients to be active other than remain in bed resulted in reduction of days average discharge days by one. Therefore, the data average length of stay helped allocate more resources to reduce it.

 

References

Barnes-Jewish Hospital. (n.d.). Annual Reports – Report to Board of Directors St Louis. Retrieved from https://www.barnesjewish.org/About-Us/Annual-Reports

Wayland, M. S., & McDonald, W. G. (2016). Strategic analysis for healthcare: Concepts and practical applications. Chicago, IL: Health Administration Press.

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Review of Mr. C’s Health Issues

/in /by

Review of Mr. C’s Health Issues

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

  1. Height: 68 inches; weight 134.5 kg
  2. BP: 172/98, HR 88, RR 26
  3. 3+ pitting edema bilateral feet and ankles
  4. Fasting blood glucose: 146 mg/dL
  5. Total cholesterol: 250 mg/dL
  6. Triglycerides: 312 mg/dL
  7. HDL: 30 mg/dL
  8. Serum creatinine 1.8 mg/dL
  9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

  1. Describe the clinical manifestations present in Mr. C.
  2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
  3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
  4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
  5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
  6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

SAMPLE ANSWER

Review of Mr. C’s Health Issues

Introduction

Obesity refers to a medical condition which makes a person to have excess weight or fat, which may lead to health problems. It is one of the leading causes of death in the world. Medical practitioners usually suggest one is obese basing on their body mass index. Given its critical nature, it is essential for practitioners to have clear understanding of the condition (Pandey et al., 2017).  The paper tries to analyze a case scenario involving Mr. C whose subjective and objective information reveal that he is obese. He also has related issues such as sleep apnea and hypertension

Clinical Manifestation

The scenario’s subjective information reveals that Mr. C has an underlying obesity problem which requires a bariatric surgery. He reveals that the condition has affected him since he was a child, therefore it is persistent. However, his medical history does not reveal any metabolic diseases, though he claims that he has had sleep apnea and hypertension. The objective data reveals that he has high blood pressure and high BMI measurements, which are associated with obesity. His health is also by a high level of cholesterol (Pandey et al., 2017).

ORDER A PLAGIRISM FREE PAPER HERE

Health Risks for Obesity and Suitability of Bariatric Surgery

The condition may lead to heart disease and other cardiovascular diseases. This may occur due to overworking of the heart or fat buildup in the blood vessels. Moreover, the condition may lead to persistence of his sleep apnea and hypertension. It can also be suggested that the problem may lead to reproductive abnormalities such as erectile dysfunction. Due to a high glucose level in the body, Mr. C may also develop diabetes. This health risks make it necessary for him to lose weight. However, since his obesity condition has been persistent since he was a child, it may be difficult for him to lose weight by focusing on exercises and a change of diet. This feature makes it necessary for him to undergo a bariatric surgery (Prabhakaran, Jeemon, & Roy, 2016).

Review of Mr. C’s Health Issues

Assessment of Functional Health Patterns

Mr. C. perceives that his health is reasonably bad for his condition. He reveals that he has reduced intake of dietary sodium. This issue reveals that he is striving to control his problem. In addition, Mr. C presents as an older person than his actual problem given that he has developed diseases mostly associated with people above his age. His sleep and rest pattern show that he does not get enough sleep. Moreover, the risk of developing cardiovascular diseases is high due to his lack of exercises and rest. Although the client tries to engage in management of obesity, he perceives that the practice does not help his condition, hence he feels that he needs a bariatric surgery. Also, due to his high glucose and cholesterol levels, he needs to eat foods low in sugar and cholesterol to reduce further health risks. Lastly, Mr. C is considered to be single and an employee. His job makes him to be associated with other people, thereby developing his relations (Pandey et al., 2017).

Research Paper Help

Staging and Factors Associated with ERSD

ERSD is the end stage of chronic kidney disease. The problem starts with mild damage of the kidneys. In stage 2, there is also mild kidney damage with no symptoms. Thereafter, the kidneys are moderately damaged, which calls for more health concern. At stage 4, the kidneys may be moderately or severely damaged with poor functions. At the ERSD stage, the kidneys are almost failing or are completely failed, requiring a transplant or dialysis.  The problem is associated with factors such as high blood sugar in the body, a poor diet, high blood pressure, and lack of exercises (Tonkin-Crine et al., 2015).

Patient Education on ERSD Management

The patient needs to be given education on suitable dietary plans that may eliminate some of the factors leading to development of ERSD. He should also be made aware of the importance of different treatment plans to ensure that his kidneys are checked and treated well. Self-efficacy education on behavioral change may also be a significant act for the patient as it may motivate him to engage in exercises and other management activities (Tonkin-Crine et al., 2015).

Review of Mr. C’s Health Issues

Resources for ERSD Patients

An essential resource for ERSD patients is health insurance. Since kidney dialysis, transplants, and other medications are expensive, this feature helps many patients. Moreover, clinical trials are essential as they provide information on the safety of certain procedures for a patient. An ERSD patient is also helped by both healthcare providers and family to ensure that he manages the problem. In terms of education, ERSD patients are provided with information on proper ways to monitor their disease. Their grievances are also addressed with models such as self-efficacy used to promote the patients’ health conditions (Tonkin-Crine et al., 2015).

 

References

Pandey, A., LaMonte, M., Klein, L., Ayers, C., Psaty, B. M., Eaton, C. B., … & Berry, J. D.

(2017). Relationship between physical activity, body mass index, and risk of heart failure. Journal of the American College of Cardiology, 69(9), 1129-1142.

Prabhakaran, D., Jeemon, P., & Roy, A. (2016). Cardiovascular diseases in India: current

epidemiology and future directions. Circulation, 133(16), 1605-1620.

Tonkin-Crine, S., Okamoto, I., Leydon, G. M., Murtagh, F. E., Farrington, K., Caskey, F., … &

Roderick, P. (2015). Understanding by older patients of dialysis and conservative management for chronic kidney failure. American Journal of Kidney Diseases, 65(3), 443-450.

 

 

 

 

 

 

 

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now