NURS 6052 Discussion: Where in the World Is Evidence-Based Practice? Example Paper IncludedMarch 21,

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NURS 6052 Discussion: Where in the World Is Evidence-Based Practice? Example Paper Included

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

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

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

To Prepare:

• 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.
• Supported by at least three current, credible sources

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

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

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

• Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708.

Note: You will access this article from the Walden Library databases.

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.

Note: You will access this article from the Walden Library databases.

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.

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53.

Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021

Note: You will access this article from the Walden Library databases.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160

Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

NURS 6052 Discussion: Where in the World Is Evidence-Based Practice? Example 1

VitalCare Health Solutions

The healthcare organization website I reviewed is called “VitalCare Health Solutions.” The website exudes a modern and professional design, featuring a clean layout with easy navigation. The homepage greets visitors with a captivating image of diverse healthcare professionals engaged in collaborative care. Evidence-based practice (EBP) prominently appears throughout VitalCare Health Solutions’ website, reflecting the organization’s commitment to providing high-quality, evidence-based care. 

In the mission statement, they explicitly state their dedication to integrating the latest research findings and best practices into their healthcare delivery (Vital Healthcare Solutions, n.d.). Their philosophy section highlights the importance of utilizing evidence from clinical trials, systematic reviews, and patient-centered outcomes to guide decision-making.

Additionally, the goals section of the website outlines specific objectives aimed at promoting EBP. These objectives include fostering a culture of continuous learning and professional development among staff, investing in research and innovation, and collaborating with academic institutions to stay at the forefront of healthcare advancements. VitalCare Health Solutions’ work is undeniably grounded in EBP (Vital Healthcare Solutions, n.d.). They prioritize the use of evidence to inform their clinical protocols, treatment plans, and interventions. 

This commitment is evident in the extensive resources section of the website, which provides access to a wide range of evidence-based guidelines, protocols, and research articles for both healthcare professionals and patients. The information discovered on VitalCare Health Solutions’ website has positively influenced my perception of the organization. Their explicit emphasis on EBP, integration of research findings, and commitment to continuous learning reflect a dedication to delivering the most effective and up-to-date care (Vital Healthcare Solutions, n.d.). 

The availability of resources and the focus on collaboration with academic institutions also showcase their efforts to stay current in a rapidly evolving healthcare landscape. As a result, I view VitalCare Health Solutions as an organization that prioritizes evidence-based care, which instils confidence in its ability to provide optimal healthcare outcomes.

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

Vital Healthcare Solutions. (n.d.). Vital Healthcare Solutions. https://vitalhealthcaresolutions.net/

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

Excellent FairPoorMain Posting45 (45%) – 50 (50%) Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 35 (35%) – 39 (39%) Responds to some of the discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors.0 (0%) – 34 (34%) Does not respond to the discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style.Main Post: Timeliness10 (10%) – 10 (10%) Posts main post by day 3.   

NURS 6052 Discussion: Where in the World Is Evidence-Based Practice? Example 2

Evidence based-practice (EBP) is a procedure utilized to examine, assess, and translate the most updated scientific evidence. EBP’s goal is to thoroughly integrate ideal and current research with patient partiality and clinical experience into medical practice to ensure nurses make knowledgeable patient-care conclusions (Melnyk et al., 2014).

The adoption and application of evidence-based practice in healthcare and nursing are fundamental in certifying the best patient results and care quality (Kim et al., 2016). EBP is the foundation of medical practice, and implementing EBP advances care quality and patient upshots.

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

PubMed is among the best websites to complete research with evidence-based and credible information. The website provides current, relevant, unbiased, and up-to-date information. PubMed is specific to health and medicine, conducts extensive medical and scientific research, and is a consistent and highly authoritative resource.

The website meets the CRAAP (currency, relevance, authority, accuracy, and purpose) test criteria used to examine empirical sources. EPB sponsors quality healthcare, improving the consistency and quality of healthcare, decreasing disparities in costs and care, and enhancing health outcomes (Melnyk et al., 2014). PubMed sponsors the search and reclamation of life and biomedical sciences literature to advance healthcare.

Why PubMed Is Grounded in EBP

PubMed is grounded in EBP, implementing the best accessible evidence, and medical professionalism. PubMed is credible and specific to health and medicine, containing over 34 million biomedical literature abstracts and citations (Williamson & Minter, 2019). A project-based EBP teaching can lead to a rise in EBP sources’ use and developments in attitudes and knowledge connected to EBP (Crabtree et al., 2016). Determining the dependability of evidence and resources is essential in evidence-based practice.

How Information Discovered on PubMed has Changed My Perception of the Healthcare Organization.

The information provided in PubMed has altered my understanding of the website. I have realized that the healthcare organization is a free global resource with systematic reviews that inform clinical verdicts. Further, the United States National Library of Medicine facilitates examining solutions to clinical inquiries with PubMed.

The adoption and distribution of EBP projects generate opportunities for healthcare experts to engage in the growth of scholarly evidence, leading to professional development and progress (Crabtree et al., 2016). PubMed promotes nursing professional development. Nurses are responsible for locating and categorizing dependable and academic resources to incorporate the optimum obtainable evidence, improving clinical reasoning and decision skills.

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

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving Patient Care Through Nursing Engagement in Evidence?Based Practice. Worldviews on Evidence?Based Nursing, 13(2), 172-175. https://doi.org/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. https://doi.org/10.1111/wvn.12171

Melnyk, B. M., Gallagher?Ford, L., Long, L. E., & Fineout?Overholt, E. (2014). The establishment of evidence?based practice competencies for practicing registered nurses and advanced practice nurses in real?world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence?Based Nursing, 11(1), 5-15. https://doi.org/10.1111/wvn.12021

Williamson, P. O., & Minter, C. I. (2019). Exploring PubMed as a reliable resource for scholarly communications services. Journal of the Medical Library Association: JMLA, 107(1), 16 https://doi.org/10.5195%2Fjmla.2019.433

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

Where in the World is Evidence-Based Practice?

Evidence-based practice (EBP) is a systematic approach that integrates the best available evidence from research, clinical expertise, and patient preferences to inform healthcare decisions (Melnyk and Overholt, 2023). While EBP has been around for decades, its significance grew with the passage of the Affordable Care Act in 2010, which mandated the incorporation of empirical evidence into healthcare practices (Engle et al., 2021). 

Following the Affordable Care Act, there was a notable surge in research on EBP and its application across various healthcare domains. Initially rooted in medicine, EBP has expanded to influence other health professions, education, and healthcare technology. Health organizations recognized its importance and began to incorporate EBP principles into their operations and decision-making processes. The purpose of this essay is to analyze the utilization of EBP on the WHO website and assess how prominently and comprehensively the WHO promotes EBP.

The World Health Organization (WHO) is a key player in shaping international health policies and guidelines, and the extent to which the WHO integrates Evidence-Based Practice (EBP) principles into its initiatives can have a substantial impact on healthcare practices worldwide. On the WHO’s homepage, there is an emphasis on evidence-based approaches, highlighting the guidelines informed by evidence and research-backed global health initiatives, signifying the organization’s dedication to evidence-based practices (WHO, 2023).

The WHO website’s menu entails health discussion topics with Evidence-Based Guidelines. This section shows various topics like disease-specific guidelines, health topic recommendations, and research summaries. These resources show the WHO’s commitment to integrating evidence into its recommendations for healthcare professionals, policymakers, and the general public (WHO, 2023). 

Additionally, there are publications where WHO provides educational materials that emphasize the importance of critical appraisal of research and informed decision-making. These materials guide users in understanding the process of developing evidence-based guidelines and promote a culture of evidence-based thinking. In addition, WHO collaborates with academic institutions to address global health challenges. Ongoing research initiatives and summaries of research findings are showcased, reinforcing the organization’s commitment to incorporating the latest research evidence into its activities (WHO, 2023).

WHO also focuses on patient-centered care through resources that encourage Health care workers, as well as patients, to actively participate in their health decisions. This provides information on how patients can access evidence-based information to make informed choices about their health and treatment options. WHO highlights case studies and best practices from various countries that have successfully implemented evidence-based strategies to improve healthcare quality. 

These real-world examples underscore the practical application of EBP principles in enhancing healthcare systems. The WHO’s involvement in regional and global initiatives is intertwined with evidence-based approaches. Initiatives such as disease control, health promotion, and healthcare system strengthening are all supported by evidence-informed strategies, emphasizing the organization’s commitment to global health based on EBP (WHO, 2023).

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

Engle, R. L., Mohr, D. C., Holmes, S. K., Seibert, M. N., Afable, M., Leyson, J., & Meterko, M. (2021). Evidence-based practice and patient-centered care: Doing both well. Health Care Management Review, 46(3), 174–184. https://doi.org/10.1097/hmr.0000000000000254

Melnyk, B. M., & Fineout Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer. o Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–36. https://www.nursingcenter.com/upload/journals/documents/b01694356.htm

WHO. (2023). World Health Organization (WHO). Who. int. https://www.who.int/

Evidence-based Practice and the Quadrupple Aim Assignment Instructions and Example Solution Provided

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

• Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
• Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
• Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

• Patient experience
• Population health
• Costs
• Work life of healthcare providers

Evidence-base Practice and the Quadrupple Aim Assignment Rubric

This criterion is linked to a Learning Outcome Write a brief analysis of the connection between evidence-based practice and the Quadruple Aim. Your analysis should address how evidence-based practice might (or might not) help reach the Quadruple Aim, including each of the four measures of:· Patient experience· Population health· Costs· Work life of healthcare providers
85 to >76.0 pts Excellent
The analysis clearly and accurately addresses in detail how evidence-based practice either supports or does not support the Quadruple Aim. …
The analysis accurately and thoroughly explains in detail how the four measures of patient experience, population health, costs, and work-life of healthcare providers either supports or does not support the Quadruple Aim. …
The analysis provides a complete, detailed, and specific synthesis of two outside resources reviewed on the four measures supporting or not supporting the Quadruple Aim. The response fully integrates at least two outside resources and two or three course-specific resources that fully support the analysis provided with credible and detailed examples.
76 to >67.0 pts Good
The analysis accurately addresses how evidence-based practice either supports or does not support the Quadruple Aim. …
The analysis accurately explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim. …
The analysis provides an accurate synthesis of at least one outside resource reviewed on the four measures supporting or not supporting the Quadruple Aim. The response integrates at least 1 outside resource and two or three course-specific resources that may support the analysis provided and may include some detailed examples.
67 to >59.0 pts Fair
The analysis inaccurately or vaguely addresses how evidence-based practice either supports or does not support the Quadruple Aim. …
The analysis inaccurately or vaguely explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim. …
The analysis provides an inaccurate or vague analysis of the four measures supporting or not supporting the Quadruple Aim with a vague or inaccurate analysis of outside resources. The response minimally integrates resources that may support the analysis provided and may include vague or inaccurate examples.
59 to >0 pts Poor
The analysis inaccurately and vaguely addresses how evidence-based practice either supports or does not support the Quadruple Aim or is missing. …
The analysis inaccurately and vaguely explains how the four measures of patient experience, population health, and work life of healthcare providers either supports or does not support the Quadruple Aim or is missing. …
The analysis provides a vague and inaccurate analysis of the four measures supporting or not supporting the Quadruple Aim with a vague and inaccurate analysis of outside resources. The response fails to integrate any resources to support the analysis provided or is missing.85 ptsThis criterion is linked to a Learning Outcome Written Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas.
Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
5 to >4.0 pts Excellent
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. …
A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
4 to >3.5 pts Good
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. …
Purpose, introduction, and conclusion of the assignment is stated yet is brief and not descriptive.
3.5 to >3.0 pts Fair
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60–79% of the time. …
Purpose, introduction, and conclusion of the assignment is vague or off topic.
3 to >0 pts Poor
Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time. …
No purpose statement, introduction, or conclusion was provided.5 ptsThis criterion is linked to a Learning OutcomeWritten Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation.
5 to >4.0 pts Excellent
Uses correct grammar, spelling, and punctuation with no errors.
4 to >3.5 pts Good
contains a few (one or two) grammar, spelling, and punctuation errors.
to >3.0 pts Fair
Contains several (three or four) grammar, spelling, and punctuation errors.
3 to >0 pts Poor
Contains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.5 ptsThis criterion is linked to a Learning Outcome Written Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.
5 to >4.0 pts Excellent
Uses correct APA format with no errors.
4 to >3.5 pts Good
Contains a few (one or two) APA format errors.
3.5 to >3.0 pts Fair
Contains several (three or four) APA format errors.
3 to >0 pts Poor
Contains many (five or more) APA format errors.5 ptsTotal Points: 100

Evidence-based Practice and the Quadrupple Aim Assignment Example Solution

The Connection between Evidence-Based Practice and the Quadruple Aim

Healthcare organizations have adopted the Quadruple Aim framework as a means to enhance healthcare delivery. The Quadruple Aim emphasizes four key measures: patient experience, population health, costs, and the work-life of healthcare providers.

Evidence-Based Practice (EBP) plays a crucial role in supporting and advancing the Quadruple Aim by promoting the use of the best available evidence in decision-making and driving improvements in these four areas. This paper explores the connection between EBP and the Quadruple Aim, discussing how EBP can facilitate progress in each measure.

Patient Experience

EBP significantly improves patient experience by promoting the delivery of high-quality, patient-centered care. Integrating research evidence, clinical expertise, and patient preferences, EBP ensures that healthcare interventions align with the best available evidence of effectiveness, safety, and patient preferences (Bowles et al., 2019).

This approach enhances patient outcomes, reduces variations in care, and fosters shared decision-making. EBP interventions, such as standardized care protocols and clinical practice guidelines, improve patient satisfaction, increase engagement, and enhance communication between patients and healthcare providers (Iglesia et al., 2020).

Population Health

EBP advances population health by enabling healthcare organizations to implement evidence-based interventions and strategies that promote the health and well-being of entire communities. Synthesizing research evidence on preventive measures, health promotion initiatives, and disease management strategies, EBP informs population-level interventions addressing social determinants of health and reducing health disparities.

According to Iglesias et al. (2020), EBP guides the development of public health programs targeting specific populations or interventions aimed at reducing the burden of chronic diseases. By incorporating EBP into population health management, healthcare systems improve health outcomes, reduce healthcare utilization, and enhance community well-being.

Costs

EBP positively impacts healthcare costs by guiding resource allocation toward interventions that demonstrate effectiveness and cost-efficiency. Adopting evidence-based interventions allows healthcare organizations to avoid unnecessary or ineffective treatments, reduce medical errors, and optimize resource utilization.

Bowles et al. (2019) reiterate that EBP informs decisions regarding the adoption of new technologies, drugs, or medical devices by considering their clinical effectiveness and cost-effectiveness. Additionally, EBP identifies strategies for optimizing care delivery processes, improving care coordination, and reducing waste. Integrating EBP into healthcare decision-making allows organizations to achieve better outcomes while managing costs more efficiently (Nundy et al., 2022).

Work-Life of Healthcare Providers

EBP enhances the work life of healthcare providers by promoting a culture of continuous learning, professional development and reducing practice variability. Basing clinical decisions on sound evidence increases healthcare providers’ confidence, leading to improved job satisfaction and reduced burnout.

EBP supports the use of standardized care protocols and clinical guidelines, which reduces the cognitive load on healthcare professionals and streamlines care processes (Bachynsky, 2020). Moreover, EBP fosters a collaborative approach to decision-making, promoting interdisciplinary teamwork and communication. These factors contribute to a positive work environment, improved provider well-being, and ultimately, better patient care.

Conclusion

Evidence-Based Practice plays a vital role in achieving the Quadruple Aim by improving patient experience, population health, cost-effectiveness, and the work life of healthcare providers. Integrating research evidence into decision-making processes allows healthcare organizations to deliver high-quality, patient-centered care, promote population health, optimize resource utilization, and enhance the well-being of healthcare professionals. Embracing EBP as a core component of healthcare delivery is essential for realizing the Quadruple Aim and driving meaningful improvements across these four measures.

References

Bachynsky, N. (2020). Implications for policy: The triple aim, quadruple aim, and interprofessional collaboration. In Nursing forum 55(1), 54-64. https://doi.org/10.1111/nuf.12382

Bowles, J. R., Batcheller, J., Adams, J. M., Zimmermann, D., & Pappas, S. (2019). Nursing’s leadership role in advancing professional practice/work environments as part of the quadruple aim. Nursing Administration Quarterly, 43(2), 157-163. https://doi.org/10.1097/NAQ.0000000000000342

Iglesia, E. G., Greenhawt, M., & Shaker, M. S. (2020). Achieving the Quadruple Aim to deliver value-based allergy care in an ever-evolving health care system. Annals of Allergy, Asthma & Immunology, 125(2), 126-136. https://doi.org/10.1016/j.anai.2020.04.007

Nundy, S., Cooper, L. A., & Mate, K. S. (2022). The quintuple aim for health care improvement: a new imperative to advance health equity. JAMA, 327(6), 521-522. https://doi.org/10.1001/jama.2021.25181

NURS 6052 Evidence-based Project, Part 1: Identifying Research Methodologies

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared details about processes and procedures with you. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it.

Do they know why

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Solution: