Evidence Based Practice Assignment Part II: Article Analysis & Implications for Nursing Practice. Emma M. Johnson School of Nursing, Oregon Health and Science University NRS 211: Foundations in Chronic Illness. Tamara Whittle and Marcia Larsen. March 1, 2024. Evidence Based Practice Assignment Part II: Article Analysis & Implications for Nursing Practice Analyzing the Evidence The article “Effectiveness and Cost-Effectiveness of an Empowerment-Based Self-care Education Program on Health Outcomes Among Patients with Heart Failure: A Randomized Clinical Trial” by Chinese researchers (Yu et al., 2022), discusses the results of a double-blind randomized clinical trial testing the implementation of a heart failure (HF) education …show more content…
It can be debilitating, painful, and disheartening for those who experience it. This demands significant nursing attention, particularly in patient education. Nurses should be competent in the pathology and progression of HF, as well as demonstrate the ability to educate the patient on this knowledge using effective and therapeutic communication techniques. The nurse should share prioritization with the patient’s priorities and questions, while also ensuring that complete education is provided. Patient education should prioritize common symptoms like fatigue and a mild cough while emphasizing red flag symptoms requiring emergency help: sudden shortness of breath or pink frothy sputum, chest pain, rapid irregular heartbeat, and fainting or severe weakness (Mayo Clinic Staff, 2023). Monitoring and tracking these symptoms is crucial for self-management. HF can be overwhelming, especially if there are unanswered questions and a lack of understanding; nurses can provide empowerment through education. A key aspect of patient education is educating on self-management. Self-management includes diet/medication adherence, physical activity, self-assessment, and other lifestyle modifications. Diet adherence includes order adherence and education on a low-sodium heart healthy diet (DASH). Physical activity will be encouraged and tolerated. Self-assessment includes monitoring signs and symptoms and taking daily weight and blood pressure. A lifestyle modification to highlight is the cessation of smoking. An article by Yu, et al. al, provides a study that demonstrates the use of empowerment strategies to aid in education and self-management of HF. By using the empowerment strategies from the study, such as patient goal setting and enhanced nurse to patient interactions, there was a significant increase in the overall health outcomes of these patients with HF. Nurses working
The Johns Hopkins Nursing Evidence-Based Practice Model provides nurses with a system to formulate a practice question, appraise both research and non-research evidence, and to develop recommendations for practice (Dearholt & Dang, 2012). This model guides nurses through the evidence-based research process with ease and minimal difficulty using a problem solving approach.
Catheter Acquired Urinary Tract Infections (CAUTIs) has become to be classified as one among the leading infections which most individuals end up being susceptible to acquire while at the hospital. Healthcare-associated or acquired infections (HAIs) are a significant cause of illness, death, and more often than not, have resulted to cost the tax payers potentially high medical expenses in most health care settings. ("Agency for Healthcare Research and Quality," para. 1) Due to this, 1 out of every 20 patients will end up with CAUTI within the US hospitals and this has caused Agency for healthcare research and quality (AHRQ) to embark on nationwide plans to help in the eradication and control of CAUTI incidences. ("Agency
...y hired nurses on the heart failure floor since discharge education remains one of the responsibilities. I believe knowledge is an important factor to empower the patients about heart failure care and nurses spend nearly 24 hours a day with hospitalized patients; therefore, nurses can be patient advocates by reinforcing teaching. Most importantly, I believe that catering to the patient’s individual needs and establishing a good nurse-patient relationship enhances trust and learning which in the long run, is very beneficial to both nursing practice and the quality of life of the patient. Overall, what I discovered about heart failure is that there is no simple solution in preventing heart failure hospital readmission. Even with the recommended evidence-based practice suggestions, hospital readmission rates for HF still seem to remain high throughout the country.
In this assignment as detailed in the module eleven handbook (South Trent School of Operating Department Practice, 2012) the author will aim to explore and describe the principles and methods of scientific enquiry that underpin Evidence Based Practice (EBP). Research and evaluate the choice of the various methods that can be used within the healthcare and theatre based setting and relate these practices to the Operating Department Practitioners (ODP’s) Standards of Proficiency (Health Professions Council. 2008).
Within this essay Evidence based Practice will be identified and the significant effect it has on the nursing profession, barriers will also be explored in the implementation of Evidence Based Practice.
In social work evidence based practice is considered to be a decision making process and practitioners rely on the evidence when working with clients. According to Aveyard and Sharp (2013), evidence based practice is not easy to put into practice and there are many barriers to evidence based practice such as lack of time, lack of awareness of research, lack of support and cooperation, and lack of authority and inadequate facilities (p. 145). Although there are challenges to implementing evidence base practice this is still a doable task in the field of social work. Therefore, practitioners need to explore the motivation, knowledge and skills needed by the individual, the organizational motivation, learning
Humanity presents individuals with extraordinary gifts as well as weaknesses. Growing up I realized this notion as I gave insulin shots to my younger brother and reminded him to check his blood consistently throughout the day. I was determined to fight this battle with him through researching alternative medicine options and attending his doctor’s appointments. This life experience enlightened me on my compassion for individuals with health issues and my passion for management and prevention of chronic diseases. As a nurse practitioner, my major goal is to help others like my family through properly educating patients and their families while being a source of comfort and strength in their time of distress.
... the context of chronic illness: a family health promoting process. Journal of Nursing and Healthcare of Chronis Illness 3, (3), 283-92.
Over the last 10 years evidence-based practice (EBP) has grown substantially and is changing the nursing care delivered to patients along with the nursing work environment. Nurses are more involved in the decision making process, and are making clinical decisions with better patient outcomes (Good, Fink, Krugman, Oman, & Traditi, 2011). With technology growing at such a fast pace, new and more effective medicines, medical devices, and procedures are developed daily. Digestible sensors that monitor your bodily systems and 3D printing of embryonic stem cells, blood vessels, and sheets of cardiac tissue that actually beat like a real heart, are significantly impacting the future of healthcare (Honigman,
According to the Healthy People Database, in 2010 the aging population was estimated at 40 million, this number is expected rise to nearly 70 million by the year 2030 (National Center for Health Statistics, 2000). At the forefront of health concerns for this aging population will be the intervention, management and treatment of chronic diseases. This increase in both this specific population as well as the required medical care will place a significant amount of stress on an already distressed healthcare system, which in turn will affect the availability of recourses and costs. Including patients in their self care with strategic health promotion such as encouragement and education geared towards specific socioeconomic groups will be more cost effective and beneficial in the management of chronic disease. Studies indicate that patients involved in self management of disease processes often have better patient outcomes.
Often in practice, we as nurses deal with a variety of diseases and treatments and often have to react to the illness that the patient presents with upon our interaction. While this is an essential piece of our practice, we also have a duty to our patients to be proactive in preventing specific health-related consequences based on their risk factors and to promote their health and well being. Health promotion as it relates to nursing is about us empowering our patients to increase their control over their lives and well beings and includes: focusing on their health not just illness, empowering our patients, recognizing that health involves many dimensions and is also effected by factors outside of their control (Whitehead et al. 2008)..
Did you know there are different cultural versions of the Cinderella story? All of these stories have a main character who is mistreated. In the texts Yeh-Shen: A Cinderella Story from China written by Ai-Ling Louie and Soot Face: An Ojibwa Cinderella Story written by Robert D. San Souci, there were many similarities and differences in the stories and their settings. The setting in Yeh-Shen: A Cinderella Story impacted the plot because if Yeh-Shen never lived in the village, she would’ve never met the prince. The setting in Sootface: An Ojibwa Cinderella Story impacted the plot because if she didnt live in the village she wouldnt have met the Warrior.
Evidence based practice (EBP) is a key component in delivering cost-effective, high quality health care. [1] However, only around half of the care providers in the United States utilized EBPs. Additionally, nearly a quarter of services delivered to American consumers are unnecessary and potentially harmful. Today, educators are teaching and promoting evidenced based health care to future nursing professionals. The Institute of Medicine (IOM) supports this action as a means to achieve the objective that 90 percent of all medical treatments have a foundation in evidence based practices by the year 2020.
Treatment options for mental health disorders has a history of uncertainty in its effectiveness. Many of the practices in the mental health field have been less focused on a possible cure with more attention been placed on the control, management, and saving time and money on treatment. However, as more research has been established, practices has improved for patients who suffer from mental disorders. More and more clinics are implementing treatment options proven through research. This paper discusses various options for evidenced based practices used by psychologist and the role of the mental health leader in the implementation of the practices in a mental health care setting.
Robert Wood Johnson Foundation: Chronic Conditions: Making the Case for Ongoing Care. Retrieved from http://www.rwjf.org/qualityequality/product.jsp?id=14685