Discussion Peer Replies

Attaching my peers answers to the original discussion question:”Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?.”Peer answers are attached.(2 peer answers in each document) I need substantial replies with apa references for each peer answer
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Martha Tothill
3 posts
Martha’s – Re:Topic 10 DQ 2
According to (UNF, 2016), a lager percentage of employers are seeking employees who have furthered
their education and have earned at least a Bachelor of Science in Nursing (BSN) degree. This is due to
the movement of organizations wanting nurses to be move involved in the decision-making process.
According to (UNF, 2016), evidence-based practice (EBP) in nursing is now a key component in
improving patient care and outcomes. Evidence-based practice is taught in baccalaureate programs.
According to (UNF, 2016), BSN prepared staff can offer many benefits, such as enhanced training and
skills development in critical thinking, leadership and evidence-based practice. According to (UNF,
2016), the Institute of Medicine recommends that 80% of nurses have at least a BSN by 2020.
I found an article by (Farokhzadian & Poorchangizi, 2017) which lists some suggestions on strategies to
integrate EBP in a clinical setting. One that I would suggest my organization use is the creation of a
learning environment and designing and delivering training programs such as EBP journal clubs. My
organization already has an online learning website that we use for our internal training. I would
suggest that we get access to EBP journals from organizations such as the National Commission on
Correctional Health Care. A second way that I would continue to integrate EBP in my organization is
promoting a culture of evidence-based decision making in our clinical area. I would do this by
continuing to read current research articles that could benefit my practice as a correctional health
nurse.
The only obstacle I can think of would be, nurses who are not interested in taking the extra steps to
learn about EBP. Some Nurses who arenâ??t BSN prepared in my unit are older nurses, who are set in
their ways, and may be difficult to persuade to embrace EBP. I think if they are given access to printed
journals or articles that they can read and receive their continuing education hours for doing so, may
be a good way to encourage them to learn about new evidence-based practices.
References
Farokhzadian, J., & Poorchangizi, B. (2017). 115: STRATEGIES OF INTEGRATION OF EVIDENCE-BASED
PRACTICE IN THE CLINICAL SETTINGS. Retrieved from
http://bmjopen.bmj.com/content/7/Suppl_1/bmjopen-2016-015415.115.citation-tools
UNF. (2016). The Importance of Evidence-Based Practice in Nursing. Retrieved from
https://onlinedegree.unf.edu/articles/the-importance-of-evidence-based-practice-in-nursing.aspx
Nancy Page
5 posts
Re:Topic 10 DQ 2
When I graduated nursing school 40 years ago, nurses were taught to follow orders and learn
procedures. There was not much talk of nurses using critical thinking skills, much less doing research
on nursing practice. Fast forward to today and nurses are being taught to think about “why it is they
are following a certain protocol, can it be done more efficiently or safely with better patient
outcomes?” Evidence based practice (EBP) is changing how nurses perceive their surroundings and
actions. It encourages them to think about the “why” certain practices are done a certain way. With
questioning one’s beliefs and practices, one thinks of different ways or processes that can improve the
outcomes for better patient care. This is where EBP is making strides in the way new nurses are taught
to critically think about nursing practice and processes. The are taught to question and see if they can
find a better solution to a problem to improve patient care. The call for EBP quality improvement and
changes to healthcare underscores the need for redesigning patient care that is safe, effective and
efficient (Stevens, 2013).
One way I plan to continue to use EBP in my practice is by continuing to use education for the nurses
and patients to improve readmission rates, length of stays and decrease injection site complications.
The second way I plan on using EBP is to start a study on lack of sleep while in the hospital and the
need for pain medication. My theory is that patients are being awakened during the night a minimum of
four to five times for vital signs, medication administration, lab sticks, etc. Ineffective sleep is
contributing to the patient’s perception of pain and fatigue. Is it really necessary to wake someone at
4am for a blood pressure check, or have labs drawn at 3am for someone else’s convenience? I think
there must be a better solution and allow the patient to sleep for at least five to six hours
uninterruped at night. Then there is a study about daily baths and linen changes reducing infection
rates. That one is a no brainer, but apparently, we have to go back to old school on that study! This
class has been a real eye opener for me because I see now that I can help solve a problem and make a
difference for my patients!
Reference:
Stevens, K., (May 31, 2013) “The Impact of Evidence-Based Practice in Nursing and the Next Big
Ideas” OJIN: The Online Journal of Issues in Nursing Vol. 18, No. 2, Manuscript 4.
DOI: 10.3912/OJIN.Vol18No02Man04
Christine Barsi
4 posts
Re:Topic 10 DQ 2 Chris B.
Before you can discuss why EBP is an essential practice of a BSN-prepared RN, you must understand
why it is essential to, at a minimum, achieve a BSN level. The role of a nurse is continuously evolving
and expanding as the practice of medicine becomes more and more complex (“10 Reasons Why,” 2018).
The BSN-prepared nurse is going to have a more in-depth understanding of the complexity of the everevolving nursing situation(“10 Reasons Why,” 2018). Understanding that nursing practice is constantly
evolving and changing, so should a nursesâ?? practice. In this nurses’ opinion, as a BSN-prepared nurse,
the mindfulness to constantly strive for excellence is in the forefront. Thus, researching and seeking
out the best or newest evidence-based practices to keep on with the evolving nursing practice is very
imperative.
One of the two ways in which I promised myself I would continue to integrate EBP and integrate it into
my work environment is by becoming a member of a professional nurseâ??s organization once again.
Because these memberships generally include medical journals, I will have a greater opportunity to
keep up with other peer reviewed research that has been published. These articles can be a step in the
right direction towards possible policy change within my organization. Secondly, I am excited to attend
more symposiums and conferences. Because of this BSN program, I have a greater appreciation and
ability to really understand what lecturers are discussing. Thepvalues and other statistical numbers
actually mean something to me now, as they didnâ??t before.
While I see no obstacles in becoming a member of a professional nursing organization, or attending
conferences, I can only speak to my foreseen obstacles with EBP implementation. Two factors that I
believe will be an issue are the size of my hospital and the fact that most of the nurses employed at my
hospital are not BSNâ??s. The push for EBP and researching ways to implement it in my place of
employment or community are not the focus for ANDâ??s. The only way I can encourage a change in this
way is to speak to the benefits of perusing a BSN degree and encouraging as many other nurses who
were in my position to go for it.
References
10 reasons why rn’s should pursue their BSN degree. (2018). Retrieved from

10 Reasons Why RN’s Should Pursue their BSN Degree


REMEDIOS San Pedro
3 posts
Re:Topic 10 DQ 2
Before the discovery of Evidence Based Practice (EBP) implementation, the nurses delivered healthcare
services without extended focus towards enhancement of patient safety, quality of life, and better
outcomes. Overtime, EBP has continued to be viewed as a pivotal component in the growth and
development of patient care delivery. It has constantly proven to be an essential element in nursing
practice, as it has enabled provision of productive and efficient health care services that extend
beyond conventionally simple patient treatment.
According to Boswell, Kraus, Miller, and Lambert (2015), EBP facilitates the nurses to incorporate the
ultimate accessible and available research evidence to their clinical expertise and patient preferences,
values and attitudes. EBP aids in both nurseâ??s individual and professional improvement and expands the
healthcare practitioner capabilities. Further, Nilsen (2015) states that, nurses who employ EBP in their
practice attain optimal decisions in service delivery.
To build EBP driving forces within the healthcare, it is important to maintain interdisciplinary
interactions, collaboration and mentorship, and continuous education and training on evidence-based
practice. Educative conferences, programs, and training workshops come in handy in helping attain the
laid EBP goals. Nevertheless, obstacles like organizational and individual barriers provide a challenge in
EBP implementation and sustenance. Organizational obstacles entail poor time management skills, lack
of current and up to date information technology, and inadequate EBP implementation, and sustenance
resources.
On the other hand, individual obstacles pertain lack of motivation and the expertise to necessary for
translating evidence into practice, laziness, and negative attitudes. Providentially, there exist various
methodologies for mitigating these obstacles impacts. They include education and training to all
stakeholders on the change, ensuring constant interdisciplinary collaboration to ascertain constant
sharing of views, ideas, knowledge, skills, and experiences, adequate time allocation to each activity
as well as excellent prioritization of the activities and holding motivational conferences for individual
and group inspiration (Nilsen, 2015). These steps, when well adhered to, can to a huge extent aid in
reducing obstacles to EBP to manageable levels.
References
Boswell, J. F., Kraus, D. R., Miller, S. D., & Lambert, M. J. (2015). Implementing routine outcome
monitoring in clinical practice: Benefits, challenges, and solutions. Psychotherapy research, 25(1), 619.
Nilsen, P. (2015). Making sense of implementation theories, models and frameworks. Implementation
Science, 10(1), 53.
Cristina Garcia Martinez
1 posts
Re:Topic 10 DQ 2
Working in a cancer unit, I have learned that no matter what treatments, or surgeries doctors choose,
unfortunately a lot of the time the cancer wins. However, as a nurse I have learned that even though I
am unable to make a difference in their overall diagnosis outcome, I can make a difference in their
care and well being by using evidence based practice. For example, I found that our unit has the
highest CLABSI rate compared to the rest of the entire hospital. So clearly we are doing something
wrong, and we need to find that problem and fix it. Our patients are already going through enough and
itâ??s up to us as BSN prepared nurses to implement EBP in the clinical setting to protect our patients
from these unnecessary and preventable infections. Making changes over time based on evidence is
necessary in order to keep up with our continuously changing health care. BSN prepared nurses
understanding of EBP across patient care gives them the unique ability to act as partners with other
health professionals and to lead the improvement and redesign of the health care system (IOM, 2010).
The first way I will continue to integrate evidence is by staying up to date with the changing health
care system. Itâ??s important to be aware of the changes going on outside of our work environment
because the can make all the difference in your practice. I feel that nurses tend to get â??comfortableâ?
in the way they practice nursing. However, nursing and the health care system will continue to change
and we must keep up with those changes. Second, I will make sure that I advocate for the nurses in our
workplace by always asking questions, and requesting that our unit receives continuous training in
changes occurring out in the nursing world.
Reference:
Institute of Medicine (2010). The Future of Nursing: Leading Change and Advancing Health. Retrieved
from https://campaignforaction.org/resource/future-nursing-iom-report/
Josphina Chavara
1 posts
Re:Topic 10 DQ 2
When an EBP is utilized by a nurse, he or she knows that the EBP stems from the result of trials,
experiments, tests, routine examinations, and best practices that took a closer examination on the
results and the intended results. The BSN-prepare nurse is confident that the EBP utilized is not
something that comes from random ideas put together; it is the result of tried and true procedure that
improves upon and evolves the nurseâ??s understanding of what treatment/medication/action works best
for the patient currently. Furthermore, the EBP goes through several rigorous sets of eyes to see its
role in improving healthcare. According to the Online Journal of Issues in Nursing (2013), for EBP to be
successfully adopted and sustained, it needs to be supported and adopted by â??individual care
providers, microsystem and system leaders, as well as policy makers.� In doing so, the EBP must also
be regulated and approved on a federal, state and local level. The EBP is a testament of stability,
reliability, and effectiveness, so BSN-prepared RNs are able to provide a level of care that comes with
a form of elevated awareness on best practices and procedure for the patient.
This author plans on using the best possible system of care for her patients, and in doing so will provide
EBP-supported actions from the moment of patient admittance. I already have a reputation with my
patients for having a relatable and comfortable presence, and my work colleagues are aware that I am
a strong supporter of using the latest known treatments for my patients.The other plan I have it to ask
my fellow nurses to embrace EBP and challenge them to bring their own EBP that they feel passionate
about and bring it in to the workplace as considerations for work. The biggest obstacle for something
like this would be nurses who would feel like EBP is a waste of time unless theyâ??ve been explicitly
directed by the nurse manager or a doctor. In a way, I can understand their hesitance; the safest thing
to do in an industry that is rife with mistreatment and clinical error is to simply only act when
directed. The other main obstacle is time, as in the time needed to train nurses to be familiar with the
EBP. However, EBPâ??s strength comes from its proven roots and authenticity, and therefore it would
only make sense to convince nurses of how it improves their impact as a nurse and changes the lives of
patients for the better.
Reference:
The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas. (2013, May). Retrieved from
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofCont
ents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice.html

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