Feb 23, 2024 GCU NUR 590 Evidence Based Practice Project Discussions
GCU NUR 590 Evidence Based Practice Project Discussions
GCU NUR590 Evidence Based Practice Project Discussions
Week 1 Discussion
DQ1 Based on the PICOT you developed for NUR-550, summarize the change initiative you will be proposing. How does this support the population of focus, your setting, and role? Justify how the problem you selected to investigate is amenable to a research-based intervention using the PICOT format.
Medication administration errors are a healthcare concern and efforts to prevent and reduce their occurrence can leverage on different interventions that include the use of health information technology (HIT). The susceptibility to medication administration errors (MAEs) among the critically-ill patients is higher than other population or patient demographics (Trimble et al., 2017). Therefore, this EBP project will assess the effectiveness of implementing health information technologies compared to the conventional medication management processes to reduce medication errors among the critically-ill patients.
PICOT Question
P
Population
Among the critically ill patients
I
Intervention
Integration of health information technology in the medication administration process
C
Comparison
Use of conventional or normal medication administration process
O
Outcome
Reduction n medication administration errors
T
Timeframe
Duration of hospital stay
PICOT
Create a complete PICOT statement.
Among the critically ill patients (P), does the integration of health information technology (I) compared to conventional medication administration process (C), lead to a reduction in medication administration errors (O) during patient’s stay (T)?
Problem Statement
Create a problem statement for your PICOT. You will use this problem statement throughout your final written paper.
Medication administration errors are a health concern because of the adverse effects that they cause to patients and the need for healthcare providers, especially nurses, to develop interventions based on the use of evidence-based practice. Medication errors lowers quality care and patient outcomes. Medication errrs sometimes cause no harm to patients. However, in most cases, they devastate nurses and are harmful to patients. Nurses are a critical part of the care provision and have a duty to protect patients against errors in the medication administration process. The critically ill patients require close and effective monitoring and nurses remain accountable to anything that happens to the patients (Alotaibi & Federico, 2017). Interventions like the use of health information technology can enhance quality care outcomes and allow nurses to offer the most effective care to patients in critical conditions that include intensive care unit (ICU) (Naidu & Alicia, 2019). Health information technology enhances and transforms healthcare delivery as it leads to a reduction of human errors, facilitates better coordination among the interdisciplinary teams and improves overall practice efficiencies. By using health information technology models like electronic medication administration (e-MAR, barcode scanning and e-prescribing, stakeholders can reduce medication administration errors among nurses and enhance patient safety.
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GCU NUR590 Evidence Based Practice Project Discussions References
Alotaibi, Y. K. & Federico, F. (2017). The impact of health information technology on patient safety. Saudi
Medical Journal, 38(12):1173-1180. doi: 10.15537/smj.2017.12.20631
Naidu, M. and Alicia, Y.L.Y. (2019). Impact of Bar-Code Medication Administration and
Electronic Medication Administration Record System in Clinical Practice for an Effective Medication Administration Process. Health, 11, 511-526. https://doi.org/10.4236/health.2019.115044
Trimble, A. N., Bishop, B., & Rampe, N. (2017). Medication errors associated with transition from insulin pens
to insulin vials. American Journal of Health-System Pharmacy, 74(2), 70-75. doi:10.2146/ajhp150726
DQ2 Discuss the role of EBP in your specialty area of practice. Compare and contrast the role and implementation of EBP in your specialty with another advanced registered nurse specialty.
NUR590 Evidence Based Practice Project
Week 2 Discussion
DQ1 Do you foresee any issues with implementation of your project? Identify stakeholders who could assist in supporting you, and any theoretical frameworks (organizational change, leadership, role-specific) or models that could help you adapt.
DQ2 What strategies will you use in your new practice as an advance registered nurse to review and critique literature pertinent to your practice?
The spirit of inquiry is an essential component in nursing practice. It encompasses the curiosity to learn about the best available evidence that can be used for decision-making in clinical practice. The inquiry helps nurses to be constantly engaged in seeking answers to the issues they experience in their practice and how to optimize care outcomes. A spirit of inquiry is important in nursing since it contributes to evidence-based practice. It helps nurses to utilize best available evidence to make decisions that contribute to outcomes such as safety, quality, and efficiency (Bell, 2021). Spirit of inquiry also contributes to knowledge generation since nurses constantly engage in nursing research with the aim of introducing new practices to patient care.
Nurses play several roles in contributing and encouraging spirit of inquiry in their organizations. One of the roles is advocating for the culture of spirit of inquiry. Nurses can be drivers of change by consistently using best evidence in making their decisions. They are advocate for the leadership and management to implement measures that will contribute to the spirit of inquiry and use of evidence-based data. The other way in which nurses can encourage the spirit of inquiry is by coaching and mentoring others on the use of evidence-based practices. Coaching and mentorship to the other nurses will address barriers to the use of evidence-based practices such as those related to the lack of knowledge and skills. The last way is by providing other nurses and healthcare providers resources for acquiring knowledge on evidence-based practice and spirit of inquiry. The role of advanced registered nurses and implementation of evidence-based practice in my specialty is like other specialties in my practice site. Advanced registered nurses are involved in assessing, implementing, monitoring, planning, and evaluating change (Melnyk & Fineout-Overholt, 2022; O’Shea & Fischer-Cartlidge, 2020). The similarity in roles and implementation ensures the use of standardized procedures when implementing change in the organization.
GCU NUR590 Evidence Based Practice Project Discussions References
Bell, S. G. (2021). Step 0: The Spirit of Inquiry. Neonatal Network: NN, 40(1), 38–39. https://doi.org/10.1891/0730-0832/11-T-686
Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. Lippincott Williams & Wilkins.
O’Shea, D., & Fischer-Cartlidge, E. (2020). Building Evidence-Based Practice Competency Through Interactive Workshops. Clinical Nurse Specialist, 34(5), 217. https://doi.org/10.1097/NUR.0000000000000544
NUR590 Evidence Based Practice Project
Week 3 Discussion
DQ1 What levels of evidence are present in relation to research and practice, and why are they important regardless of the method you use?
DQ2 What factors must be assessed when critically appraising quantitative studies (e.g., validity, reliability, and applicability)? Which is the most important? Why?
NUR590 Evidence Based Practice Project
Week 4 Discussion
DQ1 What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.
DQ2 Ensuring the protection of human subjects is necessary when conducting research projects. What are some methods that can be used to protect personal rights of someone in one of the groups that is labeled as vulnerable? Consider how a patient’s values and your own clinical judgment must be considered before applying the evidence in clinical decision making for an individual patient.
NUR590 Evidence Based Practice Project
Week 5 Discussion
DQ1 Identify the components of implementing your evidence-based practice project. What has been the most difficult component, and why? What do you think has gone well? Provide one piece of advice you would give to a colleague about the implementation process.
DQ2 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project. This could range from support of the evidence-based project proposal to communication gaps. How could you address these problems?
NUR590 Evidence Based Practice Project
Week 6 Discussion
DQ1 When reviewing the literature and different types of evidence for your project, what gaps in the findings did you encounter? How could these gaps influence other researchers?
DQ2 What is the difference between statistically significant evidence and clinically significant evidence? How would each of these findings be used to advance an evidenced-based practice project?
NUR590 Evidence Based Practice Project
Week 7 Discussion
DQ1 Identify the audience for your EBP proposal and discuss strategies for disseminating the proposal.
DQ2 How will you ensure that all appropriate audiences receive information about research and EBP initiatives?
NUR590 Evidence Based Practice Project
Week 8 Discussion
DQ1 Post a rough draft of your “Evidence-Based Practice Presentation.” The purpose of this draft is to get feedback from your peers. Identify at least two areas you would like specific feedback for improvement.
Peers are encouraged to also comment on anything they feel is successful or could be further improved. Review all of the presentations, but provide critical commentary for at least one other posted presentation.
DQ2 The EBP process is a powerful way of advancing improvements in health care. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.
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