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Feb 23, 2024 NR 505 Week 8 Discussion

NR 505 Week 8 Discussion Reflection
Week 8 Reflection
My plan to promote lifelong personal and professional growth in using evidence-based practice (EBP) is to engage in EBP activities in clinical practice continuously. I also plan to continuously learn about EBP by attending EBP trainings in seminars and conferences. I believe in the importance of lifelong learning, which is the ongoing pursuit of knowledge and skills to improve personal and professional development (Lauseng et al., 2019). Thus, lifelong learning on implementing EBP in clinical practice will be crucial in improving my EBP knowledge and skills. Furthermore, continuing to engage in EBP activities in my future practices will significantly promote growth in EBP since practice makes perfect (Mlambo et al., 2021). In my future practice, I plan to encourage other nurses and healthcare professionals to engage in EBP, including training and mentoring them so that we can grow together.
My EBP project in this course examined the impact of cognitive training in improving executive function in children with ADHD aged 4-12 years. I found that cognitive training has been proven to improve executive functioning, ADHD symptoms, and quality of life in children with ADHD. This is crucial information that providers managing children with ADHD need to know. Consequently, I will disseminate this information to my 8colleagues to help them better manage children with ADHD. Incorporating cognitive training in managing children with ADHD in our practice will significantly improve health outcomes and lower costs for patients and the facility.
References
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Lauseng, D. L., Howard, C., & Johnson, E. M. (2019). Professional development in evidence-based practice: course survey results to inform administrative decision making. Journal of the Medical Library Association: JMLA, 107(3), 394–402. https://doi.org/10.5195/jmla.2019.628
Mlambo, M., Silén, C., & McGrath, C. (2021). Lifelong learning and nurses’ continuing professional development, a meta-synthesis of the literature. BMC Nursing, pp. 20, 1–13. https://doi.org/10.1186/s12912-021-00579-2
NR 505 Week 8 Discussion
What specific skills and knowledge that you gained through this course will be most important as you plan and implement your practicum project? Describe a concrete way in which you anticipate using these skills and knowledge.
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This weeks discussion looks forwards and asks about the future use of evidence-based practice in our workplace setting.  We are to imagine ourselves as nursing leaders in the advance practice setting and answer the listed questions above.  To begin, i would role model evidence-based practice in my future setting by basing decisions and practices on the latest research.  This can be achieved by using transparency with co-workers as to why a certain change was implemented and needed.  At my current place of employment, certain protocols such as sepsis bundles were rolled out to staff in this manner.  The need for a change to old protocols was first identified using current data at the time that showed a delay in our implementation of sepsis treatments as well as data showing our patient outcomes compared to others.  Then, the latest research was shown to staff showing how effective new sepsis bundles were for patients and this was used as the reason for needed changes.  Committee’s were also formed so that any staff member that wanted to participate in the research and changes could do so.  The successful implementation of EBP is a dynamic process dependent on a number of variables. Individual experiences, bias and attitudes alongside professional, organisational and workplace factors can act as hurdles or barriers to the translation of empirical knowledge into practice and as such this process can take many years. (Williams, Perillo, & Brown, 2015).  In order to foster a culture of EBP for an organization, it takes time, competence and motivation.  Members of the organization from top to bottom must lead by example and show that they also value this type of culture.  An open-door, non-punitive  policy to new ideas for needed changes is a great method to promote this.  Asking staff to openly search for areas of improvements and forming committee’s to research how to resolve problems is another method that allow staff to become part of the process for researching and implementing changes.  If a staff member is stating that things have never been done this way, they may be resistant to change.  I would offer them to participate in a committee or current project as well as educate them on the importance of EBP in the workplace.
thanks
jazi
 
References
Williams, B., Perillo, S., & Brown, T. (2015). Review: What are the factors of organisational culture in health care settings that act as barriers to the implementation of evidence-based practice? A scoping review. Nurse Education Today, 35e34-e41. doi:10.1016/j.nedt.2014.11.012

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