QUESTION: Dissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. Identify one professional journal and one nursing or health care conference where you might present your project. Discuss why each of your choices is the best option for you to disseminate your new knowledge.
RESPONSE 1: My project focused on correctional nursing and inmate health because that is the field I work in. Correctional nurses are often the first health care professional to see an inmate about a medical condition. Correctional nurses must often work closely with corrections officers in situations such as emergencies in the housing units or monitoring inmates for medical attention. These nurses are challenged to provide maximum health care in a setting with a mission and design for security and public safety. Often resources can be limited and creativity is needed. Like I mentioned in my project every new piece of equipment or idea for something new must be approved by corrections. Submission of my research regarding inmate non-compliance with chronic health conditions would benefit the correctional health field. I would most likely attempt to present my project to The Journal of Correctional Health Care. This journal focused on correctional nursing. It features original research, case studies, best practices, literature reviews and more to keep correctional health care professionals informed of important trends and developments. Topics addressed include clinical care, health services and support, personnel and staffing, ethical issues, medical records, quality improvement, risk management and medical-legal issues (Journal of Correctional Health Care, n.d.). I could also present my project at the National Conference on Correctional Health. The conference addresses major health care issues that commonly affect incarcerated individuals, including diabetes, hepatitis, HIV, hypertension, mental illness, oral health and substance abuse. It also addresses new practices for the treatment of major health care issues in order to better manage common medical, nursing, dental and mental health problems found in correctional settings. It is difficult for people to understand issues that we face in correctional nursing unless you have worked in this field before. The population is very diverse and these people often undereducated and are from low-income communities. Finding ways to take care of these individuals in order for them to be successful members of society is always the goal.
Journal of Correctional Health Care. (n.d.). Retrieved from https://www.ncchc.org/journal-of-correctional-heal…
Last week we wrote about public speaking and sharing our information with others. As you may recall, my subject is on adopting an opiate abuse risk assessment tool into practice for nurses. I cannot think of a better place to share the information that at Pain Week. Pain Week is a national conference, now in its 12thyear. This year it will be held in Las Vegas in September but has been held at other places as well. Pain Weekendwas held in Scottsdale, Arizona this past March. Continuing education credits are available, and Pain Week also has podcast and a journal available through the website. The website states that those who should attend Pain Week, “includes primary care physicians, physician assistants, nurse practitioners, pharmacists, psychologists, and those in other medical specialties.” (PAINWeek, 2017). It seems to me that it would also be quite beneficial to nurses as well.
If I were to submit my project based on evidence-based practice, I would want to be published in the American Nurses Association’s OJIN, or the Online Journal of Issues in Nursing. The OJIN states on the website, “Authors are encouraged to submit manuscripts, related to any previously posted OJIN topic, that present research, thinking, and/or experiences furthering the discussion of the topic.” (The American Nurses Association, 2017). The website is beneficial in that it provided specifics on how manuscripts are to be submitted and exactly what is needed within each manuscript. The reason I would like to submit to the OJIN is that it is seen by thousands of nurses and is known for its reliability and professionalism. In my opinion the ANA is the benchmark for all other nursing organizations, and much of what we have accomplished as nurses is in part due to the support of the ANA.
PAINWeek.org (2017). FAQS. PAINWeek.org. Retrieved from https://www.painweek.org/attendees/faqs.html
The American Nurses Association (2017). Author submission guidelines. The American Nurses Association. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/AuthorInformation
Dissemination is an important component of the research process. Effective communication is an important aspect of dissemination. Evidence dissemination has several goals relating to evidence and information such as increasing the reach to a variety of individuals and increasing motivation to use and apply evidence-based practice (Wilson et al., 2010).
One professional journal where I would want to present my project would be the Research and Theory for Nursing Practice International Journal. This journal focuses on issues relevant to improving nursing practice, education and patient care. This international journal also covers topics of significant importance to nurses’, educators, and researchers.
One healthcare conference where I would want to present my project would be the International Conference on Sexually Transmitted Diseases, Infections and AIDS. The aim of this conference is to exchange new scientific and clinical information within the field of sexually transmitted infections and HIV/AIDS. This conference will also unveil the latest in technologies and innovations relevant to STI related fields. Sharing and presenting my project and study findings is essential and beneficial and more importantly can lead to successful implementation (Wilson et al., 2010).
Wilson, P. M., Petticrew, M., Calnan, M. W., & Nazareth, I. (2010). Disseminating research findings: what should researchers do? A systematic scoping review of conceptual frameworks. Implementation Science : IS, 5, 91. http://doi.org/10.1186/1748-5908-5-91
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?
Intergrading Evidenced based practice is important to the practice of BSN prepared nurses because evidence-based practice is a clinical decision-making process in which clinicians use theory-derived, research-based knowledge to inform their decisions about care delivery (Salinas, 2017). Consideration of individual needs, preferences and resources are also included. EBP replaces policies and procedures based on other sources of evidence such as tradition or authority. It takes into account three things nursing students should consider at all times: best practice evidence, patient preferences and clinical expertise. Having further education like a BSN is needed to better understand research and why it’s needed. Healthcare is constantly changing and to remain relevant within the field you must always stay informed. This means need to continue education, this is why nurses require a certain amount of continuing education credits to renew their licenses. I will continue integrate evidence into practice in my place of work by staying informed on technology and what will work for this particular setting. We will continue to use the patient handout education system that was implemented due to my EBP project. I would also like to propose some type of system to track inmates’ compliance progress after discharge from the prison. I would like to be able to integrate more materials and possible education classes for inmates to take if they are willing obstacles that I will face will be budget and the need for approval of new practices and materials. I would like for the medical team to be able to take a nurse that works in the facility with them to their monthly meetings. This would be beneficial because the nurses can provide insight on the reality of situations we are faced with. I think this will be beneficial in providing reasoning on why we request certain things that are needed within the facility.
Salinas, A. (2017, April 07). Why evidence-based practice matters to students. Retrieved from https://www.nurse.com/blog/2017/02/22/why-evidence…
Not long before I started this class I accepted a position as a Case Manager. I am the CM for a 32-bed ICU in a Level I trauma center. This position allows me to have frequent contact with patients. I do many things, but the main objective is to help patients transition from the inpatient side to returning to their lives as seamlessly as possible. In doing so I also have to be a good problem solver and often be creative in finding solutions to complicated issues. The issues may be physical, emotional, or psycho-social, or any combination of the above. I was able to achieve this position for multiple reasons. First, I have a wide variety of professional experiences. Secondly, the manager knew I was weeks away from obtaining my BSN. If it were not for the BSN I would not have been offered the job. It didn’t hurt that many of my coworkers.
Evidence-based practice plays an important role in my job. I can be called upon to deal with situations that may not fall within my scope of experience and knowledge. EBP, and knowing how to access the information, can provide me with the most up-to-date information quickly. My job is face-paced, I must be able to find information quickly and easily if I am to keep up with my case load. Joo and Huber (2014) found that, “This study gives evidence that Nursing Case Manager’s practice in community-based settings provides coordinated care services while achieving patients’ positive qualitative outcomes”. Throckmorton and Windle (2009), stated that, Evidence-based practice supports professionalism, patient safety, and quality care.” The authors concluded that due to heavy workloads, Case Managers should take advantage of EBP in systemic reviews as to obtain information in the most efficient way. When time is an asset we don’t always get to enjoy, it is important the we understand EBP but also the many forms it comes in. This includes understanding how research is conducted and how we can ge the most out of our limited time.
Joo, J., and Huber, D. (2014). Evidence-based nurse case management practice in community health. Professional Case Management. Retrieved from http://alliedhealth.ceconnection.com/files/EvidenceBasedNurseCaseManagementPracticeinCommunityHealth-1412772793478.pdf
Throckmorton, T., and Windle, P. (2009). Evidenced-based case management practice, part 1: the systematic review. Professional Case Management. Retrieved from https://journals.lww.com/professionalcasemanagementjournal/Abstract/2009/03000/Evidenced_Based_Case_Management_Practice,_Part_1_.5.asp
Nursing education is responsible for preparing and providing society with knowledgeable and competent nurses who are ready to engage in evidence-based practice for improved patient outcomes. Studies have revealed that BSN students display above average self-confidence in their evidence-based practice competencies. A workforce that is BSN trained offers a great number of benefits such as enhanced training and skill development in critical thinking, leadership, and evidence-based practice (Ashktorab et al., 2015).
The nursing profession has sometimes been reluctant to change practice even in light of research that challenges the traditional way of doing things. One way to continue to integrate and encourage evidence in practice is to keep staff updated on EBP activities and projects by generating EBP newsletters. Another way to continue use of EBP is conduct sessions to teach staff about EBP practice, integrating EBP into the philosophy of nursing, and building policies and procedures to be evidence-based. Obstacles that can challenge this plan would be lack of support from managers/leaders and staff. Research has shown that support is the key to developing a work environment that supports EBP. While evidence-based activities are critical to transforming the organizations culture, the most important change needs to be the individual nurse’s view about research and evidence (Manspeaker & Van Lunen, 2011).
Ashktorab, T., Pashaeypoor, S., Rassouli, M., & Alavi-Majd, H. (2015). Nursing students’ competencies in evidence-based practice and its related factors. Nursing and Midwifery Studies, 4(4), e23047. http://doi.org/10.17795/nmsjournal23047
Manspeaker, S., & Van Lunen, B. (2011). Overcoming barriers to implementation of evidence-based practice concepts in athletic training education: Perceptions of select educators. Journal of Athletic Training, 46(5), 514–522.