Evidence-Based Practice: NR 500 Week 5 Discussion

Evidence-Based Practice: NR 500 Week 5 Discussion

The term evidence-based practice refers specifically to “the conscientious, explicit and judicious use of the current best evidence in making decisions about the care of individual patients (Hanberg & Brown, 2006). The idea behind the use of Evidence-based practice is that it comes from the values and preferences of the patient, the clinical or clinical expertise, and the research evidence itself. The combination of these aspects is what leads to improved individualized patient outcomes, making evidence-based practice crucial to nursing practice itself.

The process of EBP starts the asking of burning clinical questions to improve patient care. The question is asked in PICOT format. Once a clinical question is generated, the next process will be. Search for and collect the most relevant best evidence. Entering key word from the PICOT question into the database that is being searched (e.g. Medline, CINAHL) and then combining the research words together to reveal the studies that may answer the question. Reliable sources to answer the PICOT questions include systematic reviews, pre-appraised literatures and studies from peer-reviewed journals. Critical appraisal of the studies from the research is conducted. Evidence is integrated with the clinician’s expertise and patient preferences and values to make a decision regarding whether a practice change should be made. Outcomes should be measured to determine positive outcomes of the change (Hanberg & Brown, 2006).

One of the advantages of implementing evidence-based practice by nurses is results in higher quality of care that leads to improved patient outcomes, since EBP incorporates the latest research evidence that are made available to healthcare providers at the point of care. Also, the current use of evidence in healthcare would result in increased patient outcome since EBP includes healthcare recommendations that would help nurses in addressing questions related to best client care. As well, the use of evidences in the healthcare setting would further increase the nurses’ confidence, improve skills, critical thinking and decision making since nurses have to constantly evaluate various research that would support and be beneficial in their practice (Hanberg & Brown, 2006). Evidence-based practice not only enhance the nurse’s clinical performance, but also lead to higher job satisfaction and better group cohesion which promote job retention in health care. Also, another benefit of using evidence-based practice is reducing cost in health care compared with the care that is based in tradition and outdated policies and practices (Saba & McCormick, 2011). Implementation of evidence-based practice would manage available resources, since it would be used efficiently and effectively instead of being wasted in the process of determining ways of providing competent client care (Hanberg & Brown, 2006).

My specialty track is family nurse practitioner. FNP will prepare me with the academic knowledge and clinical skills I need to be a leader in health promotion, disease prevention, assessment, and management of common acute and chronic illnesses. FNP fills a need for more accessible health care for families, since fewer physicians are entering that field. Autonomy. diagnose illnesses, treat patients, prescribe drugs, order diagnostic tests, gather medical histories, perform physical exams, and educate their patients. FNP route can provide you with responsibilities, yet also provide you with the ability to spend time with your patients.

One of the topic I have passion about is PSA screening recommendations for prostate cancer. As an FNP, I will provide educational materials addressing patient questions and concerns about the guidelines, evaluate patient perceptions about prostate cancer screening benefits, harms and recommendations against screening. Prostate-specific antigen (PSA) is a protein made by the prostate. The prostate is a walnut-sized gland in men that makes a fluid for semen. Most PSA is released into semen. Some of it is released into the blood. If there is a problem with the prostate, then the PSA level in the blood can become elevated (Parlikar, 2017).

Hanberg, A., & Brown, S. (2006). Bridging the theory–practice gap with evidence-based practice. Journal Of Continuing Education In Nursing, 37(6), 248-249. Retrieved from EBSCOHost.

Parlikar, U. (2017). Prostate-Specific Antigen (PSA) Test. Health Library: Evidence-Based Information.

Saba, V. K. & McCormick, K. A., (2011). Essentials of Nursing Informatics, (5th edition). McGraw-Hill Companies.

Evidence-Based Practice: NR 500 Week 5 Discussion

Examine the EBP process and its relevance to nursing practice. Determine your chosen specialty track. Explain why you chose the specific professional path you did. Determine a concept or topic about which you are passionate, as well as an area of interest related to your future specialty advanced practice area. Provide an example, based on the best evidence available, demonstrating the significance of your chosen area of interest in relation to your specific specialty track.

Evidence-based practice (EBP) is a critical component of nursing science. It is a clinical solution to a problem that is based on research and evidence. EBP has brought about positive change in healthcare and nursing over the last 20 years.

Discussion of Evidence-Based Practice NR 500 Week 5

community. With the public’s demand for better healthcare and evidence of scientific research that can provide potentially life-saving benefits, EBP should be a top priority for all healthcare providers (Spruce, 2014). Evidence-based practice incorporates clinical expertise, research evidence, patient values, and preferences into the decision-making process to improve patient care (Howe & Close, 2016). Those in our care will benefit from the continued incorporation of EBP into nursing practice.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

Evidence-Based Practice: NR 500 Week 5 Discussion

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

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Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed

• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource

Week 6: Structure and Function of Systems

Many of you, whether you realize it or not, have experience with complex adaptive systems. Consider your future practice specialty area and consider a scenario in which an issue or concern common to your future specialty would have an impact on that system. (Please keep in mind that this could be the same practice issue that was identified in Week 5.) Please identify your specialty track, as well as the issue or concern, in your initial response. Discuss the impact of this issue or concern on the system at the micro, meso, and macro levels. What steps will you take to address this issue or concern at each of these levels? What is the expected impact of your solution(s) on each of these system levels? Remember that you can address the issue or concern with an information technology-based solution.

Participation Guidelines

Each weekly threaded discussion is worth up to 25 points. Students must post a minimum of two times in each graded thread. The two posts in each individual thread must be on separate days. The student must provide an answer to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week. If the student does not provide an answer to each graded thread topic (not a response to a student peer) before the Wednesday deadline, 5 points are deducted for each discussion thread in which late entry occurs (up to a 10-point deduction for that week). Subsequent posts, including essential responses to peers, must occur by the Sunday deadline, 11:59 p.m. MT of each week.

Direct Quotes

Good writing calls for the limited use of direct quotes. Direct quotes in Threaded Discussions are to be limited to one short quotation (not to exceed 15 words). The quote must add substantively to the discussion. Points will be deducted under the Grammar, Syntax, APA category.

Grading Rubric Guidelines

NOTE: To receive credit for a week’s discussion, students may begin posting no earlier than the Sunday immediately before each week opens. Unless otherwise specified, access to most weeks begins on Sunday at 12:01 a.m. MT, and that week’s assignments are due by the next Sunday by 11:59 p.m. MT. Week 8 opens at 12:01 a.m. MT Sunday and closes at 11:59 p.m. MT Wednesday. Any assignments and all discussion requirements must be completed by 11:59 p.m. MT Wednesday of the eighth week.