NR 439 Week 7 Discussion: Applying and Sharing Evidence to Practice

NR 439 Week 7 Discussion: Applying and Sharing Evidence to Practice

NR 439 Week 7 Discussion: Applying and Sharing Evidence to Practice

One conclusion from the week 6 assignment article that I found interesting and applicable to practice is that “mandala coloring could be used in nursing practice as an evidenced-based intervention to decrease anxiety for medical-surgical staff” (Maguire, 2020). In order to apply this I would have mandala coloring sheets with crayons and colored pencils placed in break rooms for staff. I work on a medical surgical unit in a hospital and we are allowed to place things in the break room. We actually have a designated share table. Anything placed on the table is up for grabs for anyone who wants it. This can be food, health care items, clothing, shoes, stickers, books or anything at all. By placing the mandalas on the this table and then having cups of coloring pencils/crayons on the individual break tables, everyone would be aware that they are for anyone to take and color.

“EBP has rapidly evolved into an international standard for all healthcare practitioners.” (Houser, 2018). When I first became a nurse I worked in a skilled rehab facility. If I had a suggestion for improvement in any aspect of nursing all I had to do was present the information in the form of a bulleted handout to my Director of Nursing (her preference for receiving information). She would then take it, do some research on her own and then decide if we could make a change or incorporate it into our practice. If she thought we could, she would have us hand out the information at our next nurses meeting and discuss it with the team.  Now, years later, I work in a hospital that has an EBP team that includes an infection prevention nurse and research nurse. Presenting information is quite the process. It has to be written then given to our unit manager, who can give it to our Director of Nursing who then can give it to the EBP team to look into. If they decide to utilize the information then they prepare the information and decide how to incorporate it. Although this is a process and takes things out of our hands as nurses on the floor, it is nice to have a team dedicated to this task. Since they are no longer nurses on the floor and do not have the day to day experience with patients and products, I think they appreciate our ideas and are open to the information we pass along. When a change, new practice or different supplies are incorporated onto the floor the EBP team will come onto the floor and do demonstrations or present the information in an interesting way. They have gone so far as to dress up as different bacteria and carry signs saying what they are and how to treat them. It is always very visual and they usually bring candy!!

Houser, J. (2018). Nursing research: reading, using, and creating evidence. (4th ed.). Jones & Bartlett.

Maguire, P.; Coughlan, A.; Drayton, D.; Lacko, H.; Reich, J.; and Hatfield, L. (2020). The effect of coloring mandalas on the anxiety of medical-surgical nurses and nursing support staff. Medsurg nursing. Vol. 29 (3).

After the data have been analyzed, conclusions are made regarding what the findings mean. Then, this information must be shared with your healthcare team.

Choose one of the articles from the RRL assignment, and discuss the findings. Would you apply the evidence found to your practice? Explain your answer, please.

Translating research into practice is the final and most important step in the research process. Review information you found in your Week 3 Assignment, and explain ways in which you would share the research-based evidence with your peers.

You may begin posting in this TD on Sunday for credit

As you evaluate results reported in the articles, consider using the 4 rules that we discussed last week. It is very important to identify the purpose of the study before moving forward with the evaluation of the results. If the study has an intervention or treatment, then it is likely that there will be dependent and independent variables (Chamberlain College of Nursing, 2017). The next step focuses on identification of data collection methods and how investigators measured these variables. Furthermore, discussion and conclusion sections of the report offer an interpretation of study results and may even incorporate investigators’ opinions or speculations regarding the findings (Chamberlain College of Nursing, 2017).

A well-written research report contains strengths and limitations. Concerns with study limitations are especially important when investigators report results from a pilot study. Pilot studies are often designed to preliminary test the intervention to identify potential benefits; however, as we acknowledged, results from such a study are very hard to generalize to a greater population. Pay special attention to the sample selection for the study and resources needed to implement the proposed change. Last week we discovered that even though some results appear to be statistically significant, they may not have any clinical significance. Think about other barriers or challenges you might encounter while implementing a change and how you would overcome those challenges. Thank you, Dr Joy

Reference

Chamberlain College of Nursing. (2017). NR439 Week 7: Reading research literature, credibility, and significance [Online Lesson]. Downers Grove, IL: DeVry Education Group.

Applying and Sharing Evidence to Practice – After the data have been analyzed, conclusions are made regarding what the findings mean. Then, this information must … shared with your healthcare team.

1. Choose one of the articles from the Week 5 RRL assignment, and discuss the findings. Would you apply the evidence found to your practice? Explain your answer.
2. • Choose one of the articles from the Week 5 RRL assignment, and discuss the findings. Would you apply the evidence found to your practice? Explain your answer.

   The week 5 RRL article I will be discussing on is quantitative balance and gait measurement in patients with Frontotemporal dementia and Alzheimer diseases. A pilot study. Fall is one of the leading cause of injury morbidity and mortality in older adults. People with history of falling may limit their activities because of fear of falling. Frontotemporal dementia and Alzheimer’s disease are neuro-generative dementia with a wide prevalence of fall. The purpose of the study was to identify the relationship which gait, balance, and ambulation have with falls in normal aging versus patients with AD and FTD. Identifying the patterns of gait and balance in these patients helps to put in place appropriate interventions to prevent falls in these individuals. According to the study, balance and gait problems exist in normal elderly as well as patients with AD and FTD during dual tasking indicating the role of divided attention. The study states that patients with FTD have a tendency to tilt forward, while patients with AD have a tendency to tilt backward. These indicates the different patterns of gait and balance in patients with FTD and AD. Differentiating gait and balance in these patients will help in formulating an individualized care plan for preventing falls. Working in long term care, I encounter many patients with dementia. Often times, it is very difficult to distinguish between patients with FTD and AD. There is no distinction between the types of dementia. The two main diagnoses of dementia that is common are unspecified dementia with behavioral disturbances and unspecified dementia without behavioral disturbances. Before applying the evidence in my practice, it must be a multidisciplinary approach involving every member of the healthcare team. The physician must first diagnose the patient with FTD or AD, and the interdisciplinary team will determine which intervention is appropriate for the patient by applying evidence from the study.

   • Translating research into practice is the final and most important step in the research process. Review information you found your nursing clinical issue and explain ways in which you would share the research-based evidence with your peers.

   Evidence based research is very important in nursing. Research and evidence based practice go hand in hand with each other. Research leads to new knowledge and nurses use research findings as evidence during their practice. I will share the research based evidence with my peers by conducting meetings and in-services. Publishing the results of the research findings in the organization’s bulletin board, newsletters, and websites. I can also use statistical analysis such as tables, graphs, and pie charts when presenting research based evidence. Our week 7 lesson states that the research process is terminated by disseminating or communicating information about the research study through publications. An example of a clinical issue is the implementation of an evidence based clinical practice guideline to reduce the number of center acquired pressure ulcers on wheelchair and bed bound patients. Using a quantitative question in the research also provide a stronger level of evidence when sharing research based evidence with my peers. Quantitative research seeks to make conclusions about the effectiveness of an intervention. They can be broken down into PICO elements (population, intervention, comparison, and outcome) for easy understanding (Houser, 2017).

   References.

   CCN,( 2017). NR 439 week 7 lesson: Reading research literature, credibility, and significance. Online lesson. Downers Grove, IL: Devry Education Group.

   Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Sudbury, MA: Jones & Bartlett.

   Velayutham, S. G., Chandra, S. R., Bharath, S., & Shankar, R. G. (2017). Quantitative balance and gait measurement in patients with frontotemporal dementia and Alzheimer diseases: A pilot study. Indian Journal Of Psychological Medicine, 39(2), 176-182. doi:10.4103/0253-7176.203132. http://proxy.chamberlain.edu:8080/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=122248443&site=eds-live&scope=sitLinks to an external site.

3. Translating research into practice is the final and most important step in the research process. Review information you found your nursing clinical issue and explain ways in which you would share the research-based evidence with your peers.