NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: ESSENTIALS OF EVIDENCE-BASED PRACTICE

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NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice

NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice
NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice
NURS – 6052 week 1 Discussion: Where in the World Is Evidence-Based Practice?
RE: Discussion – Week 1
        The healthcare organization website that I reviewed was the Agency for Healthcare Research and Quality (AHRQ). The AHRQ conducts research using evidence-based practice (EBP) to improve practice guidelines and healthcare organizations’ quality of care. The AHRQ uses EBP to develop credible reports that are publicly accessible. AHRQ’s mission is founded on using EBP to uphold it’s core competencies of  “health systems research, practice improvement, and data and analytics” (Agency for Healthcare Research and Quality, 2019). The AHRQ aims to provide EBP guidance to organizations to improve the quality and safety of the care provided. NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice
       In the AHRQ website, there is an abundance of reliable articles backed up by EBP. I was able to find several articles listed under the research tab relating to medication error prevention, primary care, and chronic care research. A study that used the AHRQ guidelines under their research methods incorporated the SHARE Approach suggested by the AHRQ to improve shared decision-making (SDM) amongst healthcare providers and patients. The SHARE approach follows five SDM steps to guide decisions related to patients’ plan of care (Hargraves, I., Fournier, A., Monton, V., & Bierman, A., 2020). The study concluded that employing the SHARE approach positively impacted communication among patients and physicians.
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A second study used the AHRQ’s Health Literacy Universal Precautions Toolkit to perform a brown bag medication review to increase medication adherence. Patients were required to bring all their medications to their medical appointment and received teaching on each of their medications (Murtha, E., Elder, B., & Faragher, M., 2019). This study showed that using the AHRQ’s toolkit resulted in significant health outcomes and consistent adherence to medication regimens.
Since I was unaware of AHRQ’s existence, my perception of this organization did not change. Nevertheless, I will undoubtedly use AHRQ as a reliable source of information for future research. I also found it beneficial to have free access to hundreds of reports in the AHRQ website. NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice Overall, after reviewing the number of research studies conducted, I am impressed with the number of evidence-based findings produced, which can improve the quality of healthcare provided to patients in the U.S.A.
 
References
 
Agency for Healthcare Research and Quality (AHRQ) (2019). AHRQ’s Core Competencies. https://www.ahrq.gov/cpi/corecompetencies/index.html
 
Hargraves, I., Fournier, A., Monton, V., and Bierman, A. (2020). Generalized shared decision-making approaches and patient problems: Adapting AHRQ’s SHARE Approach for purposeful SDM. Patient education and counseling.https://doi.org/10.1016/j.pec.2020.06.022
Murtha, E., Elder, B., & Faragher, M. (2019). Brown bag medication review: Using AHRQ’s brown bag medication tool. Journal of Nursing Care Quality, 35(1), 58-62.DOI: 10.1097/NCQ.0000000000000399 NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice
REPLY QUOTE EMAIL AUTHOR
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1 year ago
Debra Sullivan WALDEN INSTRUCTOR MANAGER 
RE: Discussion – Week 1
COLLAPSE
Hi Alberto,
Your description of your experience in exploring a healthcare organization website (AHRQ) and learning about how EBP was utilized there was nicely stated. It is difficult to enculturate EBP at an organization. An article by Sanares-Carreon et al. (2015) offers an interesting perspective on how to fast track EBP at the bedside. Do you agree that this novel pathway would encourage enculturation of EBP?
Thanks,
 
Dr. Sullivan
Sanares-Carrion, D., Comeau, O.,  Heliker, D., Marshall, D., Machner, D., Bell, L., …Sandridge, J. (2015). An educational pathway to fast track evidence-based practice at the bedside. Journal of Nurses ProfessionalDevelopment 31(1), E1-6. doi: 10.1097/NND.0000000000000113
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1 year ago
Week 1(reply#1)
COLLAPSE
Hi, Exciting post!
 
NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice  Agency for Health care Research and Quality (AHRQ) website is one of my favorite health care organization websites. You are right; it has got an incredible amount of evidence-based research data. Failure to adhere to medication is a serious problem that affects the patient and the health care system. Medication non-adherence in patients leads to substantial worsening of the disease, death, and increased health care costs. Research shows medication nonadherence is due to a lack of health literacy. AHRQ’s primary objective was to assess whether the use of this tool helped those practices improve the rate with which patients bring all their medications to office visits for review. A second objective was to investigate the percentage of patients who had drug therapy problems identified during the reviews and whose medication regimens were modified due to reviews performed before and after implementing the tool. Evaluation before and after implementation revealed a 3-fold increase in the percentage of patients who brought all their prescription medications and a 6-fold increase in the number of prescription medications brought to office visits. The percentage of reviews in which drug therapy problems were identified doubled, as did the percentage of medication regimens revised (Weiss et al., 2016) NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.
 
 
References
 
Conduct Brown Bag Medicine Reviews: Tool #8. AHRQ. (2020, September). https://www.ahrq.gov/health-literacy/improve/precautions/tool8.html.
Weiss, B. D., Brega, A. G., LeBlanc, W. G., Mabachi, N. M., Barnard, J., Albright, K., … West, D. R. (2016). Improving the Effectiveness of Medication Review: Guidance from the Health Literacy Universal Precautions Toolkit. Journal of the American Board of Family Medicine: JABFM. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5091803/#:~:text=The “brown bag medicine review, to their clinician for review. NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice
 
 
 
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1 year ago
maame oppong 
Maame Response to Alberto Leyva
COLLAPSE
Alberto, your post was very informative in describing the Agency for Healthcare Research and Quality (AHRG). Evidence-based practice is beneficial in nursing because it can reduce costs and improve the outcomes of patients.  According to Rahmayanti et al., (2020), evidence-based practice is fundamental in nursing in improving patient care. Since, 1998 AHRG became the  parental company with the U.S. Preventive Services Task Force (USPSTF)  (U. S. Preventive Services Task Force, 2020). One of the goals of the USPSTF is the use of the evidence-based practice to prevent diseases and clinical recommendations and services (U. S. Preventive Service Task Force, 2020).
The USPSTF has similar goals as AHRG. Both have a purpose for health systems in providing evidence-practice about delivering safe, high-quality, high-value healthcare and for frontline clinicians to offer strategies to high-quality, safe, high-value healthcare (Agency for Healthcare Research and Quality, 2019). The USPSTF is also bounded to evidence-based practice and tries to secure the quality of recommendations and safety.
References
Agency for Healthcare Research and Quality. (2019). AHRQ’s Core Competencies. Retrieved March 2, 2021 from https://www.ahrq.gov/cpi/corecompetencies/index.html
Rahmayanti, E. I., Kadar, K. S., & Saleh, A. (2020). Readiness, Barriers and Potential Strenght of Nursing in Implementing Evidence-Based Practice. International Journal of Caring Sciences, 13(2), 1203–1211. Retrieved  March 3, 2021 from 44_rahmayanti_original_13_2 (internationaljournalofcaringsciences.org)
REPLY QUOTE EMAIL AUTHOR
 
1 year ago
Bethany Baldwin 
Discussion Response 2 – Week 1
COLLAPSE
 
1 year ago
Debra Sullivan WALDEN INSTRUCTOR MANAGER 
RE: Discussion – Week 1
COLLAPSE
Hi Everyone,
Welcome to the first week discussion board. For this week you are to reflect on the definition and goal of EBP. Then find a healthcare organization’s website and explore the site to determine the where and what extent EBP is evident.
It is always a good idea to use subheadings on the discussion board postings, for a couple of reasons. One it helps you to be sure you have addressed all of the expectations and two it keeps you focused. For this week your subheadings could be the following:
Healthcare Organization Website Review
EBP Utilization
Grounding of EBP
New Perception of Healthcare Organization
I look forward to reading your discussions.
Thanks
Dr. Sullivan
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1 year ago
maame oppong 
Main Post- Discussion 1- Maame Oppong
COLLAPSE
According to Melnyk et. al., (2014), evidence-based practice (EBP) has been widely adopted in the clinical setting because it improves healthcare safety, reliability, quality, and patients outcomes. EBP also reduces the overall cost of care. However, to effectively implement EBP, healthcare organizations and caregivers must cultivate the spirit of inquiry, ask clinical questions, search for quality evidence, assess the evidence, implement that evidence and evaluate the results or outcomes before sharing (Melnyk and Fineout-Overholt, 2018). This procedure is evident in the healthcare organization website reviewed in this discussion post.
Hence, the healthcare organization website I reviewed is known as the Center for Evidence and Practice Improvement (CEPI). CEPI is an organization to conducts and supports research work and synthesize evidence on care delivery and improvement. The organization’s mission is to generate evidence to make healthcare higher quality, safer, equitable, more accessible, and affordable (Center for Evidence and Practice Improvement, 2014).   The organization’s philosophy is centered on generating new knowledge, synthesizing evidence, translating research on what works in healthcare delivery, and encourages practice improvement across the clinical setting.  It is evident that EBP appears in the organization’s mission and core philosophy (Center for Evidence and Practice Improvement, 2014).
So, CEPI’s work is centered on five divisions. One of the categories is the “evidence-based practice center pr

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