Week 7 Applying Evidence to Practice
Initial Text: The Discussion and Conclusion sections of the research report reveal the opinions of the
researcher regarding the meaning of the results of data analysis. The strength
...
Week 7 Applying Evidence to Practice
Initial Text: The Discussion and Conclusion sections of the research report reveal the opinions of the
researcher regarding the meaning of the results of data analysis. The strengths and limitations are
shared: The reader considers these when deciding whether to apply the evidence to practice.
Choose one of the articles from the RRL assignment and discuss the findings. Would you apply the
evidence found? Explain your answer.
Professor and Classmates
Caring for a patient who refuses to comply with instructions can be frustrating even in emergency care,
but our strategies for improving compliance among diabetic patients can help keep patients healthy.
According to George and Thomas (2010, p. 1098), “each participant described how they managed
diabetes, knowing that their self-management regimen was not considered appropriate according the
instructions of their healthcare providers.” The participants believed they were self-managing their
diabetes from their own viewpoint. Nurses have a vital role in the initial management of diabetes.
Nurses have the capabilities to help patients improve adherence and become self-managing. The study
suggest that healthcare professionals need to listen more carefully to the patient (George & Thomas,
p.1098). When talking with patients, ask about their lifestyle and concerns about treatment. The
misalignment of patient expectations and clinical protocols highlights a common dilemma in clinical
practice and raises questions about the best ways to balance the needs of individuals with the needs of a
health system. To empower them and help them overcome their fears, nurses should provide targeted
information. Again, I’m always grateful that I work at a facility that has a multidisciplinary approach to
patient care. When a patient arrives to the ED with hyperglycemia symptoms and they are newly
diagnosed we immediately contact our diabetes education nurse to set up a next day appointment with
the patient. Pharmacist and pharmacy students are available in the ED around the clock. They are
another valuable resource to our department because they are available to give insulin education to
patients right then and there. A clearly defined diabetes-education model with policies and protocols
helps ensure nurses are familiar with and can easily reference the important steps necessary to
empower patients to self-manage their diabetes.
Reference
George, S., & Thomas, S. (2010). Lived experience of diabetes among older, rural people. Journal of
Advanced Nursing, 66(5),
1092–1100. Retrieved
from http://search.ebscohost.com.proxy.chamberlain.edu:8080/login.aspx?
direct=true&db=rzh&AN=2010620411&site=ehost-live
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Week 7 Sharing Evidence
Translating research into practice is the final and most important step in the research process. Review
information you found in the Database Assignment and explain how you would share the research
findings with your peers.
Professor and classmates,
I’m very fortunate to work for a Magnet organization that offers many possibilities for me to identify a
nursing problem, conduct a search for relevant literature, assemble the relevant literature, critique the
literature, form a team to develop, implement and evaluate the project, and to disseminate the
evidence-based practice to my department (Houser, 2016, p. 463). Research and innovation are key
strategic components to Cleveland Clinic’s business model. The Department of Nursing Research and
Innovation encourages any nurse who has a research question, an idea for a research study, or an
innovative process or device to come forward and pursue their ideas. The Department of Nursing
Research and Innovation has a team of highly experienced PhD prepared nurse researchers dedicated to
mentoring, coaching and educating nurses in nursing research. They provide guidance and support to
facilitate evidence-based nursing practices per their clinical backgrounds or research interests.
The top three ways for me to distribute the information I gathered regarding pressure ulcer prevention in
the ED would be email, shared governance council meeting, and monthly departmental meeting.
1. All Cleveland Clinic employees have access to their own personal work email via workstations on
wheels or shared computers at workstations. I can send out an email containing the evidence-based
practice regarding pressure ulcer prevention. I would provide an attachment of the research article using
the Cleveland Clinic Alumni library. In the email I will provide a brief description of the evidence-based
research article and the needed interventions to prevent the development of hospital-acquired pressure
ulcers.
2. I could present the evidence-based research in our shared governance council meeting. During the
meeting I could present the evidence-based research article and discuss the findings. This meeting could
give my peers a chance to discuss the interventions that would work best in our emergency department.
3. The third way to circulate this information is by discussing it at our monthly departmental meeting. I
could share the information using the same platform as the shared governance meeting.
The other two ways for me to disseminate the evidence-based practice includes posting the EBP article
on the employee information board or having a Pressure Ulcer Prevention Fair.
1. The ED Nursing Management Information board is located by the departmental time clock. The board
displays pertinent information regarding departmental initiatives, patient safety concerns, and other
leadership information. I could post a copy of the article and interventions that could be used in the ED.
2. Having a Pressure Ulcer Prevention Fair, is my favorite idea because this involves me using my crafting
skills. I could present a poster board with departmental statistics showing how many patients arrived to
the ED for a 6- month period with a LOS >2hours that were admitted to the hospital and developed a
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hospital-acquired pressure ulcers. There could be a poster with the PU interventions that could’ve been
implemented in the ED to prevent the development of pressure ulcers. I could present a poster board
with pictures of pressure ulcers in various stages with the required treatments for each. I would also
have the different product options available in our department for the staff to utilize.
Reference
Houser, J. (2015). Translating research into practice. Nursing research: Reading, using and creating
evidence (3rd ed., p. 463). Burlington, MA: Jones and Bartlett.
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