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QUESTION
According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with clients. How do you see this being applied in your workplace?
| Subject | Nursing | Pages | 5 | Style | APA |
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Answer
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Evidence-Based Practice in Nursing
Evidence-based practice in nursing is an important consideration today in the field of medicine. It features medical practice that has been based on solid research rather than mere assumptions and opinions of the nurses. It also adheres to specific quality and safety standards while still giving patient needs a priority. In my current workplace, evidence-based practice takes place in various ways as discussed below.
Using EBP for Controlling Infections
Nurses tend to be keen on hospital acquired infections, especially when the visiting patient has compromised immunity. Thus, nurses in my current workplace have adopted a culture where specific policies are strictly adhered to when handling patients (Underhill et al., 2015). Aside from constantly disinfecting the hospital’s surfaces, personal protective clothing are used when necessary. Additionally, correct hand washing techniques are followed along with the use of barriers where needed. These measures are considered because there is a strong body of evidence that supports the practices by proving their success in infection control. For instance, Dellinger (2016) argue that hospital acquired infections can be prevented by ensuring proper hygiene like handwashing, the use of barriers when handling patients, and proper disinfection of the hospital environment.
Handling Patients with COPD
Treating COPD has always been challenged by the belief that using oxygen will lead to serious issues such as hypercarbia, acidosis or even death. However, nurses in the current Workplace make the decision to use the oxygen intervention since evidence-bases practice has shown that it will lead to improved quality of life, and even help the patients live longer (Underhill et al., 2015). The protocol is followed since it has been proven to trigger certain benefits such as reducing the risk of organ failure (Balkissoon, 2017).
Measuring Children's Blood Pressure
When taking blood pressure, it is imperative that the accurate measurements are taken. That is why nurses in the current workplace have learned to use an evidence based practice approach. It is expected to lead to effective treatment for the children especially since taking their measures is often challenging since it varies from what adults use. Evidence-based practice has ensured that non-invasive methods are not used since it impacts impatient outcomes negatively (Underhill et al., 2015). That is why the nurses tend to use other recommended approaches such as auscultator methods that are later compared to data from oscillometric methods.
Decisions in Blood Administration
In most cases, patients complain of a lot of discomfort during blood transfusion. That is why nurses in my current workplace have opted to follow evidence based practice when using intravenous catheters. The protocol based on evidence indicates that nurses should make use of smaller gauge catheters which are more comfortable (Falkner-Radler et al., 2017). Hence, the nurses will always ensure that the more comfortable options are used since they have learnt that it helps keep the patient comfortable by avoiding any additional unnecessary pain (Underhill et al., 2015). Also, more measures are taken to help keep the patient comfortable, such as considering the right time and educating the adults on what to expect.
Conclusion
It is clear that the current workplace has embraced evidence-based practice. This is because it is used as the basis for all decisions when caring for patients. This has led to improved patient outcomes since the best practices are considered. These nurses do not base their decisions on assumptions. Rather, the institution considers various pieces of evidence before using the findings to formulate policies and standards of practice. The results are expected to be similar to the study findings or even better since various researches are compared and used. Hence, evidence-based practice is considered to be an important part of nursing care.
Reference
Balkissoon, R. (2017). Journal Club: COPD and Oxygen Therapy. Chronic Obstructive Pulmonary Diseases: Journal Of The COPD Foundation, 4(1), 71-75. doi: 10.15326/jcopdf.4.1.2016.0181
Dellinger, E. (2016). Prevention of Hospital-Acquired Infections. Surgical Infections, 17(4), 422-426. doi: 10.1089/sur.2016.048
Falkner-Radler, C., Bukaty, E., & Krebs, I. (2017). 27-Gauge vitrectomy - the smaller the better?. Acta Ophthalmologica, 95. doi: 10.1111/j.1755-3768.2017.01188
Underhill, M., Roper, K., Siefert, M., Boucher, J., & Berry, D. (2015). Evidence-Based Practice Beliefs and Implementation Before and After an Initiative to Promote Evidence-Based Nursing in an Ambulatory Oncology Setting. Worldviews on Evidence-Based Nursing, 12(2), 70-78. doi: 10.1111/wvn.12080
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Choose ONE of the following discussion question options to respond to: Using Adverse Conditions to a Company's AdvantageThis is a discussion question that I need answered. I need the second portion of the questioned answered thoroughly, both bullet points. I have highlighted it in yellow to show that it is what I need answered. I need this r returned to me completed without any grammatical or punctual errors. The company that I want this question written about is Nissan Motor Corporation. - Chakravorti (2010) discusses four methods that corporate innovators use to turn adverse conditions to their advantage. Examine an organization of your choice and briefly discuss how the organization might use one of these methods.
- Using the company of your choice, identify an important and difficult decision that they faced. What were the most important risks and the most important rewards of the decision?
- What data, analysis or perspective would you have used to help Sr. Management decide if the rewards outweighed the risks?
| Subject | Business | Pages | 4 | Style | APA |
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Answer
Training Needs Assessment Introduction Training and development are very instrumental, especially in the current operational context of most organizations that are endeavoring to enhance optimal throughput from the entire resourceful areas of the organization. Training improves employees’ expertise; it gives room and space for ascertaining key crucial extents of employees’ development (Towler, et al. 2014). In order to establish whether employees have the reading level necessary to succeed in a training program, I would employ various techniques as discussed in the following section. First, I will conduct formal interviews and tests that call for reading abilities, experience, and skills. In specific, I would carry out written interviews and tests for the employees at the workplace that would incorporate excerpts that best suits the employees’ reading level for them to read and respond to its related questions. This excerpt, for example, will be based on the objectives of the training, the content, and prior practice settings. This training need evaluation would help to identify employees’ reading behavior and the gaps to be addressed in the training program, which in return would benefit the organization and employees from new training prospects (Gupta, 2011). This will enable me to identify what employees need to know in so far as technical or communication knowledge is concerned, and what they are capable to do in terms of mental or manual skills to realize the intended results and the disposition to execute their roles (attitude). However, it should be noted that, the ability of employees to understand what they read does not resonate with their reading level (Cain, 2011). Furthermore, I would employ an employee performance appraisal interview to identify previous and contemporary performance to find out an area that needs action (Franco-Santos, Lucianetti, & Bourne, 2012). All these are written documents or material that need to be read and interpreted, hence will help in assessing the reading level essential to thrive in a training program. On the other hand, I would use self-assessments, surveys (Garvin, Edmondson, Gino, 2008), and questionnaires. These are all techniques with a regular written format that call for reading. They can be structured based on the attitude of employees, employees’ job content, the standards of employee performance in line with efficiency and outcome, or on the expertise required to execute the roles of the job proficiently (Verrell, McCabe, 2015). In this analysis, I would be able to establish the reading level based on how they respond to the questionnaires and the way and the degree they use to evaluate themselves. Lastly, I would employ focus group discussions which provide an open atmosphere for employees to engage in open written questions on various training requirements as I listen to the way they read and articulate their points out. I would ensure that the topics for discussion are all written, and they should be read within a given period of time before being discussed. This helps in knowing the reading level. Additionally, I would employ desk studies for employees on the organizational documents and the analysis of the records which uses secondary information to help in the identification of training needs (Garvin, Edmondson, Gino, 2008). Employees would be required to give their report which will help me establish their reading level essential to thrive in a training program. .References
- Airlines, S. (2018). Southwest airlines co. 2017 annual report to shareholders. Retrieved from http://investors. Southwest. com/financials/company-reports/annual-reports. Anderson, T. J., Clark, W. M., & Naugle, D. K. (2017). An Introduction to Christian Worldview: Pursuing God's Perspective in a Pluralistic World. InterVarsity Press. Gibson, A., & Augsburger, D. (2019). Honorable in business: business ethics from a Christian perspective. Wipf and Stock Publishers. White, D., & Kirkpatrick, N. (2020). The Role of Biblical Theology in Teaching a Christian Worldview on Business. Christian Business Academy Review, 15. Wu, W., Zhang, H., Zhang, S., & Witlox, F. (2019). Community Detection in Airline Networks: An Empirical Analysis of American vs. Southwest Airlines. Journal of Advanced Transportation, 2019, 1–11. https://doi.org/10.1155/2019/3032015