NURS 6052 Week 1 Discussion

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

Also Read:

NURS 5052 Nursing Research for Evidence-Based Practice

NURS 6052 Essentials of Evidence Based Practice

To Prepare for NURS 6052 Week 1 Discussion:

• Review the Resources and reflect on the definition and goal of EBP.
• Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
• Explore the website to determine where and to what extent EBP is evident.

NURS 6052 Week 1 Discussion References:

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708.
Note: You will access this article from the Walden Library databases.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175.
Note: You will access this article from the Walden Library databases.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348.
Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. Retrieved from http://download.lww.com/wolterskluwer_vitalstream_…
Note:

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. Retrieved from https://sigmapubs.onlinelibrary.wiley.com/doi/full…
Note:

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. Accessed from https://qualitysafety.bmj.com/content/qhc/24/10/60…
Note:

Walden University Library. (n.d.-a). Databases A-Z: Find the best library databases for your research. Retrieved September 19, 2018, from https://academicguides.waldenu.edu/az.php

EVIDENCE-BASED PRACTICE AND THE QUADRUPLE AIM

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.

Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.

Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

• Patient experience
• Population health
• Costs
• Work life of healthcare providers

EVIDENCE-BASED PROJECT, PART 1: IDENTIFYING RESEARCH METHODOLOGIES

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it.

Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. 

Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.

Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

The full citation of each peer-reviewed article in APA format.

A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Matrix Worksheet Example

Use this document to complete Part 1 of the Module 2 Assessment, Evidence-Based Project, Part 1: Identifying Research Methodologies

Full citation of selected article	Article #1	Article #2	Article #3	Article #4
	Wee, L. E. I., Conceicao, E. P., Tan, J. Y., Magesparan, K. D., Amin, I. B. M., Ismail, B. B. S., Toh, H. X., Jin, P., Zhang, J., Wee, E. G. L., Ong, S. J. M., Lee, G. L. X., Wang, A. E., How, M. K. B., Tan, K. Y., Lee, L. C., Phoon, P. C., Yang, Y., Aung, M. K., Sim, X. Y. J. and Ling, M. L. (2021). Unintended consequences of infection prevention and control measures during the COVID-19 pandemic. American Journal of infection control, 49(4), 469–477. https://doi.org/10. 1016/j.ajic.2020.10.019	Marx, J. F., Callery, S., & Boukidjian, R. (2019). Value of certification in infection prevention and control. American Journal of Infection Control, 47(10), 1265-1269. https://doi.org/10.1016 /j.ajic.2019.04.169	Munoz-Price, L. S., Bowdle, A., Johnston, B. L., Bearman, G., Camins, B. C., Dellinger, E. P., Geisz-Everson, M. A., Holzmann-Pazgal, G., Murthy, R., Pegues, D., Prielipp, R. C., Rubin, Z. A., Schaffzin, J., Yokoe, D., & Birnbach, D. J. (2019). Infection prevention in the operating room anesthesia work area. Infection control and hospital epidemiology, 40(1), 1–17. https://doi.org/10. 1017/ice.2018.303	Rutala, W. A., & Weber, D. J. (2019). Best practices for disinfection of non-critical environmental surfaces and equipment in health care facilities: A bundle approach. American Journal of Infection Control, 47S, A96–A105. https://doi.org/ 10.1016/j.ajic.2019.01.014
Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest)	This article relates to the selected issue of interest (infection control and patient safety) since it helps understand the impact that the infection prevention and control measures that were used for Covid-19 had on other hospital-acquired infections. The research was reviewed and approved by the institution’s review board. It also respected human subjects by ensuring autonomy, privacy, and respect for human dignity.	I chose this article to create an understanding of the clinical issue of infection from the perspective of the infection control prevention professionals themselves, the healthcare workers. The article relates to the clinical infection control issue since understanding healthcare workers’ perceptions of infection control would help improve the current infection prevention and control practices. The autonomy and privacy of the participants were maintained.	The major reason for selecting this article is because it focuses on infection prevention in the operating room, one of the major areas of infection. Infections in this environment pose a major threat to patient safety. Research ethics was maintained through respect for the human dignity of the study participants.	The reason for selecting this article is because non-critical environments, surfaces and equipment in healthcare facilities also potentially infect patients and care providers. However, more infection prevention and control focus is given to critical environments. Autonomy and privacy were ensured for the study participants. The research results were also shared with participant facilities to ensure research ethics.
Brief description of the aims of the research of each peer-reviewed article	The aim of the research was to evaluate the impact of infection prevention and control measures originally designed for Covid-19 on other hospital-acquired infections.	The main aim of the research in the article was to determine the perception of infection control professionals and other stakeholders on the certification of infection prevention and control in institutions. Thus supporting and enhancing certification.	This study aimed to identify infection prevention best practice guidelines that can be used in the operation environment to promote patient safety. Current guidelines were reviewed to produce a new guidance statement.	The aim of this research was to compile a comprehensive approach to facilitate effective surface cleaning and disinfection in healthcare facilities.
Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.	The research methodology used in this article is quantitative. The data collected is numerical and statistical analysis. The incidence-rate-ratio was used to compare the rate of hospital-acquired infections after using the new infection prevention and control measures.	The research methodology in this article is a mixed method. Data was collected and analyzed using both qualitative and quantitative methods, including interviews and surveys. The quantitative data were analyzed using the Likert scale, while the qualitative data used thematic analysis.	The research methodology used in this article is qualitative. The research team made observations on the healthcare professionals working in the operating room. The data was analyzed using content analysis.	The research methodology in this article is mixed. Data was collected from different healthcare facilities using surveys. The surveys contained quantitative and qualitative data, which were analyzed using descriptive and thematic analysis.
A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.	The methodologies used in this article enhanced the objectivity and accuracy of the results since few variables were involved. The other strength is that the analysis was expressed clearly, thus creating more reliable results. The incident-rate-ratio is a reliable and valid measure when comparing infection rates.	The mixed methodology used in this article allowed perspectives from both qualitative and quantitative data, thus, more detailed results. It also provided generalizable, easily applicable data. The research tools were tested to ensure validity and reliability before the actual data collection.	The research methodology and observation made the research work easier for the researchers. The other strength is that the observation method enabled the researchers to capture new practices. The reliability of the observation was ensured by comparing observers’ results. The validity application is not mentioned.	The mixed methodology enabled the researchers to gain deeper insight into the issue by collecting both qualitative and quantitative data. In addition, the data collected was easily replicable and easy to compile to the comprehensive bundle approach containing best practices.
General Notes/Comments	The new multimodal infection prevention and control measures developed for Covid-19 were advantageous for other hospital-acquired infections. The infection prevention and control strategies should continue even after the pandemic.	Healthcare professionals, who are the major stakeholders in infection prevention and control in their institutions, support infection control best practices. Healthcare stakeholders believe all healthcare providers should have infection control skills.	The article supports infection control and prevention best practices. Infection prevention practices should be more rampant in the operating environment.	The compiled bundle entailed creating policy procedures, selecting appropriate cleaning/disinfecting products, educating staff, monitoring compliance, and implementing room decontamination technologies. Infection prevention and control measures in non-critical environments are vital.