Mn504 peer responses

i need one answer to each peer, 200 words each

andrew: Throughout this course, we have had the opportunity to strengthen our understanding of the systematic approach that is necessary to make evidence-based practice decisions. The evidence-based practice (EBP) process is defined by seven steps, which should be implemented sequentially to accomplish the end goal (Melnyk & Fineout-Overholt, 2023). The first step we honed during this course was creating a clinical question using the PICOT formula. This process makes the rest of the evidence search more applicable to the addressed problem. Conducting the database searches before this class has been nothing more than a Google search. Understanding how to utilize the search functions of the databases makes it possible to narrow down the results for information that is most relevant to the clinical question, which has been extremely useful. Further, knowing how to dig through these results and appraise the data quality using the hierarchy of evidence regarding quantitative research design allows the researcher to evaluate the data for validity and reliability. The final steps of the process include integrating the evidence into practice, evaluating the outcomes, and disseminating the EBP change.

An increased level of EBP understanding and skill has been shown to be a predictive factor of the likelihood that the APRN would implement EBP (Ylimäki et al., 2022). Some experts say practice guidelines should be reassessed every six months to 5 years to provide the most accurate EBP (Kowalski et al., 2021). Being able to answer clinical questions using evidence-based inquiry regularly is necessary for all APRNs to provide patients with the best possible interventions and outcomes.

Kowalski, C. J., Redman, R. W., & Mrdjenovich, A. J. (2021). The transition from inquiry to evidence to actionable clinical knowledge: A proposed roadmap. Journal of Evaluation in Clinical Practice, 27(3), 667–676. https://doi.org/10.1111/jep.13562

Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in Nursing & Healthcare: A guide to best practice. Wolters Kluwer.

Ylimäki, S., Oikarinen, A., Kääriäinen, M., Holopainen, A., Oikarainen, A., Pölkki, T., Meriläinen, M., Lukkarila, P., Taam-Ukkonen, M., & Tuomikoski, A.-M. (2022). Advanced practice nurses’ experiences of evidence-based practice: A qualitative study. Nordic Journal of Nursing Research, 42(4), 227–235. https://doi.org/10.1177/20571585221097658

holee: Abu-Baker et al. (2021) stated that integrating evidence-based practice (EBP) could improve patient outcomes and the practice environment. Nurses must aim to standardize practice and build on their body knowledge to improve patient outcomes (Abu-Baker et al., 2021). Healthcare providers striving to provide high-quality, evidence-based care must be able to identify what they want to know (Fineout-Overholt & Stillwell, 2019). Resources such as professional organizations, digital devices, data repositories, libraries, health information databases, and digital applications ensure clinicians can find information when needed. Fineout-Overholt and Johnson (2023) state that finding the correct information can be similar to finding a needle in a haystack. Developing a strong PICOT question guides clinicians in their search and prevents misunderstandings (Fineout-Overholt & Johnson, 2023).

My PICOT question ponders if patients with peripheral artery disease (PAD) are given education on lifestyle modifications compared to the current practice of not providing educational information on lifestyle modifications. Will symptoms improve within six weeks? This question was prompted after noticing a man struggling to walk into the grocery store this past summer. Additionally, I continued to notice that veterans will complain about pain, swelling, and difficulty walking at similar times per day. However, their complaints were rarely addressed. This class has awakened my curiosity to seek evidence-based information on how to serve these patients better. To search for the standard PAD guideline and share this with patients experiencing this phenomenon. As a nurse, I must provide patients with the most up-to-date information on what is happening to them and how they can improve their symptoms.

Care plans should be patient-centered, but how can patients make decisions that are best for them if they do not understand what is happening to them and what they can do to improve their health? It is no longer acceptable to quit smoking, lose weight, and increase physical activity. Health People 2030 has two goals for health literacy: personal health literacy and organizational health literacy. Organizational health literacy acknowledges that healthcare systems have a responsibility to equitably improve the health of individuals by helping them to understand, find, and use information and services to make health-related decisions for themselves. The goal is for people to make informed rather than appropriate decisions (AHRQ, 2020; HRSA, 2022).

References

Abu-Baker, N.N., AbuAlrub, S., Obeidat, R.F., & Assmairan, K. (2021). Evidence-based

Practice beliefs and implementations: A cross-sectional study among undergraduate

nursing students. BMC Nursing, 20(13), 1-8.

https://bmcnurs.biomedcentral.com/track/pdf/10.1186/s12912-020-00522-x.pdf

Agency for Healthcare Research and Quality (AHRQ). 2020. Ten attributes of health literate

health care organizations. Agency for Healthcare Research and Quality.

https://www.ahrq.gov/health-literacy/pulblications/ten-attributes.html

Health Resources and Services Administration (HRSA). 2022. Health literacy. Health

Resources and Services Administration.

https://www.hrsa.gov/about/organization/bureaus/ohe/health-literacy

Fineout-Overholt, E., Johnson, S. (2023). Asking Compelling Clinical Questions. In Melnyk, B., & Fineout-Overholt (Ed.), Evidence-Based practice in nursing & healthcare (5^th). Wolters Kluwer.