Nursing practice is an ongoing continuous change that needs to be based off of EBP to ensure that every patient and their family will receive the highest level of care possible.

nursing

Half of page per response to my peers, with references, use first person, thank you. Discussion attached.
Respond in one or more of the following ways:
1)Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.
2)Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
3)Validate an idea with your own experience and additional research.
4)Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
(Beverly)
Evaluation of Organization’s use of EBP
At one organization where I work on weekends (Health Department), EBP is very important when evaluating policies and procedures and meeting projected goals. Health Horizons is a prevention program funded by Centers for Disease Control and Prevention (CDC) and contracted through the Department of Health State Services (DHSS). This program is targeted to prevent Human Immunodeficiency Virus (HIV) and sexually transmitted infections (STI) in higher risk populations.
A very vital part of this EBP is to identify the higher risk populations and identify a gatekeeper within that population as a leader. The leader is educated and delegated to organize a group within the selected population for what we now call an education extravaganza. This extravaganza is somewhat a party. The participants is served a meal, play fun educational games, receive a $25.00 Walmart gift card for participation and they are offered free HIV and syphilis testing. Providing such incentives furthers this organizational culture and policies.
The leader of the group work closely with the organization’s team members to identify the high risk activities, develop a risk reduction plan, evaluate the plan and document their findings. If the outcomes are proven to be reduction in high risk activities, the outcomes are implemented in the annual renewal of proposal plans and monitored by DHSS for funding purposes. By identifying a gatekeeper for the group activities, the group members are more trusting and staff is able to build a rapport with the members to elicit honest information that assist with identifying the high risk activities.
Disseminate the Findings and Strengthening the Culture of EBP within the Organization
The concept of EBP has continued to evolve in the nursing profession as the basis for clinical decision-making (Steurer, 2010).
I could disseminate the findings by maintaining documentation of the members that participate in the groups each month. This documentation will consist of the high risk activities reported, number of members per group, number of member tested, test results and educational pre and post testing. This information will be reported in the monthly reports, quarter reports, annual reports and the proposal for funding renewal. The culture of the EBP will be strengthened within the organization by continuing to advertise and encourage participation from all departments within the organization. In addition, all departments will be educated on new policies, procedures and outcomes of the group activities. Educational sessions are a necessary step in raising knowledge and commitment but must be combined with other strategies to be effective (Cullen & Adams, 2012). It is crucial that all departments work together as a team and not segregated as departments.
Nurse’s responsibility to further the use of EBP
Nurses in leadership positions have responsibility for provision of evidence-based healthcare that meets the expectations of patients, families, regulators and others (Cullen & Adams, 2012). Nurses need the empowerment to improve the patient’s outcome. It is important that nurses not only have the guidance to identify effective EBP, but it is just as important to understand the implementation and evaluation process of the EBP.
Resources

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