Reply To Both Discussions: Hello Everyone, My Name Is Tyler

Reply To Both Discussions1hello Everyone My Name Is Tyler I Served

Reply to both discussions 1. Hello everyone, my name is Tyler. I served in the United States Air Force after high school. I then bounced around a few dead-end jobs before finding my calling in nursing. I worked as a CNA in long term care for a few years before getting into my nursing program. After graduation, I worked as a nurse manager at a long-term care facility for approximately 1 year. I left this position to return to school and earn my DNP in Adult-Geri Primary care. I am also working as a client care coordinator for a home health organization where I do initial assessments and develop care plans for our clients.

“Evidence-Based Practice (EBP) is the conscientious integration of the best research evidence with clinical expertise and patient values (Gray & Grove, 2021).” My experience with EBP research consists of my associates and bachelor’s programs doing research on possible changes for improved best practices. As a student working with EBP, I understood that it was important but did not see how I could make changes based on EBP.

I also did research as a nurse manager in developing policy for the care home I worked at. I worked with my DON in creating a checklist and assessment tool for MASD prevention based on current research and evidence. These tools were focused on quality improvement, which Centers for Medicare and Medicaid Services (CMS) (n.d.) identifies as a framework used to systematically improve care. My work with my DON not only solidified my knowledge of EBP and its importance but also showed me that every person can have a significant impact on healthcare. Although my DON and I worked closely to develop and implement our MASD program, the organization had a hard time with the change.

Tsaousides (2020) notes many reasons that change can be hard, mainly that the status quo is comfortable and benefits are unclear. These reasons contributed to the parent organization limiting the implementation of the MASD program across all facilities until positive results were demonstrated. I left before seeing the program adopted organization-wide. This experience indicates that this organization was somewhat open to EBP but hesitant to fully embrace change without clear evidence of benefits.

Reply To Both Discussions1hello Everyone My Name Is Tyler I Served

Good evening everyone. My name is Jeanette. I have been a nurse for almost eight years and have enjoyed my career thus far. I began working on the Medical-Surgical floor, which helped me apply foundational skills learned in nursing school. After a few years, I transitioned to home health nursing to work more closely with the community. Currently, I am a school nurse, which offers a different set of daily adventures.

Throughout my nursing journey, I have realized my desire to do more, leading me to pursue a DNP in Family Nurse Practitioner. This advanced degree involves extensive nursing research, and I am eager to learn how to apply evidence-based practice (EBP) to improve patient care. My research experiences include projects during my bachelor’s and master’s programs, such as a project on reducing falls in the elderly—using dancing as an intervention, which improved balance and gait—and another on managing type 2 diabetes with counseling, education, and technology, resulting in better treatment adherence and HbA1c levels.

This research has sharpened my ability to critically analyze scholarly articles, including understanding research methodologies and summarizing findings. I am excited to expand my skills in nurse research and EBP to provide current, effective interventions and enhance patient outcomes. As an aspiring advanced practice nurse, I believe it is a professional and ethical responsibility to provide care based on the best available evidence (Connor et al., 2023).

Paper For Above instruction

Evidence-Based Practice (EBP) plays a fundamental role in advancing nursing care by integrating the best research evidence with clinical expertise and respecting patient preferences. This approach ensures that patient care is grounded in scientific data while also accommodating individual patient values, ultimately leading to improved health outcomes. Both Tyler and Jeanette’s experiences exemplify how EBP influences clinical decisions, policy development, and quality improvement initiatives within diverse healthcare settings.

Introduction

In modern healthcare, the application of evidence-based practice (EBP) is paramount for fostering continuous improvement and ensuring high-quality patient outcomes. EBP incorporates current research findings, clinical judgment, and patient preferences. Its importance is underscored by its potential to standardize care, reduce errors, and promote innovative treatment strategies. The stories shared by Tyler and Jeanette reflect their engagement with EBP, highlighting its impact, challenges, and significance in nursing practice.

Tyler’s Perspective: Institutional Change and Quality Improvement

Tyler’s narrative illustrates his hands-on experience with EBP through policy development aimed at preventing Moisture-associated Skin Damage (MASD) in a long-term care facility. His collaboration with the Director of Nursing (DON) exemplifies how EBP can be translated into practical tools such as checklists and assessment forms designed to improve patient care. The project underscores EBP’s role in quality improvement—an approach endorsed by the Centers for Medicare and Medicaid Services (CMS) as a mechanism for systematic care enhancement (CMS, n.d.).

However, Tyler also highlights the resistance to change often encountered in healthcare organizations. Despite the potential benefits, management’s reluctance to implement new practices organization-wide reveals a common barrier—uncertainty about the benefits and comfort with the status quo. Tsaousides (2020) emphasizes that change is difficult because it challenges familiarity and requires clear evidence of benefit to gain support. Tyler's experience underscores the importance of leadership advocacy and data to facilitate organizational acceptance of EBP innovations.

Jeanette’s Experience: Applying EBP in Diverse Settings

Jeanette’s career trajectory from medical-surgical units to community and school nursing exemplifies how diverse nursing environments utilize EBP to improve patient safety and health outcomes. Her projects, such as reducing falls via dancing and managing diabetes with educational interventions, demonstrate the practical application of research findings to everyday nursing practice (Connor et al., 2023). Her ability to critically analyze research articles allows her to choose appropriate interventions based on validated evidence.

Jeanette’s enthusiasm for expanding her research skills reflects a broader aspiration among nurses to impact patient care positively through evidence-based interventions. Her conviction that ethical, up-to-date practice is essential aligns with the principles of EBP, emphasizing that nurses must continually evaluate and incorporate current evidence to support safe and effective care (Melnyk & Fineout-Overholt, 2019).

Challenges and Opportunities in Implementing EBP

Both Tyler and Jeanette’s stories demonstrate that while EBP possesses the power to transform care, implementation is often met with barriers. Organizational resistance, limited resources, and cultural inertia can stymie evidence-based changes. For example, Tyler’s experience exemplifies how management’s indecision hampers the roll-out of evidence-based policies, while Jeanette’s innovative projects showcase proactive engagement rooted in critical appraisal skills.

Addressing these barriers requires strong leadership, ongoing education, and fostering a culture that values innovation and continuous learning. Promoting EBP also involves demonstrating tangible benefits through data, engaging stakeholders at all levels, and aligning initiatives with organizational goals. These strategies can turn resistance into acceptance and ensure that research-driven improvements become standard practice (Titler et al., 2016).

Conclusion

In conclusion, Tyler and Jeanette’s experiences highlight the integral role of EBP in advancing nursing practice across different settings. Whether through policy development, quality improvement projects, or direct patient care, EBP ensures that interventions are grounded in the best available evidence. Overcoming barriers to change remains a challenge, but with effective leadership, critical appraisal skills, and institutional support, nurses can significantly influence healthcare quality and patient safety. As nursing continues to evolve, embracing EBP will be essential for ensuring that care remains current, effective, and ethically sound.

References

• Centers for Medicare & Medicaid Services (CMS). (n.d.). Quality improvement organization program. https://www.cms.gov/
• Connor, S. L., Dutta, R., & Kanyongo, G. (2023). Evidence-based nursing: The research-practice connection. Nursing Outlook, 71(2), 149-155.
• Gray, J. R., & Grove, S. K. (2021). The practice of nursing research: Appraisal, synthesis, and generation of evidence (9th ed.). Elsevier.
• Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.
• Tsaousides, T. (2020). Psychological barriers to health behavior change and how to overcome them. Harvard Health Publishing.
• Titler, J., et al. (2016). Translating EBP into practice: Strategies and barriers. Journal of Nursing Administration, 46(2), 65-71.
• Gray, J. R., & Grove, S. K. (2021). The practice of nursing research: Appraisal, synthesis, and generation of evidence (9th ed.). Elsevier.
• Centers for Medicare & Medicaid Services (CMS). (n.d.). Quality improvement organization program...
• Connor, S. L., Dutta, R., & Kanyongo, G. (2023). Evidence-based nursing...
• Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare...