Week 1 National Practice Problem Exploration Evidence Trans ✓ Solved

Week 1 National Practice Problem Exploration Evidence translation

Evidence translation begins with the identification of a problem or concern. Reflect upon the eight national practice problems presented in the Global Burden of Disease Research. Select one of the practice problems to address the following.

From a global/nationwide perspective, how does the selected practice problem impact nurses, nursing care, healthcare organizations, and the quality of care being provided?

Identify the national level key stakeholders who are affected by the practice problem and stakeholders involved in resolution.

Are clinical practice guidelines used to address this problem? Why or why not? If used, provide a brief overview of the CPG. If a CPG is not used, propose an intervention that could be implemented on a national scale to address the problem.

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Paper For Above Instructions

The selected practice problem for this exploration is the increasing incidence of cardiovascular diseases (CVD) globally, which is documented in the Global Burden of Disease Research. CVD remains a leading cause of mortality worldwide, significantly affecting healthcare systems, nurses, and quality of care. In 2020, the World Health Organization (WHO) estimated that over 17 million people die from CVD each year, which illustrates its scope and urgent need for effective intervention (WHO, 2021). The repercussions of CVD on nursing practice and healthcare organizations are profound, as they result in increased patient complexity, necessitating specialized knowledge in nursing care delivery.

Nurses are often on the front lines of patient interactions and are essential in managing the care of those with cardiovascular issues. The burden of CVD requires nurses to be adequately trained in preventative measures, early signs of heart disease, and effective interventions. CVD can lead to prolonged hospital stays and increased healthcare costs, straining healthcare organizations (Gonzalez et al., 2021). Quality of care suffers when the demand for services outpaces the availability of resources, impacting nurses' ability to provide holistic, patient-centered care.

Key stakeholders affected by cardiovascular disease include patients, healthcare providers, policymakers, and public health organizations. Patients face the direct health impacts, while healthcare providers, especially nurses, are tasked with the challenging responsibility of delivering quality care amid resource constraints. Policymakers play a crucial role in healthcare budgets and regulations that affect both access to care and preventive services (Bhatia et al., 2022). Public health organizations are pivotal in implementing awareness campaigns and promoting healthy living, which can mitigate CVD risk factors.

Clinical practice guidelines (CPGs) are utilized to address CVD, providing evidence-based practices that assist healthcare providers in delivering optimal care. For example, the American College of Cardiology (ACC) and the American Heart Association (AHA) regularly publish guidelines that cover prevention, diagnosis, and treatment of CVD, which are critical resources for healthcare professionals (ACC/AHA, 2021). These guidelines recommend lifestyle modifications, medications, and interventional procedures based on the latest research findings, offering a framework that informs clinical decisions.

Despite the existence of CPGs for CVD, there remain areas where adherence is inconsistent, often due to systemic issues such as lack of resources, knowledge gaps among nurses, or restrictive healthcare policies. To counter this, a proposed intervention on a national scale would be the implementation of comprehensive training programs for nurses and healthcare providers focused on the latest CPGs for CVD management. This training could enhance their ability to apply clinical guidelines in practice effectively and bridge the gap between research and bedside care.

In conclusion, cardiovascular diseases pose a significant challenge to healthcare organizations, nurses, and patient care quality. The involvement of key stakeholders is essential in addressing this growing concern. By utilizing existing CPGs and enhancing training for healthcare providers, we can improve the management of CVD and ultimately mitigate its impact on individuals and the healthcare system.

References

• American College of Cardiology/American Heart Association. (2021). 2021 ACC/AHA Clinical Practice Guidelines for the Management of Blood Cholesterol. https://www.jacc.org/guidelines
• Bhatia, S. K., et al. (2022). Addressing Cardiovascular Disease Disparities in the United States: A Position Statement from the American College of Cardiology. Journal of the American College of Cardiology, 79(7), 543-546.
• Gonzalez, S., et al. (2021). The Nursing Response to Cardiovascular Disease: Addressing Healthcare Gaps and Best Practices. Nursing Outlook, 69(5), 1-10.
• World Health Organization. (2021). Cardiovascular Diseases (CVDs). https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
• O'Donnell, M. J., et al. (2020). Global and Regional Effects of Cardiovascular Disease: A Systematic Analysis for the Global Burden of Disease Study 2017. The Lancet, 395(10225), 858-883.
• Campbell, N. R., et al. (2021). The Role of National Guidelines in Cardiovascular Disease Management: A Narrative Review. Canadian Journal of Cardiology, 37(5), 770-780.
• Sullivan, R., et al. (2020). Nurses' Role in the Prevention and Management of Cardiovascular Disease: A Review. International Nursing Review, 67(2), 224-231.
• Alpert, J. S., et al. (2021). Cardiovascular Disease: The Killer We Need to Fight. American Journal of Cardiology, 98(6), 834-839.
• Clarke, A. W., et al. (2022). A Review of Cardiovascular Technology and Management in Nursing Care. Journal of Cardiovascular Nursing, 37(3), 204-212.
• Pérez, M. L., et al. (2023). Effectiveness of Nurse-Led Interventions in Managing Cardiovascular Disease Risk: A Systematic Review. American Heart Journal, 246, 23-30.