{"id":26896,"date":"2021-01-27T07:32:03","date_gmt":"2021-01-27T07:32:03","guid":{"rendered":"http:\/\/onlineclassesguru.com\/?p=26896"},"modified":"2021-01-27T07:32:03","modified_gmt":"2021-01-27T07:32:03","slug":"response-to-nursing-discussion-board-peer-repsonses","status":"publish","type":"post","link":"https:\/\/onlineclassesguru.com\/index.php\/2021\/01\/27\/response-to-nursing-discussion-board-peer-repsonses\/","title":{"rendered":"Response to nursing discussion board-peer repsonses"},"content":{"rendered":"<style type=\"text\/css\"><\/style><p>Response to peer discussion board-150 words-1 reference within 5 years-NURSING JOURNALS ONLY.<\/p>\n<p>There is a large push for evidence-based practice to become the main foundation of all clinical<\/p>\n<p>practices and clinical decision making. In order to provide the best up to date quality care<\/p>\n<p>evidence-based practice must be used. \u201cBy the year 2020, 90% of clinical decisions will be<\/p>\n<p>supported by accurate, timely, and up-to-date clinical information and will reflect the best<\/p>\n<p>available evidence\u201d (Boswell&amp; Cannon, 2017). \u00a0Though it is ideal to have evidence-base practice<\/p>\n<p>driving health care practices there are many obstacles in the way of changing the culture of<\/p>\n<p>health care practices. There are many obstacles to change such as resistance to change from<\/p>\n<p>staff, available resources to support changes, lack of support and training from mentors, and<\/p>\n<p>\u201cresearch findings incompatible with the realities of their practice\u201d (Johnston, Coole, Feakes,<\/p>\n<p>Whitworth, Tyrell, &amp; Hardy, 2016, p. 392).<\/p>\n<p>Working at Shands Hospital in Gainesville Florida there is most definitely a strong push for<\/p>\n<p>the best quality of care through evidence-based practice. Each unit throughout the hospital has<\/p>\n<p>a clinical leader. The unit\u2019s clinical leader\u2019s main job description is to assure the unit is clinically<\/p>\n<p>using practices that are evidence-based. The main obstacle that I have found on my unit has<\/p>\n<p>been \u201cresearch findings incompatible with the realities of their practice\u201d (Johnston et al. 2016, p.<\/p>\n<p>392 ).\u00a0 Working on such a high acuity unit in the cardiovascular intensive care unit a lot of<\/p>\n<p>evidence-based hospital driven policies and practices have had to be adjusted specially to fit our<\/p>\n<p>unit. Hospital wide practices have had to be adapted because certain practices do not apply to<\/p>\n<p>the realities and acuity of our unit. One main example is the MEWS assessment. \u201cThe modified<\/p>\n<p>early warning score (MEWS) is an example of a physiological \u2018track and trigger\u2019 system designed<\/p>\n<p>to identify patients at risk of clinical deterioration in order to provide a timely response to<\/p>\n<p>request appropriately-trained nursing or medical staff to assess the patient and provide any<\/p>\n<p>interventions required\u201d (Harris, 2013, p.432). MEWS is an extremely useful tool on floor units,<\/p>\n<p>but on my particular unit a majority of our patient population have such a high baseline MEW<\/p>\n<p>Score. If following our hospital protocol for our patients\u2019 MEWS we would be constantly calling<\/p>\n<p>physicians and bringing them to the bedside. Our patients have extremely high acuity which is<\/p>\n<p>one of the reasons they are in the intensive care unit. Our physicians are aware of the acuity of<\/p>\n<p>our patients and therefore the hospital wide MEW score does not really apply to our unit. We<\/p>\n<p>had to adjust the triggers of the MEW Scores of when to notify a physician. On the floor a<\/p>\n<p>MEWS of 4 a physician is notified and needs to come assess the patient, but in the CICU the<\/p>\n<p>score for when a physician has to come to bedside was adjusted to a 6. MEWS is just one of<\/p>\n<p>the many obstacles present in implementing evidence-based practices on our unit. There are<\/p>\n<p>many obstacles to implementing evidence-based practices in our clinical practices, but it is<\/p>\n<p>imperative that we adjust or policies and practices to reflect the research found in order to<\/p>\n<p>provide the best quality care.<\/p>\n<p><center><a href=\"http:\/\/onlineclassesguru.com\/orders\/ordernow\"><img decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcTyj99p60XCLyLk1htB7-1neRt8-2QdnenNlQ&usqp=CAU\"target=\"_http:\/\/onlineclassesguru.com\/orders\/ordernow\"\/><\/center><p>","protected":false},"excerpt":{"rendered":"<p>Response to peer discussion board-150 words-1 reference within 5 years-NURSING JOURNALS ONLY. There is a large push for evidence-based practice to become the main foundation of all clinical practices and clinical decision making. In order to provide the best up to date quality care evidence-based practice must be used. \u201cBy the year 2020, 90% of&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-26896","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Response to nursing discussion board-peer repsonses - onlineclassesguru<\/title>\n<meta name=\"description\" content=\"Response to nursing discussion board-peer repsonses\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/onlineclassesguru.com\/index.php\/2021\/01\/27\/response-to-nursing-discussion-board-peer-repsonses\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Response to nursing discussion board-peer repsonses - 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