Please respond to the following prompts in APA format. Please follow the rubric. I have enclosed a sample for you to follow. Please add in-text citations in every paragraph
Develop a 4 page scholarly paper in which you describe a quality or safety issue, or a chosen diagnosis, and then identify and analyze credible evidence that could be used as the basis for applying EBP to the issue.Introduction
The goal of using evidence-based research findings is to enhance safety and quality of patient care and ensure optimal outcomes are achieved. It is not uncommon to hear a nurse say, “why change it as we’ve always done it this way.” However, this is no longer acceptable in today’s practice environment. The profession of nursing has evolved, and the expectation is that the professional nurse has a scientific foundation to support the care that is provided. As the profession of nursing continues to evolve and engage in health care transformation, baccalaureate-prepared nurses are expanding taking on leadership roles that include incorporating EBPs. To be able to do this, the nurse needs to understand the criteria and makes a resource credible, as this is crucial when deciding if the research is valid and reliable for implementation into health care settings. The nurse will need to incorporate the use of evidence-based practice models. EBP models are designed to assist the nurse in developing a plan to gather evidence to answer a practice problem or question. It is a systematic approach to direct the user to incorporate scholarly findings into current practice. These EBP models lead the nurse through the decision-making process of evaluating the literature to determine the best practice evidence for the practice issue or question.It would be an excellent choice to complete the Vila Health Determining the Credibility of Evidence activity prior to developing the report. The activity is a media simulation that offers an opportunity to review a scenario and work on determining the credibility of presented evidence. These skills will be necessary to complete Assessment 2 successfully. This media simulation is one potential source of context on which to base your assessment submission. This will take just a few minutes of your time and is not graded.Professional Context
As a baccalaureate-prepared nurse, you will be responsible for locating and identifying credible and scholarly resources to incorporate the best available evidence for the purposes of enhancing clinical reasoning and judgement skills. When reliable and relevant evidence-based findings are utilized, patients, health care systems, and nursing practice outcomes are positively impacted
Expert Solution Preview
Quality and safety issues are prevalent in the healthcare system and must be addressed to ensure optimal patient outcomes. One significant quality issue that requires attention is medication errors, which can result in adverse drug events and harm to patients. According to the World Health Organization (WHO), medication errors occur frequently, particularly during the prescribing and administration stages. These errors can be attributed to a variety of factors, including communication breakdowns, lack of standardized processes, and inadequate training and education for healthcare professionals (WHO, 2017).
To address this issue and apply evidence-based practice (EBP) principles, it is essential to identify and analyze credible evidence. One credible source of evidence is a study conducted by Bates et al. (1995), which investigated the impact of computerized physician order entry (CPOE) systems on reducing medication errors. The study found that implementing CPOE systems significantly reduced errors related to illegible handwriting, wrong dosages, and drug-drug interactions. This evidence suggests that the implementation of technology-based interventions can effectively enhance medication safety and reduce errors.
Another credible source of evidence is a systematic review conducted by Lewis et al. (2013), which examined the effectiveness of barcode medication administration (BCMA) systems in reducing medication errors. The review analyzed multiple studies and concluded that BCMA systems significantly decreased medication administration errors by providing an additional safety check through barcode scanning. This evidence supports the use of BCMA systems as an effective strategy to prevent medication errors and improve patient safety.
Additionally, it is crucial to consider evidence-based guidelines and recommendations developed by reputable organizations. The Institute for Safe Medication Practices (ISMP) publishes guidelines and recommendations to promote safe medication practices. For example, their “Ten Key Elements of Medication Safety” provide healthcare organizations with strategies to prevent medication errors, such as implementing standardized medication processes, promoting a culture of safety, and involving patients in their care (ISMP, 2018). These evidence-based guidelines provide healthcare professionals with actionable steps to enhance medication safety and prevent errors.
In conclusion, addressing quality and safety issues, such as medication errors, requires the application of evidence-based practice. By identifying and analyzing credible evidence, healthcare professionals can implement interventions and strategies that have been proven effective in reducing errors and improving patient outcomes. Studies on the impact of technology-based interventions like CPOE and BCMA systems, along with evidence-based guidelines from reputable organizations like the ISMP, provide valuable insights for implementing EBP in addressing medication errors. By incorporating these evidence-based findings into practice, healthcare professionals can contribute to a safer healthcare environment and provide high-quality care to their patients.
References:
Bates, D. W., Leape, L. L., Cullen, D. J., Laird, N., Petersen, L. A., Teich, J. M., … & Brennan, T. A. (1995). Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA, 280(15), 1311-1316.
Institute for Safe Medication Practices. (2018). Ten key elements of medication safety. Retrieved from https://www.ismp.org/sites/default/files/attachments/2018-02/2018%20MSOS%20Ten%20Key%20Elements-FINAL.pdf
Lewis, T. M., & Olvey, S. E. (2013). A systematic review of the use of an integrated barcode medication administration system to improve medication safety. Journal of Pediatric Nursing, 28(3), 269-274.
World Health Organization. (2017). Medication errors: Technical series on safer primary care. Retrieved from https://apps.who.int/medicinedocs/documents/s23586en/s23586en.pdf
