Evidence Base Practice in Business Discussion

Evidence Base Practice in Business Discussion ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Evidence Base Practice in Business Discussion FIRST POST The role of evidence-based leadership (EBL) helps guide an organization to incorporate evidence-based practice (EBP) as the new standard. Melnyk and Fineout-Overholt (2019) defines evidence-based leadership as an approach to leading groups to the ultimate goal of solving problems using evidence-based practice. Evidence-based leaders are proficient and believe in evidence-based practice which allows for them to guide an organization to embrace it as a standard of care. These leaders know how to form PICOT questions, search and evaluate evidence, and measure outcomes and findings. Renolen et al. (2020) studied how leaders implement evidence-based practice to a hospital organization. The study proved how detrimental leadership is to integrate evidence-based practice to a hospital organization. The research found that leaders can either help or harm the transition to evidence-based practice as the new normal for an organization. Evidence Base Practice in Business Discussion The prevalence of sleep-related infant deaths has hospitals taking initiative to address it through policy. Heitmann et al. (2017) states that many hospitals have initiated policy-based efforts to improve safe sleep practices. A main component of the policy is training the healthcare staff about safe sleep practices and have them pass on the information and educate patients about it as well as show them how to implement it during their hospital stay. The question or problem regarding the policy is whether its effective and will continue once the patients get discharged. Picot Policy Question: Will patients who are taught safe sleep recommendations during their hospital stay compared to patients who are not educated about safe sleep policies continue the sleep recommendations for their babies at home for the first year of life? P- Patient I- Educated and shown how to implement safe sleep recommendations C- Patients not educated about safe sleep policies O- Continue to implement the safe sleep recommendations at home T- One year References Heitmann, R., Nilles, E., Jeans, A., Moreland, J., Clarke, C., Mcdonald, M., & Warren, M. (2017). Improving safe sleep modeling in the hospital through policy implementation. Maternal & Child Health Journal , 21(11), 1995–2000. https://doi-org.ezproxylocal.library.nova.edu/10.1… Melnyk, B. M., Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare (4th ed.). Wolters Kluwer. Renolen, Å., Hjälmhult, E., Høye, S., Danbolt, L. J., & Kirkevold, M. (2020). Creating room for evidence?based practice: Leader behavior in hospital wards. Research in Nursing & Health , 43(1), 90–102. https://doi-org.ezproxylocal.library.nova.edu/10.1… SECOND POST The main goal of evidence-based practice (EBP) utilization is to improve patient outcomes. Despite its positive implications, certain barriers impede EBP implementation including lack of support from supervisors and the interdisciplinary team as well as general lack of knowledge and motivation (Ost et al., 2020). Strong advocation and promotion of EBP through evidence-based leadership (EBL), with proper education and training, allows nurses to build on leadership abilities, influence policy through research, and set an example through action (Shillam & Maclean, 2018). Guidance from leadership is needed to help organizations successfully navigate through the challenges of new change. By integrating evidence-based advocacy into the work environment and leadership team, all members of the interdisciplinary team will be more adept at influencing organizational and procedural policy reform in a way that is more supportive of EBP use (Ost et al., 2020). Evidence Base Practice in Business Discussion Policy Issue Since 1965, Medicaid has provided health coverage to many low-income Americans. With its recent expansion in 2014, coverage has been extended to many more people, more specifically, families with children that make up to 138% of the federal poverty level (FPL) every year; however, the expansion was not mandatory and as of 2021, 12 states have not adopted expansion, leaving those with an annual income between 41-100% of the FPL both ineligible for Medicaid and premium tax credits through the Affordable Care Act Marketplace (Garfield & Orgera, 2021). Furthermore, postpartum mothers that live in expansion states are covered for all preventative services 60 days after giving birth and have a way to maintain coverage afterwards while those that live in a non-expansion state have a lower likelihood of maintaining consistent coverage due to stricter income parameters (Ranji et al., 2020). Lack of access to care could negatively impact maternal and infant well-being as preventative and mental health services are still imperative after 60 days (Daw, 2020). PICOT: In postpartum mothers with Medicaid coverage (P), how does residing in a Medicaid expansion state (I) compared to residing in a non-expansion state (C) influence maternal mortality (O) over the course of one year (T)? References Daw, J. R. (2020, January). Missed opportunities to support women’s health: A tale of a Medicaid non-expansion state. Journal of Women’s Health , 29 (1), 3-4. https://doi.org/10.1089/jwh.2019.8071 Garfield, R., & Orgera, K. (2021, January 21). The coverage gap: Uninsured adults in states that do not expand Medicaid . KFF. https://www.kff.org/medicaid/issue-brief/the-cover… Ost, K., Blalock, C., Fagan, M., Sweeney, K. M., & Miller-Hoover, S. R. (2020, June). Aligning organizational culture and infrastructure to support evidence-based practice. Critical Care Nurse , 40 (3), 59-63. https://doi.org/10.4037/ccn2020963 Ranji, U., Gomez, I., & Salganicoff, A. (2020, December 21). Expanding postpartum Medicaid coverage . KFF. https://www.kff.org/womens-health-policy/issue-bri… Shillam, C. R., & MacLean, L. (2018). Leadership influence: A core foundation advocacy. Nursing Administration Quarterly , 42 (2), 150-153. https://doi.org/10.1097/NAQ.0000000000000276 THIRD POST Evidence Based Leadership Leaders play a unique role in organizational change by facilitating and influencing the implementation of evidence into practice. As leaders, nurse managers and nursing educators can influence innovation in evidence-based practice by helping staff nurses build on their own strengths and mindsets (Guerrero et al., 2020). Evidence based practice implementation and organizational change relies on experienced nurse leaders for their motivational attitudes and support. Getting started on research is often the most complicated task and leaders can help other nurses with establishing goals and priorities for evidence-based research (Guerrero et al., 2020). By getting more nurses involved with research, nurse leaders can help support organizational changes and the new paradigm of evidence-based practice. Evidence Base Practice in Business Discussion Policy Problem Nursing staffing ratios have been an ongoing debate for many years among healthcare personnel. Since1999 when nurse – patient ratios were mandated in the state of California, this topic has been studied and discussed among many healthcare agencies (Olley et al., 2019). There has been a lot of speculation around whether mandating staffing ratios can lead to improvements in patient outcomes, patient safety, patient satisfaction and nursing satisfaction. Olley et al. (2019) preformed a systemic review on this topic and actually found quite varying results. The main conclusion of the study was that hospitals should have policies related to staffing and take into consideration the acuity of patients and the skill levels of nurses (Olley et al., 2019). These few factors alone appeared to have a larger impact on patient outcomes than mandated staffing ratios. More studies would be needed to evaluate this, specifically on patient outcomes in California as staffing ratios have already been implemented there. Policy PICOT Question In the United States how does federally mandated staffing ratios compared with no staffing ratios affect patient safety such as complication rates, infection rates and fall rates? References Guerrero, E. G., Frimpong, J., Kong, Y., Fenwick, K., & Aarons, G. A. (2020). Advancing theory on the multilevel role of leadership in the implementation of evidence-based health care practices. Health Care Management Review, 45 (2), 151-161. https://doi.org/10.1097/HMR.0000000000000213 Olley, R., Edwards, I., Avery, M., & Cooper, H. (2019). Systematic review of the evidence related to mandated nurse staffing ratios in acute hospitals. Australian Health Review, 43 (3), 288-293. https://doi.org/10.1071/AH16252 Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10