Doris Maingi

1 Running head: NURSING Professional Capstone and Practicum Student’s Name Institutional Affiliation NURSING Peter confirms that the organization he works for has made significant efforts to enhance patient safety and improve the patient outcome in the last few years. Such efforts include changes in policies which had improved patient outcome and reduced mortality rates. However, he feels that compliance with bedside report needs to be majorly improved upon. Nurses play a significant role in the future healthcare system, and they must utilize the opportunity to elevate their practice to another level and make their profession better. To do that, nurses must start by making significant changes to their practice and begin to implement more evidence-based practices because it can help enhance quality care and patient outcome. Communication with the patients and their families in all matters regarding treatment, services, and care is essential in enhancing a culture of safety(Malloch, K., & Porter-O'Grady, T. (Eds.). 2010). It ensures the safe handoff of care between the RNs by involving the patients and their families. Also, it gives patients a feeling of inclusion while ensuring nurse accountability. Cristy states that the leadership in the hospital she works for lacks sufficient experience in the state's mental health rules and regulations. The hospital only opened recently in May 2019, and the rules are different from those of other states where the leaders had worked before. Education and experience are some of the main issues for addressing evidence-based practice. The facility has already started implementing EBP by finding a provider who can offer methadone detoxification to patients who are withdrawing from opioid dependence in addition to behavioral and therapy management. Also, they intend to start educating and training nurses and behavioral health professionals on how to work with detoxing patients appropriately. The statement is correct as individual factors like years of experience and confidence in practicing as well as organizational factors such as access to resources and supportive leadership are strongly 2 NURSING associated with the practice of EBP. Competent leadership contributes to quality care and patient safety (Melnyk, B. M., & Fineout-Overholt, E. (Eds.). 2011). Such leadership forms informed decision-makers whose independent actions are founded on the basis of evidence, education, and experience. Tammy stated that the main issue in addressing evidence-based nursing practice was insufficient preparation. Some nurses lack the opportunity to get a program that allows them to get further research and leadership courses in nursing. Not all registered nurses had a chance to enroll for a BSN, and a significant number of nurses are older nurses who are almost retiring, and thus, they are not interested in obtaining a BSN. Nursing education is essential as it enables nurses to keep up with current technologies and trends. However, most nurses do not understand the importance of EBP in nursing practice, and that leads to reluctance and resistance. They stick to the old ways of doing things. Tammy is right. Furthering education in the nursing field allows nurses to earn additional skills and learn advanced techniques to improve patient care (Rebeschi, L., & Aronson, B. 2009). Additionally, it will enable nurses to make better healthcare decisions and enhance awareness of community health. Katherine, who was working on a practicum capstone for a nursing college, stated that the issue is the starting point for where nurses learn what evidence-based practice and how to implement it in their work. She suggests that the first step should be making nurses understand the priority that needs to be set on caring for patients by means of EBP. There is also the need to implement interactive clinical experiences where student nurses can apply these new skills. Moreover, students should be taught how to advocate for themselves and their patients since the use of EBP is not a priority once they enter the workforce. The statement is correct because helping nurses understand EBP is crucial as it helps in the healthcare transformation. EBP calls 3 NURSING for the need to redesign healthcare, making it efficient, safe, and effective (Martin, D. L., Brewer, M. K., & Barr, N. 2011). Organizations need to launch initiatives that educate nurses on evidence-based practice and allow them to implement it. RNs with a higher educational level or advanced qualifications tend to have a greater extent of EBP compared to those with lower qualifications. What are the RNs patterns for adopting and implementing EBP? 4 5 NURSING References Malloch, K., & Porter-O'Grady, T. (Eds.). (2010). Introduction to evidence-based practice in nursing and health care. Jones & Bartlett Learning Martin, D. L., Brewer, M. K., & Barr, N. (2011). Gradually guiding nursing students through their capstone course: Registered nurse preceptors share their experiences. Nursing research and practice, 2011. Melnyk, B. M., & Fineout-Overholt, E. (Eds.). (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins. Rebeschi, L., & Aronson, B. (2009). Assessment of nursing student's learning outcomes and employment choice after the implementation of a senior capstone course. International Journal of Nursing Education Scholarship, 6(1).