Evidence-Based Practice and Management Essay Example | Topics and Well Written Essays - 750 words

Evidence-Based Practice and Management - Essay Example As the case study argues, because of errors in medication administration, high rates of falls and decrease in staff satisfaction, EBP has now become a crucial necessity in almost every hospital. One of the ways nursing leadership began to establish an evidence based culture was by establishing shared governance councils who were to kick start the process. A specific unit was identified, which was to actively come up with a project of implementing EBP so as to impact outcomes. Fortunately, an opportunity arose with a physician driven research project, which involved controlling pain in pediatric patients outside the ICU. The unit was charged with monitoring parameters and nurse staffing. The unit started its evidence-based practice so as to meet patients’ and pain team’s needs. The staff was composed of people from all sectors, educator for the unit, unit leadership, and evidence-based practice mentor. As the case study points out, there are various systems that can be e stablished so as to facilitate staff in the evidence-based practice. The first system is to integrate evidence as criteria within the organization’s strategic plan. The mission, vision and specific goals of the organization should incorporate evidence-based decision making at the point t of care. Nurse managers should come up with tools such as guidelines, protocols, policies and procedures, all based on evidence-based practice so as assist staff in realizing the benefits associated with it. Analysis of Articles Related to the Topic According to Wilkinson, Nutley, and Davies (2011), nurse managers face many challenges and barriers in implementing evidence-based practice. Past research has pointed out that nurse mangers should play a major role in ensuring than EBP is implemented in their institutions. However, as these authors argue, the specific role has not been defined. Therefore their research aimed at finding the specific role of nurse mangers in the EBP implementation p rocess. They used case study approach where they used interviews and observation as the main data collection methods. After analyzing the data, the authors found major differences between literature and their findings concerning roles of nurse managers in EBP implementation. According to their findings, nurse managers took a passive role in EBP implementation process. The authors concluded that the main reason as to why EBP have been ineffective in many institutions is due to problems such as undefined roles of the nurse manager in their implementation process. Therefore, they pointed out that identified problems with the implementation of EBP should first be solved in order to get the desired results from the practices. According to Sandstrom, Borglin, Nilsson, and Willman (2011), the implementation of EBP knowledge obtained from literature has proven to be a burdensome one. The cause of this as the authors argue is the narrow focus of literature on a few factors that have been reg arded important in EBP implementation process. One of the factors that have been pointed as being important in EBP implementation process is leadership. Therefore, their research was aimed at conducting a thorough literature review so as to determine the role of leadership in EBP implementation process. The research findings indicated that leadership was indeed a vital factor in EBP implementa

Thank you later Essay Example | Topics and Well Written Essays - 750 words

Thank you later - Essay Example It tells us that Miss Moore's lesson has had an impact. This is from 'Everyday Use' by Alice Walker and Dee is speaking to her mama regarding the quilts she wanted to take from Maggie. She viewed them as valuable now, having identified herself with her African American roots. She thought Maggie was not worthy of owning such items, would only use them and destroy them, while she would display them for decoration. The quote showed Dee's attitude to her sister and her own heritage.3. This comes from 'Sonny's Blues' by James Baldwin and is the narrator, Sonny's older brother speaking. He realized the power and wonder Sonny created with his music. It also suggested a deeper understanding of himself, society and his and Sonny's place within it. He valued his brother and his talent at last.5. Mrs. Wright would be meek and obedient, rather scared of the others at first, especially Torvald because he is a man. She might look for instructions from the other women, being afraid to draw attention or to assert her independence. Dee would be annoyed at their situation, tidying herself up, concerned with her appearance and status, and maybe a little impatient with Mrs. Wright.Torvald, as the only man, used to having his own way and women running around after him, might try to organize the women into carrying out tasks such as fetching wood, looking for food, making a shelter. Miss Moore would at first observe all that was happening, then talk to everyone to get their views on how to deal with things. Dee would tell Torvald to stop trying to be master over the women, maybe even argue with him, which would annoy him greatly. Once Mrs. Wright felt she was safe, thanks to Dee's brave attitude and Miss Moore's regard for her input, she would become more assertive. All of them would have to change to more cooperative behaviors and accept that in order to survive, they must see each other's strengths and treat each other as equals. 6. This quote forms the last words in 'The Storm' by Kate Chopin. It has ambiguity, after what Calixta did with Alcee while her husband and son took shelter at the shop. The 'storm' could be interpreted as her passion and the 'happiness' of everyone concerned is ironic. Bobinot was blissfully ignorant, Bibi was safe at home, Alcee's passion had been shared, and his wife Clarisse did not have to sleep with him, which made her happy. It was an ironic closure, suggesting more tempests to come. 7. Aunt Jennifer's Tigers 1. Adrienne Rich is the poet. 2. The speaker is a detached observer, and could be the voice of a young person relating what she saw as the sad life of the older woman, told in an ironic tone. 3. This relates to the tigers Aunt Jennifer was embroidering. 4. Metaphor for tigers 5. The wedding ring's "massive weight" that "sits heavily" symbolized the burden she was under in being married to uncle. 6. She was afraid of him, as the tigers are not afraid of men. The poet talked of "terrified hands" and "ordeals" Aunt had suffered. Name Anderson Scholarship Address Address Date: Write in Dear..MrMrs etc. I am writing to thank you for donating the Anderson