examine healthcare organization websites and analyze to what extent these organizations use EBP.
When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.To Prepare:Review the Resources and reflect on the definition and goal of EBP.Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).Explore the website to determine where and to what extent EBP is evident.BELOW IS THE QUESTION——–Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.BELOW IS THE REQUIRED READING——Required ReadingsMelnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7-32)Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707-708. doi:10.3928/01484834-20171120-01Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172-175. doi:10.1111/wvn.12126Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340-348. doi:10.1111/wvn.12171Melnyk, B.M., Fineout-Overhold, E., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51-53.Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5-15. doi:10.1111/wvn.12021Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608-610. doi:10.1136/bmjqs-2015-004160Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981:PLEASE ADD 4 REFERENCES NOT MORE THAN 5 YEARS OLD:PLEASE MAKE SURE YOU GO THROUGH THE RUBIC AND RESOUCES:BELOW IS THE GRADING RUBIC————Rubric DetailSelect Grid View or List View to change the rubric’s layout.Name: NURS_6052_Module01_Week01_Discussion_RubricGrid ViewList ViewExcellent Good Fair PoorMain Posting45 (45%) – 50 (50%)Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.Supported by at least three current, credible sources.Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.40 (40%) – 44 (44%)Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.At least 75% of post has exceptional depth and breadth.Supported by at least three credible sources.Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.35 (35%) – 39 (39%)Responds to some of the discussion question(s).One or two criteria are not addressed or are superficially addressed. CORE SKILL: reading an organization’s PUBLIC SELF-PRESENTATION as evidence — and understanding the gap between what an organization SAYS about EBP and what it DOES.
THE TASK: examine healthcare organization websites and analyze the extent to which EBP is evident — its visibility, its prominence, and what its presence or absence signals about the organizational culture.
WHAT TO LOOK FOR — and be systematic, because an unsystematic browse produces impressions rather than analysis:
— Is EBP mentioned in the MISSION, VISION, or VALUES statements?
— Is there a NURSING RESEARCH or EBP COUNCIL, a Center for Nursing Excellence, or a research department? Is it staffed and named, or merely mentioned?
— MAGNET DESIGNATION (or Pathway to Excellence) — this is the highest-signal single indicator, because Magnet REQUIRES demonstrated EBP and research integration, structural empowerment, and shared governance, and it is externally audited. Its presence is meaningful evidence; its absence is not, by itself, damning.
— Are QUALITY AND SAFETY DATA published? Are OUTCOMES reported transparently, including unflattering ones? Transparency about a bad number is far stronger evidence of an EBP culture than a page of good ones.
— Is there evidence of nurse-led research, publication, poster presentations, or conference participation?
— Are patient education materials evidence-based and health-literacy appropriate?
— Is there an academic partnership or a nurse residency program?
THE ANALYTICAL MOVE THAT SEPARATES A TOP PAPER — and it is a genuinely important one: A WEBSITE IS A MARKETING ARTIFACT. Its purpose is to attract patients and recruit staff. Absence of EBP language on a website is WEAK evidence that EBP is absent from practice (it may simply not be a marketing priority), and PRESENCE of EBP language is WEAK evidence that it is present (organizations describe aspirations as achievements routinely). SO: what would STRONGER evidence look like? Published outcome data; Magnet status (externally verified); named councils with named leaders and documented output; publications with the organization’s authors on them; specific QI projects with reported results. Distinguishing SIGNAL from MARKETING is the actual critical-thinking skill this assignment is testing, and stating that distinction explicitly is the single best thing you can do with it.
THE UNDERLYING CONTENT to bring in: why EBP matters — the RESEARCH-PRACTICE GAP (commonly estimated at around 17 years from evidence to bedside); the evidence that EBP improves outcomes and reduces cost; the ACA’s push toward empirical accountability and value-based payment (which the prompt references); and the barriers to EBP culture (time, workload, lack of skill and confidence, lack of leadership support, absence of protected time, and organizational cultures that treat EBP as an add-on rather than as the job).
STRUCTURE: describe what you found on the site(s) → analyze what it does and does not tell you → assess the likely EBP culture with appropriate epistemic humility about the limits of your evidence → discuss what would strengthen it.
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