Overcoming Barriers to Evidence Based Practice Assignment

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Overcoming Barriers to Evidence Based Practice Assignment

THREADED CASE STUDY PART 2: ANNOTATED BIBLIOGRAPHY

If credentials add credibility to professionals, and standards add credibility to approaches, practices, and professions, then bibliographies add credibility to research. The ability to apply evidence from credible research to clinical practice represents the best way to advance practice and contribute to the body of knowledge.

In this Assignment, you gather information on advancements relevant to your selected case study in your practicum specialty. LEARNING RESOURCES Overcoming Barriers to Evidence Based Practice Assignment

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Required Readings

American Nurses Association. (n.d.). ANA Standards for ExcellenceLinks to an external site.. https://www.nursingworld.org/ana/about-ana/standards
Ashton, K. (2019). Standards of care and standards of practiceLinks to an external site.. Journal of Legal Nurse Consulting, 30(4),10–13.
Chamberlain, D., Pollock, W., & Fulbrook, P. (2018). ACCCN Workforce Standards for intensive care nursing: Systematic and evidence review, development, and appraisalLinks to an external site.. Australian Critical Care, 31(5), 292–302.
(2018). Nursing care: Standard of care. Brilliant NurseLinks to an external site.. https://brilliantnurse.com/nursing-care-standard-care/
Walden Writing Center. (2020). Common assignments: Annotated bibliographiesLinks to an external site.. https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies

American Nurses Association. (2017). ANA recognition of a nursing specialtyLinks to an external site..

https://www.nursingworld.org/~4989de/globalassets/practiceandpolicy/scope-of-practice/3sc-booklet-final-2017-08-17.pdf

Guideline Central. (2020). Guideline summaries: nursingLinks to an external site.. https://www.guidelinecentral.com/summaries/specialties/nursing/
Ferrell, B. (2019). National Consensus Project clinical practice guidelines for quality palliative care: Implications for oncology nursingLinks to an external site.. Asia-Pacific Journal of Oncology Nursing, 6(2), 151–153.
Verkerk, E. W., Huisman-de Waal, G., Vermeulen, H., Westert, G. P., Kool, R. B., & van Dulmen, S. A. (2018). Low value care in nursing: A systematic assessment of clinical practice guidelinesLinks to an external site.. International Journal of Nursing Studies, 87, 34–39.
Document: Overcoming Barriers to Evidence Based Practice: A Focused Example Download Overcoming Barriers to Evidence Based Practice: A Focused Example(PDF document) Overcoming Barriers to Evidence Based Practice Assignment

Credit Line: Sullivan, D. (2019). Overcoming Barriers to Evidence Based Practice: A Focused Example [Graphic]. Used with permission of Debra Sullivan.

Note: This document is the document that is used in the video “Creating an EBP Poster with Dr. Deborah Sullivan”. Review this document to familiarize yourself with the process for decision making.

To prepare

Reflect on your selected case study from your practicum experience. What key topics, processes, best practices, advancements, and technologies have you seen or heard about that relate to your case study?
Search the Walden Library for peer-reviewed articles on any or all of these dimensions. Keep in mind that your focus is on current developments and that articles you select should have been published within the last 5 years.
Review the Walden Writing Center’s Annotated Bibliography resource found in the Learning Resources for this week and use this resource to help you as you format and structure your annotated bibliography. Overcoming Barriers to Evidence Based Practice Assignment

Assignment Part 2:

Create an annotated bibliography that consists of 10 scholarly, peer-reviewed articles relevant to your area of specialty/topic of your chosen case study.
For each article:
- Provide a brief summary of the article (4–5 sentences).
- Explain why this article is relevant to your specialty/topic of your chosen case study (1–2 sentences).
- Explain the application of the findings of the article to practice (1–2 sentences).

Threaded Case Study 2: Annotated Bibliography

The case study concerns managing a 75-year-old male client with several chronic conditions, including type 2 diabetes, essential hypertension, and a Non-ST Elevated Myocardial Infarction (MI). The patient has significant issues and needs require individualized care to achieve the best healthcare experience. Multiple chronic illnesses put older adults at risk of developing important negative healthcare outcomes. Various researchers have developed mechanisms to address the underlying needs and ensure that the patient populations receive adequate and effective healthcare services to manage their needs.

This paper presents an annotated bibliography of resources that can be used to develop effective and strategic plans for enhancing the quality of life of the affected person. Overcoming Barriers to Evidence Based Practice Assignment

Annotated Bibliography

Kadambi, S., Abdallah, M., & Loh, K. P. (2020). Multimorbidity, function, and cognition in aging. Clinics in Geriatric Medicine, 36(4), 569–584. https://doi.org/10.1016/j.cger.2020.06.002

Older adults often experience comorbidities that impact their wellbeing and coping mechanisms. The article defines comorbidity or multimorbidity state as a condition where two or more chronic diseases affect the safety and wellbeing of an individual. These states are common among older adults and impact their capacity to perform their activities independently, exposing them to high risk for injury and compromising their ability to lead a high-quality and satisfying life. The study indicates that patients experiencing comorbidities require support and resource mobilization to achieve the highest quality of life, enhance coping, and prevent adverse health-related events. Therefore, the article demonstrates the need to initiate strategic measures for the 75-year-old client to improve their capacity to attain the best healthcare experiences. Since the patient has various health conditions, the study will form the basis for initiating evidence-based measures and ensuring that they are adequately supported to enhance high quality and independent life. Overcoming Barriers to Evidence Based Practice Assignment

Rayman, G., Akpan, A., Cowie, M., Evans, R., Patel, M., Posporelis, S., & Walsh, K. (2022). Managing patients with comorbidities: Future models of care. Future Healthcare Journal, 9(2), 101–105. https://doi.org/10.7861/fhj.2022-0029

Older adults experience heightened risks associated with comorbidities, which require safety and risk management approaches to enhance their wellbeing. These risks are associated with the decline in their cognitive functions, memory, and the complexity of the conditions they experience. The healthcare systems need to adapt measures for developing patient-centred approaches to enhance their safety and ensure they attain the best experiences. Initiating individualized patient care for older adults needs to incorporate the advancing technology and determine the need for improving the outcomes through evidence-based healthcare models. The research indicates the existing healthcare gaps associated with chronic illnesses. The 75-year-old client is at risk of injuries, and the study demonstrates the adaptations in the role played by nurses and other healthcare professionals in ensuring that the patient’s safety is adequately maintained. Therefore, the study forms the starting point for analyzing the underlying issues and mobilize resources and individualized strategies for managing the underlying problems and risks. Overcoming Barriers to Evidence Based Practice Assignment

Andersen, J. D., Jensen, M. H., Vestergaard, P., Jensen, V., Hejlesen, O., & Hangaard, S. (2023). The multidisciplinary team in diagnosing and treating patients with diabetes and comorbidities: A scoping review. Journal of Multimorbidity and Comorbidity, 13, 263355652311659. https://doi.org/10.1177/26335565231165966

The study describes key approaches and strategies for addressing the needs of older adults with various chronic illnesses. Healthcare professionals need collaboration and coordination of care to ensure that the underlying healthcare services are coordinated and offer opportunities for attaining the best healthcare experiences. The research indicated that collaboration and coordination of services among healthcare professionals allow patients to receive the highest quality of care. The article demonstrates the need for collaborating with the rest of the care team and ensuring that the older adult receives high-quality, comprehensive, and holistic care services effective towards managing the underlying needs. As the patient’s advocate, this study provides insights into collaborative networking and the healthcare team members that should work collaboratively with the patient and ensure that the patient receives optimal support for the underlying needs. Overcoming Barriers to Evidence Based Practice Assignment

Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., Norton, A., Rinker, J., Siminerio, L. M., & Uelmen, S. (2020). Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the American Diabetes Association, the Association of Diabetes Care and Education Specialists, the Academy of Nutrition and Dietetics, the American Academy of Family Physicians, the American Academy of PAs, the American Association of Nurse Practitioners, and the American Pharmacists Association. Diabetes Care, 43(7), 1636–1649. https://doi.org/10.2337/dci20-0023 Overcoming Barriers to Evidence Based Practice Assignment

The article discusses the need to initiate evidence-based approaches for addressing chronic illnesses affecting individuals and populations. The article describes diabetes as one of the major issues of concern affecting older adults. Diabetes contributes to chronic and acute complications and compromised health-related quality of life. The article explores the existing health disparities and issues associated with social determinants of health. The article indicates potential health determinants that may affect disease management and requires a holistic approach to managing the underlying needs. The research further demonstrates the need to incorporate all stakeholders, the patient, family, community, spiritual team, and other stakeholders, for enhancing the desirable healthcare outcomes through evidence-based practices.

Su, W.-Y., Chen, S.-C., Huang, Y.-T., Huang, J.-C., Wu, P.-Y., Hsu, W.-H., & Lee, M.-Y. (2019). Comparison of fasting glucose, hemoglobin A1C, and triglyceride–glucose index effects on cardiovascular events in type 2 diabetes mellitus. Nutrients, 11(11), 2838. https://doi.org/10.3390/nu11112838 Overcoming Barriers to Evidence Based Practice Assignment

The research indicates the impact of fasting blood glucose, glycated hemoglobin levels, and triglyceride levels among diabetes patients. Patients must adequately manage their glycemic indices and ensure they are adequately supported and facilitated to achieve the best experiences in attaining complication-free outcomes. Maintaining these indices requires the implementation of pharmacological and non-pharmacological strategies for achieving the best experiences. The process involves the implementation of measures and mechanisms for enhancing desirable outcomes. The project demonstrates the need for maintaining glycemic and triglyceride control to attain control and effective management of the existing healthcare risks.

Chiu, C.-J., Hu, J.-C., Lo, Y.-H., & Chang, E.-Y. (2020). Health promotion and disease prevention interventions for the elderly: A scoping review from 2015–2019. International Journal of Environmental Research and Public Health, 17(15), 5335. https://doi.org/10.3390/ije rph17155335

Non-pharmacological interventions form the basis for enhancing resilience and improving coping mechanisms among older adults. Older adults experience significant physical and psychosocial issues that demand evidence-based measures to achieve desirable outcomes. Implementing non-pharmacological interventions in the care plan helps enhance the client’s physical and psychological wellbeing. The patient has several chronic illnesses, contributing to compromised physical and psychological wellbeing. Therefore, initiating health promotion services such as exercise could improve glycemic management strategies and promote adequate and effective disease management. Overcoming Barriers to Evidence Based Practice Assignment

Sanz-Cánovas, J., López-Sampalo, A., Cobos-Palacios, L., Ricci, M., Hernández-Negrín, H., Mancebo-Sevilla, J. J., Álvarez-Recio, E., López-Carmona, M. D., Pérez-Belmonte, L. M., Gómez-Huelgas, R., & Bernal-López, M. R. (2022). Management of type 2 diabetes mellitus in elderly patients with frailty and/or sarcopenia. International Journal of Environmental Research and Public Health, 19(14), 8677. https://doi.org/10.3390/ijerph19148677

The study describes important components in diabetes management and demonstrates strategies and mechanisms that healthcare teams can apply to enhance efficient and effective disease management. The research indicates that initiating combined therapies that use pharmacological, nutritional, and non-pharmacological interventions is essential for diabetes management. Therefore, the findings suggest the need for initiating these measures and ensuring that the needs and preferences of individuals are adequately addressed. The results indicated that professionals can incorporate significant issues and mechanisms to manage underlying needs to achieve the best healthcare experiences. As an advocate, I will include these mechanisms and ensure that the underlying healthcare risks are adequately addressed.

Bilen, O., & Wenger, N. K. (2020). Hypertension management in older adults. F1000Research, 9, 1003. https://doi.org/10.12688/f1000research.20323.1

Hypertension is one of the major issues of concern, contributing to compromised healthcare outcomes, disabilities, and decreased health-related quality of life. Hypertension management requires adherence to the prescribed course of therapy, lifestyle modification, and dietary changes to achieve a quality and independent life. The changes in blood pressure control occur due to the changes that happen as part of the growth and developmental characteristics of the human host. Dietary measures such as salt reduction, reducing cholesterol intake, and maintaining a healthy and active lifestyle are critical for blood pressure management and maintenance. This research forms the basis for managing the 75-year-old client’s health needs. The measures will form the basis for individualizing care and incorporating strategic measures and mechanisms for enhancing the healthcare service delivery approaches. Overcoming Barriers to Evidence Based Practice Assignment

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Kubielas, G., Hydzik, P., & Rypicz, Ł. (2022). Comprehensive care after myocardial infarction (CCMI): Long-Term investment in the health of Polish citizens. International Journal of Environmental Research and Public Health, 19(12), 7518–7518. https://doi.org/10.3390/ijerph19127518

Patients with myocardial infarction experience heightened risk for morbidity, disability, and inability to participate in activities of daily living independently and ensure that the needs and preferences of individuals are adequately addressed. The care team should focus on initiating health promotion and rehabilitation strategies to achieve the best experience and ensure that the patient maintains independence and works towards achieving the desired healthcare goals. This research forms the basis for rehabilitating the 75-year-old male client and providing a quality and independent life through evidence-based measures recommended by the study.

Rehman, S., Li, X., Wang, C., Ikram, M., Rehman, E., & Liu, M. (2019). Quality of Care for Patients with Acute Myocardial Infarction (AMI) in Pakistan: A Retrospective Study. International Journal of Environmental Research and Public Health, 16(20), 3890. https://doi.org/10.3390/ijerph16203890 Overcoming Barriers to Evidence Based Practice Assignment

Ensuring quality of care for patients after a myocardial infarction is significant for ensuring that the patient works with the rest of the care team and that the patient and the rest of the healthcare team members participate in the rehabilitation and management of the underlying healthcare issues and needs. Therefore, it is critical to ensure that the patient understands the condition and their roles and responsibilities within the collaborative team. The study recommends collaborative measures that should support decision-making and provide active and effective participation in the management of underlying patient needs.

Conclusion

The review of the ten resources indicates that collaboration among healthcare professionals, patients, and family members or the community forms the basis for attaining the best and most effective healthcare service delivery approaches. The resources identify patient safety as a priority need, which requires adequate resource mobilization to achieve a high quality of care. Having multiple chronic illnesses exposes the patient and the family to injury due to the increased risk of medication errors. Thus, it is necessary to implement mechanisms that engage the patient actively, focus on error prevention, and incorporate both pharmacological and non-pharmacological interventions in the management of the needs of the 75-year-old female client. Overcoming Barriers to Evidence Based Practice Assignment

References

Andersen, J. D., Jensen, M. H., Vestergaard, P., Jensen, V., Hejlesen, O., & Hangaard, S. (2023). The multidisciplinary team in diagnosing and treatment of patients with diabetes and comorbidities: A scoping review. Journal of Multimorbidity and Comorbidity, 13, 263355652311659. https://doi.org/10.1177/26335565231165966

Bilen, O., & Wenger, N. K. (2020). Hypertension management in older adults. F1000Research, 9, 1003. https://doi.org/10.12688/f1000research.20323.1

Kadambi, S., Abdallah, M., & Loh, K. P. (2020). Multimorbidity, function, and cognition in aging. Clinics in Geriatric Medicine, 36(4), 569–584. https://doi.org/10.1016/j.cger.2020.06.002

Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., Norton, A., Rinker, J., Siminerio, L. M., & Uelmen, S. (2020). Diabetes self-management education and support in adults with type 2 diabetes: A consensus report of the American diabetes association, the Association of diabetes care and education specialists, the academy of Nutrition and dietetics, the American academy of family physicians, the American academy of Pas, the American association of nurse practitioners, and the American pharmacists association. Diabetes Care, 43(7), 1636–1649. https://doi.org/10.2337/dci20-0023

Rehman, S., Li, X., Wang, C., Ikram, M., Rehman, E., & Liu, M. (2019). Quality of care for patients with Acute Myocardial Infarction (AMI) in Pakistan: A retrospective study. International Journal of Environmental Research and Public Health, 16(20), 3890. https://doi.org/10.3390/ijerph16203890

Su, W.-Y., Chen, S.-C., Huang, Y.-T., Huang, J.-C., Wu, P.-Y., Hsu, W.-H., & Lee, M.-Y. (2019). Comparison of the effects of fasting glucose, hemoglobin a1c, and triglyceride–glucose index on cardiovascular events in type 2 diabetes mellitus. Nutrients, 11(11), 2838. https://doi.org/10.3390/nu11112838 Overcoming Barriers to Evidence Based Practice Assignment