Your Perfect Assignment is Just a Click Away

We Write Custom Academic Papers

100% Original, Plagiarism Free, Customized to your instructions!

glass
pen
clip
papers
heaphones

Response to nursing discussion board-peer repsonses

Response to nursing discussion board-peer repsonses

Response to peer discussion board-150 words-1 reference within 5 years-NURSING JOURNALS ONLY.
There is a large push for evidence-based practice to become the main foundation of all clinical
practices and clinical decision making. In order to provide the best up to date quality care
evidence-based practice must be used. “By the year 2020, 90% of clinical decisions will be
supported by accurate, timely, and up-to-date clinical information and will reflect the best
available evidence” (Boswell& Cannon, 2017). Though it is ideal to have evidence-base practice
driving health care practices there are many obstacles in the way of changing the culture of
health care practices. There are many obstacles to change such as resistance to change from
staff, available resources to support changes, lack of support and training from mentors, and
“research findings incompatible with the realities of their practice” (Johnston, Coole, Feakes,
Whitworth, Tyrell, & Hardy, 2016, p. 392).
Working at Shands Hospital in Gainesville Florida there is most definitely a strong push for
the best quality of care through evidence-based practice. Each unit throughout the hospital has
a clinical leader. The unit’s clinical leader’s main job description is to assure the unit is clinically
using practices that are evidence-based. The main obstacle that I have found on my unit has
been “research findings incompatible with the realities of their practice” (Johnston et al. 2016, p.
392 ). Working on such a high acuity unit in the cardiovascular intensive care unit a lot of
evidence-based hospital driven policies and practices have had to be adjusted specially to fit our
unit. Hospital wide practices have had to be adapted because certain practices do not apply to
the realities and acuity of our unit. One main example is the MEWS assessment. “The modified
early warning score (MEWS) is an example of a physiological ‘track and trigger’ system designed
to identify patients at risk of clinical deterioration in order to provide a timely response to
request appropriately-trained nursing or medical staff to assess the patient and provide any
interventions required” (Harris, 2013, p.432). MEWS is an extremely useful tool on floor units,
but on my particular unit a majority of our patient population have such a high baseline MEW
Score. If following our hospital protocol for our patients’ MEWS we would be constantly calling
physicians and bringing them to the bedside. Our patients have extremely high acuity which is
one of the reasons they are in the intensive care unit. Our physicians are aware of the acuity of
our patients and therefore the hospital wide MEW score does not really apply to our unit. We
had to adjust the triggers of the MEW Scores of when to notify a physician. On the floor a
MEWS of 4 a physician is notified and needs to come assess the patient, but in the CICU the
score for when a physician has to come to bedside was adjusted to a 6. MEWS is just one of
the many obstacles present in implementing evidence-based practices on our unit. There are
many obstacles to implementing evidence-based practices in our clinical practices, but it is
imperative that we adjust or policies and practices to reflect the research found in order to
provide the best quality care.

Order Solution Now

Our Service Charter

1. Professional & Expert Writers: Supreme Writers only hires the best. Our writers are specially selected and recruited, after which they undergo further training to perfect their skills for specialization purposes. Moreover, our writers are holders of masters and Ph.D. degrees. They have impressive academic records, besides being native English speakers.

2. Top Quality Papers: Our customers are always guaranteed of papers that exceed their expectations. All our writers have +5 years of experience. This implies that all papers are written by individuals who are experts in their fields. In addition, the quality team reviews all the papers before sending them to the customers.

3. Plagiarism-Free Papers: All papers provided by Supreme Writers are written from scratch. Appropriate referencing and citation of key information are followed. Plagiarism checkers are used by the Quality assurance team and our editors just to double-check that there are no instances of plagiarism.

4. Timely Delivery: Time wasted is equivalent to a failed dedication and commitment. Supreme Writers is known for timely delivery of any pending customer orders. Customers are well informed of the progress of their papers to ensure they keep track of what the writer is providing before the final draft is sent for grading.

5. Affordable Prices: Our prices are fairly structured to fit in all groups. Any customer willing to place their assignments with us can do so at very affordable prices. In addition, our customers enjoy regular discounts and bonuses.

6. 24/7 Customer Support: At Supreme Writers, we have put in place a team of experts who answer to all customer inquiries promptly. The best part is the ever-availability of the team. Customers can make inquiries anytime.