NR 393 Week 5: Discussion: Evidence-Based Practice Changes (Graded)

NR 393 Week 5: Discussion: Evidence-Based Practice Changes (Graded)

NR 393 Week 5: Discussion: Evidence-Based Practice Changes (Graded)

The nursing practice is a growing field that continues to adapt to various changes and trends around it to benefit both nurses and patients. One of the areas that has changed in the last century in nursing is the concept of patient-centered care. Patient or person-centered care (PCC) incorporates a patient’s values, preferences, and beliefs into health decision-making and care delivery. The concept has evolved, making the patient the most critical part of quality care delivery based on models like value-based care as advanced by the Centers for Medicare and Medicaid Services (CMS). A patient-centered approach heavily considers patients’ preferences and builds trust as it enables them to guide their health decisions and integrate core values. As such, the development of patient-centered care is holistic and may include families in the decision-making processes. As observed by Janerka et al. (2023), patient-centered demonstrates the change in nursing care that emphasizes a collaborative approach that offers systematic benefits to all stakeholders; from physicians, to nurse practitioners, and ascertains that patient values are honored in the care delivery process.

Under the concept of patient-centered care, nurse practitioners and other healthcare professionals strive to integrate the best evidence emanating from research to provide holistic care that aligns with patient’s preferences, and values. In their study, Kwame and Petrucka (2021) found that providers can attain patient-centered care in clinical practice when they embrace care practices and effective communication approaches. The article emphasizes the role of incorporating practices that lead to quality outcomes through the collaboration between healthcare practitioners, and patients and their families. As such, patient-centered care models consider patient needs and goals, and empower patients and their significant ones to participate in care decisions (Grover et al., 2022). Using this model, healthcare professionals, including nurses, educate patients, advise them on treatment approaches and options, and offer tools they need to attain better health outcomes.

References

Grover, S., Fitzpatrick, A., Azim, F. T., Ariza-Vega, P., Bellwood, P., Burns, J., … & Ashe, M.

1688. (2022). Defining and implementing patient-centered care: An umbrella review. Patient Education and Counseling, 105(7): 1679-1688. https://doi.org/10.1016/j.pec.2021.11.004

Janerka, C., Leslie, G. D., & Gill, F. J. (2023). Development of patient-centred care in acute

hospital settings: a meta-narrative review. International Journal of Nursing Studies, 140, 104465. https://doi.org/10.1016/j.ijnurstu.2023.104465

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and

communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC Nursing, 20(1): 158. DOI: https://doi.org/10.1186/s12912-021-00684-2

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Evidence-Based Practice Changes (Graded)

Discussion

Purpose

The purpose of this discussion is for learners to examine one area in the 20th century where evidence has changed practice.

Course Outcomes

This discussion enables the student to meet the following course outcome:

• CO 3: Identify persons and events in nursing history impacting evidence-based practice from the 20th century and 21st century. (PO8)

Due Date

During the assigned week (Sunday, the start of the assigned week, through Sunday the end of the assigned week):

• • Posts in the discussion at least two times, and
  • Posts in the discussion on two different days

Total Points Possible: 50 points

Preparing the Discussion

• Discussions are designed to promote dialogue between faculty and students, and students and their peers. In discussions, students:
  • Demonstrate understanding of concepts for the week
  • Integrate outside scholarly sources when required
  • Engage in meaningful dialogue with classmates and/or instructor
  • Express opinions clearly and logically in a professional manner
• Use the rubric on this page as you compose your answers.
• Best Practices include:
  • Participation early in the week is encouraged to stimulate meaningful discussion among classmates and instructor.
  • Enter the discussion often during the week to read and learn from posts.
  • Select different classmates for your reply each week.

Discussion

The evidence to guide nursing practice has changed greatly during the 20th century. Select one area where evidence in nursing care changed during the 20th century and tell us about it.

Grading

To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric. See Syllabus for Grading Rubric Definitions.

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RNBSN_50_Point_Discussion_Rubric_1_21