Projects based on evidence
Conceptualized Model
Area of Interest
Moderation recommendation and concerns
Aspects leading to moderations
NONPF Competencies
Evidence-based practice (EBP) has been shown to improve in many areas throughout healthcare such as the following:
Improve patient safety
Enhance clinical outcomes
Decrease costs for healthcare
Reduction in the patient outcomes variation
The Advancing Research and Clinical Practice through Close Collaboration (ARCC) Model
In 1999, Melnyk initially concepted the ARCC model as a framework for advanced practitioners to support EBP implementation.
The Johns Hopkins Nursing Evidence-Based Practice Model
This Evidence-Based Practice Model was conceptualized by the Johns Hopkins University School of Nursing and the Johns Hopkins Hospital.
Family Nurse Practitioner (FNP)
Addressing high re-admission rates in CHF patients
Increased education for patients (Micro level)
Making a difference in the community (Meso Level)
Decreasing the cost of access readmission (Macro Level)
Issue/concern and recommendation for change
Heart Failure (HF ) is one of the leading causes of hospitalizations and readmissions
It has been estimated that approximately 5.7 million American adults are suffering from heart failure (HF) and the prognoses suggest that the incidence of HF will upsurge to 46% from 2012 to 2030 with more than 8 million adults diagnosed with chronic condition.
Issue/concern and recommendation for change cont.
Recommendation for change includes the following:
Increase education
Encourage in maintaining a healthy lifestyle
Losing weight if obese
Tracking daily food intake
Quitting smoking
Avoiding alcohol consumption
Encouraging to engage in physical activities.
Constant monitoring of blood pressure.
Factors Influencing Change
Internal Factors
Knowledge, Skills and experiences.
Inspiration
Behaviors or habits.
Cultural Values and Beliefs.
Cognitive and Functional Abilities
Self-confidence
External Factors
Support.
Access to Care.
Socio-economic factors.
NONPF Competencies
NONPF established nine key expertise wide areas:
Scientific foundations
Leadership quality
Quality
Practice inquiry
Technology and information literacy
Policy
Health delivery system
Ethics
Independent practice
Conclusion
The competences of the healthcare system include establishing, developing and implementing public and public health programmes. In order to improve health care, every nurse must-
Incorporate knowledge.
Use negotiations.
Building relationships.
Reduces the risk.
Ensure culturally competent care.
Analyzes the impact on all stakeholders.
Consider organizational structures.
Works in partnership.
Reference
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Chrisman, J., Jordan, R., Davis, C., & Williams, W. (2014). Exploring evidence-based practice research. Nursing made Incredibly Easy, 12(4), 8-12.
Heale, R., Dahrouge, S., Johnston, S., & Tranmer, J. E. (2018). Characteristics of nurse practitioner practice in family health teams in Ontario, Canada. Policy, Politics, & Nursing Practice, 19(3-4), 72-81.
Jaarsma, T., Cameron, J., Riegel, B., & Stromberg, A. (2017). Factors related to self-care in heart failure patients according to the middle-range theory of self-care of chronic illness: a literature update. Current Heart Failure Reports, 14(2), 71-77.
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Parkosewich, J. A. (2013). An infrastructure to advance the scholarly work of staff nurses. The Yale journal of biology and medicine, 86(1), 63.
Riley, J. (2015). The key roles for the nurse in acute heart failure management. Cardiac failure review, 1(2), 123.
Roger, V. L. (2013). Epidemiology of heart failure. Circulation research, 113(6), 646-659.
Savarese, G., & Lund, L. H. (2017). Global public health burden of heart failure. Cardiac failure review, 3(1), 7.
Zhang, K. M., Dindoff, K., Arnold, J. M. O., Lane, J., & Swartzman, L. C. (2015). What matters to patients with heart failure? The influence of non-health-related goals on patient adherence to self-care management. Patient education and counseling, 98(8), 927-934.
