Describe barriers to the implementation of patient-centered evidence-based care in your practice environment and share actions that might be taken to alleviate these barriers

Overview: This module opens by defining evidence-based practice and evidentialism. It explains the importance of integrating patient preferences and values and nurses’ clinical expertise with rigorous research to make decisions that lead to positive healthcare outcomes. The module emphasizes collaboration between the inter-professional healthcare team and patients and families in the context of the clinical situation to assure that the patient’s healthcare values, concerns, and goals are considered when making clinical decisions. Direct experiential learning is defined as it relates to developing nursing knowledge and clinical expertise. Valid external evidence, clinical expertise, and understanding patient preferences are identified as key components to the implementation of evidence-based decision making to provide the best possible patient care. The module explains how systematic reviews of evidence along with analysis of the benefits and harms of interventions are utilized to formulate clinical practice guidelines and evidence-based recommendations to optimize clinical care. How to locate and access clinical practice guidelines and evidence-based recommendations is explained in detail. The module describes the process of developing a rigorous evidence-based practice guideline. The importance of critically appraising the guidelines and recommendations prior to implementation into the clinical practice environment is emphasized. Tools to facilitate students’ critical appraisal of clinical practice guidelines and evidence-based recommendations are provided. Learning Materials: Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.) Philadelphia, PA: Wolters Kluwer Health. ISBN: 978-1-4511-9094-6. Read Chapters 7 and 8. Discussion Question: Define patient-centeredness in the context of evidence-based practice. Describe barriers to the implementation of patient-centered evidence-based care in your practice environment and share actions that might be taken to alleviate these barriers. The definition of patient-centeredness is located p176. What comes to mind, is my previous position as an inpatient BMT nurse at the VA hospital. Every morning the interdisciplinary team rounds and this includes; the fellow, MD, social worker, Pharm-D, and the NP. We discuss; concerns, labs, medications, or psychosocial concerns. This is patient-centered, and I recall patients and family being grateful for being included in the plan of care. Some of the Fellows are in the 3year of internship and need guidance with ordering the meds and learning protocols. several of the providers are new Fellows, they often do not know how to properly manage their time and or communicate with the patients. Patients often do not know their doctor's name or do not understand why their receiving treatment. A barrier I often encounter is dealing with new fellow is he/she does not understand that their patient is a human being. They often are so focused on trying to finish their rounds that they forget the patients are terrified. A possible action might include for the fellows to maybe shadow an RN for a day and take note of how often a patient might call for pain or nausea medications and maybe they would understand that the patient not only need chemotherapy but we must treat the patient as a whole. (Hopefully, this helps) or write this somewhere along the line towards oncology

ANSWER. PAPER DETAILS
Academic Level	Masters
Subject Area	Nursing
Paper TypeÂ	Discussion Post
Number of Pages	2 Page(s)/550 words
Sources	1
Format	APA 6
Spacing	Double Spacing

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