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WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

BY DAY 3 OF WEEK 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

BY DAY 6 OF WEEK 1

Respond to at least two of your colleagues on two different days by visiting the websites they shared and offering additional examples of EBP or alternative views/interpretations to those shared in your colleagues’ posts.

Children’s Hospital of the King’s Daughters
Evidence-based practice leads to high quality care and the best patient outcomes (Melnyk and Overholt, 2018). An organization that represents an evidence-based model is the Children’s Hospital of the King’s Daughters. This organization is grounded on evidence-based approaches from the hospital’s policies and procedures, treatment options, and pediatric residency programs. An organizational culture can be transformed through evidence-based practice education and mentorship from evidence-based practice knowledge and skills (Crabtree et al., 2016).
The Children’s Hospital of the King’s Daughters new mental health hospital and outpatient center called, Children’s Pavilion, recently opened September 30, 2022. This new state of the art children’s mental hospital provides a wide variety of evidence-based mental health treatment options. The Children’s Pavilion website provided thorough information about the facility and stated various evidence-based approaches the hospital uses.
The organization stated the Children’s Pavilion is the nation’s top pediatric mental health hospitals for its patient and family-centered design, evidence-based treatments, academic training program, and clinical research to guide innovation (CHKD, 2022). When describing each department on the hospital’s website, the organization elaborated on evidence-based practices that are used. For example, the psychiatric care in the outpatient setting delivered by Psychiatrists and Nurse Practitioners is based off a biopsychosocial diagnostic model that is evidenced-based, patient-centered, and family-focused (CHKD, 2018).  When talking about the acute inpatient mental health department the organization stated the hospital uses evidence-based and proactive treatment approaches for patient safety (CHKD, 2022). The Intensive Outpatient Program uses a dialectical behavioral therapy evidence-based curriculum (CHKD, 2022).
This organization has a positive reputation when it comes to patient experience and patient outcomes within the community but researching the organization website was even more reassuring of their excellent quality of care. By the organization describing evidence-based practice interventions on the website confirmed why they have such great patient outcomes. As a Behavioral Health Navigator in the Emergency Department, I come across patients and families looking for resources to help their loved one. I’m glad Children’s Pavilion has opened to better serve the children in the region.
 
References
Children’s Hospital of the King’s Daughters (CHKD). (2022). https://www.chkd.orgLinks to an external site.
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing
engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2),
172– 175. doi:10.1111/wvn.12126
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare:
A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

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Collapse SubdiscussionCrystal Lewis

Crystal Lewis
Nov 30, 2022Nov 30, 2022 at 3:50am

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Hi, Cassie,
EBP can lead to changing a policy that’s been standard for decades.  As a nursing leader, why do APNs need to understand the benefits of embracing such changes based on science?
Great post!
Dr. Lewis

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Collapse SubdiscussionAndrea M Allen

Andrea M Allen
Dec 1, 2022Dec 1, 2022 at 4:55pm

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Hi Cassie,
It is really great learning about this state of the art facility that provides for children with Mental Illness.  We could use more of these facilities in different states.  Mental illness is more prevalent, accepted, and approached more readily than previous years.  The recent Covid-19 pandemic had major impact on people’s wellbeing leading to even more development, research and growth in the field of psychiatry. It is incumbent that evidence based research is utilize to improve the quality of care in our society.  As we advance our education we will continue to advance in our approach to treating mental illness.
Best,
 
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare:  A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

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Collapse SubdiscussionEsther Davis

Esther Davis
Dec 2, 2022Dec 2, 2022 at 11:54am

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Hello Cassie.
I find your post very informative, and it gives me the opportunity to learn more about Children’s Hospital of the Kings Daughters and their contribution towards research and evidence-based practice.
I am a mental health psych nurse currently working in the inpatient psychiatry unit. We do not care for children with mental health, but I learned about a hospital named PrairieCare in my community in Minnesota that provides similar services to the one you described at the CHKD.
Evidence-based practice improves the quality of healthcare by improving patient outcomes, reducing healthcare costs, and may also decrease burnout in healthcare providers (Melnyk & Fineout-Overholt, 2018).
The PrairieCare uses a new form of eye movement therapy called Accelerated Resolution Therapy (ART). It is an evidence-based form of psychotherapy. ART has shown to be effective in treating anxiety, PSTD, depression, phobias, and many other mental health conditions (PrairieCare, 2022). Indeed, it is a breakthrough treatment for patients who found other traditional treatments unsuccessful.
It is encouraging to know that our healthcare is progressing and making head way in the areas of Evidence-based clinical practices in Children’s mental health treatment. It is important for our healthcare organizations to commit to research for evidence-based practices. This is having a positive impact in our patient outcomes.
 
References
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare:  A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
PrairieCare (2022). Accelerated Resolution Therapy-What It Is? https://www.prairie-care.com/accelerated-resolution-therapy-what-is-it/
 

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Collapse SubdiscussionBertina Boma Soh

Bertina Boma Soh
Dec 2, 2022Dec 2, 2022 at 9:48pm

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Hello Cassie,
ART is new to me, and I am delighted you took the time to write about it. I have taken several mental health-related classes, but for some reason, no one ever mentioned ART (Accelerated Resolution Therapy). The above limitations of the currently endorsed first-line treatments for PTSD motivated, in part, the development of a new, brief exposure-based therapy in 2008 known as Accelerated Resolution Therapy ( Kip et al., 2019).
Suicidal thoughts and behaviors (including suicide attempts and death by suicide) are commonly found at increased rates among individuals with psychiatric disorders, especially major depressive disorder, bipolar disorders, schizophrenia, PTSD, anxiety, chemical dependency, and personality disorders (e.g., antisocial and borderline).  A history of a suicide attempt is the strongest predictor of future suicide attempts and death by suicide.  Intentional self-harm (i.e., intentional self-injury without the expressed intent to die) is also associated with long-term risk for repeated attempts and death by suicide.
Having gone through maternity and childbirth, I can attest that some healthcare providers require further education and training to deliver maternal care respectfully. Most women who give birth in American hospitals leave with a healthy mother and baby, which seems to be the desired outcome. Still, one in five women shows symptoms of post-traumatic stress disorder (PTSD) after childbirth (Bradley, 2017, p. 4).
Works Cited
Kip, K. E., Elk, C. A., Sullivan, K. L., Kadel, R., Lengacher, C. A., Long, C. J., … & Diamond, D. M. (2019). A brief treatment of symptoms of post-traumatic stress disorder (PTSD) by use of accelerated resolution therapy (ART®). Behavioral Sciences, 2(2), 115-134.
Bradley, J. (2017). Obstetric Violence in the United States: the Systemic Mistreatment of Women during Childbirth. DePaul University Honors Program, 1-38. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://academics.depaul.edu/honors/curriculum/archives/Documents/2016-2017%20Senior%20Theses/Bradley,%20Obstetric%20Violence%20in%20the%20United%20States.pdf

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Collapse SubdiscussionNtumba Kabongo

Ntumba Kabongo
Dec 2, 2022Dec 2, 2022 at 2:56pm

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Response # 2
Hi Cassie, I read about your post and found it very interesting because I had never heard of this children’s hospital of the kings’ daughters. I went into their website and found that the organization is founded on evidence-based approaches. The hospital’s mission and statement align with what exceptional care is supposed to look like .  This organization is reputable because it transforms education, mentorships, treatment plans through evidence-based practice  with knowledge and skills (Crabtree et al., 2016).  I like that they focus on children’s mental health. Mental health awareness and treatment has become one of the big issues in healthcare.
 
Children’s Hospital of the King’s Daughters (CHKD). (2022). https://www.chkd.orgLinks to an external site.
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing

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Collapse SubdiscussionSulaiman Yassin Jalloh

Sulaiman Yassin Jalloh
Dec 2, 2022Dec 2, 2022 at 5:50pm

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Hi Cassie,
Thank you for sharing this post. The evidence-based practice has truly become the foundation of care processes in hospitals. The adoption of EBP in the Children’s Hospital of the King’s Daughters in all departments depicts the value of evidence-based practice. Diagnostic procedures, treatment plans, and patient education are key areas that have been transformed positively through EBP (Melnyk & Fineout-Overholt, 2018). I concur with the idea that EBP promotes patient-centered care. EBP does not only rely on scientific evidence, but it also involves the integration of patients’ preferences into care. The organization’s positive reputation is clearly because of the focus on EBP. However, for optimal benefits of EBP, organizations must establish proper policies to ensure quality care (Grove & Gray, 2018). For instance, healthcare providers should receive training on the appraisal of health information before integration into clinical decisions. I believe CHKD is able to provide excellent mental health services through its focus on EBP.
References
Grove, S. K., & Gray, J. R. (2018). Understanding nursing research: Building an evidence-based practice. Elsevier Health Sciences.
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

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Collapse SubdiscussionSulaiman Yassin Jalloh

Sulaiman Yassin Jalloh
Dec 2, 2022Dec 2, 2022 at 6:04pm

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Hi Cassie,
Thank you for sharing this post. The evidence-based practice has truly become the foundation of care processes in hospitals. The adoption of EBP in the Children’s Hospital of the King’s Daughters in all departments depicts the value of evidence-based practice. Diagnostic procedures, treatment plans, and patient education are key areas that have been transformed positively through EBP (Melnyk & Fineout-Overholt, 2018). I concur with the idea that EBP promotes patient-centered care. EBP does not only rely on scientific evidence, but it also involves the integration of patients’ preferences into care. The organization’s positive reputation is clearly because of the focus on EBP. However, for optimal benefits of EBP, organizations must establish proper policies to ensure quality care (Grove & Gray, 2018). For instance, healthcare providers should receive training on the appraisal of health information before integration into clinical decisions. I believe CHKD is able to provide excellent mental health services through its focus on EBP.
References
Grove, S. K., & Gray, J. R. (2018). Understanding nursing research: Building an evidence-based practice. Elsevier Health Sciences.
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

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