nursing

reply to classmates post, at least 125 words each, 1 scholarly reference each within last 5 years

DQ1:

Translational research looks at the implementation strategies that work to promote the use of evidence-based practices (EBPs). It looks at who, the types of settings, and discovers the mechanisms by which they work. Advancements in translation science research can expedite the integration of evidence in practice to improve care delivery, population health, and health outcomes (Henly et al., 2015). In the nursing practice, getting that evidence into practice as soon as possible and testing those new innovations is important to making progress. It can speed up the knowledge gained and help that innovation with real-world clinical problems (Weiss, Bobay, Johantgen, & Shirey, 2018).

I am interested in the population health issue of elderly Chinese patients, age 50 and above who have come in contact with the novel coronavirus that is now an epidemic in China and rapidly spreading there and across the world. A recent small study shows that the majority of cases involve patients over 50 years old, with the average age being 55 (Lovelace, 2020). Interestingly enough, Lovelace (2020) also points out that children are the least affected group, a group that is usually more vulnerable in these situations. It is not that they arent getting infected, but rather are only showing mild symptoms allowing for recovery. I think this is an interesting case study in how modern genetic research has learned from similar previous outbreaks such as severe acute respiratory syndrome (SARS), which was also a coronavirus.

DQ2

An organizational change that I experienced was the use of a new patient and staff scheduling system called Schedulewise. Schedulewise was implemented to ensure patient safety by providing visual aids that gave the user the ability to identify areas that had humps which are considered unsafe. The Centers for Medicare & Medicaid (CMS) have standards for dialysis clinics just like other healthcare facilities. The old ways of the dialysis clinic was to set up all the machines, bring back the patients, get them on the machines as soon as possible, run them for their prescribed time, get them all off the machine, and repeat the process. What was found was that there were a lot of unsafe practices in dialysis clinics. Staff did not have enough time between patients whether it was when they were putting them on or taking them off the machines. The company initiated Schedulewise even before CMS mandated some of these changes to improve patient safety. This was a huge organizational change on our organization and for most staff and patients it did not go well at first. The schedule for the clinic had to be adjusted which resulted in the patients and staff times getting changed. Change is hard in any situation and after some time the staff and the patients got used to the new schedule and realized that there was a serious concern for patient safety and with the new guidelines the staff had more time to spend with them. Brandon Hamilton, a former dialysis tech stated, Maintaining control of a dialysis floor is no easy feat. Clinics are constantly going through change. New CMS regulations, new staff, patient duration changes, shifts, acuitiesetc. The list is long (Hamilton, 2019).