response to both paper one page each with three reference each

Evidence-Based Practice

Implementing evidence-based practice (EBP) improves the quality of care. Evidence-based practice is the process of combining external research with internal expertise along with patient desires (Lippincott Nursing Center, 2020). In the specialty of obstetrics, kangaroo care during the “golden hour” is essential. Kangaroo care is implemented in healthcare because the evidence proves it is beneficial for the infant and the mother.

The first hour of an infant’s life is called the golden hour when evidenced-based practices are implemented (Neczypor & Holley, 2017). Kangaroo care is holding the infant with only a diaper on the mother’s bare chest. Studies show that kangaroo care in the golden hour decreases infant mortality, especially for preterm infants. Specifically, kangaroo care decreases the likelihood of hypothermia and hypoglycemia (Neczypor & Holley, 2017). Neczypor and Holley (2019) also mention other practices during the golden hour that improve infant outcomes. The practices for preterm or low birth weight infants include delayed cord clamping, respiratory and cardiovascular support, nutritional support, and infection prevention. https://mhnpjournal.biomedcentral.com/articles/10.1186/s40748-017-0057-x#Fig1

Zehra and Rukiye (2020) discuss the effects that kangaroo care has on mother-infant bonding. Immediate skin to skin contact with the infant after birth is essential. Kangaroo care improves the mother’s stress and anxiety levels, improves breastfeeding, stabilizes the infant’s vital signs, and enhances mother-infant bonding. Interestingly, other studies show that mothers in a nuclear family have better maternal-infant bonding than those living in an extended family. Mothers who live in extended family environments have less time for themselves and time with the infant (Zehra & Rukiye, 2020). Multiple studies prove that kangaroo care is optimal for the mother and the infant for various reasons. file:///Users/amandafout/Downloads/kangaroo%20care%20.pdf

The Value of Evidence

Kangaroo care is a standard practice in OB nursing due to research and evidence. EPB empowers nurses to care for patients with confidence (Lippincott Nursing Center, 2020). When I place an infant skin to skin with a mother, I know I am making a difference in the health outcomes for both of them. I can educate the parents about kangaroo care and empower them to make informed decisions as well. Research is available to back up the claims on the benefits of kangaroo care. Therefore, I do not have to rely on intuition or experience when educating parents.

References

Lippincott Nursing Center. (2020). What is evidence-based practice? https://www.nursingcenter.com/journals-articles/videoLibrary/part-1-evidence-based-practice-improving-practi

Neczypor, J. L., & Holley, S. L. (2017). Providing evidence-based care during the golden hour. Nursing for Women’s Health, 21(6), 462-472. doi: 10.1016/j.nwh.2017.10.011

Zehra, C., & Rukiye, T. (2020). The effect of early kangaroo care provided to term babies on the maternal-fetal attachment. International Journal of Caring Sciences, 13(1), 24-34. https://search.proquest.com/docview/2410491084

Evidence-Based Practice

Introduction

Evidence-based practice is a problem-solving approach to clinical decision making, which utilizes the best scientific evidence available, the clinicians’ experience, and the patient’s preferences (Storey et al., 2019, p. 208). This paper aims to describe an evidence-based practice (EBP) observed at work and the clinical practicum and describe the significance of EBP in Ambulatory care nursing.

48 Hour Discharge Follow-up call

The strategies utilized to avoid preventable adverse events after hospital discharge and prevent rehospitalization include patient engagement in discharge planning, transitions coach, communication with outpatient provider, timely follow-up visits, home visits, and postdischarge telephone calls (Agency for Healthcare Research and Quality, n.d.).

During my practicum and at work, a practice noted is the postdischarge telephonic follow-up call completed by the primary care nurses. The nurses make follow-up calls on every patient discharged from the emergency room or the inpatient units. The nurses review the patient’s health status, medicines, appointments, home services, and actions when problems emerge to support the patient and family during this transition period to prevent readmissions.

The Two Articles

Clarke, P., & Milner, W. M. (2013). “Postdischarge calls and improved satisfaction. Follow-up calls, other efforts improve patient experience, survey scores.” Healthcare Executive 28 (3), 62. Retrieved from https://search-ebscophost-com.exp.waldenulibrary.org/login

Clark & Milner (2013) researched the impact of postdischarge follow-up calls. The authors discovered that follow-up calls after hospital discharge reduced readmissions. Patients who received these calls perceived their hospital visits more positively and scored the hospital with top box scores on HCAPS surveys.

Hamar, G. B., Coberley, C., Pope, J. E., Cottrill, A., Verrall, S., Larkin, S., & Rula, E. Y. (2018). Effect of post-hospital discharge telephonic intervention on hospital readmissions in a privately insured population in Australia. Australian Health Review, 43(3), 241-247. Retrieved from https://dx.doi.org.ezp.waldenulibrary.org/10.1071/AH16059.

Hamar et al. (2018) conducted a study to evaluate the effect of telephone support after hospital discharge to reduce early hospital readmission. The study showed that the postdischarge follow-up calls reduced readmissions within 28-days of initial release and avoided a substantial amount of readmission cost.

Value of Evidence-Based Practice (EBP)

EBP is significant because researchers have developed and evaluated interventions to enhance patient capacity to prevent and self-manage chronic health conditions (Leppin et al., 2018). Therefore, with the use of EBP, the clinicians integrate research findings into practice and choose effective interventions to improve patient experience, reduce per capita cost of care and improve population health (Lavenberg et al., 2019, p. 4).

Conclusion

EBP is a core competency among healthcare professionals (Chan et al., 2020). It contributes to the best clinical decision-making and outcomes for patients and families as this practice utilizes the best research evidence, expert clinical judgment, and patient preferences and values (Chan et al., 2020).

References

Agency for Healthcare Research and Quality: Patient Safety Network. (n.d.). Postdischarge follow-up phone call. Retrieved 2012, from https://www. https://psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call

Chan, E. -Y., Glass, G. F., & Phang, K. N. (2020). Evaluation of a hospital-based nursing research and evidence-based practice mentorship program on improving nurses’ knowledge, attitudes, and evidence-based practice. Journal of Continuing Education in Nursing, 51(1), 46-52.

Clark, P., & Milner, W. M. (2013). “Postdischarge calls and improved satisfaction. Follow-up calls, other efforts improve patient experience, survey scores.” Healthcare Executive 28(3), 62. Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=mnh&AN=23967531&site=eds-live&scope=site.

Hamar, G. B., Coberley, C., Pope, J. E., Cottrill, A., Verrall, S., Larkin, S., & Rula, E. Y. (2018). Effect of post-hospital discharge telephonic intervention on hospital readmissions in a privately insured population in Australia. Australian Health Review, 43(3), 241-247. Retrieved from https://dx.doi.org.ezp.waldenulibrary.org/10.1071/AH16059.

Lavenberg, J. G., Cacchione, P. Z., Jayakumar, K. I., Leas, B. F., Mitchell, M. D., Mull, N. K., & Umscheid, C. A. (2019). Impact of a hospital evidence-based practice center (EPC) on nursing policy and practice. Worldviews on Evidence-Based Nursing, 16(1), 4-11.

Leppin, A. L., Schaepe, K., Egginton, J., Dick, S., Branda, M., Christiansen, L., Burow, N. M., Gaw, C., & Montori, V. M. (2018). Integrating community-based health promotion programs and primary care: a mixed-methods analysis of feasibility. BMC Health Services Research, 18, 1-N.PAG. Retrieved from https://doi-org.ezp.waldenulibrary.org/10.1186/s12913-018-2866-7

Storey, S., Wagnes, L., LaMothe, J., Pittman, J., Cohee, A., & Newhouse, R. (2019). Building evidence-based nursing practice capacity in a large statewide health system: A multimodal approach. Journal of Nursing Administration, 49(4), 2018-214.

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