The health care sector is experiencing major changes due to extensive research and development activities. As nurses play a crucial role in the delivery of health care, they need to embrace new and innovative techniques to provide effective and best possible treatment to their patients. Several institutional and personal barriers can hinder nurses from adopting EBP (Wood, 2013).

The two potential barriers that can prevent continuation of my evidence based practice change proposal in the future is poor coordination among the clinical team and staff turnover. My project focuses on Coronary Artery Bypass Graft patients and working with these high-risk patients need the best coordination and team work from the whole clinical team including devising appropriate discharge planning. Poor communication between the clinical team members can affect the outcome. My strategy is to recommend three interventions: staff appreciation events, monthly review of the continued adherence to the changes made, and monitoring the staff compliance by the administration. These interventions can motivate the clinical team to continue to pursue the change proposal. The second barrier I assume is staff turnover. There is lot of staff turnover in our hospital. Floating nurses and agency nurses on contract can affect the continuation of my change project. My strategy is to promote ongoing training which is absolutely necessary. These training needs to be scheduled and to be listed in the calendar every week.

Hospital management can help to overcome these barriers. The nurses preferred to consult their supervisors and colleagues to obtain needed information. Hospital management can create a conducive environment and provide socializing opportunities for nurses to promote peer-to-peer information and knowledge sharing (Melnyk & Overholt, 2011).

 

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A preterm a baby is a baby born before 37 weeks of pregnancy. According to the Maternal and Child Health Bureau a study done in 2013 preterm babies born to different races in the United States “11.54 percent of babies were born preterm. Of those baby’s 16.53 percent of babies were born to non-Hispanic black women, 10.29 percent of babies were born to non-Hispanic white women, 10.15 percent of the babies born preterm were born to Asian/Pacific islander women, and 11.58 babies born preterm were born to Hispanic women.” (Child Health USA 2013, 2013) Racial and cultural disparities in preterm are sometimes attributed to education, age, income, demographics, if the mother has access to proper care and insurance, health behaviors such as abuse, and preexisting health conditions.

It is fortunate that with modern technological advances preterm babies have a better advantage in surviving then in the past. But unfortunately, there are also risk factors that are involved of preterm birth. According to the Centers of Disease Control and Prevention babies that are born before 32 weeks are at a higher risk of death and disabilities which include breathing problems, feeding difficulties, cerebral palsy, developmental delay, vision problems, and hearing problems. (Reproductive Health, 2017) Extreme low birth weight babies and preterm babies pose an economical cost to the family, health care industry, and the community, as more care will cost especially if the baby needs to be at the healthcare facility for a longer period for assessment and growth. Long term disabilities and long-term care can affect the families economically and socially at home as they may need ongoing professional help and will also lead to stress and problems for the family. Families need to prepare themselves when a preterm baby is born and be ready to address and complications, disabilities, and difficulties.

 

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What do you look forward to as you begin this educational experience and your personal search for purpose? What is your greatest fear? How can you overcome it? Write about one specific educational experience from your past in which you addressed a fear and overcame it and how you succeeded in this process.

 

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Directions: Below are terms built from word parts. Analyze each term by listing and defining the word parts used to build it.

1. balanorrhea

2. cystocele

3. cystalgia

4. epididymal

5. lithotripsy

6. oophorectomy

7. ovariosalpingitis

8. salpingocyesis

9. intrauterine

10. nullipara

Part 2:

Directions: Rewrite each of the following using medical terms.

1. Mrs. Scott’s painful menstrual flow was treated with a surgical procedure to widen the cervix and scrape the endometrial lining

2. Over time, Mrs. Martinez had developed an abnormal passageway between her bladder and vagina.

3. The one who studies newborns assists with a birth through an incision in the abdominal and uterine walls.

4. The new patient visiting the doctor who studies women’s issues was in her first pregnancy and had no births.

5. Maria was happy to find out she had a benign breast tumor of fiberlike tissue, not a malignant tumor of the milk glands of the breast.

6. A procedure to visually examine the bladder revealed the presence of a bladder stone, and the patient underwent a surgical procedure to crush the stone.

7. An x-ray record of the renal pelvis made after the insertion of a dye through the urethra confirmed the diagnosis of inflammation of the renal pelvis and kidney.

8. An evaluation of the semen for fertility performed six weeks after the surgical removal of the vas deferens confirmed the lack of sperm.

9. The results of the physical examination of the urine showed that there was pus in the urine, bacteria in the urine, and sugar in the urine.

10. The patient required a creation of a new opening to the ureter following the removal of the bladder for bladder cancer.

Abbreviations (Part 3)

Directions: Please define each of the following abbreviations in the space provided.

1. ESWL

2. GU

3. HD

4. HPV

5. I&O

6. PI, para I

7. PID

8. PMS

9. SB

10. TAH-BSO

 

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