Post a cohesive scholarly response that addresses the following: • Discuss the state of the scientific underpinnings that relate to your selected issue. (In Long Term Care Facility has falls increased due to removing bedrails and bed alarms) • How current is the science that supported the practice or practice guidelines? • What new evidence has emerged since the practice guidelines were crafted and adopted? Provide one or two examples that support your assessment. IF you are unable to find scholarly articles on these topics you can find scholarly article on increased UTI in bed ridden patients in Long Term care facility. I will down load files

The State of the Science in Practice
The phrase evidence-based practice may be most often thought of as a clinical reference; however, research evidence is applicable in every specialty area. What types of research evidence support your work environment? How does research evidence inform your practice?
Now, how current do you think the science is that underlies your practice? How current is the evidence that supports your specialty practice guidelines?

To prepare:
• Bring to mind an issue related to your practice. You may use the issue you are exploring for your EBP Project, or another current issue in your specialty area.
• If possible, examine practices and/or practice guidelines established to address your selected issue and determine how current the evidence is that supports them.
• Using the Walden Library, locate recently published articles that discuss research translated into evidence that applies to your selected practice issue. If you are unable to locate current articles (within the last five years), use the Internet to find evidence-based practice articles on this topic.
• Consider the following questions:
o How current is the science that supported the practice or practice guidelines?
o What new evidence has emerged since the practice guidelines were crafted and adopted?

By Day 3
Post a cohesive scholarly response that addresses the following:
• Discuss the state of the scientific underpinnings that relate to your selected issue. (In Long Term Care has falls increased due to removing bedrails and bed alarms)
• How current is the science that supported the practice or practice guidelines?
• What new evidence has emerged since the practice guidelines were crafted and adopted? Provide one or two examples that support your assessment.
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.
• Chapter 1, “Evidence-Based Practice”
• Chapter 2, “The Science of Translation and Major Frameworks”
Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
• Pages 15-18, “The Process of Translating Evidence Into Clinical Practice”
• Chapter 3, “Conducting a Literature Review”
Djulbergovic, B. (2014). A framework to bridge the gaps between evidence-based medicine, health outcomes, and improvement and implementation science. Journal of Oncology Practice, 10(3), 200-202.
Note: You will access this article from the Walden Library databases.
Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part 1. American Journal of Nursing, 110(7), 47-52.
Note: You will access this article from the Walden Library databases.
Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part II. American Journal of Nursing, 110(9), 41-48.
Note: You will access this article from the Walden Library databases.
Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part III. American Journal of Nursing, 110(11), 43-51
Note: You will access this article from the Walden Library databases.
Guyatt, G., Oxman, A. D., Akl, E. A., Kunz, R., Vist, G., Brozek, J., Schünemann, H. J. (2011). GRADE guidelines: 1. Introduction-GRADE evidence profiles and summary of findings tables. Journal of Clinical Epidemiology, 64 (4), 383-394.
Note: You will access this article from the Walden Library databases.
Jeffs, L., Beswick, S., Lo, J., Campbell, H., Ferris, E., & Sidani, S. (2013). Defining what evidence is, linking it to patient outcomes, and making it relevant to practice: Insight from clinical nurses. Applied Nursing Research, 26, 105-109.
Note: You will access this article from the Walden Library databases.
Leung, K., Trevena, L., & Waters, D. (2014). Systematic review of instruments for measuring nurses’ knowledge, skills and attitudes for evidence-based practice. Journal of Advanced Nursing, 70(10), 2181–2195.
Note: You will access this article from the Walden Library databases.
Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322.
Note: You will access this article from the Walden Library databases.
Additional Research
Conduct your own research on translational science and how it is utilized in your specialty area. Review your specialty area websites and search for articles on evidence-based practice that address the translation of research into practice. This information will inform the Discussion.
Optional Resources
Terry, A. J. (2018). Clinical research for the doctor of nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
• Chapter 14, “Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Improvement Project”
• Chapter 15, “Reducing 30-Day Hospital Readmission of the Patient with Heart Failure: An Evidence-Based Quality Improvement Project”
• Chapter 16, “The Impact of Evidence-Based Design”
• Chapter 17, “The Lived Experience of Chronic Pain in Nurse Educators”
As you develop sections of your Project Premise, you may wish to review these examples of completed EBP project.
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