Monica Bullock    4 posts   Re: Topic 2 DQ 2  After learning about evidenced based practice in the work place and nursing practice I feel like my organization is making an effort to shift nursing practice. In dialysis a patient is complicated and they come in with many co morbities. On top of disease they come with many life issues such as no housing, minimal insurance, and a fixed income. In order for a dialysis patient to have a good patient outcome the staff must work as an interdisciplinary team to ensure success (Desai, 2008). Many practices in dialysis are based on evidenced based practice, for example fluid management and access care. I feel like my organization does a good job in educating staff about practices and changes in practice. Knowledge is list as one of the top reasons to effectively incorporate evidence into clinical practice (Garner, 2016). We have a lot of online training, but it would be helpful to have more continued education in person with our educators. I see the efforts of incorporating evidence based practice, but the struggle is the time to read and look over the information provided. On a typical day there is minimal down time making it difficult to do the online training and reading the information provided for the topic. On days off the information is not accessible, not saying that anyone would want to look at work related stuff on their days off. Allowing may be off the floor time to read and study the materials would be beneficial.  Gardner, J. K., Kanaskie, M. L., Knehans, A. C., Salisbury, S., Doheny, K. K., & Schirm, V. (2016). Implementing and Sustaining Evidence Based Practice Through a Nursing Journal Club. Applied Nursing Research, 31, 139–145. https://doi-org.lopes.idm.oclc.org/10.1016/j.apnr.2016.02.001     Desai, A. A., Bolus, R., Nissenson, A., Bolus, S., Solomon, M. D., Khawar, O., … Spiegel, B. M. (2008). Identifying best practices in dialysis care: results of cognitive interviews and a national survey of dialysis providers. Clinical journal of the American Society of Nephrology : CJASN, 3(4), 1066–1076. doi:10.2215/CJN.04421007

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