Effective Research-Based Practice And Research

The purpose of this week’s discussion post is to describe the role of nurse leaders in promoting evidenced based practice. It will also discuss strategies for implementation of evidenced-based practice change and describe the forces behind a changing health care culture. I will also compare my nursing work group culture with other organizational cultures.

Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).

Pressure ulcers occur over bony prominences when skin is compressed for long periods of time, affecting the blood supply to certain areas, leading to ischaemia development (Waugh and Grant, 2001). Compression of skin is caused by pressure, shearing and friction, but can also occur due to pressure exerted by medical equipment (Randle, Coffey and Bradbury, 2009). NICE (2014) states that the prevalence of pressure ulcers in different healthcare settings in December 2013 was 4.7%, taken from data available for 186,000 patients. The cost of treating ulcers can vary depending on severity from £43 up to £374 (NICE, 2014). Evidence based practice skills are essential in nursing as it allows the best available evidence to be used to improve practice and patient care, while improving decision-making (Holland and Rees, 2010). I will be critiquing two research papers; qualitative and quantitative, using a framework set out by Holland and Rees (2010), and will explore the impact on practice. Using a framework provides a standardised method of assessing quality and reduces subjectivity.

Children at **** **** frequently engage in experiential activities where they are encouraged to explore indoor and outdoor environments and gain first-hand experience of recognising materials; making comparisons / recognising similarities and differences; estimating and predicting; counting; sequencing; weighing and measuring etc. Engaging in relevant discussions that provide an opportunity for the children to build their skills, increase their knowledge and extend their mathematical vocabulary is an essential part of the learning process.

From birth, it is important for practitioners to support the early years’ mathematical development. Children learn emergent maths which is a “term used to describe children construct mathematics from birth” (Geist, 2010). The Early Years Statuary Frameworks (EYFS) (Department of Education) states that maths is one of the specific areas.

Van de Walle, J, Karp, K. S. & Bay-Williams, J. M. (2015). Elementary and Middle School Mathematics Teaching Developmentally. (9th ed.). England: Pearson Education Limited.

Every day, mathematics is used in our lives. From playing sports or games to cooking, these activities require the use of mathematical concepts. For young children, mathematical learning opportunities are all around them. Knaus (2013) states that ‘Young children are naturally curious and eager to learn about their surroundings and the world they live in’ (pg.1). Children, young and old, and even adults, learn when they explore, play and investigate. By being actively involved, engaging in activities that are rich, meaningful, self-directed and offer problem solving opportunities, children given the chance to make connections with their world experiences (Yelland, Butler & Diezmann, 1999). As an educator of young children,

As a child, I would image what my life would be like when I became a teacher. In this paper I will explore different developmentally appropriate approaching philosophies, theories, and concepts when teaching math, reading, science and the fine arts to young children across a developmental curriculum. Having to gain knowledge from the early childhood text helped me to create what I consider to be the perfect classroom plan. Preschool education is very important because this is their first experience towards twelve years of grade school. The knowledge they gather will increase as they grow and development.

Sarama, J., & Clements, D. H. (2006). Mathematics in kindergarten. (61 ed., Vol. 5, p. 38). YC Young Children. Retrieved from http://media.proquest.com.ezproxy.apollolibrary.com/media/pq/classic/doc/1129349361/fmt/pi/rep/NONE?hl=&cit:auth=Sarama, Julie;Clements, Douglas

During the Foundation Phase, children develop their skills, knowledge and understanding of mathematics through oral, practical and play activities. In our setting children`s mathematical development is supported by different activities. Children are encouraged to develop their understanding of measurement units, investigate the properties of shapes and develop early ideas of reasoning and basic mathematical procedures through practical opportunities. These opportunities include cooking, exploring and counting activities.

There are different national frameworks and policies that are used for the development of mathematical learning from 3 to 8 years old.

While there are many people that think that evidence based practice and practice based evidence should stay the way that they are. If you took both of these and used them together it could provide the appropriate treatments and meet the needs of the patients. Evidence based practice and practice based evidence play a big part in the treatment of a patient and their mental health. Evidence based treatment would be a lot better if the research was focused on each patient and what their needs are. There a many mental disorders that require different treatments and most of them are evidence based, but this does not look at each patient individually, and there a many people with health problems that could use both of the research and evidence to help them get better.

Do as I say not as I do, is an idiom we are all familiar with. When discussing an organizational infrastructure it is important to understand that what the organization says and does greatly impacts the implementation of evidence based practices. Catch phrases that are seem in some mission statements such as: commitment to quality care, holistic care, promote healing, comprehensive care, respect and many others are just catch phrases unless the organization actually stands by these words. Development of mission statements are to serve as a foundation of which quality care and evidence based practice begin (Huber, 2014). I mention this because if the organization does not stand behind their mission statement then the culture of their employees will follow. If an organization states that it will provide quality comprehensive care with respect that promotes healing yet the organization will not invest in equipment, minimal staffing ratios, hire minimally educated staff, and disregard of staffs concerns; it is very difficult for the staff to buy in to the mission statement.

Mathematics, like every creation of man, have evolved without really knowing how far you can get with them: the scope of the computer, physics, chemistry, algebra, all are evidence of this. Every aspect of our culture is based in some way or another in Mathematics: language, music, dance, art, sculpture, architecture, biology, daily life. All these areas of measurements and calculations are accurate. Even in nature, everything follows a precise pattern and a precise order: a flower, a shell, a butterfly, day and night, the seasons. All this makes mathematics essential for human life and they can not be limited only to a matter within the school curriculum; here lies the importance of teaching math in a pleasure, enjoyable and understandable way. Mathematics is an aid to the development of the child and should be seen as an aid to life and not as an obstacle in their lifes.

Children at this age also have different skills related to numeracy. Fostering numeracy skills in early childhood education not only predicts for later Math achievement but also for greater literacy skills (NAEYC, 2009). Since mathematical concepts are often intertwined with so many areas such as science, literacy, dramatic play, block building, and more, math learning centers offering interdisciplinary materials and activities ensure that young children grow to understand and appreciate the real life applications of mathematical concepts (Fu, 2010).