reply 1Evidence based practice is essential for nurses as it improves patient outcomes and increases patient safety leading to improved quality of care. Receiving your BSN gives you more insight to nursing by learning about and understanding evidence-based practice and how to integrate it into action within their facility. The call for evidence-based quality improvement and healthcare transformation underscores the need for redesigning care that is effective, safe and efficient (Stevens, 2013).Evidence based practice strives to make all practices more standardized and deliver more positive outcomes examples being improved treatments, nursing skills, and safer care. This in turn will decrease healthcare costs for patients. This will also lead to reducing medical and care complications reducing the readmission rates . I personally will continue to search and integrate evidence into my practice by attending in-services within my facility and bring this back to my unit. I will also be assisting with the new nurses during their nurse residency at looking into new practices and evidence to back it that I will encourage others to use throughout our facility.Some of the barriers that could cause issues would be include time and lack of knowledge. As nurses time is precious, research can be time consuming and sometimes there is not enough evidence to support the change or resources. Research supports that when implementing EBP you must have leadership and supportive managers, a workplace culture that empowers nurses and reinforces EBP, and patient improvement outcomes are measured. Evidence based practice is important and facilities should encourage new practices with evidence to be introduced for improvement of their quality of care.Kueny, A., Shever, L. L., Lehan Mackin, M., & Titler, M. G. (2015). Facilitating the implementation of evidence- based practice through contextual support and nursing leadership. Journal of healthcare leadership, 7, 29–39. https://doi.org/10.2147/JHL.S45077Stevens, K., (2013) “The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas” OJIN: The Online Journal of Issues in Nursing Vol. 18, No. 2, Manuscript 4reply2Evidence-based practice allows nurses to review research in different areas, to gain knowledge and understanding of how well a diagnostic or treatment works (RIL, 2018). Evidence is used to also look at the risks and help determine a care plan, of which incorporates the patient. One way in which I can integrate evidence into the school setting, is to continue to reinforce health education into the students, their families, and the building staff. One way is by reminding everyone the importance of hand washing. Or in the case of my change proposal, maintain/control asthma by adherence to medication, amongst other things. Education is such a big part of school nursing, when it comes to the wellbeing of the children and their attendance, to keep learning active. As evident through research, using tools and programs like Building Bridges, Open airways for school, asthma-friendly schools initiatives, and collaborating with internal and external are excellent research practices to keep and encourage in the school setting. Challenges is always in getting the population to adhere, but through education, providing relevant information, with statistics, facts, improvement scores, and satisfaction rates is a great way to minimize the impact of change.ReferenceEastern Illinois University. (2018, December 10). Why is evidence-based practice in nursing so important? https://learnonline.eiu.edu/articles/rnbsn/evidence-based-practice-important.aspx#:~:text=EBP%20enables%20nurses%20to%20evaluate,patients%20in%20their%20care%20plan.

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