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Evidence-based practice

in action

Evidence-based practice (EBP) is the combination of the latest best evidence, the expertise of the clinician, and the patient preferences.

How do we get to the latest EBP?

The very short version

The video graphic shows that evidence-based practice is the combination of the latest best evidence, the clinician’s expertise, and the patient values. But before we even get to common agreed upon evidence base practice recommendations, we have to start somewhere.

Anyone working in healthcare can begin the evidence-based practice chain and often do without knowing it! The first step is having a spirit of inquiry. What better way to begin an investigation than to ask WHY is something done? Nurses often identify current clinical practices related to the care they deliver that don’t make sense, just like in the video.

Nurses are natural innovators. They often see solutions to problems encountered with equipment they use or with how they perform key interventions that impact patient outcomes. They are our best resource to drive new evidence-based practice recommendations.

The video shows Dr. Cameron Kyle Seidel asking crucial questions, analyses current EBP, and uses his clinical expertise to explore treatments that may have a better outcome for patients.

What about the patient values?

We are happy you asked! The patient is the third part of the triangle that makes up the evidence-based practice model.

The patient preferences are important to “getting to the goal” the healthcare team desires. The patient is a member of the team! Take for example the COVID crisis, researchers are investigating thousands of interventions and medications that may alleviate symptoms of this virus. Investigation into the effects anti-Malarial drugs have on COVID are underway. Does that mean populations who have high incidence of Malaria may have a higher resistance to it?

We will learn as the next part of the EBP cycle continues. Once the question is asked and literature reviewed, key stakeholders prioritize how to implement new recommended interventions, safely test and evaluate their effectiveness scientifically, and disseminate their findings with recommendations for future research.

The process is normally slow, but when a global pandemic hits, collaboration becomes cooperation which leads to coordination of resources, dissemination of knowledge, and improved patient outcomes.

-Well we can hope, stay safe everyone.

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-day 101

April 11, 2020 Year of the Nurse!

Time out!! Enjoy the story of our recent trip to Jinja, Uganda. We returned to a different world, but we continue to collaborate with our colleagues amidst our collective changing world.

Read about our most recent trip to Jinja, Uganda!
March 2020

Thanks for your patience while we created our visit summary. It takes us several weeks to post the story of our trip because it takes time to feel all the experiences and emotions (like pealing away layers) and then try to articulate it for our followers.

We reflect on the impact our trips have on us, our fellow colleagues, the children and mothers serve, and everyone who is connected to us. We hope you will enjoy the pictures and stories of our nursing mission!

“Self-reflection is a humbling process. It’s essential to find out why you think, say, and do certain things – then better yourself.”

Sonya Teclai

We hope you find joy in your day and continue to follow our journey.

-Until tomorrow

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State of the World’s Nursing 2020

Released today by the World Health Organization

Click below to read the full report.

We are eager to share our thoughts as we synthesize the report and share with our colleagues and global partners.

Until tomorrow, stay well.

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-day 91

April 5, 2020 The Year of the Nurse

The general public didn’t fully grasp the impact nurses have on the healthcare of the world’s citizens until now. It is ironic that it is the year of the nurse as if it were foreboding.

Now, the public easily recognizes nurses as soldiers against this pandemic. Nurses are leaving their families to volunteer to go to the front lines to help their colleagues and try their best to save lives.

This is nothing new to nursing. Our book The Rebel Nurse Handbook was just released and again I am reminded of what keeps us going. Hope.

“The world’s health depends on nursing, and the possibilities to impact global health are limitless if we view them in the ongoing lens of hope”.

Bobbi Martin
The Rebel Nurse Handbook

-Until tomorrow

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How you can help

DON’T feel bad if you cannot donate money! Times are hard. There are other ways to help. Here are some ideas.

If YOU NEED Personal Protective Equipment (PPE): CLICK HERE

YOU DON’T have to go to New York to help! We all are driven to go to the front lines. Don’t feel guilty if you’re a nurse and staying home to keep your family safe. HELP HERE

-Stay well, stay safe, and help where and when you can.

We are all in this together.

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Clarity amidst chaos

What was known before the current pandemic crisis is the nursing profession’s primary purpose is and always has been health promotion and prevention no matter the setting care is delivered.

What has never been clearer is OUR PROFESSION has collectively put all our efforts together to do what we do: solve problems. The nursing profession from every sector outside the font line is joining forces to support BEDSIDE PRACTICING NURSES who are our TRUEST, MOST TRUSTED healthcare WORKFORCE.

The nursing profession has mobilized and been tapped by other industries and co-created innovative deliverable outcomes that have already been implemented to fight COVID19.

When this is pandemic crisis is managed and it will be, the silver lining will be a realignment of the nursing profession and front line bedside practicing nurses as the leaders, in the forefront, in CEO and COO roles, in organizations tasked with the future of healthcare. Nurses can build the future where healthcare promotion and prevention remain the highest priority and nurses who are natural innovators drive how care is delivered globally. I hope global leaders in healthcare and other industries see the value of nurses and are paying attention.

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Rebel Nurses

GNN embraces Rebel Nurses

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A world without nurses?

Join the conversation, send us your 30 second videos of what you think a world without nurses would look like.

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Returning to a new world

March 26, 2020 Year of the Nurse

Words cannot describe our thoughts and feelings as we returned to the United States after leaving an “underdeveloped” world. When we travel to Whisper’s we are always grateful for the resources we take for granted at home–simple things like running water.

We left a country that had no known cases of COVID-19 and complied with their precautions upon leaving their country. We were made to wash our hands BEFORE entering the parking lot of the airport in Entebbe, body temperature’s taken, and heat scanning prior to security, after security, and prior to boarding.

We were astounded upon our arrival to JFK when we were not given access to hand washing or hand sanitizer upon deplaning . Those of us with global access simply scanned our fingerprints (without using hand sanitizer in between users) and walked into the USA–the current epicenter of the COVID-19 crisis.

We send our support to our healthcare colleagues working the front lines to manage the COVID19 pandemic with uncertainty and limited resources we’ve not experienced in before in this country. We implore our followers to support local nurses and first responders in your area.

We’ll be sharing more from our journey along with sincere thanks to the many donors that made our trip possible.

-Stay tuned.

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Finally in Uganda!

March 11, 2020 Year of the Nurse!

We arrived safely in Jinja Uganda on Monday afternoon!

After working alongside our nurse colleagues yesterday, we offered American Heart BLS training to the staff here at Whispers Magical Children’s Hospital.

Ashley Barney and Martha Salmon, our two nurse volunteers didn’t waste anytime jumping in to take care of patients. Although Martha works where they have an IV team, take a look at this successful first stick in a neonate with sepsis!! Way to go Martha!!

Ashley Barney brought over $10,000 worth of medical donations (thank you everyone who donated) and helped distribute and organize for the hospital. She has also jumped right in with delivering nursing care and helped by being our choking victim for American Heart BLS. This was by far the BEST BLS CLASS!!

Whispers Children’s Hospital sees mostly young children under 5 and treat everything from cerebral Malaria to burns over 30% of children’s bodies. We are in constant awe of the work ethic of the nurses and doctors who work five 12-hour shifts every week and always are grateful and smiling. We simply cannot describe how they impact our world view and fill us with gratitude unimaginable.

Burns are a common occurrence in our patient population due to open cooking fires and toddlers playing nearby. We (Global Nurse Network) completed burn training just a few weeks ago and it was thrilling to see it implemented so efficiently and effectively. Whisper’s staff welcomes ALL education and training offered to them and seem to wear blinders to any barriers. “We can’t” is not in their vocabulary.

Stay tuned and follow our journey. Internet can be spotty so we’ll try to update as often as we can and as time permits!