Hello Anupa,

It was captivating to read your post about the National Institute of Health and realize all they do so I looked up the site and I was not disappointed at all. Knowing that EBP improves healthcare quality, reliability, and patient outcomes (Melnyk et al, 2014), their first goal about fostering fundamental creative discoveries, innovative research strategies, and their applications as a basis to significantly advance the Nation’s capacity to protect and improve health (NIH, 2022) jumped at me.

It was exciting to see that they run an Intramural Research Program (IRP) that trains physicians and scientists at the postdoctoral and clinical levels as well as  graduate and medical students, post-baccalaureate fellows, and summer students. It’s captivating to realize that the NIH provides leadership and direction to programs designed to improve the health of the Nation by conducting and supporting research in directing programs for the collection, dissemination, and exchange of information in medicine and health, including the development and support of medical libraries and the training of medical librarians and other health information specialists. They are in effect providing the evidence base for the practice.

References

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The Establishment of Evidence-Based Practice Competencies for Practicing Registered Nurses and Advanced Practice Nurses in Real-World Clinical Settings: Proficiencies to Improve Healthcare Quality, Reliability, Patient Outcomes, and Costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. https://doi.org/10.1111/wvn.12021Links to an external site.

National Institutes of Health, 2022, October 10 Intramural Research Program (IRP) https://irp.nih.gov/our-research/research-in-actionLinks to an external site.

National Institutes of Health, 2022, October 10. Research-training https://irp.nih.gov/research-training

Hi, Anupa,

What is the advantage of EBP for healthcare organizations? Great post!

Dr. Lewis

Hello Anupa, I was aware of the National Institute of Health website by surfing the web looking for appropriate articles and used some of their journal in my assignment. I have never really navigated the site but after reading your post and the responses of others I decided to. I was impressed! The intermural research program caught my eyes as well as Biological Betrayal where Dr. Kaplan was discussing her research on auto-immune diseases. Most of Dr. Kaplan’s research has been focused on systemic lupus erythematosus (SLE), also known as “lupus,” which she refers to as “the poster child” for autoimmune disorders. SLE is a type of autoimmune disease that can cause arterial inflammation and joint destruction (Biological Betrayal). 

Dr. Kaplan and her team “discovered that a class of white blood cells called neutrophils, which are the innate immune system’s first responders to an infection or injury, go haywire in many autoimmune diseases” (Biological Betrayal). An interesting section caught my eyes regarding the effect of covid-19 and its vaccine affect people with autoimmune disease (NIH) as recently my co-worker was diagnosed with lupus, she recently had covid and received the vaccine there after.  New-onset autoimmune symptoms following COVID-19 vaccination have been widely observed. The key methods by which the COVID-19 vaccine causes autoimmunity are molecular mimicry, the creation of specific autoantibodies, and the role of specific vaccine adjuvants (Chen et.al, 2022).

Chen, Y., Xu, Z., Wang, P., Li, X. M., Shuai, Z. W., Ye, D. Q., & Pan, H. F. (2022). New-onset autoimmune phenomena post-COVID-19 vaccination. Immunology, 165(4), 386–401. https://doi.org/10.1111/imm.13443

The National Institute of Health Intermural Research Program, Biological Betrayal, https://irp.nih.gov/our-research/research-in-action/a-biological-betrayal

Hello, Anupa! In your post, you provided a wealth of useful information. To begin with, an article states integrating evidence-based practice (EBP) into the daily practice of healthcare professionals has the potential to improve the practice environment as well as patient outcomes (Abu-Baker et al., 2021). I was able to learn more about the healthcare organization, as well as its vision and goals, by visiting the National Institutes of Health website. As you mentioned in your discussion post, the ‘About the NIH Almanac’ section contains more detailed information, such as the agency’s goals, one of which is to develop, maintain, and renew scientific human and physical resources that will ensure the Nation’s ability to prevent disease (National Institutes of Health, 2015).

The National Institutes of Health (NIH) provides leadership and direction to programs that conduct and support research to improve the nation’s health (National Institutes of Health, 2015). Its mission is to seek fundamental knowledge about the nature and behavior of living systems, as well as to apply that knowledge to improve health, extend life, and reduce illness and disability (National Institutes of Health, 2015). On a scientific basis, EBP refers to using the best available evidence for decision-making and providing efficient and effective care for patients. EBP implementation that is systematic can improve healthcare safety and patient outcomes.

According to one of the website’s tabs titled “Research and Training,” the Intramural Research Program (IRP) is the internal research program of the National Institutes of Health (NIH), known for its synergistic approach to biomedical science (National Institutes of Health, 2015). I agree with you, and I also find this organization because it is well-known, and the NIH is a well-respected research body.

References

Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021, January 7). Evidence-based practice beliefs and implementations: A cross-sectional study among undergraduate nursing students. BMC nursing. Retrieved December 1, 2022, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7791790/

National Institutes of Health. (2015, July 7). About the NIH. National Institutes of Health. Retrieved November 29th, 2022, from https://www.nih.gov/about-nih/what-we-do/nih-almanac/about-nih

Hi Anupa, I enjoyed reading your post about the National Institute of Health (NIH). Considering the information I reviewed on the NIH, my perception changed positively. At my place of employment, we strive to provide evidence-based care because it genuinely does allow patients the best chance of overcoming whatever ailment they are encountered with. I would say I further respect the work that the NIH puts into their organization because being a healthcare professional is difficult, but wearing the hat of a researcher as well, and successfully, is no small task. It also brings effective and accurate research and practices to its members, further spreading education.

One thing in particular that stood out to me as I navigated the site was the Advance Research Project Agency for Health (ARPA-H), proposed and created by President Joe Biden to improve the U.S. government’s ability to speed biomedical and health research. Public Law 117-103 was enacted on March 15, 2022, authorizing the establishment of ARPA-H within the U.S. Department of Health and Human Services (National Institutes of Health, 2022).

ARPA-H will support transformative high-risk, high-reward research to drive biomedical and health breakthroughs—ranging from molecular to societal—that would provide transformative solutions for all patients (National Institutes of Health, 2022).

References

National Institutes of Health. (2015, July 7). About the NIH. National Institutes of Health. Retrieved November 30, 2022, from https://www.nih.gov/about-nih/what-we-do/nih-almanac/about-nihLinks to an external site.

National Institutes of Health, 2022, November 30. Research-training https://irp.nih.gov/research-training

Response #1

Hi, Anupa,

Great post.

It’s excellent to understand that EBP involves complex and conscientious decision-making built not only on the available evidence but also on patient physiognomies, circumstances, and preferences. It also recognizes health care as an individualized and ever-changing that involves uncertainties and probabilities. Ultimately EBP is the formalization of the care process that the best clinicians have practiced for generations (McKibbon, 1998). The emergence of Evidence-based practice has been rapid and dramatic, spreading in popularity amongst many healthcare disciplines, and is changing the way healthcare is undertaken. The dependence on the partnership among hard scientific evidence, clinical expertise, individual patient needs, and choices is the reason why evidence-based practice is vital, demanding, and highly respected among healthcare disciplines (Hoffmann & et, 2010). Despite this, Evidence-based practice does have limitations, and therefore, research is always needed to improve retrieval methods for EBP information. This is the reason why health professionals need to develop and retain their research skills durable constantly.

                                                                                                  References

Hoffmann, T., Bennett, S., & Mar, C. D. (2010). Evidence-based Practice-across the health professions. Elsevier Australia.

McKibbon, K. A. (1998). Evidence-based practice*. Health Information Research Unit, 396-401

Hi Anupa,

The NIH agency comprises 27 centers (National Institute of Health, 2018). What I found during my research was that they did not have a union for their employees. I think an organization of that caliber should have a union to allow their employees to have a safe channel to voice their concerns. This will help facilitate a collective agreement between negotiators, allowing management and union representatives to partake in more amicable discussions

very informative post.

thank you.

Reference

National Institute of Health. (2018). Accelerating Medicine Partnership. Retrieved from HTTPs://www.nih.gov/researching-mdicines-partnership-ampLinks to an external site.

National Institute of Health. (2020). Federal employees Retirement System Retrieved from Https://www.nih.gov/benefits/retirement-separation-non-

Hi Leslie,

Great read.  I am truly grateful for learning so much about the CDC.  The CDC was very instrumental in navigating our most recent pandemic. Through the use and acquired knowledge of EBP we are able to maintain a decrease in anxiety due to loss of some love ones.  EBP has proven over time to spare lives through the use of vaccines and other medicines.

Best,

Andrea

Centers for Disease control and Prevention. (22). Evidence-based practices

https://www.cdc.gov/publicLinks to an external site. health gateway/program/resources/evidence.html

first response

great post Leslie,

The CDC does a great job assisting and educating various agencies on disease awareness and prevention strategies. In looking at their website, their goal is to stay prepared and alert to any new outbreaks and to properly tackle and provide the appropriate solution to the problem. Their role in a public health emergency is to provide appropriate information to the state and local authorities to properly combat any health crisis that may arise. (CDC, 2018)

reference

Centers for Disease Control and Prevention. (n.d.). About CDC.

https://www.cdc.gov/about/organization/cio.htm

Centers for Disease Control and Prevention. (2018). Evidence-based practices

 I agree with you that the CDC sticks to evidence-based practice. Regarding EBP, we mainly look at three areas: available evidence, clinical knowledge and skills, and the patient’s wants and needs. The CDC has published hundreds of evidence-based guidelines on various topics, from preventing and controlling infectious and noninfectious diseases and injuries to promoting environmental health and preparedness for natural and manufactured disasters.

For example, the CDC provides the NSHN definitions of hospital-acquired infections. Their importance to a hospitalized patient’s health is that it provides strategies for prevention, such as standardized care bundles, order panels, practice guidelines, and cognitive aids (CDC, 2022). A review of NSHN hospital-acquired conditions involves detailed knowledge by certified infection prevention personnel (CDC, 2022).

In addition, you mentioned Mental Health, and I support the point you brought up. Current policies and healthcare providers must remain diligent when implementing procedures regarding mental health services. Stopping stigma is very important if you want people you care about to feel safer and healthier. People addicted to opioids can get their lives back on track with help from treatment. This is because addiction strongly affects the brain and behavior (www.cdc.gov). The government, communities, schools, providers, and parents cannot afford not to take the topic seriously (CDC, 2022). 

Colleges and universities face a mental health crisis today— nearly 40% of college students are experiencing depression. According to a 2020 study, 34% reported anxiety, and 13% said they had thought seriously about suicide in the last year. The pandemic exacerbated the crisis, but other factors drove the surge (Harvard Graduate School of Education, 2022). 

Reference

Harvard Graduate School of Education. 2022 President and Fellows of Harvard College. https://www.gse.harvard.edu/news/21/11/education-now-mental-health-and-wellness-college-today#:~:text=Colleges%20and%20universities%20are%20facing,suicide%20in%20the%20last%20year.

Lambert, B. A., Denson, F., Baumgarten, K., Parker, D., & Badakhsh, R. (2022). and Prevention (CDC) Hospital-Acquired Infections. Optimizing Widely Reported Hospital Quality and Safety Grades: An Ochsner Quality and Value Playbook, 95.

Response #1

Hi Leslie, I like your post regarding the CDC. The centers for disease control and prevention  is a reputable agency that collaborates to create the expertise , information , and tools that people and communities need to protect their health through health promotion , prevention of disease , injury and disability, and preparedness for new health threats. This agency has used science and evidence based practices to educate and gives guidelines to the population in regards to prevention and treatment plan for diseases. This agency has been the backbone especially in the last 2 years during the pandemics.

Centers for Disease control and Prevention. (22). Evidence-based practices

https://www.cdc.gov/public Links to an external site.Links to an external site. health gateway/program/resources/evidence.html

Hi Leslie,

You have shared excellent ideas about the CDC’s use of evidence-based practice. Apparently, CDC makes a significant contribution to public health in the U.S. and in other foreign countries. The organization’s investment in science individuals individuates the commitment to public health interventions that are grounded interventions (Melnyk & Fineout-Overholt, 2018). The EBP resources provided by the CDC focus on almost areas of public health and safety, including immunization and health behaviors. Thus, the CDC website offers an important resource that would be used by healthcare organizations. For instance, healthcare providers can recommend the CDC website for factual information about diabetes or child immunization (Craig & Dowding, 2019). However, there are a few pending concerns about utilizing evidence-based resources by CDC. What standards should healthcare providers utilize in integrating the health information by CDC into care?

References

Craig, J. V., & Dowding, D. (Eds.). (2019). Evidence-based practice in nursing. Elsevier Health Sciences.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Hello Leslie,

Great post, very informative, and you made some excellent points. I’d like to provide additional examples of EBP or alternative perspectives/interpretations. First and foremost, The Centers for Disease Control and Prevention (CDC) is well-known. The CDC prevents, detects, and responds to diseases wherever they occur in order to keep them from entering the United States. The Centers for Disease Control and Prevention promotes healthy and safe behaviors, communities, and the environment. They work around the clock, or as the website states, 24/7 to protect the public’s health (Centers for Disease Control and Prevention, 2022). The CDC fights disease and assists communities and citizens in doing so.

The first page of the website is titled “Mission, Role, and Pledge,” making it clear that the vision is to protect health, safety, and security in an equitable manner (Centers for Disease Control and Prevention, 2022. The Centers for Disease Control and Prevention (CDC) established the Diffusion of Effective Behavioral Interventions (DEBI) program as part of its efforts to expand evidence-based practice (EBP) in HIV prevention at the community level (Carande-Kulis et al., 2022). On the CDC website, there is also a section titled “Evidence-based practices” that offers information and resources about evidence-based programs and policies (Centers for Disease Control and Prevention, 2022). One tab discusses HIV in relation to policies and practices that use the healthcare system to help prevent HIV/AIDS, viral hepatitis, STDs, and tuberculosis infections (Owczarzak, 2010). Lots of great information on the site!

References

Carande-Kulis, V., Elder, R., & Koffman, D. (2022, January 13). Standards required for the development of CDC evidence-based guidelines. Centers for Disease Control and Prevention. Retrieved December 2, 2022, from https://www.cdc.gov/mmwr/volumes/71/su/su7101a1.htm

Centers for Disease Control and Prevention. (2022, October 25). CDC – evidence-based practices – health system resource – STLT gateway. Centers for Disease Control and Prevention. Retrieved December 2, 2022, from https://www.cdc.gov/publichealthgateway/program/resources/evidence.htmlLinks to an external site.

Owczarzak, J. (2010). Evidence-based HIV prevention in community settings: Provider perspectives on evidence and effectiveness. Taylor & Francis. Retrieved December 2, 2022, from https://www.tandfonline.com/doi/abs/10.1080/09581596.2011.566918?journalCode=ccph20

Great Post Esther!

I enjoyed reading your post about evidence-based research (EBR) and how the Mayo Clinic published clinical information for

practitioners to practice safely. It is horrible that I never paid close attention to the many advertisement flags about the Mayo Clinic and not

once I adventured on their website. Mayo Clinic is an organization with the primary goal to educate and provide expert information to any

human being who needs healthcare advice (About Mayo Clinic, 2020).One particular program offered at the Mayo Clinic is the Advanced Care at

Home (ACH) team, they successfully provide nonsurgical acute management remotely at home for patients who refuse surgical intervention

(Paulson et al., 2022). The ACH program is monitored by a telemedicine command center through telehealth and conducts virtual rounds on the

patient. A hospitalization is a threatening event for patients 65 years and older and as a result this program provide high-acuity care in a home

setting to reduce healthcare expenditures and healthcare-associated infections. In addition to the ACH program, the Mayo clinic have created a

mobile system for ophthalmologists to perform eye examinations and diagnosed medical conditions remotely (Gaffar et al., 2017). The Mayo

Clinic experts have been solving the world’s toughest medical problems in rural communities where access to care is a challenge. The

organization is rapidly producing solutions using evidence-based research for machine learning and home hospital models. Great job on

choosing the organization to research.

References:

About Mayo Clinic. (2020, June 12). Mayo Clinic. https://www.mayoclinic.org/about-mayo-clinicLinks to an external site.

Paulson, M. R., Torres-Guzman, R. A., Avila, F. R., Maita, K., Garcia, J. P., Eldaly, A., Palmieri-Serrano, L., Forte, A. J., Thompson, J. C., & Maniaci, M. J. (2022). 85-Year-Old postsurgical complex patient successfully managed remotely at the Novel Mayo Clinic’s Hospital at Home. Case Reports in Vascular Medicine, 2022, 1–5. https://doi.org/10.1155/2022/1439435Links to an external site.

Gaffar, A., Patel, D. R., Pallagi, P. J., Gaffar, R., & Karami, M. (2017). Identifying and Mitigating Design Challenges of Ophthalmology Tele-medicine at Mayo Clinic. 2017 International Conference on Computational Science and Computational Intelligence (CSCI). https://doi.org/10.1109/csci.2017.301Links to an external site.

Great Post Esther!

I enjoyed reading your post about evidence-based research (EBR) and how the Mayo Clinic published clinical information for

practitioners to practice safely. It is horrible that I never paid close attention to the many advertisement flags about the Mayo Clinic and not

once I adventured on their website. Mayo Clinic is an organization with the primary goal to educate and provide expert information to any

human being who needs healthcare advice (About Mayo Clinic, 2020).One particular program offered at the Mayo Clinic is the Advanced Care at

Home (ACH) team, they successfully provide nonsurgical acute management remotely at home for patients who refuse surgical intervention

(Paulson et al., 2022). The ACH program is monitored by a telemedicine command center through telehealth and conducts virtual rounds on the

patient. A hospitalization is a threatening event for patients 65 years and older and as a result this program provide high-acuity care in a home

setting to reduce healthcare expenditures and healthcare-associated infections. In addition to the ACH program, the Mayo clinic have created a

mobile system for ophthalmologists to perform eye examinations and diagnosed medical conditions remotely (Gaffar et al., 2017). The Mayo

Clinic experts have been solving the world’s toughest medical problems in rural communities where access to care is a challenge. The

organization is rapidly producing solutions using evidence-based research for machine learning and home hospital models. Great job on

choosing the organization to research.

References:

About Mayo Clinic. (2020, June 12). Mayo Clinic. https://www.mayoclinic.org/about-mayo-clinicLinks to an external site.

Paulson, M. R., Torres-Guzman, R. A., Avila, F. R., Maita, K., Garcia, J. P., Eldaly, A., Palmieri-Serrano, L., Forte, A. J., Thompson, J. C., & Maniaci, M. J. (2022). 85-Year-Old postsurgical complex patient successfully managed remotely at the Novel Mayo Clinic’s Hospital at Home. Case Reports in Vascular Medicine, 2022, 1–5. https://doi.org/10.1155/2022/1439435Links to an external site.

Gaffar, A., Patel, D. R., Pallagi, P. J., Gaffar, R., & Karami, M. (2017). Identifying and Mitigating Design Challenges of Ophthalmology Tele-medicine at Mayo Clinic. 2017 International Conference on Computational Science and Computational Intelligence (CSCI). https://doi.org/10.1109/csci.2017.301Links to an external site.