Ashley Ruiz

BSN, RN. U of A Doctoral student

[Ashley Ruiz @ashpruiz]

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[Ashley Ruiz @ashpruiz]

M12: The most important point of EBP in future practice is with APRNs becoming transformational leaders and driving quality improvements, the need for the use of evidence to guide practice is crucial #NURS751

[Ashley Ruiz @ashpruiz]

M12: I look forward to my future dissemination of work as an NP and be active in @AANP_NEWS where we as NP's are accordingly "empowered to deliver high-quality, patient-centered health care." #NURS751

[Ashley Ruiz @ashpruiz]

@JaneCarrington2 😀🤓😷👩‍💻👩‍⚕️🥇🏪🏩🤩 #RiddleMeThis #NURS751

[Ashley Ruiz @ashpruiz]

@JaneCarrington2 The greatest challenge of implementation for my intervention is staff resistance. It is imperative to provide education and resources to staff members using EBP and PBE to discern how using a CPG will be most effective in providing the best care possible #RiddleMeThis #NURS751

[Ashley Ruiz @ashpruiz]

M11: PBE gathers good, quality data from routine practice for difficult IV access in the ER where as EBP looks at research evidence to guide treatment, for example, looking at other ways to provide IV access to improve patient outcomes in the ER #NURS751

[Ashley Ruiz @ashpruiz]

WK10: @ahahospitals advances health in America through the affordable access to healthcare services, focusing on well-being of individuals by innovating technology, teams and data to lead, represent and serve communities. This can help tailor my path as a future FNP #NURS646SS19

[Ashley Ruiz @ashpruiz]

Thank you Dr. Jeffery for joining us this week. Complaints from nurse practitioners in the ER that use order sets with every patient include producing alert fatigue or burnout due to not being patient specific. Any suggestions on how to combat this issue? #AJNURS751

[Ashley Ruiz @ashpruiz]

M10:CDS systems can issue alerts when they detect deviations from evidence based best practices that are embedded in a hospital systems CPG's. These deviations can result in adverse events and will help improve patient outcomes in the CPG of difficult IV access in the ER #NURS751

[Ashley Ruiz @ashpruiz]

M9: The CPG on difficult IV access in the ER is not policy strong. While the methods of using ultrasound-guided and intraosseous access have strength in the evidence using meta-analyses and systematic reviews, the other alternative recommendations need further research #NURS751

[Ashley Ruiz @ashpruiz]

WK8: Optimal CDS systems need to have the capability to anticipate the clinicians needs and bring the information forth in the real time that it is needed. These "corollary orders" within CDS will make them more usable and useful in my future APRN practice #NURS646SS19

[Ashley Ruiz @ashpruiz]

M8: @Healthwise is a non profit organization that uses EBP to help people make better health decisions. Their website contains multiple decision aids on numerous subjects including receiving the influenza vaccination #NURS751 https://t.co/IkEQ5HwIJm #shouldigetthefluvaccine

[Ashley Ruiz @ashpruiz]

M7:A challenge in the implementation of a CPG involving alternative methods for difficult IV access in the ER are barriers of nurses and providers to adopt and use new techniques developed. Continuing education and active learning of the CPG can overcome these challenges #NURS751

[Ashley Ruiz @ashpruiz]

M6:The Knowledge To Action (KTA) framework of EBP, which was developed in Canada by Ian Graham and colleagues, would fit perfectly in the CPG regarding difficult IV starts in the ER. This framework describes the stages involved in implementation of evidence into practice #NURS751

[Ashley Ruiz @ashpruiz]

WK 6: A potential UC that I can encounter as an APRN are unfavorable EHR workflow changes where CPOE is automated and eliminates checks and counterchecks on a system by people such as nurses. Training is the number one solution to mitigate the risks for these errors #NURS646SS19

[Ashley Ruiz @ashpruiz]

M5: #NURS751 Strengths of using CPGs in clinical practice is their ability to improve health outcomes and the quality of care received by patients while improving the consistency of care of FNPs. Whether CPGs achieve this in daily practice is less clear and is being researched.

[Ashley Ruiz @ashpruiz]

#NURS646SS19 WK 4: One of the biggest problems with EHR is the usability required to see the patient in a whole picture. If this could be accomplished, the team caring for the patient will be able to work seamlessly and collaboratively to treat the patient more effectively.

[Ashley Ruiz @ashpruiz]

#NURS751 M4:A meta-analysis was conducted to determine the effectiveness of the influenza vaccine in the last 14 years. This study contributes to EBP by identifying barriers to receiving the vaccine and provides evidence as to why this vaccine is needed (Nowak et al. 2015)

[Ashley Ruiz @ashpruiz]

Welcome Dr. Mensik! I currently work in a busy, high acuity pediatric ER with new management. Any advice on how to bridge the gap between allowing our nursing voices to be heard but in a professional, productive way for success in our department where morale is low? #JMNURS751

[Ashley Ruiz @ashpruiz]

M3: The stronger method for translating evidence and applying it to clinical decision making, EBP, would be quantitative research where scientific methodology as well as understanding relationships between variables is used #NURS751