Discussion Reply With Question & Answer Guide (With Explanation)

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Original Question

discussion reply with sources to: As a future advanced nursing educator, keeping up with current evidence-based practices (EBP) will be a monthly practice. Each month, peer-reviewed articles for the advanced practice nurse must be reviewed and implemented into practice. The first example relates to improving the aseptic technique, which nurses do daily. For years the practice of wiping an IV skin site or IV hub included circular motions for one to five seconds at best, which is considerably better than a 2010 best practice guide citing variations from wiping with 70% alcohol and allowing it to dry without any timeframe, to wiping and letting the site dry for 30 seconds (World Health Organization, 2010). In 2015, the optimal time of five to sixty seconds was recommended (Moureau & Flynn, 2015). Nursing students must know more specific parameters and held accountable for following them to ensure competency in the clinical setting. Since then, multiple sources, including The Joint Commission, stated that best practices include rubbing 15 seconds with alcohol and drying for 15 seconds, which is much easier for students to remember (Sweet et al., 2012). Since nursing students have learned to rely on research within the last five years, research by Zhu and colleagues found that nursing adherence rates to the Joint Commission standard were less than 30% (Gilmore et al., 2023). With this information, my future advanced nursing educator will incorporate the best practices into student’s clinical learning practice. The second EBP that my future advanced practice educator will use is Tanner’s Clinical Judgement Model (TCJM)as a core learning component. Tanner’s model breaks down four components using words students understand – noticing, interpreting, responding, and reflecting. The National Council for State Boards of Nursing and the American Association of Colleges of Nursing both recognize this process of decision-making based on nursing knowledge as best practice directly related to care outcomes (American Association of Colleges of Nursing, 2024; NCLEX, 2024). As with the required best practice changes related to aseptic technique, nursing decision-making requires a best practice efficiently utilized in the clinical setting.

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