Please write a discussion post reply of 450 words to the following post. Must ha

Please write a discussion post reply of 450 words to the following post. Must have at least 2 scholarly peer-reviewed sources using APA format. Sources must be within the last 5 years. Must include one biblical integration that is NOT to be listed as a resource.
Original post instructions are listed here: Using the text Evidence-Based Practice in Nursing and Healthcare, review evidence-based research definitions and components. Identify a quality concern you have at your facility. (If you are not working in healthcare, you may review the current literature for a problem or issue that interests you.)
Would the issue benefit from evidence-based practices? Present the issue and how evidence-based research would benefit the patient, staff, or facility.
Post you will reply to is here:
Evidence-based practice is the standard for quality of care nationwide and is heavily based in rigorous research (Melnyk, & Fineout-Overholt, 2015). Integrating evidence-based practice as a result of significant and thorough research improves patient outcomes, quality of care, and decreases cost (Thiel et al., 2019). According to Melnyk, & Fineout-Overholt (2015), evidence-based practice not only improves patient care and quality, but also empowers clinicians and their practice. This concept is known as the quadruple aim in healthcare: patient outcomes, cost, quality, and empowerment, often sought after throughout the healthcare setting including hospitals, organizations, and home healthcare agencies (Melnyk, & Fineout-Overholt, 2015). It should also be noted that not only is evidence-based practice crucial for healthcare organizations, it is also crucial for healthcare professional’s decision making, adding to their knowledge and understanding of science-based treatment and care (Melnyk, & Fineout-Overholt, 2015). Nurses, for example rely on evidence-based care for the prevention of hospital acquired infections, catheter acquired infections, incidence of falls. Through the incorporation of evidence-based care in the nursing practice, our patients are greatly affected for the better, improving outcomes, quality of care, decreasing cost, and improving nursing practice.
Falls in the Home Healthcare Setting
Approximately 3.4 million patients receive home healthcare annually, costing approximately 18.1 billion USD (Yang et al., 2019).The bulk of home healthcare patients receive skilled nursing care including wound care, infusions, and even fall prevention education and services (Yang et al., 2019). Evidence-based care is evident throughout the hospital setting however, a closer look after discharge is critical for the prevention of rehospitalization and continued improvements of patient health outcomes. There is very little research surrounding use of evidence-based practice in the home healthcare setting; a service often used to prevent rehospitalizations and improvement of patient health outcomes and quality of care. While home healthcare nurses, including registered nurses and licensed practical nurses, have positive attitudes and even seek evidence-based practice in the home health setting, many did not perceive evidence-based practice as an agency priority (Thiel et al., 2019).
One of the most common sources of emergency service use, rehospitalizations, and injury include in-home falls (Yang et al., 2019). While falls are incredibly difficult to prevent without being in the home for the bulk of the day, fall interventions are available to home healthcare clinicians. These include fall programs and interventions promoting physical activity (Yang et al., 2019). Evidence-based practice suggests that the more our high-risk patients move safely, the less as-risk they are. Additionally, evidence-based practice tells us that the correlation between fall prevention programs and incidents of falls are significant, greatly reducing falls by at least 61% for as-risk home healthcare patient populations (Yang et al., 2019). While barriers including cognition and mobility impairments may exist in the home healthcare setting, home healthcare clinicians have a great opportunity for health and mobility promotion for our highest-risk patients, affect their future and professional practice.
Biblical Integration
Throughout the nursing profession, we are constantly working towards improving practice including the concept of the quadruple aim in healthcare: patient outcomes, quality of care, cost, and healthcare professional empowerment (Melnyk, & Fineout-Overholt, 2015). In 1 Timothy 4:15 we are told to “take pains with these things; be absorbed in them, so that your progress will be evident to all” (New International Version Bible, 2023). The need to incorporate evidence-based care throughout practice is obvious. There is a constant need to improve practice and care throughout the healthcare profession due to the increased complexity throughout healthcare, accompanied with increased cost. Through the use of evidence-based care, we are able to greatly affect these concepts and ideas, significantly affect nursing and patient care for future nurses and patients.
References:
Melnyk, B., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer. ISBN: 9781496384539
New International Version Bible. (2023). The NIV Bible online. https://www.thenivbible.com (Original work published 1973).
Thiel, L. M., Ko, A., & Turner, J. A. (2019). Home healthcare nurses’ attitudes, confidence, and engagement in evidence-based practice. Home Healthcare Now, 37(2), 79-87. https://doi.org/10.1097/NHH.0000000000000723
Yang, K., Colorito, K. M., Bowles, K. H., Woomer, G. R., & Murtaugh, C. M. (2019). Home care providers’ experience of translating evidence-based fall prevention programs into practice. Home Health Care Services Quarterly, 38(3), 182-193. https://doi.org/10.1080/01621424.2019.1604460