NUR 445 Week 4 Journal Club

NUR 445 Week 4 Journal Club

NUR 445 Week 4 Journal Club 150 150 Peter

NUR 445 Week 4 Journal Club

Apply: Show how to apply research to clinical practice using Evidence-Based steps to change practice.

CO2: Recommend a plan to apply evidence-based research findings in patient-centered care. (SLO 1, 4)

CO8: Identify and develop a change project that can benefit the healthcare community. (SLO 1, 2, 3, 4, 5)
+Interpret evidence-based research data.

Find 5 articles that support 5 practice changes that would improve patient safety and quality.
Review the following article to assess decision making to improve care: Lockwood, W. (2019).
Critical thinking in nursing: Decision-making and problem–solving. RN. Org.   Retrieved from coursematerial-251.pdf (
Discuss your ideas for 5 practice changes citing your rationales with references.

Sample Paper

NUR445 Week 4 Journal Club

Nurses and other healthcare professionals can help in improving patient safety through incorporating the patients as part of the care team and employing patient-centred care strategies. The strategies here can be practice changes that could help in improving patient care. Allowing patients to access HER data such as clinician notes is one of the practice changes. Heath (2017) argued that establishing patient access to health information is an effective practice change that prevents medical record misinformation. Patients can spot inaccuracies in their medical history when they look at their EHR data.

Secondly, caring for the hospital environment ensures improved patient care. Aiken et al., (2021) conducted an observation study and they suggested that poor hospital work environments and poor professional nurses are associated with missed nurse care. Third, creating a safe patient experience is a crucial practice change in a health care organization. Rushton et al., (2021) call for action in building an environment of trust and reaffirming the role of nurse leaders. Clinicians can attend to patients on an hourly basis to help them have what they need. It is worth mentioning that the clinicians should stay attentive to procedure protocol which allows in delivering the patient experience.

Fourth, encouraging family and caregiver engagement is a crucial practice change that helps in supporting patient safety that adds the number of persons looking to inaccuracies inpatient care. Haley et al., (2019) conducted a research in stroke care to identify areas of caregiver and family caregivers. Clinicians can help to explain patient medication and care directions that will facilitate recovery. Also, the clinicians need to understand the role of the family members in the patient’s home recovery. Lastly, creating a timely and straightforward appointment for the patients will help keep wait times minimum. Wade & Kitzinger (201) suggest the option to start considering relatively straightforward matters. Patients may get increasingly ill while waiting for an appointment if they cannot obtain vital therapy.



Aiken, L. H., Sloane, D. M., Ball, J., Bruyneel, L., Rafferty, A. M., & Griffiths, P. (2021). Patient satisfaction with hospital care and nurses in England: an observational study. BMJ open8(1), e019189.Retrieved from

Haley, W. E., Marino, V. R., Sheehan, O. C., Rhodes, J. D., Kissela, B., & Roth, D. L. (2019). Stroke survivor and family caregiver reports of caregiver engagement in stroke care. Rehabilitation Nursing Journal44(6), 302-310.retrieved from

Heath, S. (2017). 5 Patient-Centered Strategies to Improve Patient Safety. Patient satisfaction News. Retrieved from

Rushton, C. H., Wood, L. J., Grimley, K., Mansfield, J., Jacobs, B., & Wolf, J. A. (2021). Rebuilding a foundation of trust: A call to action in creating a safe environment for everyone. Patient Experience Journal8(3), 5-12. Retrieved from

Wade, D. T., & Kitzinger, C. (2019). Making healthcare decisions in a person’s best interests when they lack capacity: clinical guidance based on a review of evidence. Clinical rehabilitation33(10), 1571-1585. Retrieved from