N5343 University of Texas Journal of Nursing Administration Assignment My Topic- Evidence based decision-making in nursing Management and leadership to emp

N5343 University of Texas Journal of Nursing Administration Assignment My Topic- Evidence based decision-making in nursing Management and leadership to empower nurse leaders and improve patient care.

Journal of Nursing Administration (JONA)- my preferred journal to respond to

Instructions:
Write a Letter to the Editor of a peer reviewed professional nursing, medical, or health care administration journal (that publishes Letters to the Editor) in response to an article or study published within the last month.
Do not select an editorial or a regular column.
Choose an article or study on a topic that you are passionate about.
The letter should be brief, substantive, and succinct, and present a perspective that is different and contributes to the literature.
The topic should be related to leadership and leadership strategies to improve health care quality and patient or client outcome (e.g., leadership, evidence-based decision-making, patient-safety culture, workforce and workplace issues, conflict management, team building, staffing, nurse fatigue, creating a culture that supports evidence-based management, leading effective teams).
Expectations:
Upload your letter to this assignment drop box by the scheduled due date with a copy of the author’s guidelines for the selected journal.
Submit your letter to the selected journal after reviewing your graded assignment.
Please notify your faculty and coach if your letter is accepted for publication and add the publication to your resume.
Read and follow the Assignment Guidelines carefully.
Read this Letter to the Editor sample.
Note: A title page is not required for the Letter to the Editor assignment
Note: refer to the sample Letter to the Editor in Blackboard and sample letters in journals that publish excellent letters to the editor (e.g., Journal of Nursing Administration (JONA), American Journal of Nursing (AJN), Journal of Nursing Scholarship, New England Journal of Medicine (NEJM), and Journal of the American Medical Association (JAMA). PREOPERATIVE FASTING
We were pleased to see the 1999
guidelines of the American Society
of Anesthesiologists (ASA) Task
Force on Preoperative Fasting1
and our research highlighted in
“Preoperative Fasting Doesn’t
Mean Nothing After Midnight”
(Think Again, September). As
author Sue Sendelbach notes, it’s
difficult to change the tradition
of NPO (the Latin non per os or
nil per os, meaning “nothing by
mouth”) after midnight, despite
strong evidence for liberalizing
preoperative fasting.
We applaud the staff of the
Minneapolis Heart Institute at Ab­
bott Northwestern Hospital for
changing the standard NPO order
to agree with the ASA guidelines,
allowing patients to have clear liq­
uids up to two hours before sur­
gery. We wondered, however, why
the policy for solid food wasn’t
changed to be congruent with
these guidelines (that is, allowing a
light breakfast, such as tea and
toast, up to six hours before sur­
gery). Scheduling changes are often
used as a reason to maintain the
solid food policy, as cited in our
Point–Counterpoint article with
Mark A. Warner in AJN (“Best
Practices Shouldn’t Be Optional,”
June 2002), which shows that
many people overestimate the
frequency of these changes. Hard
data is needed to determine how
common they really are. Perhaps
this will be the next step. We
agree that liberalizing clear liq­
uids is more important than lib­
eralizing solids.
In our research on preopera­
tive fasting, we’ve discovered that
policy and practice are quite dif­
ferent. Have the staff members at
the Minneapolis Heart Institute
interviewed patients to find out
which fasting instructions they
12
AJN ? December 2010
?
Vol. 110, No. 12
were given, and what they actu­
ally did?
It’s been over a decade since
the ASA guidelines were pub­
lished. The safety and benefits of
shortened fasting are clear. We’ve
previously addressed the many
excuses for clinging to NPO after
midnight.2 Everyone advocates
evidence-based practice, but words
and action don’t match. Is this an­
other ritual that health care pro­
viders won’t change but educated
consumers eventually will?
Elizabeth H. Winslow, PhD, RN, FAAN
Jeannette T. Crenshaw, MSN, RN,
LCCE, FACCE, IBCLC, NEA-BC
Dallas
REFERENCES
1. American Society of Anesthesiologists
Task Force on Preoperative Fasting.
Practice guidelines for preoperative
fasting and the use of pharmacologic
agents to reduce the risk of pulmon­
ary aspiration: application to healthy
patients undergoing elective proce­
dures: a report by the American Soci­
ety of Anesthesiologist Task Force on
Preoperative Fasting. Anesthesiology
1999;90(3):896-905.
2. Winslow EH, et al. Best practices
shouldn’t be optional. Am J Nurs
2002;102(6):59-63.
Author Sue Sendelbach responds:
My experience in translating re­
search into practice is reflected
in the conclusions of Jo RycroftMalone, PhD, RN, and Christo­
pher Burton, DPhil, RN, who’ve
found that “there is a growing
body of research to support the
assertion that using evidence in
practice is a complex and multifactorial process (not event).”1
My colleagues and I had ex­
plored changing the policy for
both fluids and solids, but the
complexity of scheduling patients
for cardiovascular procedures in­
cludes changes in the timing of
these procedures. It’s not unusual
to reschedule a procedure for
earlier in the day, and, if the pa­
tient has eaten solid foods, this
can lead to a delay. I agree with
Dr. Winslow and Ms. Crenshaw
that changing our liquid policy
was the first step in the process.
Part of the challenge in chang­
ing the preoperative fasting policy
was that Abbott Northwestern is
a tertiary care center, which means
that it receives many referrals.
Presently, more than 40 centers
refer their patients to our facility
for cardiovascular procedures.
When we changed the preopera­
tive fasting policy, we worked
with each of these centers to en­
sure that all patients received the
same preoperative instructions:
they are not to eat solid foods
after midnight the day of the pro­
cedure but may drink clear liquids
(water, clear fruit juices, carbon­
ated beverages, clear tea, black
coffee; no alcohol) up to one hour
before they’re scheduled to arrive
for the procedure.
We’ve not asked patients if
these are, indeed, the instructions
they received. However, on admis­
sion, all patients are asked when
they’ve last had fluids, and their
responses consistently indicate
that they’ve followed the preop­
erative instructions.
REFERENCE
1. Rycroft-Malone J, Burton C. Paying
attention to complexity in implemen­
tation research. Worldviews Evid
Based Nurs;7(3):121-2.
CYSTIC FIBROSIS CAMPS
In response to the August issue’s
cover photo, described in On the
Cover, we wish to clarify the ap­
propriateness of cystic fibrosis
camps. The infection control rec­
ommendations for people with
this disease include the discontinu­
ation of all cystic fibrosis–specific
ajnonline.com
camps.1 These are based on pub­
lished research documenting the
transmission of deadly pathogens
in social settings. The Cystic Fi­
brosis Foundation (CFF) Web site
(www.cff.org) provides recom­
mendations and information
about how people with this dis­
ease can avoid germs.
Nurses are key in educating
people with cystic fibrosis and
their families about the risks
of acquiring deadly pathogens
when socializing with others
who have this condition. The
basic principles of infection con­
trol are effective in minimizing
the spread of germs between
people with cystic fibrosis, with
one addition: those with cystic
fibrosis should stay a minimum
of three to six feet away from
AJN welcomes letters to the
editor regarding recently
published articles, although
critiques of original research
may be submitted at any
time. Submissions must be
typed, contain fewer than
300 words, and list the
correspondent’s name, ad­
dress, and phone number or
e-mail address; include no
more than three references
for any statistics or studies
cited. Letters will be edited
for length, clarity, and accu­
racy. Submission of a letter
will constitute the author’s
permission to publish it, al­
though it doesn’t guarantee
publication. Letters become
the property of AJN and may
be published in all media.
Send letters to
AJNLetters@wolterskluwer.com,
or
AJN Letters
Lippincott Williams & Wilkins
333 Seventh Avenue,
19th Floor
New York, NY 10001, or
(212) 886-1206 (fax)
ajn@wolterskluwer.com
another person with the disease.
By teaching people with cystic
fibrosis and their families about
these principles and the risks of
socialization, nurses can influence
the life—and thus the survival—
of someone living with this
deadly disease.
Thankfully, the Internet and
technology now provide a wealth
of resources and an opportunity
for people with cystic fibrosis to
connect and find support virtu­
ally. The CFF’s Web site contains
information in multiple formats—
including Webcasts and videos—
to help nurses educate patients
and families about this disease.
Additionally, on this Web site,
nurses can read about the cystic
fibrosis practice guidelines and
the latest research.
Leslie Hazle, MS, RN
Cynthia George, MSN, FNP
Cystic Fibrosis Foundation
Bethesda, MD
REFERENCE
1. Saiman L, Siegel J. Infection control
recommendations for patients with
cystic fibrosis: microbiology, impor­
tant pathogens, and infection control
practices to prevent patient-to-patient
transmission. Infect Control Hosp
Epidemiol 2003;24(5 Suppl):S6-S52.
Dana Munsey responds: I’m a
51-year-old with cystic fibrosis
and the president of Sunny Shores
Sea Camp, a photo of which ap­
peared on AJN’s August cover.
For 31 years, we’ve offered an
alternative to the traditional camp
setting, serving more than 1,000
cystic fibrosis patients and nearly
2,500 family members. All of the
professionals who work at our
camp—including nurses, physi­
cians, and therapists—donate
their time and services.
Here, the word camp is sym­
bolic of fun and camaraderie
but not of the bunk beds, tents,
and cabins associated with tradi­
tional sleepaway camps. One label
doesn’t describe all organizations,
and it should be recognized that
responsible socialization among
people with cystic fibrosis is ac­
ceptable if basic principles of
infection control are identified
and maintained. Our camp has
a screening policy for deadly
pathogens, which can be found
on our Web site (www.ssscamp.
org).
I’m aware of the vital infection
control recommendations for peo­
ple with cystic fibrosis—among
them the CFF’s advice to discon­
tinue all cystic fibrosis–specific
camps to avoid the spread of
germs and deadly pathogens—
but textbooks, technology, virtual
friends, and information can’t re­
place in-person communication.
The fear associated with a diag­
nosis of cystic fibrosis is replaced
by hope, as families at our camp
meet and discuss the daily ritu­
als that can improve our lives. We
educate campers, teaching them
how to survive interactions with
other people with cystic fibrosis
during their visits to clinics and
during hospitalizations. They also
learn how to avoid the deadly
pathogens that can be acquired in
the community. Throughout my
life, I’ve attended and supported
CFF functions where I’ve actively
socialized with other people with
cystic fibrosis. Like the CFF, our
camp agrees that education and
knowledge are pathways to pre­
vention.
Sunny Shores Sea Camp has
taught me that I can safely so­
cialize with people who, like me,
suffer from this deadly disease if
I take adequate precautions. The
greatest gift I can give to the cys­
tic fibrosis community is to use
my knowledge, which has come
from several sources—including
the CFF and our camp—and my
personal experience, to perpetu­
ate and fulfill the mission state­
ment of Sunny Shores Sea Camp:
“Helping families and mentoring
children with cystic fibrosis.” ?
AJN ? December 2010
?
Vol. 110, No. 12
13
N5343 Leadership in Complex Healthcare Systems
Letter to the Editor Guidelines and Grading Criteria
Directions
Write a letter to the editor of a peer reviewed professional nursing, medical, or health
care administration journal (that publishes letters to the editor) in response to an article
or study published within the last month. Do not select an editorial or a regular column.
Choose an article or study on a topic that you are passionate about.
The letter should be brief, substantive, and succinct, and present a perspective that is
different and contributes to the literature. The topic should be related to leadership and
leadership strategies to improve health care quality and patient or client outcome (e.g.,
leadership, evidence-based decision-making, patient-safety culture, workforce and
workplace issues, conflict management, team building, staffing, nurse fatigue, creating a
culture that supports evidence-based management, leading effective teams).
Upload your letter to the assignment drop box by the scheduled due date with a copy of
the author’s guidelines for the selected journal.
Submit your letter to the selected journal after reviewing your graded assignment. .
Paste a copy of the submitted version, with the name of the journal and the date
submitted on the Final Letter to the Editor DB. Please notify your faculty and coach if
your letter is accepted for publication and add the publication to your resume.
Guidelines:
• Write articulately in response to a publication within the last month.
• Use no more than one double-spaced page (or the word limit specified in the
selected journal).
• Write a letter that is brief, substantive, and succinct.
• Follow the published guidelines for letters to the editor in the selected journal
(e.g. word limit, to whom to submit, how to submit, and reference guidelines). If
the journal does not provide guidelines for letters, refer to the journal’s guidelines
for authors.
• Write the letter in the style used by the journal you selected (e.g., APA, MLA,
AMA).
• Include at least one primary reference in addition to the reference for the article
to which you are a responding. Include a copy of the journal’s letter to the editor
publishing guidelines when submitting the assignment.
University of Texas at Arlington College of Nursing
April 29, 2019
Page 1 of 2
N5343 Leadership in Complex Healthcare Systems
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Establish your expertise and platform for responding. Your expertise includes
your clinical and/or administrative experience. Do not specify that you are writing
as a student in your signature.
Identify why you’ve chosen to respond to this article (e.g. dissenting view point,
alternate perspective, additional perspective). Do not indicate that you are writing
to complete a school assignment.
Present a perspective that is different and contributes to the literature.
Provide supporting documentation from the literature for your rationale and/or
perspective.
Identify why your response is important to nursing leadership or leadership in
health care
Offer a suggestion(s) for further action.
Demonstrate critical thinking skills.
Demonstrate effective writing principles (e.g., spelling, grammar, punctuation).
Follow appropriate business letter standards (e.g., include the correct name,
credentials, and email address of the editor; include your name, credentials, and
email address.)
Note: refer to the sample Letter to the Editor in Blackboard and sample letters in
journals that publish excellent letters to the editor (e.g., Journal of Nursing
Administration (JONA), American Journal of Nursing (AJN), Journal of Nursing
Scholarship, New England Journal of Medicine (NEJM), and Journal of the American
Medical Association (JAMA).
Note: A title page is not required for the Letter to the Editor assignment.
University of Texas at Arlington College of Nursing
April 29, 2019
Page 2 of 2

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