Implying Evidence-Based Practice Successfully Essay Sample For College

It is well known that evidence-based practice (EBP) is an indispensable part of health care and plays a critical role in reducing practical variability, enhancing health care quality, perfecting the health care system, improving patients’ outcomes, and decreasing costs (Fu et al., 2020). It is proved by multiple researchers, such as, for example, Fu, Su, Soll, and McGuire, that long-term use of evidence-based practice is necessary. Therefore, the main goal is to implement those principles correctly to maximize the success of such an endeavor.

First, challenges in integrating guidelines on medical practice to improve the quality of treatment are quite easy to solve by increasing the professional motivation of nurses. This can be done by providing evidence-based practice incentives. Indeed, such innovations may require quite detailed knowledge of how individual services are structured, delivered, and evaluated, how decisions are made and implemented, and which barriers and incentives to better care provision exist (Soll & McGuire, 2019). Therefore, stimulating the work of caregivers can be an effective way of providing medical transformation and development.

Second, problems in translating research into practice and dynamic changes in institutional culture can also be potential obstacles to achieving the best possible outcomes of the aforementioned practice. Multidisciplinary cooperation between healthcare professionals is crucial to reduce workload and facilitate knowledge transfer, particularly to newly-occupied nurses. The key components of quality improvement that target perinatal healthcare systems and providers include staffing changes, audit and feedback cycles, clinician reminders, and educational outreach by experts or local opinion leaders. Hence, interactive educational meetings and games, the use of computerized reminders, and service user education can be useful in implementing new principles of medical care.

In addition, nurses’ evidence-based practice competency is one of the preconditions for better evidence-based practice implementation. Multifaceted initiatives within network-based collaborative quality improvement programs facilitate continuous audit and benchmarking cycles to ensure equity of access to evidence-based care practices. Evidence-based practice is the conscientious, explicit, judicious, and reasonable use of current evidence in making decisions about the care of populations or individuals. It integrates clinical experience with people’s values and the best available research information.


Fu, L., Su, W., Ye, X., Li, M., Shen, J., Chen, C.,… & He, Y. (2020). Evidence-Based Practice Competency and Related Factors Among Nurses Working in Public Hospitals. The Journal of Health Care Organization, Provision, and Financing, 57.

Soll, R. F., & McGuire, W. (2019). Evidence-based practice: Improving the quality of perinatal care. Neonatology, 116(3), 193-198.

Nelson Mandela’s Tribute Speech: Content, Structure, And Delivery


The tribute speech to be analyzed was delivered by Former U.S president Barrack Obama during the memorial service for Nelson Mandela in December 2013. The speech highlights the achievements of Nelson Mandela, who was a freedom fighter for South Africa and its first president. The speaker is a respected international figure with a reputation for being a good orator. Nelson Mandela’s memorial ceremony is a big event in South Africa that attracts all kinds of people from politicians to citizens. This speech will be analyzed in terms of content, structure, and delivery.

Main body

The speaker first acknowledges the audience that is cheering as he enters the stage. The orator then introduces his speech by recognizing the Mandela family and then the president of the country and other distinguished guests. This is important as a good talker has to recognize the guests available in terms of seniority while observing the necessary protocols. Speakers in public occasions involving government officials from various countries have to observe the protocols to avoid issues developing later. The speech’s opening sentence draws the audience to the speech as the speaker notes that it’s an honor to be celebrating the life of Nelson Mandela with the audience (The Obama White House). The opening five sentences provide the intent of the presentation. The speaker highlights why Nelson Mandela deserves to be celebrated.

The opening sentences are memorable as the speaker uses the words “His triumph was your triumph. Your dignity and your hope found expression in his life” (The Obama White House). These words are important as they remind the audience, who are majority South Africans, about the fight for independence which was a tough period for the people. Tribute speeches have to include the characteristics of the person being remembered. In this case, the speaker highlights the life of the speaker from when he was a child up to when he became a freedom fighter. It is essential to provide positive characteristics that identify the positive traits that people identify with the speaker.

This is because a tribute speech is mainly intended in celebrating the life of the deceased. The speaker indicates the rise of Madiba from his childhood days herding cattle to the days he led a revolution against the apartheid system. The speaker even compares Mandela with America’s founding fathers, who are credited with holding the country together. His willingness to step away from power after one term also features in the speech.

Speech delivery is important as it can affect the way people perceive the words being said. In this case, the speaker makes appropriate pauses when moving from section to section. The pauses are essential as they help the audience follow the speaker as he moves from section to section (Brus). Also, the speaker makes eye contact with the audience when necessary, which is important. The tone is varied with the speaker opting to use loud and soft variations throughout the speech.

The audience engages with the speaker through loud cheers and clapping when an important point about Mandela is made. Throughout the speech, the crowd is excited and enthusiastic, which can be attributed to the way the speaker delivers the speech. In addition, the speaker’s tone when delivering is enthusiastic and happy which resonates well with the audience. The message of the speech is focused on Mandela and does not deviate from other issues. This is important as every speech has to be focused on the theme of the day. Therefore, in terms of delivery, the speaker was excellent, which is important when speaking in front of a mixed audience.

The speech is structured in a way that is easy to understand with simple and short sentences. The speech has an introductory paragraph that details the main theme for the speech. The body articulates the life of Mandela and the accomplishments he made throughout his life. The concluding paragraph points out what people can learn from the actions of Mandela. The speech’s wording suits the occasion as its main theme is celebrating the life of Mandela.

After analyzing the wording of the speech, we can infer that the goal of the speaker was to motivate and persuade people to embrace the positive actions that were the epitome of Mandela. In every speech, the message is important which makes the speech excellent because it matched the message and the occasion. Additionally, the speech was delivered by a former U.S president and the first black American to be president.


In summary, every speech needs the right message, delivery, and structure. Structure helps ensure that the speaker achieves the primary objective of the speech. The content of a tribute speech has to match the occasion and have to include the accomplishments, lasting impact, and characteristics of the individual. In some cases, orators can include their experience with the person to add weight to the honor. Delivery matters because it can affect the perception of the audience, thereby limiting the impact of the message.

Work Cited

Brus, Rozemarijn. “The Use of Filled and Unfilled Pauses by George W. Bush and Barack Obama.” Utrecht University Repository. 2015. Web.

The Obama White House. “President Obama Speaks at a Memorial Service for Nelson Mandela.YouTube, uploaded by The Obama White House. 2013. Web.

The Expansion Into The West Of The United States

Before the 1781 Articles of Confederation could be approved, eight states that claimed the western territories had to settle the predicament. For instance, it wasn’t until 1791 that Vermont became a state previously claimed by New Hampshire and New York. Areas north of the Ohio River were claimed by Virginia, Connecticut, New York, and Massachusetts. It was only in 1786 that all the states, except for Connecticut, withdrew their claims over the territories. In 1800, Connecticut ceded the areas, including the Western Reserve. Deeper explorations of the west part of the continent began in 1804. As such, much of the discovery and expansion into the lands were government-sponsored and military expeditions.

While certain explorers such as Major Stephen Long considered the Plains “arid and forbidding,” fur trappers prospered in the region and became familiar with the territory. Much of the methods used to expand into the west consisted of political settlements between the states, land sales, and exploratory voyages that were supported by the government. Additionally, much of the expansion was supported by an ideological and religious belief, Manifest Destiny, that proposed that the American people were meant to move westwards through the continent.

The continued expansion inland was attributed to an array of issues, which led to treaties and deals. Before 1820, the Ohio River divided the free states of the Northwest from the slaveholding Southwest states. The Compromise of Missouri attempted to balance the presence of each side by allowing Missouri entrance into the Union, balanced by free-state Maine, and prohibiting slave trading in the north of Louisiana. The compromise was held until 1846, after which the slavery debate and conflict became more prominent during the Mexican-American War once again.

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