The purpose of this discussion is to define research and evidenced-base practice in nursing. I will also provide a sample question for each definition. Evidence Based Practice vs Nursing Research Evidence based practice is defined as the collection, evaluation, and integration of valid research. It is combined with clinical expertise and an understanding of patient and family values as well as preferences for informed clinical decision making (LoBiondo-Wood & Haber, 2014). Nursing research is defined as the systematic, rigorous, critical investigation that aims to answer questions about nursing phenomena (LoBiondo-Wood & Haber, 2014).
Lydia E. Hall’s “Care Core Cure” nursing theory (also commonly called the “Three C’s of Nursing” theory) is one that incorporates (and further develops) Emancipatory Knowing in nursing. This Emancipatory Knowing relies upon the caregiver to recognize that there are social or behavioral problems within the healthcare system, and within the patient. The nurse must ask the critical questions to determine what is wrong with the situation, and who should be the one to benefit (Bickford, 2014). The caregiver must realize that something is incorrect, or unjust, and must work towards the goal of remedying this issue – all with the overall goal of improving the life of the patient (Chinn and Kramer, 2011). To do this, Hall created a new method/standard of care, and referred to this standard of care as the “Care Core Cure” nursing theory.
Kinesiology’s present its result in the methods section rather than the results section. However, the data from the nursing’s paper are located within the results itself. This choice of location could be because it wanted the results to guide the reader what the tables provide. Meehan, the author of the nurse piece, states that the table 1 “provide the foundation for how nurses think about themselves…” In conclusion, nursing’s and kinesiology’s format is different when considering kinesiology lack of emphases of their results. However, the two clearly portrays their work as an experiment when the nursing paper ending with how “further research is needed regarding the methods.” Kinesiology even implied the need for such when they discussed the faults in their hypothesis.
In the following, I am going to give a description on evidence-based practice. Then, I will discuss the barriers that hinder and the facilitators that promote the development of evidence-based practice in the nursing field. Evidence-based practice Evidence-based practice is defined as the conscientious, explicit and judicious use of current best evidence in making
Middle Range Theories, a book written by Sandra Peterson and Timothy Bredow (2013), describes the SNPPM model as a middle range theory. Middle range theories address specific phenomena and are more limited in scope, in comparison to grand theories. They are defined as “relatively concrete concepts that are operationally defined and can be empirically tested. They are less abstract than grand theory and more abstract than empirical generalizations or micro theory” (Elo & Kaariainen, 2013). The SNPPM is middle range because it tries to answer questions surrounding the nurse practitioner.
Roper Logan and Tierney (RLT) model of activities of daily living (ADLS) will be used to determine what is important and necessary in providing individualised care (Roper et al, 2001). The nursing process involve assessment, planning, implementation and evaluation and help to identify likely problems, develop solutions and monitor results of a patient care. This systematic method will focus on Mary as an individual ensuring her holistic needs are taken care of, which include psychological, social, physical cultural and environmental factors (Holland et al, 2008). A nursing process in collaboration with the nursing model should provide a care plan that reflect patient centred and holistic care rather than focusing on medical diagnosis only and is a problem-solving outline for planning and delivering care for Mary and her family (Barrett et al, 2012). However, if the process does not improve Marys state then it should be re-evaluated and the good adjustment made to correct the
A literature review found that there was no consistent definition for accountability in nursing practice, and that it was open to multiple interpretations (Krautscheid. L, 2014). It also found that the terms accountability and responsibility are often used interchangeably, although Dohmann (2009, cited in Krautscheid. L, 2014) argues that the two words are ‘distinctly different’ from one another. Responsibility can be considered as a duty of care in law, and by accepting responsibility one must ensure that they have the relevant knowledge and skills to make decisions, in the best interests of the patient (Scrivener et al, 2011).
According to Barrett, when attempting to define what nursing science is, it remains quite a mystery. With various different worldviews, with wide range of theoretical and practical knowledge evolving over time, has made it a challenge to come with a universal definition. To ensure that nurses are current with the best practical and evidence based practices, it is important to focus on nursing-discipline-specific knowledge. Fawcett stresses the importance of using nursing discipline-specific knowledge in the form of explicit nursing conceptual models, because it governs the foundation of what and why nurses do what they do. Fawcett makes it clear that nurses must develop adequate knowledge in order to apply new evidence based treatments and
Evidence based practice is a process that is often used by nurses to assistance with making autonomous decisions whenever possible. It is the development of clinical nursing standards based on what research demonstrates as effective care. In time of clinical decisions, it requires nurses to use proven scientific data or information instead of depending on their instincts, past experiences or advices. According to Frinkelman, evidence based practice helps in identifying and assessing high quality, clinically relevant research that can be applied to clinical practice as well as the development of policy. “EBN emphasizes ritual, isolated and unsystematic clinical experiences, ungrounded opinions, and traditions as a basis for nursing practices,
Nursing is a very unique profession and I believe that it is essential to understand and learn about different nursing theories to help guide nursing practice. Nursing philosophy is also very important and many factors may impact an individual 's perception regarding the nursing profession. Nursing is so much more than performing tasks, passing medication, and documenting. Many qualities are needed in order to deliver excellent quality care. Nurses are accountable for their actions and are responsible for continuing their education.