Evidence Based Research Critique Essay

Mastering these competencies will not only lend to success as an advance practice nurse, but also as a military leader. The ability to “Demonstrate leadership in the synthesis, utilization and evaluation of all interdisciplinary information to promote quality improvement in a health care environment” is vital when interacting with executive leadership. The information presented to key leadership must be supported by evidence based data as it will drive decisions for the organization. Regardless of if it is related to Army Medicine, or planning war fighting missions this principle will hold true in any military specialty. The second competency that resonated with me was the ability to “Demonstrate the use of informatics methodologies to advocate for patient autonomy, dignity and rights and in policy development that would support both the patient and the institution.”

Nightingale wrote “the very elements of nursing are all but unknown” through this statement she implied that nurses word be learning for the rest of their career (journals.lww, 2017). Reflection is when an activity or incident requires thought about the action, and is used to determine what points are positive and negative, and how it could be improved or changed if done again in the future. The reflection process begins with thinking about an incident and how the situation can be utilised in future situations. The process consists of being open, this would involve an individual looking at things from a different perspective. In addition, the process would involve being inquisitive, desiring knowledge.

Cockerham and Keeling define APN as specialist in nursing (2014). Each definition is very different, but they are all important concepts that make up the role of an APN. The ANA and APRN definations are very similar because they both put focus on the importance of evidenced based practice

Background and Significance of the Study Moral integrity is the key ingredients and navigator in professional nurses that lead to ultimate goal of nursing care. It has been recognized as a fundamental part of professional nurses’ practice (Ulrich et al, 2010; Pavlish et al, 2012). Professional nurses play the largest role to support the need for individualized treatment of the patient. The goals of the profession of nursing are related to ethical and involve protecting patients from harm while providing care that is the most benefit for the patient (Bosek, 2009; Kopala&Burkhart, 2005; Helft, 2011; Susan, 2013,). Nowadays, professional nurses have encountered to face and manage with moral problem that occur from complexity of patient health problems, advances in technology, inappropriate of health care system, policies and priorities that conflict with care needs, inadequate staffing and increased turnover, or lack of administrative support (Brazil et al. 2010; Eizenberg et al. 2009; Elpern et al. 2005;

. As a nurse leader, my role and responsibility towards establishing a financially sustainable organization would include to fully study and understand the cultural processes and systems, then identify areas which need change or improvement. Focused on organizational vision, and understanding the real purpose of the organization is essential and establishes why improving such process is meaningful (Sinek, 2010). In addition, understanding the purpose of the organization existence, and systems assessments will identify areas not reflecting organizations vision. To increase patient outcomes, such areas will need improvement.

First of all, it should be said that it is vital to create some procedure which can help nurses to collect data for EBN. Working with patients they are able to suggest only topical and credible information. Additionally, a nurse should be suggested certain courses which main aim is to give or renew some basic principles of research work for him/her to be able to develop and contribute to the development of EBN. Thus, taking into account the concept of transcultural nursing, it is possible to say that a nurse should be given information of the main peculiarities of culture of people who comprise the greater part of patients. It can help to make the process communication between a nurse and patient easier and more efficient.

Nursing and Ethics Healthcare ethics has been of higher importance as long as healthcare practice has existed. It is first necessary to explain that healthcare ethics is regarded as moral principles that are commonly considered as allowable and reasonable by the society. However, in spite of a universally stable set of ethical standards that direct the healthcare industry, there are many cases of these values on the verge of being violated. For instance, it is extremely possible that a medical worker will face an extraordinary situation that requires high performance of reaction, solicitude, attention and custody. Professor Megan-Jane Johnstone who is noted for her scientific researches in the areas of health care ethics and nursing has focused her work titled Nurses' Experiences of Ethical Preparedness for Mass Health Emergencies and Healthcare Disasters: A Systematic Review

Research is an important source of knowledge in nursing practice but the same important factors are clinical experience and patients’ value and preference. Nurses can make a decision by consider the research and their own experience but nurses should also concern the feeling of patient. In this essay, there is prove that the importance of evidence-based practice and the limitation in Hong Kong medical system. Research is an examination and investigation aimed at the discovery and interpretation of facts, modifying of accepted theories or laws base on new facts, or practical application of such new or revised theories or laws (Polit, D. F., & Beck, C. T., 2008). It is important in nursing practice for continuing advancements for promote

The practice involves the use of clinical decision in the provision of care to enable nurses to improve, maintain or receive health to cope with health problems and to achieve the best possible quality of life .Good nursing practice requires that practical efficacy .The authority for the practice of nursing is based upon a contract that determines professional rights and responsibilities as well as mechanism for patients accountability (Danjuma & Adeleke,2015). Ethical caring is an essential in nursing practice. Nurses are confronted with difficult situations in which they are expected to autonomously make decisions in delivering good care to patients.

CHAPTER THREE 3.0 RESEARCH METHODOLOGY 3.1 Research Design A cross sectional descriptive study design was used in order to give a detailed description of the nurse’s knowledge, practice and challenges on the care of critically ill patients. In a cross sectional study, data were collected at one point in time, the phenomena under the study was captured during one period of data collection (Polit and Beck, 2008). Quantitative approach was used to collect and analyze data from the study participants; data was quantified in numerical values, percentages to enable statistical inferences. A quantitative method was chosen because it enables the researcher to test the relationship and examine cause and effect among dependent and independent variables.

The term Evidenced-based practice (EBP) is one of the most talked about concepts in healthcare. Nursing scholars, worldwide, have sought to provide healthcare workers with the evidence from research to be transform this into clinical care. To ease this transference of data into practice, scholars have developed EBP models. These models direct the researcher with the process from hypothesis to implementation of the data. The perplexity of EBP is that the data can come from research, clinical experience, patients, or local context and environment (Rycroft-Malone, et al., 2012).

In many cases, ED nurses are the first health care provider to assess patients; therefore, it is essential that they have the clinical knowledge necessary to identify those at risk for sepsis, or exhibiting signs of early or even late sepsis. Quality improvement initiatives in the ED should include thorough educational efforts to ensure that nurses understand the sepsis condition in relation to the pathophysiology; the clinical triggers; its progression and implications; and the appropriate treatment that is best supported by evidence based research. Additional quality improvement measures should include the implementation of tools, processes, protocols/guidelines, and procedures required to assist nurses in the early identification and treatment of sepsis. Frontline nurses play an important role on the health care team, and perhaps are the key to reducing the morbidity and mortality of septic patients.

Does the design end itself to a thorough, in-depth intensive examination of the phenomenon of interest? The qualitative design is appropriate to my research question. Given my research project is broad and complex, this design allowed me to refine my ideas and goals. This design allowed me to follow a path that leads to understanding of past experiences or occurrences in evaluating the effectiveness of universal MRSA screening. Likewise, the design helped me what aspect of my research to focus on.

Objective #5, synthesizing research is the back bone of good nursing. We have been taught that every action we take as nurses should be evidence based in order to deliver the best most effective nursing care. Throughout the nursing curriculum we have written a various evidence based papers which have molded our nursing practices and the way we deliver care. Artifact #1 is an in-depth look at research on the myocardial infarction (MI) protocol, how it was developed, and its effectiveness. The paper was written for the Health promotion III course.

Outcome three in the Doctor of Nursing Practice (DNP) program has prepared me to use analytic methods to appraise critically existing literature and other evidence to determine and implement the best evidence for practice.(Raup, King, Hughes & Faidley, 2010). For example, at the start of the DNP program, I lacked experience in research and understanding of the literature review, now I have the ability to develop, direct and evaluate quality improvement methodologies to promote safe, timely, effective, efficient, equitable, and patient-centered care. Technology and the database research assisted me in forming my question, proposal, and project by providing evidence-based data and available resources. Two key examples that facilitated my growth