The two Evidence Based Practice models that I decided to compare are the Johns Hopkins Nursing model and the ACE Star model. The Johns Hopkins Nursing model “helps bedside nurses translate evidence to clinical, administrative, and educational nursing practice” ( p. 302). The Johns Hopkins Nursing model focuses on nursing and nursing practice. The model helps nurses translate evidence-based practice into practice and enhances nursing autonomy, leadership, and engagement with interdisciplinary colleagues (). While on the other hand the ACE Star model focuses taking several forms of knowledge and turning it into evidence-based practice. Unlike the Johns Hopkins Nursing model, any discipline and not just nursing can utilize the ACE Star model. …show more content…
The reason that I am interested in this model because I have never heard of it before and I love the fact that it was created by nurses for nurses (). I am very curious how the Johns Hopkins Nursing model works and what it would look like in action. However, the model best suited to address care needs in your practice setting would be the ACE Star model. The first reason why I would use the ACE star model is because of my conformability with this model. I have worked with this model several times and know how to utilize all of its features. Likewise, in my practice setting there are a lot of different disciplines and one of the great features about the ACE star model is that it is widely used and taught so most people are familiar with it (). In a similar manner, I foresee one of my biggest challenges being moving research into practice. The
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In other words, it is one joint venture that changes to become many joint ventures which are connected by similar goals and objectives. For instance, one integrated model can have nursing homes, affiliated medical groups, acute care hospitals, employed physicians, primary care clinics, and independent medical groups The integrated physician models is an innovative model that uses cooperation and organization that gives tasks and defines roles for medical services and specialized services in a hospital (Coker Group, & HCPro (Firm), 2013). It is a performance management unit that implements the main functions of productivity management, patient advocacy, and quality management. It also serves as a unit for coordinating and ensuring that medical care in clinical pathways are delivered properly.
It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as
Evidence-based practice will definitely be more likely to thrive in environments where nurses feel they are being supported by both management staff and available resources. When nurses are offered further resources such as hands on training or simulation training that is backed by evidenced based research they can feel more secure and confident in the job they are able to perform during their shift. Nurses can thrive in their work place organization by building onto their basic knowledge and therefor enabling the nurse to climb the clinical ladder. As our book states “continuing to apply learning contributes to ongoing evidence based practice as one uses newer research and theory as a part of one’s practice.” Nurses who take control of their
VA nurses assess, provides nursing diagnoses, plans, implements, and evaluates (ADPIE) care based on maturational focused components. Undertakes accountability for the management of care concentrated on the patient’s process through the range of care, patient and family education, patient self-management, and accompanying circumstances that influence the patient’s satisfaction. The VA nurse considers all attributes of the individual, including age and stages of life, presence of health, race and culture, values, and prior experiences. Administers medications and procedures per policies and procedures. The VA nurse effects patient care outcomes by collaborating with members of the interdisciplinary team.
As there continues to be an initiative to improve quality healthcare while simultaneously reducing costs, the importance of the nurse with advanced education in transforming healthcare delivery and healthcare policy will continue to grow. Opportunities for nurse managed health clinics, quality nursing research to improve evidence based practice, leadership of multidisciplinary health management teams and change agents in health policy and improved patient outcomes make the nurse with advanced education the “escape fire” in health care now and in the
What is Evidence-based practice? Evidence-based practice is an all-around systematic approach to patient care that was built up on research and proven treatment results within nursing in order to increase the patient outcomes. Evidence based practice is define as “the integration of current evidences and practices to make decisions about patient care”. (Medical Surgical Nursing, 2018). Evidence-based practice not only includes the best proven research for practicing patient-centered care, but also merges the patient’s preferences and values into consideration.
1 Year Accelerated BSN Programs Online: Are they Worth it? Nursing is a knowledge-based profession, and improved enrollment in the field is critical to career mobility. With the complex and ever changing healthcare system, nurses have been called upon from time to time to assess situations and avert complications.
I like the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model, because it is a powerful problem-solving approach to clinical decision-making, and it has user-friendly tools to guide. According to Zaccagnini & White, “it is designed specifically to meet the needs of the practicing nurse and uses a three-step process called PET: practice question, evidence, and translation” (2015). The goal of this model is to ensure that the latest research findings and best practices are quickly and appropriately incorporated into patient care. Great choice!
Perhaps I am not the only person that is finding it difficult to distinguish between research nursing and evidence based nursing. Most of what we do comes from both sources. In research nursing we characterize the problem and through evidence based we close the gap between what we know and what we do every day (Stevens, 2013). By performing evidence based nursing we increase effectiveness, improve performance, efficiency and better patient outcomes. Yet when we perform evidence based nursing we are researching the effectiveness of already known knowledge to apply to present situations.
Evidence-based nursing practice help to improve individual bedside practice because nurses work in the ward based on knowledge they obtained from previous research. It can also answer problematic clinical practice issue since it aim at solving problem, it improves nurse’s quality and reduces variations in care. Nurses are also confident in their decisions due to the fact that they know what they’re doing and can as well prove it because every patient deserves care that is based on the best scientific knowledge and ensures high quality and are cost-
The model allows health care professionals to reflect on experiences and find ways to improve their outcomes of different events. It not only looks at the situation but allows you to explore your feelings at the time of the event, as well as at the end of the reflective process. The model gives health care an opportunity to review their actions and explore what could have been improved with regards to their experiences (De Oliveira and Tuohy,
Giving care to a patient is not a straightforward process because a patient is made up of advanced systems. Symptoms and the severity of a disease process are dependent on a particular patient, and it may not always be uniform from patient to patient. Because of this, nurses must be able to use their knowledge appropriately to help a patient. Nurses use techniques, such as Evidence Based Practice, in order to integrate new and advanced knowledge into their patient care (Canada, 2016). By exercising evidence based practice, nurses effectively seek knowledge, take experience from past situations, and apply this intelligence to best give patient care (Canada, 2016).
Imogene King Goal Attainment Theory Deciding to pursue a career in nursing, is often done form a place of giving. Giving of oneself to better the wellbeing of another. The process of providing care starts with an assessment of the situation and developing goals. Goal development happens with the patient present and takes efforts on the part of the nurse and patient.
The nursing process also called the problem-solving approach originated in 1967 and consists of four stages; assessment, planning, implementation and evaluation (APIE) (Yura and Walsh, 1967). However, Barrett et al (2012) reasons, two further stages need to be considered within the problem-solving approach meaning APIE becomes ASPIRE, the systematic nursing diagnosis and recheck complete the acronym ASPIRE. Barrett et al (2012) also states, to be fully successful in meeting the needs of the individual a nursing model needs to be incorporated in to the process to ensure every aspect of information is considered. McKenna (2006) indicates there are numerous nursing models that are used