PICOT Question The essentials of doctorate of nursing practices require that the advance practice nurse formulate a framework for operation of evidence-based nursing. To practice evidence-based nursing, however, it is also necessary to develop a properly formulated question about the patient population, the intervention, a comparison, and outcome (Zaccagnini & White 2014). Becoming proficient in the ability to perform this data collection will enhance the advance practice nurse capabilities of appropriately developing an evidence-based study that will bring about an effective change to all in the health care industry.
The impact of evidence based practice (EBV) has reflected across the nursing practice, education and science. I have been able to acquire a better knowledge of how research relates to nursing practice, and how findings could be used to transform the field of nursing. As a nurse, I have been able to recognize shortcomings with element of practice, process and procedures. However, I lack a strong ability to create a strategy for change. From this class, I have been able to know the constituents of an evidence based project including a PICOT question.
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,
Methods of Research The study will use an intervention research method with a pre-test and post-test design. Intervention research seeks to investigate or to test the effectiveness of a proposed intervention to an identified problem that needs to be addressed such as the use of “statement vest” to medication error incidences for this present study. Intervention research is a systematic study of purposive change strategies.
A successful dissemination has three goals awareness, understanding, and action and specific strategies are used to reach targeted audience (Myers & Barnes, 2004). Awareness brings attention to the study or new practice to the maximum number of stakeholders. Understanding provides a rationale or purpose of the study or new practice and action demonstrates how the study was implemented and provides an evaluation report. Selecting one or more of these goals that are appropriate for the target audience will increase the likelihood that the new practice will be accepted by key stakeholders as well as influence and increase the motivation of other healthcare organizations to implement the practice (Agency for Healthcare Research and Quality [AHRQ], 2012). This paper provides a summary of strategies to disseminate the trial results of using alcohol disinfectant caps (ADCs) to prevent central line-associated bloodstream infections (CLABSIs) to key stakeholders over a 2-month period followed by dissemination to the greater nursing collective.
Evidence based is been used widely in nursing practice, which involves integration of a problem solving approach within the framework that concerning care, using the best evidence from research, knowledge and proficiency from clinical together with patients’ beliefs and values. Nursing practice does support EBP as researchers had done many studies that showed improved outcomes when the best evidence is implemented of patient’s care. However, researchers had argued that, there are challenges in attaining and maintaining EBP in nursing practice despite the awareness (Mary, et. al. 2013). By using EBP nurses are able to come up with high quality of nursing care plan for the patients.
Evidence based practice holds a high level of importance in the field of professional nursing. Nursing research adds to the current knowledge base and simultaneously supplies trustworthy data that can be used as the basis for practice (Kearney-Nunnery, 2016, p. 79) . The implementation of the practices gained through research, and proven through evidence, contribute to the profession of nursing, the welfare of the patient, and the health industry. In the field of nursing, evidence based practice provides the nurse with the most up to date and proven interventions. It increases the nurses overall knowledge and expertise, which makes them a higher quality provider of care.
Evidence based practice and how is it relative to nursing practice Nursing practice is often guided by tradition rather than evidence-based practices. Over the past two decades nursing has gone through vast changes. Patient care has shifted to evidence-based practice which uses current research and historical evidence to implement care and improve patient outcomes. EBP integrates clinical expertise, patient values and preferences, and critical appraisal of relevant evidence to clinical questions (Chrisman, Jordan, Davis, & Williams, 2014).
Ivonne I too thought this was going to be a very easy class. I had absolutely no idea how complex evidence based would actually be. There are many tedious concepts and facts to take into consideration when it comes to evidence based practice. As Houser (2015) states "The strongest evidence for nursing practice is provided when multiple studies report the same results. " I also learned that the way you search for your data makes an incredible difference in your results.
Health care is in a constant state of change. For a long time, care was dictated by the physician and the patient was expected to treat the diagnosis or treatment plan as final. Nurses served the physician, while providing the beginnings of holistic care to the patient. Today, the industry is rapidly evolving. Terms such as medical home, evidence-based practice, patient-centered care, nursing science, advanced practice providers and so forth dominate the academic publications.