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. Review of literature, incorporating theory, developing an implementation plan, establishing an evaluation strategy, and disseminating result to key stakeholders. For my continued practice of nursing,
The reflection process for NUR 445 allows me an opportunity to reevaluate my current understanding of nursing and the new principals learned in the class. This paper will examine the process of retrieval, appraisal, and synthesis of evidence in collaboration with other members of the healthcare team to improve patient outcomes. The paper will also inspect importance of reflection to advancing practice and improving outcomes of care and assess the values the need for continuous improvement in clinical practice based on new knowledge. Next the paper will recognizes personal capabilities, knowledge base, and areas for development and Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care. Finally, the paper will examine new values, ideas and interventions to improve patient care.
Concept of research methodology was taken from module 1 under introduction to research, as well as scope of nursing research , concept of evidence based practice was taken from module 2 and ethics in research . In module 3 nursing research was analysed, literature review was from module4. Research design was from module 5 and hypothesis was considered in module 7 . In module 8 is conceptual framework and data collection
First, a brief summary of the study, including the background, objectives, methods, intervention, findings, and conclusion will be posted in an online nursing forum (INC, 2012). Next, a formal research report with all relevant information listed above, literature review, and evaluation tools used during the study will be presented to the local chapter of the American Nurses Association (ANA). The ANA can assist with disseminating the findings to other members within the organization (INC,
The nursing profession revolves around evidenced based practice, and even if I do not go on to do research, possessing the ability to read and review research that has been conducted will continue to develop skills which will help me identify bias, statistics, misleading information and conclusions drawn by the researchers. In so doing I can make my own determinations on the validity of the research and ask the appropriate follow up questions to seek better understanding of evidence based
The purpose of experiencing a hospice clinical was to give me the opportunity to observe and participate in the care of my patients who are receiving hospice care in their home. My first encounter occurred in Jenks, Oklahoma at the patient’s personal home. Upon entering the house, we were greeted by his wife and one of their sons. Before we spoke with the patient we had a pre-conference in the patient’s living room with his wife. My nurse asked how the patient’s wife was doing and the wife stated that she needs more help with his care. She feels like her husband needs some form of an assistive device for walking, getting in and out of bed, an assistive device for urinating, and a chaplain. In response to this statement the nurse asked her if she would like a walker,
Nursing profession is a practice that utilizes findings based on facts and/or evidence. In that, research plays a vital role in building a strong foundation to support the knowledge of nursing. In the profession of nursing field, research and/or evidence provides rationalized, cost-effective, and quality care interventions through validation (Barbara & Susan, 2014). It also assists with existing knowledge in creation of new ideas and innovations. Decisions are made based on research results. Since nursing is a practice, participation in research by nurses provide various opportunities in gaining knowledge about scientific-based evidence at an individual or organizational level. According to Barbara & Susan (2014), Evidence-based practice is
This assignment will critique the strengths and limitations of the research process of a qualitative paper. Nurses have a responsibility to provide holistic quality care to their patients; which must be based on the most up-to-date health information available (Mitchell et al. 2015). Critically analysing evidence is one of the most important steps towards promoting this evidence-based practice (Burns & Grove, 2011). Conversely, the Francis report (2012) declared that nurses need access to precise, comparable and timely information to improve practice. The Nursing and Midwifery Council (NMC) (2015) guidelines state that it is vital that nurses take charge of their own research to ensure use of current best evidence in practice, and developing this research will promote person centred care (McCormack 2003). However, few nurses have actual experience in conducting a research study in the clinical setting (Squires et al. 2011). To enable the critique of this qualitative paper by Paul Canning, the Caldwell framework will be used, although other frameworks will be also be accessed throughout (Appendix 1). This framework was chosen as it provided structure and clarity to the assessment process (Caldwell 2005).
Expertise decision and clinical judgment in combination with patient preferences are key elements of successful evidence based practice (Nay & Featherstonehaugh, 2007).A wide numbers of strategies have been identified to implement evidence based care in emergency area of nursing. Strategies must be evaluated to determine the effectiveness of the evidence based practice .Previous research studies proved that health care professionals found their work more rewarding when evidence based practice is implemented in patient care (Dawes, 1996). Students at nursing university level must be taught the value of evidence based practice to create a culture where evidence based practice in emergency department and health care settings becomes the norm and not a rarity (Bernadette ,2002).Nurses must explore and must adopt best evidence based practices ; nursing leaders must strive constantly to improve the work practice environment. Organizations must be committed to use research findings to enhance best practices (Beyea & Slattery, 2006).The focus on evidence based practice needs to be a part of individual’s clinician’s motivation and organizational work culture. Bridging practice and research by designing critical questioning ,utilizing best researches, implementing nursing practice changes and evaluating the effect of the practice change on patient
The DSM-V classifies pyromania as an impulse control disorder which also includes kleptomania, pathological gambling, and trichotillomania (Jacob, 2013). While an extremely rare disorder, it is often portrayed in media as a common illness among arsonists. This is not true although many arsonists attempt to be diagnosed with pyromania to be acquitted of their crimes. Since pyromania is so rare, there is limited research available, especially regarding nursing practice, interventions, and care. The limited research that is available it often antiquated and is no longer relevant in current practice. As such, it is part of the nurse 's role to advocate for further research, conduct nursing-specific research,
According to Thomas (1995), Jones & West (1995) and Crowe, et. al (1996) the link between depression and increased mortality has led to increased concern about a patient’s psychological well being in the repercussion of having a MI and losing their love ones. Nurses play a major role in monitoring the psychological status of such patient’s. However, there is limited evidence of the best methods of providing psychological support. I believe one of the best ways is by counselling and this can be delivered by any healthcare provider. However, the time availability would be a major constrain for the healthcare providers including the nurses to offer such support may be limited owing to their clinical responsibilities (Thomas,
only 10 research articles were included in this study. The 10 articles published from 1996 to 2014 were selected and formed the basis for this review. The earliest study included was published in 1996, with most studies published in 2014. The articles were published in nursing and Medical journals .
The questions asked in this type of research usually begin with words like 'How ', 'Why", 'What '. So here the researchers are after meaning. The social meanings people attribute to their experiences, circumstances, and situations, as well as the meanings people embed into texts and other objects, are the focus of qualitative research. Therefore, at the heart of their work, qualitative researcher try to extract meaning from their data. The focus is generally words and texts as compared to or opposed to numbers. Qualitative is not a concept or a series of techniques that can simply be employed but it is an intellectual, creative and rigorous craft that the practitioners (researcher) not only learns but also develops through
The main different between quantitative and qualitative research are their analytical objectives, the types of questions pose, the types of instruments use to collect data, the forms of data produce and the degree of flexibility built into study design.
A qualitative research approach was used to carry out the study. Qualitative research can be defined as "any kind of research that produces findings not arrived at by means of statistical procedures or other means of quantification" (Strauss and Corbin, 1990, p. 17). Domegan and Fleming (2007) state that, “Qualitative research aims to explore and to discover issues about the problem on hand, because very little is known about the problem”. Qualitative data sources consist of observation, interviews and questionnaires, documents and texts, and the impressions and reactions of the researcher (Myers, 2009). The researcher is considered the primary instrument of data collection and analysis in qualitative studies.