Every nurse, at some point, has questioned why something is done. Perhaps the procedure misuses time, is painful for the patient, or is unnecessarily unsafe for the nurse. Is this process or procedure utilized because of an outdated method or is it proven to be the best practice? Thus, every nurse, and especially nurse leaders, have the unique ability to question, research, and discover enhanced nursing processes that can improve patient and nurse outcomes alike. The purpose of this discussion board is to discuss evidence-based practice in depth, including the nurse leader’s role, strategies for implementation, forces behind change, how organizational infrastructure and culture help or hinder implementations, and finally, describe the process
The two Evidence Based Practice models that I decided to compare are the Johns Hopkins Nursing
This model consists of three steps integrated with subcategories. The steps are: Identification of a question of practice. Second step consists of evidence collection with a subcategory of searching, critiquing, summarizing, analyzing, and recommending. Third step: Translation the evidence into practice with subcategory, evaluation feasibility and implementation. The JHNEP model has been used in universities for it addresses all the components of EBP. The model outlines specific steps to a practice question, evaluating, and developing recommendations and implementing practice change. It also has a rating scale to determining the value of evidence for research and non-research data. Unlike ACE, it includes both clinician and patient expertise. The critical appraisal component guides the teaching process of evidence review to students. While it is adaptable to clinical settings, is has little emphasis in the organization cultural
Hi Kimberley, thank you for your thorough discussion of trustworthy and credible research sources. The textbook provided many useful strategies on how to locate evidence-based clinical practice guidelines and systematic reviews. I was encouraged to read some familiar names in the chapter, such as the Joanna Briggs Institute and Cochran Collaboration (Brown, 2014). You made a great point about quality care with your statement regarding nursing’s responsibility to develop best practices using the data we find. Thanks again for your thorough, insightful discussion.
Evidence-based practice is the Institute of Medicine’s (IOM) third healthcare core competency that focuses on providing patient-centered care (Finkelman & Kenner, 2016). The definition according to the IOM is the combination of the highest research, clinical ability, and patient benefit while providing care to each individual patient (Greiner & Knebel, 2003). By implementing an evidence-based practice, healthcare providers can provide the best practice while abstaining from the “underuse, misuse, and overuse of care” (Greiner & Knebel, 2003, p. 56). Studies have shown evidence-based practice encourages improved healthcare quality, enhanced health results, and decreased care and costs (Melnyk, Gallagher-Ford, Long, & Fineout-Overholt, 2014).
Innovation and change have become critical components of nursing care, because healthcare is rapidly transforming. Nurse practitioners are expected to play leading roles in innovating, as well as participate effectively improving practice and patient outcomes for various populations. Thus, they need to be well trained, knowledgeable and prepared as change agents in order to meet the expectations and challenges of healthcare now and in future (Hain & Fleck, 2014). Particularly, advanced practice registered nurses (APRNs) need to be well trained on how to become change and innovation agents, not feasible without deep knowledge of how to use decision support tools grounded on evidence based research. At no time in history other than current times,
Nurse’s role has a unique contribution in the interprofessional team. The interprofessional team are group of individuals in a various healthcare disciplines communicating and working together towards common goals to provide quality, individualized care for patients. Each team members from different profession and occupation collaborates, supports, enhances, and provides knowledge, skills, and attitudes to coordinate processes and interventions. Nurse’s offers specialized service to society to meet the health care needs of their clients.
Research is designed to contribute to knowledge which has resulted in the formation of evidence based practice. The influence of evidence-based practice is endorsed across nursing practice and education. The need for an effective, safe, and efficient health system has resulted in the call for evidence based practice to become the bases for new knowledge being transformed into working clinical procedures, being effectively implemented and working for the advantage of the patient and the entire care team. Evidence based practice is an approach to problem solving and an aid for decision making which integrates best evidence and patient care data. If delivered in an environment of caring and in a supportive organisation, the highest quality
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. As to the contribution to the patients, evidence based practice and
Evidence based practice (EBP) is to demonstrate the best practice, which has been supported, with a clear rationale to back it up, while acknowledging the patient/clients best interest. In this professional outline it will be discussed why EBP is so important to start with student nurses career and continuing throughout the nursing career and the second main point will be on the impact it has on patient outcomes regardless of discipline. I believe if this mind set is instilled early in the nurses career the practice will evolve it a more proactive
As pointed out, the opportunities for a nurse transitioning from an AD position to a BSN position are diverse and endless. Patients, healthcare facilities and the nursing profession benefit from advanced degree nurses. The nurse’s ability to comprehensively assess the needs of patients and provide evidenced based practice benefits patients by improving outcomes. The use of evidenced based practices assists facilities with achieving accreditation requirements (Grove, Burns, Gray, 2013). Most importantly, nurses receive self-gratification for their
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. Through research I was able to analyze the effectiveness of the MI protocol and the effect that prompt initiation of the protocol had on the patients, as well as look at the nursing role in the protocol.
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
Jennings, N., Clifford, S., Fox, A. R., O'Connell, J., & Gardner, G. (2015). The impact of nurse practitioner
The practice of nursing has changed over the years from a task-oriented job to a science-based profession (Brown, 2013). With this change, research studies have become a pivotal part of the nursing profession, providing the information that is used to expand, improve, and generate new nursing knowledge (Brown, 2013). Evidence-based practices (EBP) in nursing are based on the best available research data generated from these studies (Weng et al., 2013). An example of the research used in documenting an EBP was found in an article by Hammonds et al. (2015). In this article, which will be explored further throughout this paper, the authors discussed the potential of utilizing a mobile phone medication adherence