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Nursing: The Importance Of Evidence Based Practice In Nursing

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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 Is this process or procedure utilized because of an outdated method or is it proven to be the best practice?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 …show more content…

Evidence-based practice specifically focuses on a holistic approach that encompasses clinical expertise, patient values, and the best researched evidence to improve patient care outcomes. As healthcare trends change to comply with the adoption of enhanced technology, compliance of government healthcare reimbursements, and higher quality care, strong leadership and continued research is needed (Huber, 2014). Nurse leaders have the vital, but sometimes challenging duty of promoting evidence-based practices in a usually complex healthcare setting. Not only should the nurse leader gather clinical data that may help improve patient outcomes and nurse practices, nurse leaders should also encourage a work environment that is open to the change that results from evidence-based practice discoveries. Through the development of a building-block approach, nurse leaders can promote evidence-based practices by incorporating the process in every aspect of the healthcare structure they supervise. A successful leader promotes evidence-based practices by inspiring, enabling, and articulating the whole nursing team to embrace the best evidenced practices. Strategies for implementation of evidence-based changes stem from a complex network of a whole team that is focused on improving healthcare outcomes. This change …show more content…

However, despite the many difficulties, nurse leaders need to promote a working environment that is open to embracing change that is backed by evidence-based practices. With the correct balanced of quality patient centered care, financial accountability, and the innovation of evidence-based researched care, nurse leaders can lead other nurses to uphold these ambitious standards. Furthermore, by questioning outdated processes, conducting nursing research, and showing enthusiasm for evidence-based practices, the healthcare industry can be strengthened one nurse at a

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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.

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The American Association of Colleges of Nursing has identified nine essentials that are incorporated into master’s nursing programs in order to help guide the practice of advance practice nurse (APN). Essential II outlines how an APN can utilize organizational and systems leadership to promote safer and more cost effective care to patients. By incorporating effective leadership skills, APN’s can impact healthcare reform and quality improvements for the patient, institution and the community. According to the American Association of College of Nursing (2011), a effective leader assumes and applies the skills of communication, collaboration, negotiation, delegation, and coordination. APN’s must establish and maintain healthy working relationships

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Health care organizations require excellent management and leadership to keep the institutions running effectively. I agree with you that the Nurse Executive (NE) contribute to senior leadership by giving nursing a voice and oversee many functions in the organization. The NE has an important role to play in health care decision making. They have the ability to advocate for implementation of evidence based practice (EBP) in improving patient care while maintaining the vision and mission of the organization. Clinical nurses faces many challenges to use the EBP and that where the NE intervenes since they have the persuasive and decisional power to make EBP utilized within the organization.

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Not only is patient care complex, but industry-wide developments in healthcare are shifting more responsibility onto nurses than in the past. Anticipated shortages in physician staff and nursing faculty also place challenging intellectual demands on nursing leadership. Expectations for nurse leaders are rising, in this high-stakes environment, the Doctor of Nursing Practice program offers excellent preparation for advanced clinical practice. “This growing field of advanced practice nurses will face the changing landscape of healthcare and be required to create clinical strategies that improve practice and health outcomes” (Brown & Crabtree, 2013).

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Although it’s not always the situation the amount of nursing care evaluation has expanded in the past 30 years. Nursing is no longer based on trial, error, intuition or traditional methods but relies on theory advancement and research as guide for practice. The dependence on research as a basis

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Nurse administrators are at the forefront of leading practice change at the bedside by utilizing evidence-based

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Aimed at providing optimal health and wellness to those served, each health care unit strives to obtain a high standard of patient care and nursing excellence. Health care services are continually changing and improving to provide better patient outcomes and continual patient services (Sandra, Sheri, James & Jon, 2013). Likewise, nursing standards should be continually reevaluated and improved to provide a model of excellence that will not only strengthen the overall organizational structure of nursing but will also inspire heightened nursing performances from future nurses. Today’s nurses can accomplish this model of excellence by being active in helping management identify and change deficient nursing processes or policies. Nurses can also help strengthen the organizational structure of nursing by being a team leader and a positive role model to

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1. CONCEPT 1-EVIDENCE-BASED PRACTICE IN NURSING This concept was deducted from module 2 with the topic “Concept of Evidence-based practice”. Evidenced-based nursing is a way of making decision and providing nursing care that is based on clinical issues and combine it with the most current, relevant research that is available on that issue. Evidence based nursing utilize the most up to date method of providing care, which have been proven via assessing high quality studies and statistically with significant research findings.

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As you mentioned a clinical nurse leader (CNL) is in a great place to help initiate the use of evidence based practice into their clinical settings. They are in a position that gives them the resources and ability need to develop initiatives that improve patient outcomes (). Clinical nurses leaders are often the liaison between team members and patients, which allows them to actively engage all major stakeholders. I find that one of the ways that a clinical nurse leader uses evidence-based practice to reduce hospital-acquired infections is in his or her teaching to nursing staff, patient and their

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For this week’s discussion post I will identify a situation where evidence-based practice has been applied in my workplace. Evidence-based guidelines are put in place and into practice after research has been completed. This helps with intertwining practice and research and are established by professional organizations, government agencies, institutions, or expert panels (LoBiondo-Wood & Haber, 2014). These clinical guidelines give clinicians findings to help in the decision making process of diseases or treatments. In developing evidence-based practice, a clinical question must first be put into place.

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In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).

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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,

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After narrowing them down, the key factors that contributed the most to staff nurse retention were having nursing leaders, who created a trusting environment, fostered nurse empowerment that allows staff nurses to have more input in decision making, and upheld lower patient ratios. In order to incorporate these evidences into practices, protocols are to be implemented. Faculty in a leadership role should be adequately trained on how to be open for changes, willingness to accept information from outside sources, have a formal training on leadership skills, and allow for staff to speak in confidentiality about their viewpoints. Evaluating the effectiveness of the clinical guidelines, nurses are expected to provide comprehensive feedback through one-on-one interview and evaluation form. Patient care satisfaction tool will also be utilized to evaluate the care provided while the guidelines are being

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Nurses need to have the knowledge, skills and even leadership to embrace high quality improvement in patients care (Perry & King,

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They are able to connect, communicate and coordinate across multiple departments, professional opinions and voices, and the daily schedules of patients. Advocating and designing care with the patient and family is a true skills set and cultural attribute that adds tremendously to a culture of safety and patient – centeredness but requires the most able leadership to build these bridges across the many professionals engaged in care. Building this culture is a leadership challenge and there is no one in my experience better able to make these changes than nursing leaders ( Maureen Bisognano, 2009). Nurses should not just be at the bedside or within the nursing community but must be involved as leaders and decision – makers throughout the healthcare system. As Maureen Bisognano (2009) points out, the best nurses are accomplished envoys among different players and interests involved in direct patient care, which is a skill needed throughout organizations and businesses, not just in hospitals or

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