Changing Roles in Nursing Today Kenneth Zapata Miami Dade College Professor- Dr. Violeta Aguilar NUR3846- 856887 Changing Roles in Nursing Today Introduction The health care industry is undergoing a considerate change. In fact, the new model of leadership is current running across industries. According to Bickford, Brewer, Cones, Humes, and Wurzbacher (2010), the theory of transformational leadership is becoming popular among the health practitioners. It revolves around quality services and motivation. Patients like customers need quality services. However, the quality of services provided depends on the motivation of staff. For a long time, the nurses and doctors have been treated with cold bath. Nobody appreciated them as they …show more content…
The registered nurses must make judgments based on the social science, behavioral, physical, and biological principles. Apart from being a profession, nursing appears to be a scientific discipline (Bickford et al., 2010). For example, the society expects nurses to use critical thinking so as to integrate the knowledge gained and objective data based on the healthcare consumer’s experience. The registered nurses use critical thinking and available evidence to diagnose and make judgment about the treatment of the patients. In most cases, nurses incessantly evaluate the effectiveness and quality of their practices to maximize outcomes. Evidence-Based Practice The evidence-based practice model has considerably impacted the nursing industry. The stakeholders expect the practitioners to deliver quality services that would transform the industry beyond the reproach. According to Stevens (2013), the national healthcare professionals have recommended improvements for the nurses working environment. Their valuable contributions will depend on the redesigned healthcare model. The evidence-based practice model offers the opportunity for nurses to incessantly improve on their performance. It involves the introduction of multiple practice adoptions and realignment of the education curriculum to help the nurses meet the dynamic demand in the health care industry. Shared Governance Model The sociological,
Click here to unlock this and over one million essaysGet Access
As a provider of care, professional nurses depend on research, theories, and evidence based practice to guide the care they provide to patients. Nurses deliver care to their patients based on information they have learned through many years of school and training. Training for nurses and other providers of care is founded on theories, research, and evidence based practice in the healthcare field. Theories, research, and evidence based practice are all important for providing care to patients and each can be used in a different manner depending on the situation. Clinicians often use research based evidence to design and implement care that is high-quality and cost effective for patients. Evidence based practice can be used to provide care to patients in a steadily changing clinical environment. (PDF page 8-9). Nursing theories are frequently used as frameworks for establishing nursing care interventions and assessing
Evidence based practice is an integral part of nursing care. According to the Academy of Medical-Surgical Nurses, evidence based practice is defined as, “the conscientious use of current best evidence in making decisions about patient care.” (AMSN) The use of evidence based practice has drastically improved patient outcomes, increased quality and safety of healthcare, and reduced costs for facilities. (Melnyk, 2016) In this paper I will provide the history of evidence based practice, how it has already been incorporated and impacted healthcare, and why it is important to nursing and healthcare as a whole.
Evidence-based practice is the practice of making clinical decisions based off the best available research evidence coupled with the nurse’s own expertise, while also taking into account, the patient’s assessments and own personal preferences. This use of research has proven effective at providing better outcomes and lower healthcare costs, yet there are several barriers, such as time, education, and support, which prevent nurses from consistently using evidence-based practice (AJN, 2012). The top three barriers to the use of evidence-based practice are lack of time, education, and support in implementing new practices and using them consistently.
Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).
Nursing improves when Evidence Based Research findings can be utilized and implemented by nurses in their daily practice. J. Dracup (2006) stated what some nurses had identified as barriers to Evidence Based Research, namely: “accessibility of research findings, anticipated outcomes of using research, organizational support to use research, and support from others to use research.” Dracup believed that “evidence-based practice must include an assessment of the available resources” since the cost of implementation is yet another barrier and “will not be adopted if resources are insufficient to incorporate them into the daily routine” nursing care. G. Mitchell (1999) raised “ the lack of sufficient meaningful research” as an additional barrier.
This paper will discuss how evidence based practice effects nursing practice and how nurses can apply what they learn to their practice. Evidence based practice is a great way to improve the quality of care we provide. “Evidence based practice means using the best available research findings to make clinical decisions that are most effective and beneficial for patients” (Chitty & Black, 2011, p.258). By allowing nurses to participate in research and development, we are able to see firsthand how effective our intervention can be. Nurses run into all kinds of problems on a daily basis and they are able to share their experience and expertise to help develop a better way to solve a problem.
The impact of evidence based practice has been brought into nursing through education, practice, and science over the last decade. Evidence based practice provides quality care to patients that is effective, safe, and efficient. Evidence based practice promises moving care to a high level of producing the intended health outcome for the patients. “EBP is aimed at hardwiring current knowledge into common care decisions to improve care processes and patient outcomes” (Stevens, 2013). EBP empowers nurses and expands their skills by using the best available evidence to guide nursing care and patient outcomes.
Evidence - Based Nursing, An introduction (2008, p. 285 ) “ The rapidity of change and the reorganization of nursing services within the health care sector presents challenges for the advancement of EBP. Managers and administrators should facilitate the uptake of practice based on current, high-quality research by formalizing the expectation that nurses care be Evidence Based”.
Evidence Based Practice is a principle that is centered on the improvement of patient care and outcomes, by introducing and researching current based evidence when making decisions for that patient. According to Johnston (2016), “Health-care practitioners are increasingly being encouraged to implement research evidence into practice in order to ensure optimal patient outcomes and provide safe, high-quality care”. Throughout the course of this class, whether it be from researching about Evidence Based Practice, or the implementation of nursing care delivery models, patient care and the way we treat our patients is at the forefront of change. We know that change is necessary, now it is just a matter of how to implement that change into the healthcare
The John Hopkins Nursing Evidence Based Practice Model (JHNEBP) has three phases that describe the practice question, evidence and translation (PET) for determining the practice problem finding evidence that supports change in current practice and than translating the new information into practice (Newhouse, Dearholt, Poe, Pugh, & White, 2012). The first phase, practice question, is developed used to develop an answerable evidence-based practice question that derived from the PICO mnemonic (Newhouse et al., 2012). The second phase of is conducting the research and finding the evidence to be used in implementation for change of practice. The PET process finds the evidence, makes an appraisal of the findings and provides recommendations for change in practice (Newhouse et al., 2012). The final phase is to determine if the information obtained in research is appropriate for implementing change in the current practice. The PET process within the JHNEBP Model can be used as a means for finding evidence, evaluating and synthesizing the information from the research and evaluating
Underlying both the clinical decision-making process and the nursing process is the skill of critical thinking. Critical thinking has been described as the ability to gather and process data in such a way as to arrive at the best conclusion using the filters of prior knowledge, experience and external resources to overcome personal emotions, biases, and assumptions. (This description was developed during NUR/300 class, University of Phoenix, S. Colorado, March 16, 2006) Note that critical thinking is described as a
Critical thinking and clinical judgment are important skills that professional nurses use in every day clinical setting. In 2012, a mix method qualitative study by Dr. Jeanne Mann was done to evaluate the effectiveness of educational strategy to develop clinical judgment skills in nursing students. In this study, the population was identified as volunteered Level II baccalaureate nursing students from a Midwest nursing program. The variables identified in this article are the relation between critical thinking and clinical judgment. The title of the article clearly indicated the focus of the study and created an interest in reading the research due to nurses utilize their ability to critical think and
Critical thinking and clinical reasoning are similar in the fact that each term represents a set of methods that guide the nurse to reliable evidence-based practice while delivering care. Critical thinking and clinical reasoning are centered on knowledge base that is associated with the discipline of nursing. With each concept, the nurse must have an existing developed knowledge base in which to apply each concept to. Nurses apply critical thinking and clinical reasoning skills when patient care decisions are made. With both critical thinking and clinical reasoning, information about the patient is collected and examined. They work together to produce clinical judgment. They both direct nursing care to meet patients’ needs resulting in higher quality of care and better patient outcomes.
Health care is one of the most used commodity of people in today’s generation, as health issues changes and gets complex, multi faceted health interventions are needed to address the issues and ensure effective care. Changes in the health care demands and delivery system have driven clinical practitioners to provide improved intervention and meet complex demands in the care setting. It is expected of them to practice appropriately to attain optimum results towards patient care. For them to function efficiently, intervention should be justified with research and proven effective before integrating an intervention to the care plan of an individual. In Today’s health care system, health care providers needs to conform with up to date data to reduce occurrence of mishaps in the care setting and practice with accountability. The author believes that nurses are currently using evidenced based practice in order deliver effective interventions towards patient care, in today’s health care setting. This essay will initially analyse evidence-based practice in the nursing community and the utilisation of the discipline. In the next part, the author will examine the attitudes of the nurses and challenges in applying the discipline as well as provide solutions where appropriate.
Evidence-based practice (EBP) in nursing means making decisions about patient care on the basis of best, current, standardized practice and guidelines. According to an article, written by Dr. Kathleen Stevens, the development of evidence-based practice (EBP) is fueled by the increasing public and professional demand for accountability in safety and quality improvement in health care (Stevens, 2013). The author also mentioned in her article that the intended effect of EBP is to standardize healthcare practices to science and best evidence and to reduce illogical variation in care,