Introduction: Nursing is an exciting, challenging, satisfying and rewarding profession. Nurses are required to have a wide and an extraordinary range of skills and talent in managing their clinical duty and responsibilities. Nurses are urged to deliver the highest achievable of quality care in a compassionate approach. In order to achieve these nurses need to access and evaluate extensive clinical information and integrate it to improve clinical decision making. Nurses are seen as lifelong learners, having the ability to reflect on, evaluate and modify their clinical practice based on new knowledge and thoughts. Nurses are advised to become producers of new knowledge via nursing research (Fink, et. al. 2005). Over the last fifteen years nursing profession had grown and developed far more advance by having policy and procedures to be endured. However, the development of policy and procedures had placed increased pressure on nurses to be more responsible for their actions. At the same time, integrating research into clinical decision making and research information used by nurses had remarkable increased. In healthcare industry evidenced based approached was introduce for effective …show more content…
According to Sackett, et. al. (1996), nurses do have the potential to contribute to an evidence based practice. Nurses today are believed to understand and conduct research studies based on their own professional practice. Nursing research is a process that validates and refines existing knowledge and creates new knowledge that directly and indirectly influences nursing practice scientifically (Burns & Grove, 2001). EBP is defined as the use of the best clinical evidenced and such evidence characteristically comes from research conducted by nurses and other healthcare providers (Newhouse, et. al.
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
According to Gale and Schaffer (2009) explains that nursing comprises autonomous and collaborative care of individuals of all ages, families, groups and communities, well or sick and in all settings. Nurses promote health, prevent illnesses and care for the sick and disabled people. Other roles of nurses include promotion of a safe environment, participation in shaping health policies, research and system management (Gale & Schaffer, 2009). Research is important in nursing because it validates and refines exiting knowledge and generates new knowledge. According to Newhouse (2007) nursing research helps build an evidence-based practice for nursing. EBP in turn contributes evidence to the effective care of patients. Studies have supported the conclusion that patient outcomes are substantially improved when health care is based on evidence from well-defined studies versus tradition or clinical expertise and opinions alone. The ultimate goal of nursing is therefore an evidence-based practice that promotes quality, cost effective outcomes for patients, families, healthcare providers and the healthcare system (Closson, 2005; Salbach, Jaglal, Korner-Bitensky, Rappolt & Davis, 2007). EBP evolves from the integration of the best research evidence with clinical expertise and patient needs and values (Aarons, Wells, Zagursky, Fettes & Palinkas,
In order to do this, we need to understand how the research process works, so we can better understand the results. Conducting evidence-based practice or promoting evidence-based practice is important for the graduate level nurse, in my opinion. Providing the best evidence for clinical decisions is essential in delivering appropriate patient interventions.
Evidence-based practice is important to the nursing field today. Nurses need to be able to understand and use the research to help them in the work field. Evidenced-based practice helps nurses to use the best evidence in making decisions with patient care decisions. Nurses and other health care professionals usually conduct the evidence that is found (Pilot & Beck, 2014).
Evidence based practice can be defined as the process of making clinical evaluations based on research evidence, combined with clinical expertise and patient preferences (Schmidt and Brown, 2014). Evidence Based Practice is an essential part of various healthcare professions, which include medicine, nursing, psychology and allied health. In order to carry out evidence based nursing practice, nurses need to use critical thinking skills to evaluate research publications and other sources of information (Schmidt and Brown, 2014). Once the information is assessed, nurses use their clinical decision-making skills to use evidence to patient care (Schmidt and Brown, 2014). Patient expectations and needs are the base of all nursing care decisions and hence are an important part of Evidence based nursing (Schmidt and Brown, 2014).
“Nurses are becoming more independent in their practice, so it is important for them to have evidence to support why they do what they do” (Joseph, 2008, p. 11). By adopting evidence-based practice, the nursing profession can develop a systemic well informed approach to quality patient care. For nurses, the framework for decision making
Evidence based practice is defined as the conscientious use of current best evidence in making decisions about patient care. (Melnyk, 2016) One of its main features is the reliance on the partnership among hard scientific evidence, clinical expertise, and individual patient needs and choices. EBP looks at research findings, quality improvement data and other forms of evaluation data, and expert opinion to identify methods of improvement. Evidence based practice challenges nurses to look at the “why” behind existing methods and processes in the search for improvement. EBP and research based practice have often been confused with one another. Research is generating new knowledge about a phenomenon or validation existing knowledge. “Although evidence-based practice may have opinion-expert opinion, but opinion still-woven in, research is built in such a way avoid bias.” (Melnyk, 2016) Evidence-based practice improves healthcare quality and patient outcomes while reducing costs.
Nurses have the ability to understand both qualitative and quantitative research designs and comprehend scientific and ethical considerations in the process of enriching knowledge. They, use their experience to inform research as well as use scientific research in their practice hand in hand with ethical and patient considerations (Warren & McLaughlin 2016).
Nurses are educated and trained on the development and use of evidence based research. Evidence based research is therefore incorporated into the daily routine of nursing care than expected.
A survey of the nursing literature shows that supporting medical nurse staffing guarantees quality nursing watch over patients and has been a progressing test for attendant directors and executives. Inability to guarantee adequate numbers and empathetic medical attendant staff has been shown to adversely affect tolerant fulfillment and results. The medical nurse staffing issue is not restricted just to guarantee sufficient quantities of staff that are being lost in the intense consideration settings because of workaholic behavior, burnout, sympathy exhaustion and wounds; the attendant staffing issue additionally incorporates the effect to patient consideration and to the nursing work power when empathy and caring
Research and evidence-based practice go hand in hand. Research is the action of obtaining knowledge with the goal of further understanding a posed question or solve a problem. Research aims at gathering support for an idea or point of view. Research though it sounds simple enough requires much thought, planning, and organization. One approach to this is conducting the correct type of research. There are various types of research “descriptive, explanatory, or predictive; basic or applied; and qualitative or quantitative.” (Schmidt, 2019) Another way to understand research is through the aim of it or by classifying the different findings based on whether research can be utilized for actual problem-solving. As a nurse, continuous research is needed
Research has a remarkable influence on the existing and future practice of professional nursing, thereby making it an essential component of the education process. Nurses utilize research to provide evidence based care that upholds quality health requirements for families, individuals, healthcare systems, and communities. They also utilize research with an aim of shaping health care policy at the local, organizational, state, and federal level. Nurses conduct research, educate about research, and utilize the research in their daily practice. It is only through experience and exposure that students start to comprehend the notion and importance of nursing research (Fain, 2013).
Nursing research is a basic, but the most reliable method to keep track of the recent finding regarding to evidence-based practice(EBP). From the well-done research, nurses adapt and update current findings to derive best outcomes for patients. It can be traced back to Florence Nightingale’s analysis about importance of hygiene in mid 19th century to determine the origin of nursing research. In the 1980s, interest in nursing research was increased and nursing research was actively done by many skilled and educated nurses with support from the Government and the National Center for Nursing Research(NCNR) was established. Nursing research was propelled and National Institutes of Nursing Research(NINR) was found in
As advances in health care rapidly occur, nurses are challenged to provide quality patient care based on the latest health information available (LoBiondo-Wood, & Haber, 2013). The purpose of this post is to define research and evidence-based practice in nursing and provide examples of both, as well as an example of a research question and clinical question.
Although clinical decision-making and clinical judgements are closely linked, but the concepts are separate. Clinical judgement defined as “an assessment between alternatives” whilst clinical decision-making defined as “a choice between alternatives” (Dowie, cited by Thompson and Dowding 2009). To choose the best between two alternatives requires the rationale behind decisions which can obtain by asking questions to create information (Standing 2010). Furthermore, Levette et al’s (2010, p. 515-20) define clinical reasoning as “the process by which nurses collect clues, gather information, come to an understanding of a patient problem or situation, plan and implement interventions, evaluate outcomes and reflect on and learn from the process”.