Evidence Based Practice In Nursing

According to The American Nurses Association (ANA) Evidenced-based practice is a "scholarly and systematic problem-solving paradigm that results in the delivery of high quality healthcare" (American Nurses Association, 2010, p. 65). Through the use of evidence-based practice nurse and other health care professional have the ability to create clinical decisions, which allows clinical questions to be answered and aid in quality improvement. Furthermore creating a safe, efficient, productive environment for patients and staff that may result in improving patient outcomes and reduce expenses. Nursing research helps health care providers provide evidence-based practice, which may result in quality improvement (Rebar & Gersch, 2015).

It was pretty difficult to choose to the most important competency to use in nursing practice since all of them play a vital role in our nursing practice, however I do see why evidence based practice is the most important competency to you. Evidence based practice is designed as a clinical- decision making process based on theory-derived information necessary to provide patients with care that is effective, safe and efficient. In order to have effective patient outcomes, it is necessary for new researched-based knowledge to be transformed into the clinical setting and implemented effectively within the health care system. As the healthcare system evolves, so do our nursing practices and the same polices that once use to be in place, may no

Evidence based practice is important in nursing research. By implementing a plan to follow research that has been validated, nurses can create a better chance of having the best outcome possible for their patients. In order to implement a plan, it is important to analyze the research being used, as well as determining how this research can be used in the specific clinical field a nurse is practicing in? It is also very important to determine which patients the evidence based practice plan will help based off of the research. A nurse must “balance the benefits and risk of the evidenced based practice decision” (Godshall, M., 2009).

Historical research is established on documentation of resources that are used to retrospectively examine events or people. According to the book Evidenced Based Practice For Nurses “Historical methods are concerned with uncovering and generating evidence and with interpreting that evidence in the historical context in which it was created” (Schmidt & Brown, 2015). The questions that are being asked are “Who are we?” “Where did we come from?” “Why did we do this?” And “How did we get to this point?” (Schmidt & Brown, 2015) .The objective of this type of research is to describe and understand the past, with the hope of guiding the present future. One type of sampling used in this method is called strategic sampling. This is when a researcher

I can demonstrate competency for this Essential because I can understand the concept of an evidence-based practice (EBP). The American Association of Colleges of Nursing stated “the national voice for baccalaureate and graduate nursing programs, believes that education has a significant impact on the knowledge and competencies of the nurse clinician, as it does for all health care providers” (The Impact of Education on Nursing Practice, 2016, p. 1). Nursing research is crucial to the nursing practice. Nursing research provides the scientific basis of knowledge impacting the health of society. The goal of nursing research is to promote wellness, safety, and health.

In the last few decades, a lot of sleep research studies have been done. Most of the studies have been looking at the structure of sleep and the need of sleep for the body to function properly. In the 1990s, sleep disturbance was identified to be a major issue by the American Association of Critical Care Nurses. The nurses called for more studies to establish how sleep disturbance could be reduced in order to promote sleep (Hellström & Willman, 2011). To solve the problem, studies were conducted to investigate whether evidence-based interventions could help. Using cancer patients, evidence-based interventions for sleep-wake disturbances were investigated as part of the “putting evidence into practice” project. However, these interventions

At one hospital that was applying for the reaccreditation of Magnet status, Swanson and Tidwell (2011) reported they developed strategies to prevent patient falls even further (p. 1). One strategy included not having all four side rails of the bed raised as well as removing any objects in the room that could pose a fall risk (Swanson & Tidwell, 2011, p. 1). By implementing these strategies, this hospital was able to lower its fall rate by 19% (Swanson & Tidwell, 2011, p. 1). This hospital was able to successfully implement these strategies due to the higher number of RNs that were made available due to their Magnet status.

Patient care using a common definition of evidence-based practice, professional environment and to determine if the value of the patient to answer the clinical question of integrating their expertise, systematic evaluation research is the determination of the application of the current best evidence. The nurse takes a large portion of hospital and clinical staff in charge of the pivotal role of medical services. If a nurse applies the available evidence-based nursing practice regularly it will make a significant contribution to the quality of care. Since the recognition of the wise nurse organizational impediments in implementing evidence-based practices to increase, interest in developing a model for changing the organizational infrastructure and assess its effectiveness in order to successfully promote evidence-based practice of nurse it is

NYP Weill Cornell puts a strong emphasis on patient satisfaction. The famous slogan, “We Put Patients First”, serves as a reminder for clinicians, including nurses, to review and stay current with their practices. The Professional nurse can recommend integration of evidence as Evidence- Based Nursing Practice (EBNP) in order to improve patient care outcomes. First, the nurse needs to identify a problem based on patient safety enhancement opportunity, new approach to care delivery, procedure, a clinical situation, quality data or issue or other areas of interest in nursing practice. In order to develop an EBNP project, the nurse has to formulate a question applying the standard PICO-TS format (Population,

A1 Quantitative Article: Friedl, A., Aegerter, C., Saner, E., Meier, D., & Beer, J. (2012). An intensive 5-year-long influenza vaccination campaign is effective among doctors but not nurses. Infection, 40(1), 57-62. doi:10.1007/s15010-011-0193-6

Thus, it would not be appropriate to use only the quantitative method or the qualitative method, since the study would not have been well-rounded and precise.

Nurses are confronted with a variety of issues, concerns, and conditions. All of these circumstances require the use of various theories. According to Im and Chang (2012), there are many theories in nursing that center on enduring issues, as well as the current issues that nurse’s encounter. For this reason, nursing theories can address the complexity of health care issues. This is especially true for APNs who must meet more demanding health care needs. As an APN, there is a greater need to understand the connection between theory and practice. McCrae (2012) stated that evidence based practice is meaningful in regards to nursing theories, especially for the modern clinical environments which consist of multidisciplinary teams. APN are

The Evidence-Based Nursing a model in which research arise from the everyday problems of the practice and the answer is systematically evaluated from results of rigorous research aims to guide the best decisions on behalf of the user, which means that actions of nurses not remain consigned to personal experience, intuition, common sense, tradition or established rules, but rather, they are supported by the methodological rigor, starting from the available scientific evidence. Nursing, through historical development, has generated major changes in the body of knowledge underlying the thinking as epistemic guide discipline. It is precisely this progress that has let go from the oral tradition to written, in which, through evidence documenting

When it comes to nursing research and evidence based practice I knew very little but have definitely expanded my knowledge thanks to this class. As stated by Houser (2015) "Evidence based practice is the use of the best scientific evidence, integrated with clinical experience and incorporating patient values and preferences in the pratice of professional nursing care." I have learned so many valuable things from this class from how to search for credible sources to how to incorporate what I have read into the clinical setting. In addition I am able to distinguish what should and should not be incorporated into the healthcare setting knowing that every case is in fact different from the rest. According to Courtney & McCutcheon (2010)"Evidence

There are five levels of strength of the evidence on the Johns Hopkins tool, and I gave the article “Sleep in the Hospitalized Patient: Nurse and Patient Perceptions” a ranking of level III. I used the Johns Hopkins nursing evidence based practice research evidence appraisal scale tool to decide on my ranking level which breaks it down step by step to find the strength of the research. The description of level III is “nonexperimental study, qualitative study, or meta synthesis” (cite JHNEBP). Non-experimental studies consist of no manipulation of variables and randomization is not controlled, qualitative studies are made up of interviews or focus groups and have small sample sizes, and