Identifying a Researchable Problem

Evidence-Base practice (EBP) is defined as: “based on problem identified from the practitioner’s area of practice; a combining of best evidence and professional expertise and an integration of this into current practice; about ensuring patients receive quality care, being part of quality improvement processes; about collaboration and requiring a team approach” (French, 1999). Scott and Mcsherry (2008) supported the French’s assertion, proposing the key elements of EBP are that it is a theory-driven process, which involves the use, evaluation and application of research; identification of best evidence; evaluation of care; problem solving; decision-making; clinical expertise; and requires patient involvement. Evidence-based practice is made of evidence, clinical expertise, patient preference, the context of care (Barker, 2013). In brief, evidence-based practice is the parameter in the nursing practice that it requires that the nurses gather and use clinical evidence to make decision for the patients so that in the nursing process they can deliver the quality of care for the patients (Ellis, 2013). In the other words, in the nursing practice all the nursing procedures performed by the clinical evidence supported.

As a clinical requirement for my Adult 1: Medical-Surgical course, I had the opportunity to observe a patient in the Operating Room and in the Post Anesthesia Unit of Advocate Good Samaritan Hospital. The procedure that I observed was a left total knee replacement. The patient needed this surgery because she was experiencing osteoarthritis, and this surgery could alleviate her pain and discomfort. I was with the patient from the end of her stay in the pre-operative holding area to the Operating Room, and then to the Post Anesthesia Care Unit. This paper will include background inquiry, preoperative and operative

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

In order to develop nursing knowledge and establish evidence-based practice (EBP) in nursing, there needs to be a "concept model, one or more theories and one or more empirical indicators" (Fawcett & DeSanto-Madeya, 2013, p. 26). The theoretical framework can be advantageous in guiding and supporting the design and execution of an EBP change. Using a conceptual model (C) theory (T) and empirical research (E) provides the foundation for an intervention to an identified clinical problem. Known as C-T-E structure, the application of this system in nursing practice involves an elevated level of critical reasoning, which assists in knowing what data is important and how it relates to practice change (Chinn & Kramer, 2011; Fawcett & DeSanto-Madeya, 2013; Mazurek Melnyk & Fineout-Overholt, 2015). The doctoral level of nursing necessitates the need to combine the understanding and knowledge gained from using the C-T-E structure, and then integrate the concepts and theories into daily practice.

Discovering new information applicable to the field of nursing begins by asking a focused clinical research question. According to Stone (2002), asking the appropriate question is essential for the research process that follows. Although there are countless nursing problems that are worth investigating, it is imperative to narrow the focus of the problems so they can be empirically tested (Adams, 2012). Personal clinical experience, professional literature, previous research, and current nursing theories are a few examples of sources where research questions can be identified (Adams, 2012). The purpose of this paper is to explain the connection between research and evidence-based practice, discuss how

Evidence Based Practice Nursing is the utilization by nurses of Evidence Based Research findings that, according to Houser (2012), steer the nurse toward integration of clinical expert opinion and experience with an unbiased exhaustive review of the best scientific evidence professional nursing care literature can provide while incorporating patient values and preferences. Evidence Based Practice Nursing entails adopting a systematic critical thinking decision making process guided by a deliberate and defined chosen Evidence Based Nursing model path that involves searching,

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.

Evidence based practice, “involves integrating the best available research evidence with professional expertise while also taking account of patient preferences the patients state setting and circumstance and health care resources” (Gerrish, K. Lathlean, J, 2015). As the health care profession constantly changes, then it is vital that all evidence based practice is kept up to date with current information and research, relating to nursing practice. Always assuring that the patients need are taken into consideration (Sackett et al, 1996).

Evidence-based practice is relied on by professional nurses in order for them to make informed decisions as well as apply critical thinking skills directly to the patient care they provide. The research process allows the nurse to ask and answer questions systematically to ensure the decisions they make are based on sound science. Research provides the evidence needed for nurses to practice based off scientific evidence rather than by tradition (Houser, 2013). Nursing research is fundamental to the practice and is the central principle that defines the nursing profession.

Within this essay Evidence based Practice will be identified and the significant effect it has on the nursing profession, barriers will also be explored in the implementation of Evidence Based Practice.

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,

What was started as a study to show that there were less reports of postoperative nausea and vomiting ended up being a study that showed that the two usually ran hand in hand as you cannot have vomiting really without having nausea but on the other hand you can have nausea without vomiting so it was a little hard to show a difference in the two. But also that it not only mattered when they received the acetaminophen that it also seemed to help with vomiting more if just one dose was given than if additional doses were also given so one dose worked the best. And while they were not really assessing for pain control it was determined that there was less use of additional opioids if the patient received acetaminophen. The study has so many ands, buts and in additions to. It seemed like the results were all over the place making it hard to determine if the initial question truly was answered. Here is one example to show how things seemed to contradict each other

Nursing research has been a part of nursing practice for many years, consisting of both qualitative and quantitative research; it is essential in guiding nursing practice. Many nurses have a baseline understanding of research in general, but it is important for the researcher to understand their own values and beliefs when determining the type of research they will be performing. By understanding the differences between epistemology, methodology, and methods, the researcher can confidently conduct a valid research project.

Today’s nursing profession encompasses a variety of specialties and disciplines that demonstrate a wide range of phenomena. According to McEwin and Willis, in clinical practice, those phenomenon that are frequently seen aid advanced practice nurses in developing interventions and clinical protocols because they are said to be stable and reliable components of the practical nursing experience (McEwin & Willis, 2011, p. 47). The observed phenomena may or may not have had research studies associated with them in the past to concretely define them, and

In nursing, evidence-based practice relates to the preferential usage of interventions for which qualitative and empiric research has rendered evidence of substantial efficacy for certain issues in nursing care. The collection, analysis, and integration of crucial, relevant, and pertinent research-driven, patient-reported, and nurse-observed evidences are promoted by evidence-based practice. Another instance or illustration of evidence-based practice is the systematic study of care theories and their implementation to patients. Hence, these attempts act upon against rationalizing of nursing practice on shaky knowledge—solely on the basis of other nurses’ experience—devoid of scientific evidence on which nursing practice can be established.