Review Of The Impact Of Evidence-Based Practice In Nursing And The Next Big Ideas

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.

Briefly describe the problem or issue that you have decided to be the topic for your project proposal in order to orient your classmates and faculty

Changes in the Health Care System and the Practice of Nursing have become complex. Technological changes, complicated client needs, short hospital length of stay, and departure from acute care to community based care, all these changes have underscore the need for professional nurses to think critically in order to provide safe and effective client care. A better educated nursing workforce can provide good health education to patients and their families. The affordable care of 2010 has required the need for nurses to expand their role of practice to meet complicated patient demands. This has prompted the Institute Of Medicine to review the “Future of Nursing, Leading change and Advancing Health”. {Creasia & Fribery,2011}

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

According to Provision seven the attitudes of Deborah and the other nurses on the unit do not advance the nursing profession. Nursing from the beginning of its existence with Florence Nightingale has fought to be considered not only an art but also a science. Scientific research was one of the governing factors of Nightingale’s principles of nursing. She used statistical data to help her keep records of success and failure rates of her nursing interventions. The use of this scientific research proved to be beneficial because it gave substantial scientific evidence that her nursing interventions significantly decreased mortality rates during the Crimean War. The support of her statistical data enabled nightingale to prove to her colleagues and peers that the art of nursing plays a significant role in patient outcome and mortality. This relates to the nurses in the NICU, because since the beginning of nursing evidence based practice has been implemented and deemed useful. For one to denounce future practice of evidence based practice in contemporary nursing will further remove nursing from its professional status. Nursing is one

Evidence-informed practice is a critical part of nursing care. To be able to have evidence-informed practice, nurses need to be able to conduct research to find the most up-to-date and relevant information related to patient- and family centered care. When caring for patients, it is paramount to recognize the importance of family and the role they play in care. When one comes out as transgender, it is something that is not only going to affect the said person, but also their friends and family. Family members are key support systems so when you are caring for one person, you are in turn caring for the family as well. This is known as patient- and family-centered care. As there has been an increase in literature pertaining to family-centered care, the question of interest is “What is the impact on a spouse when a partner is transgendered?” To find the answer to this clinical question, the database Medline was utilized. The keywords LGBTQ, transgender, family-centered, spouse, nurse, sexuality and health care were used and combined with Boolean operators. Through this research, knowledge can be gained on how to properly care for the spouse of a transgendered person. This paper will discuss the key impacts of having a transgender spouse, nursing approaches that we can integrate into our care, and resources available for the non-transgender spouse.

As a novice nurse I will have limited clinical experience, and since one component of evidence-based practice involves clinician expertise, I will have some difficulty applying this practice to my nursing care. However, through my education, I will be introduced to research, patient data, clinical experiences, and patient preferences and values, which will allow me to gain valuable knowledge, proficiency, and experience that will allow me to implement evidenced based practice into my nursing profession.

Evidence-based practice is the process of searching research to gain knowledge in the quest to improve nursing intervention. It requires time, resources, teamwork, collaboration, and dedication, but it’s our calling and duty as nurses to ensure that patients receive the highest quality of care. For this paper, I will identify a new best practice to initiate, describe steps required to implement it, and give examples from literature that support the change in patient care.

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).

As you observed the professional/registered nurse’s role in this setting, what evidence of a professional level of nursing practice? During my labor and delivery rotation, there were many different situations that showed evidence towards a professional level of nursing. One of them being the control of medicine. The patient that I was working with was put on Pitocin to induce labor.

The importance of evidence based practice ( EBP ) is to enable nurses to provide high quality care, improve outcomes for patient and families and to run a more efficient health service. Therefore other agencies within the health service will benefit when interventions and care is based on research (Burns & Grove 2007). According to the (Nursing and Midwifery Council 2004)(NMC) nurses are accountable to society to provide a high quality of care so therefore it is important that nurses reflect, evaluate the care and keep abreast of new knowledge and evidence that is available (Burns & Grove 2007). Providing a streamlined service, which is cost effective and based on current evidence based practice has shown to reduce cost but also to enhances

In the article “What Do Nurses Really Do?”, Suzanne Gordon explores what nurses truly do. She concludes that nurses “save lives, prevent complications, prevent suffering, and save money” (Gordon 2006). Nurses provide care for their patients in the physical and emotional sense. Emotionally caring for a patient and being sensitive to his or her needs result from interacting with patients while performing the skills and using the knowledge that nurses learned in school. Nurses grow in their skills, knowledge, and attitudes through practice. Quality and safety education for nursing incorporates competencies that all nurses must use in their practice. These nursing competencies include evidence-based nursing practice, quality improvement, safety, teamwork and collaboration, patient-centered care, and informatics.

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

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

Evidence base practice is essential in nursing practice. It incorporates 3 key components which are clinical expertise, patient values, and best research evidence in order to provide the most effective and safe decision making for patient care. Neglecting a key component can affect the accuracy and efficiency of a research. Clinical expertise is based on a clinician’s experience, skill, education level and understanding in a certain area of nursing practice. Patient values can impact evidence base practice depending on their needs, preferences, expectations, values, understanding, and concerns. Best research evidence can be obtained from clinical research with supporting evidence base literature and sound methodologies. Each component will be discussed in further detail and how it links to clinical decision making by registered nurses in order to achieve the best evidence-based practice available.