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Importance of Evidence-Based Practice
Evidence-based practice (EBP) incorporates evidence, clinical experience, and
patients’ preferences in providing medical care. Nurses are expected to use
individualized patient care. EBP has proven to provide better patient care and reduced
health care costs. However, it should be understood that EBP is beneficial to the
patients, nurses, and the health care facility. With regards to nurses, it provides medical
professionals with scientific exploration to help them make an appropriate decision.
Additionally, nurses get updated about new and better medical practices that seek to
achieve quality care to patients (Stevens, 2013). They are also able to increase
recovery chances for patients when they search for documented interventions that suit
specific patients’ profiles. EBP also enhances nurses to evaluate the risks or
effectiveness of a certain treatment or diagnosis (Stevens, 2013).
Search of Evidence
The rapidly growing and changing information base relevant to the nursing practice
has promoted nurses to keep updated. This requires them to access relevant and
quality sources where they can get the information. Most information is acquired from
journals, textbooks, bibliographic databases, and reliable internet sources. The journals
provide a forum for nurses and other medical. They offer readers updates on
contemporary research on a range of topics. However, when accessing information
through journals, nurses should consider various factors. They include whether the
journal is peer-reviewed, what is its scope, and whether the journal has articles that
provide qualitative and quantitative findings on research. Nurses should also
understand the limitations attributed to journals such as publication bias. Journals with
positive findings have more chances of being published in comparison to those that
provide undesirable findings. Textbooks are also a reliable source of information. If they
are up to date, they provide a summary of the new and complex inventions or present
an issue in relation to other related knowledge. With regards to bibliographic databases,
they provide nurses access citations for most original research, studies, and reviews.
The different existing database has its unique search styles that seek to enhance the
ease of getting the relevant information. With regards to the internet, it has enhanced
nurses easily access many valuable information sources. However, the main challenge
attributed to the internet is the lack of controlling the quality of information published.
Most of the information found on the internet is questionable, or you are uncertain of the
quality. Therefore, it is important first to review the quality of the information found on
the internet before embracing it. Despite the challenges, the internet is a rich source of
information, especially on the contemporary and new diagnosis and treatment methods
that can enhance quality care.
Implementing Evidence-Based Program
Implementing EBP is essential for improving quality care. The process starts by
identifying and embracing the appropriate diagnosis and treatment practices. One
should first identify a practice that needs improvement (Bick and Graham, 2010). This
involves identifying a field of interest in the clinical practice that requires improvement,
such as malnutrition or medication errors. You should also identify the contemporary
best practice protocol and evidence-based interventions attributed to better outcomes.
You also need to select an appropriate intervention and outcome measures that will
have an influence on the identified practice. Additionally, one should collaborate with
quality teams, experts, and researchers in the identified practice.
The second step involves barriers, enablers, and issues (Bick and Graham, 2010).
These involve identifying the hindrances that could prevent implementing the change,
such as lowering the interventions or adoption of new ones. One should also explore
the enablers that would enhance the interventions. This includes anything that would
facilitate the implementation of the identified intervention. This should be done through
data collections to measure the effectiveness of the intervention. Finally, one should
also plan their sustainability to ensure the changes adopted can be maintained.
The third part involves identifying what worked and what failed (Ervin, 2005). This
majorly involves evaluating the intervention. This can be achieved through monitoring
the patient’s outcomes after instituting the new intervention. You should also measure
the impact of translating evidence into the new intervention adopted. Additionally, one
should carry out an evaluation to measure the outcomes so as to showcase whether
there is any improvement (Ervin, 2005).
The final process involves maintaining the intervention (Melnyk, and Fineout 2011).
This involves adapting and integrating the identified intervention into the existing current
systems taking into account resources and funding issues. All the staff should also be
informed and trained about the new intervention to ensure smooth running and
integration of the intervention. Additionally, one should maintain communication with the
relevant stakeholders and partners to ensure the effectivity of the instituted intervention
(Melnyk, and Fineout 2011).
References
Bick, D., & Graham, I. D. (Eds.). (2010). Evaluating the impact of implementing
evidence-based
practice (Vol. 1). John Wiley & Sons.
Ervin, N. E. (2005). Clinical coaching: a strategy for enhancing evidence-based nursing
practice. Clinical Nurse Specialist, 19(6), 296-301.
Melnyk, B. M., & Fineout-Overholt, E. (Eds.). (2011). Evidence-based practice in
nursing &
healthcare: A guide to best practice. Lippincott Williams & Wilkins.
Stevens, K. R. (2013). The impact of evidence-based practice in nursing and the next
big
ideas. Online J Issues Nurs, 18(2), 4.
1)Evidentiary training also facilitates the sensitivity of medical professionals and allows
them to do certain things in particular (Leach, Hofmeyer & Bobridge 2016). The health
workers are therefore expected to check for the best and most effective approaches. It is part
of the work of a health professional to ensure that any role is supported by the best available
evidence. There can be no underestimation of the value of evidence-based training. It is
because it provides the best available service not only to nurses, but also to all healthcare
professionals. These are all efforts to improve clinical performance in an institution. In a
health care facility, new patients demand the most reliable services to be delivered locally
and elsewhere.
Proof-based nursing in many areas is important, especially now that it is known for nursing.
In addition, the approach based on evidence ensures that nurses are consistently involved in
the decision-making process (Masters, 2018). It makes it easy for healthcare professionals
to use best practices for patient care. Evidential care provides the basis for medical
practitioners to interpret relevant information and evidence and ensure that nursing is
trustworthy. The ongoing implementation of proof-based nursing promotes the application
of data, experience and research results into action by the nursing practitioners (Masters,
2018).
Evidence-based healthcare is important to the nursing profession because it has significant
benefits to patients, nurses and other stakeholders. Evidence-based care helps overcome
medically associated problems. The resolution of these issues would lead to better treatment
for the patient and improved results. In fact, validated nursing strongly leads to the
healthcare development process (Masters, 2018). Nursing is a significant cornerstone of
health care, and it is therefore easy to maintain and improve procedures of evidence-based
nursing.
2) For nursing practitioners, the EBP knowledge can be found by means of analysis using
different sources: textbooks, electronic bibliographic databases, the Internet, journals and
work compilation and distillation products. Most health professionals feel they need these
sources of research in their specific fields of expertise. Journals also provide a forum for
healthcare professionals and other health professionals to search for and share their
training and their professional experiences (McKibbon & Marks 1998).
In nursing conferences, they offer insights into the creation and application of clinical
research. Across general medical journals as JAMA, BMJ, Lancet, and the New England
Journal of Medicine (McKibbon & Marks, 1998), important articles in all fields of health are
usually written as per nursing practice. Due to the large circulation, the tradition and
prestige, these important developments were concentrated in journals. But most of these
developments have important consequences for healthcare professions including medicine.
Online databases are also reliable sources of scholarly care content reviewed by peer
reviewers. Web databases offer nurses unprecedented benefits as they have unique
resources which allow filters of search results to meet users ‘ needs accurately. For example,
the user may preset the timeline, importance, results form and full article availability. All
these customizations allow nurses to get the information they need in different situations.
For eg, EBSCO, CINAHL, OVID, Psych INFO and MEDLINE.
3) The promotion of evidence-based practice is an essential element for exceptional
treatment of patients. Organizational leaders such as nursing managers play an important
role in incorporating the EBP into nursing units. Practical evidence allows health workers to
make decisions in conjunction with detailed or high-quality research papers, medical
experience and patient experiences, largely dependent on findings and assumptions.
Krankenhaus managers and administrators have a dynamic role in promoting evidencebased hospital-wide policies (Kueny, 2015).
The community, structure and resources of the working environment are known by nursery
managers as mediators or barriers to use and promote evidence-based activities under their
influence. The presence of nursing managers in their units in support of the EBP was
promoted as a working environment that specifically articulated goals and adjustments
policy in evidence-based practice, had specific connections with administrators and
company borders. Sanitary managers establish a network consisting of various medical
boards to enable practitioners to pass and practice evidence in the community (Shever
2015)
One method of implementation includes the practical question, finding evidence and
eventually turning evidence into practice, is the Johns Hopkins Proof-Based Practique
Method. The model works with the same PICOT principle, but the final stage is not timeconsuming but translation (Dang & Dearholt, 2017). The Johns Hopkins model involves
practices implementation, assessment and communication and ultimately leads to changes
in care processes and outcomes. Ultimately, there is the Change Process Diffusion in which
the majority must take account of improvements in practice if at least one third of a nursing
community adopts these changes.
References
Leach, M. J., Hofmeyer, A., & Bobridge, A. (2016). The Impact Of Research Education On
Student Nurse Attitude, Skill And Uptake Of Evidence‐Based Practice: A Descriptive
Longitudinal Survey. Journal of Clinical Nursing, 194-203.
Masters, K. (2018). Role development in professional nursing practice. Jones & Bartlett
Learning.
McKibbon, K. A., & Marks, S. (1998). Searching for the best evidence. Part 1: where to look.
Evidence-Based Nursing, 1(3), 68-70.
Kueny, A., Shever, L. L., Lehan Mackin, M., & Titler, M. G. (2015, June 24). Facilitating the
implementation of evidence- based practice through contextual support and nursing
leadership. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5740993/.
Dang, D., & Dearholt, S. L. (2017). Johns Hopkins nursing evidence-based practice: Model
and guidelines. Sigma Theta Tau.
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