NR451

NR 451 DeVry Week 1 Discussion

Establishing Evidence-Based Practice in a Nursing Setting (graded)

In your course on evidence-based practice (NR439), you learned that research generates the evidence upon which you base your practice. Think about how research and EBP can influence your practice.

• How does a nurse contribute to nursing research in your current or previous nursing setting?
• How do you utilize research through EBP in this setting?
• What is a problem you see in your current or previous clinical practice that could be addressed by an EBP project?
• What are some solutions you would propose for the problem?

ADDITIONAL INFORMATION 

Establishing Evidence-Based Practice in a Nursing Setting

Introduction

Evidence-based practice (EBP) is a method of decision making that relies on data to inform practices. In nursing, EBP can be used as a way to improve patient outcomes and reduce health care costs. For example, if you have a patient who is always late for appointments and missing important medications doses due to this behavior (which may cause harm), then establishing EBP could help you change this behavior by offering incentives such as being able to get out of work early or even having the ability to call in sick for certain days in order for them not miss those important appointments anymore.

What is evidence-based practice?

Evidence-based practice (EBP) is a systematic approach to nursing that uses current research findings to guide decisions about the care of individuals and populations. EBP is not an end in itself, but rather a means to achieving desired outcomes for patients. It also helps nurses understand their role as evidence-based practitioners so they can evaluate their own practice and improve it if necessary.

Evidence-Based Practice:

• Uses current research findings about best practices for caring for specific groups; this includes topics such as obstetrics, pediatrics, gerontology or geriatrics (elderly people), mental health needs in children/adolescents etc..

• Assesses how well these best practices have been implemented within existing systems or institutions; this could be done through surveys such as those used by the Agency For Healthcare Research And Quality (AHRQ) which assesses quality improvement efforts using indicators such as measures of patient satisfaction with care provided by clinicians who specialize in certain areas e.g., primary care physicians versus specialists like cardiologists.;

The establishment of EBP in a nursing setting requires a culture of change without resistance.

The establishment of EBP in a nursing setting requires a culture of change without resistance. In order to achieve this, you must first understand your problem and then set goals for yourself.

• Define the problem: When defining your own goal, it is important to define what exactly you want to accomplish with EBP. For example, if one goal is “to improve patient outcomes” and another is simply “to reduce costs by 20%,” they will likely not lead to the same results because they are too vague—they lack specificity. A better approach would be something like: “I want my patients’ overall health status (as measured by well-being) increased by 15% within 6 months.” This way, there’s no doubt about what exactly needs improvement; instead of guessing at what might work best for each patient individually (which could actually result in lower quality care), we can focus our efforts more specifically towards improving outcomes across groups rather than individuals themselves.”

To establish EBP, you must become your own worst critic.

To establish EBP, you must become your own worst critic. You will need to identify gaps in your knowledge and practice and be able to explain these in terms of the evidence base. You can do this by using examples from the literature or asking other nurses for their opinions on how they would respond in a similar situation. This can help you develop an understanding of what is expected from patients who have been prescribed an intervention (such as antibiotics) based on research evidence; it also makes it clear when there are gaps in knowledge or practice that need filling before any further action could be taken against this patient group.

How do you establish EBP in a nursing setting?

To establish EBP, you’ll need to identify a nurse researcher who will serve as the leader of your nursing research committee. The nurse researcher should be someone who has experience in conducting research, working with staff and patients, and sharing their results with others. They also need to have a background in organizational change processes such as goal setting and problem solving.

The process for establishing EBP begins by identifying:

• A plan for how the research will be funded (e.g., through grants or other funding sources)

• A process for reviewing studies that have been sponsored by other groups or companies so that they can be included in this new initiative

EBP can be successfully implemented when all of the players — from the bedside nurse to the CNO — are involved.

The key to EBP is that all the players in a nursing setting must be on board. Everyone needs to be committed, willing and able to change their behavior in order to create an environment where evidence-based practice is possible. This includes nurses, administrators and physicians; however, it also requires patient advocates who have an understanding of how nursing interventions impact patient outcomes.

It’s important for everyone involved with implementation of EBP at any level — from ward rounds through orientation programs — understand what it means when someone says “evidence-based care.” It means using all available clinical research data when making decisions about how best treat patients within specific situations (e.g., acute coronary syndrome).

Conclusion

As you can see, establishing EBP in a nursing setting is not a one-size-fits-all solution. It requires each player to be willing to change their thinking and adapt their behaviors in order to make the best possible use of evidence-based practices. The key is to start with yourself: become your own worst critic and work on building the culture that supports EBP implementation!

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