The growth of evidence-based practice in health care has resulted in a collaborative effort, with nurses utilizing research in clinical practice to deliver the best patient care and ensure that the profession continues to grow.
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The growth of evidence-based practice in health care has resulted in a collaborative effort, with nurses utilizing research in clinical practice to deliver the best patient care and ensure that the profession continues to grow. Research utilization incorporates analyzing, distributing, and implementing knowledge translated from research findings to improve or influence clinical practice. Nurse practitioners achieve research utilization by critically appraising research studies. Dagne and Tebeje (2021) agree that the patient and nurse practitioner benefit significantly from research as part of evidence-based practice. Healthcare is founded on the most recent research instead of traditional methods and personal beliefs, and it expands nurse practitioners’ knowledge to resolve clinical problems in care settings, increases their confidence in decision-making, reduces trial and error, and supports professional development. These benefits extend to patients because their needs, wishes, and preferences are included in the care process, thus enabling them to receive holistic and quality care.
My experience in using nursing research involved developing a research-based protocol that was implemented and evaluated to determine if it produced predicted results. In my clinical practicum, elderly patient falls were of clinical concern due to the percentage of these adverse events. These at-home falls were associated with permanent injuries, fractures, internal bleeding, reduced mobility, and fear that caused depression (Turner et al., 2020).Besides the morbidity caused by these never events, senior patients who had experienced falls increased resource utilization, thereby increasing care costs. Most of the patients seen were elderly patients with traumas from falling. As a result, I developed and implemented research-based interventions to reduce falls in geriatric patients.
I developed three goals aimed at improving care for at-risk elderly patients, increasing awareness about falls, and modifying the environment to prevent falls (Turner et al., 2020). I searched various databases, including PubMed, Cochrane, and CINHAL, to achieve these goals and identify evidence-based interventions. Through this search, I acquired level I evidence from randomized controlled trials. Evidence?based activities, actions, interventions, programs, and strategies about home assessment and modification interventions to prevent falls and fall?related injuries in community?dwelling older people (Campani et al., 2021).
While the patient was waiting, I inquired with the family to elicit information on the events leading up to the visit. Expressly, the family indicated that the patient’s low blood pressure or dizziness could have been attributed to the medication the patient was taking or to past medical histories, such as syncope/collapse and orthostatic hypotension. Furthermore, the family mentioned that the patient was engaged in multiple medications, a circumstance that could have contributed to the condition, referred to as polypharmacy.
Families were educated on the importance of wearing non-slip socks, installing bar grips in showers and non-slip rugs on slippery floors, and decluttering hallways. As nurse practitioners, we perform medical reconciliation and educate families regarding medication interactions and side effects. The success of the research-based interventions was not due to individual efforts but rather to the power of collaboration and shared responsibility. All staff and family members were educated on these interventions and actively incorporated them into their daily routines. This collaborative approach played a vital role in successfully implementing the interventions, improving patient outcomes, and enhancing patient experiences. Most patients expressed satisfaction with the high-quality care provided.
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