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Communication within nurses
Communication within nurses
Essay on evidence based practice in nursing
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The focus of this article is on the critical role that a staff nurse holds in implementing an evidence-based practice (EBP) model. Implementing a change in practice takes research, analysis of data, and applying the complied results to practice. In this case study, communication was a crucial component that was identified. And it was found that there was an, “increased use of best evidence for patient care, increased opportunities for leadership by staff nurses, improved critical thinking skills, and improved communication skills” (Reavy & Tavernier, 2008, p. 172).
The Nursing School at Boise State University joined in a partnership with one of the local medical centers to implement an EBP model. The medical center distinguished a need to utilize more EBP in patient care so a project was initiated and successfully completed. Throughout the stages of the project, there was an awakening of what nurses can contribute to their own practice. The staff nurses were the central focus of this project. “Staff nurses “drive the machine” of evidence-based practice, because they observe, assess, ask questions, pass on ideas, and implement new knowledge into clinical practice” (Reavy & Tavernier, 2008, p. 167).
At the end of the project there was a renewed sense of empowerment as a nurse. With the introduction of a hands-on implementation of EBP the nurses honed in on several different skills. Critical thinking was sharpened, change was implemented without rebuttal, nurses could speak up and be heard, and their self-confidence was bolstered in their area of expertise.
Steps (by nursing) to develop & implement EBP: An inpatient oncology unit was chosen for the environment in which this case study was completed. A group of four staff nurses, ...
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...eates opportunities for staff nurses to recognize ownership of their practice and their role in changing the practice setting to a culture of evidence-based practice” (Reavy & Tavernier, 2008, p. 166).
Works Cited
Bergman, J., & Bergman, N. (2013). Whose choice? Advocating birthing practices according to baby's biological needs. Journal of Perinatal Education, 22(1), 8-13. doi:10.1891/1058-1243.22.1.8
Moore, E. R., Anderson, G. C., & Bergman, N. (2007). Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews (Online), (3), CD003519. doi:10.1002/14651858.CD003519.pub2
Reavy, K., & Tavernier, S. (2008). Nurses reclaiming ownership of their practice: Implementation of an evidence-based practice model and process. Journal of Continuing Education in Nursing, 39(4), 166-172. doi.org/10.3928/00220124-20080401-07
The Johns Hopkins Nursing Evidence-Based Practice Model provides nurses with a system to formulate a practice question, appraise both research and non-research evidence, and to develop recommendations for practice (Dearholt & Dang, 2012). This model guides nurses through the evidence-based research process with ease and minimal difficulty using a problem solving approach.
Burns, N., & Grove, S. K. (2011). Understanding nursing research: building an evidence-based practice (5th ed.). Maryland Heights, MO: Elsevier/Saunders
When performing evidence based practice research, the Iowa Model uses a team or individual approach to assist nurses in the journey to quality care. The Iowa Model begins by offering a process of selecting a proper clinical topic, which is often a recurring problematic issue (Polit & Beck, 2012). This topic is formulated as a question to improve a technique or procedure. Once the researcher determines that an ample amount of reported investigation exists on the desired question, information may be gathered and presented for approval (Polit & Beck, 2012). The research may lead to a gradual change in nursing practice.
The Iowa model, developed by Titler in 1994, focuses on organization and collaboration incorporating conduct and use of research, along with other types of evidence (Titler et al, 2001). Since its origin in 1994, it has been continually referenced in nursing journal articles and extensively used in clinical research programs (LoBiondo-Wood and Haber, 2006). This model allows us to focus on knowledge and problem-focused triggers, leading staff to question current nursing practices and whether care can be improved through the use of current research findings (Titler, 2006). In using the Iowa model, there are seven steps to follow: (1) selection of a topic or problem for evidence-based practice, (2) forming a team, (3) Evidence retrieval, (4) Grading the Evidence, (5) Developing an EBP Standard, (6) Implementing the EBP, and (7) Evaluation (Titler et al, 2001). The Iowa Model of Evidence-Based Practice has been extensively used in nursing, focusing on assessing, developing, implementing, and evaluating evidence based practice protocols or guidelines; however, there are many sources of knowledge rather than evidence based knowledge e.g. clinical experience, patient experience, and local data or information.
Evidence-Based Practice Preparation in Nursing Education: Recent BSN Graduates and Their Experience With Applying Evidence-Based Practice. Doctoral Dissertation (Doctoral Dissertation). Capella University. Retrieved from ProQuest Digital Dissertations. (3502734) http://search.proquest.com.ezp-02.lirn.net/pagepdf/993006005/Record/3CA1ED1ED991402DPQ/1?accountid=158614
Health Care Organization are Joining together to provide excellent patient care using EBP . Evidence-Based Practice skills assist perioperative team members who may have to justify why they practice a certain way by providing the rationale for their care . For example if a surgeon does not want to cover his hair with a bouffant cap and asks the nurse to explain why , the nurse can reply " Because that is what our policy says" or the nurse can explain that there are several research articles demonstrating that hair can harbor bacteria that can be dispersed into the air when shed and that completely covering hair on the head and facial hair protects the patient from exposure to potentially pathogenic microorganism that can cause surgical site infection
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
I plan to continue utilizing a constructivist theoretical framework to bridge my practice with my educational experiences through evidence-based practice (EBP) along with a mentor.... ... middle of paper ... ... References Anderson, A. R., & O’Grady, E. T. (2009). Primary care nurse practitioner.
What are the best ways of achieving this in the reality of the modern NHS? To conclude, Evidence Based Practice is a process of building up accurate information from medical research which has been correlated and assessed. From this, the nurse is capable of advising the best plan of care. For nursing standards to improve, it is vitally important that the nurse is given the time to research and the trust to start off the process of change for better care. References Cullum, N., Ciliska, D. and R. Haynes, Marks (2008).
Quality of care and patient outcomes rely heavily on practice based on evidence found in systematic reviews of randomized-control trials. While administration often-times implements core measures that involve EBP in their regulations, it is ultimately the nurse’s responsibility to include EBP into their care of patients. Nurses have an obligation to include EBP into their care because “it leads to the highest quality of care and the best patient outcomes” (Melnyk & Overholt, 2015). The nurse leaders really have a responsibility here because it is their responsibility to stress the importance of EBP as well as reviewing research to determine the best possible findings to implement into their unit’s care. Careful monitoring must be performed to assure compliance because “despite the multitude of positive outcomes associated with EBP and the strong desire of clinicians to be the recipient of evidence-based care, an alarming number of healthcare providers do not consistently implement EBP” (Melnyk & Overholt, 2015). Often times, I find seasoned nurses act putout with anything that changes their methods of care. The important thing to remember is that seasoned nurses, while often-times set in their ways, are great nurses and presenting EBP findings and their success during implementation will keep them involved with EBP because they ultimately want to do what’s best
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
When I first became a nurse some 25 years ago EBP was not a concept that was emphasized by the nursing faculty. Certainly, research was factored into our course work and layered into the practicalities of nursing that were being taught. The internet and lap or handheld devices were not as ubiquitous as they are today. Cutting edge information was available but it required planning, time and execution skills to obtain. In today’s world it feels as if the knowledge is at our fingertips and just a click and a few milliseconds away.
Evidenced Based Practice (EBP) is essential to enable all nurses to provide the most current up to date practises for their patients. This process involves research, systematic review of current practises, critical thinking skills, evaluation and application to the clinical setting. In addition to this, the nurse must take into account the patients’ preferences. For nurses to have professional autonomy they must be able to justify their actions and demonstrate an understanding of why they perform the tasks they do. This defines them as unique professionals judged by their knowledge and not simply by their hands on skills.
Nonetheless, the adoption of EBP in the nursing profession helps in facilitating an effective decision-making process towards a goal of providing informed nursing care at its maximum. Nursing clinical decisions may be brought about by several resources, but most importantly, as discussed above, is that it should be driven by best research-evidences, carefully reflected and evaluated from nurses’ clinical perspective, and personally preferred or agreed by individual patients. There are many research evidence available, so searching for the best can be overwhelming, but nurses need to keep in mind its usefulness, generalisability, and reliability. When the best evidence is already identified, nurses then need to analyse and interpret its results if they are applicable and generalisable. Nurses need to make sure that the study’s participants, setting, clinical significance, and solutions are closely related and applicable to their own clinical situation and resources.
Nursing and allied health staff also had a more negative attitude on the value of EBP. Two of the highest response were that it was hard to relate the findings in clinical practice and that the value of EBP in clinical practice is exaggerated . Most of the studies found time limitation to be a barrier towards the implementation of EBP in their practice.3,5,6,7 In Malaysia however, a lack of good information technological support in the wards was listed as the main barrier.3 Additional barriers have also been noted. Many health care professional stated that they lack knowledge in appraising the articles obtained and some found it hard to generalize the research findings into patient care as there were conflicts between research evidences and patient