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Research Utilization versus EBP Week 2 NUR 598
Introduction
For many years, nursing practice has been interested in using research in impacting care to individuals as well as groups. Regardless of the incentives in conducting research, there is nothing that can be compared to the difference it can make in the lives of patients and the betterment of their health. Though the two are related, it is from research utilization that evidence based research evolved with much emphasis to the latter. While both methods are used in the decision making process, the nurse in practice is held accountable for actions and nursing interventions. Therefore, both processes are geared towards bridging the gap between knowledge discovery and its use in practice.
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This process was developed in order to address difficulties nursing practitioners faced by using research findings. The process can be defined as a multi step method that integrates critiquing and synthesizing findings from various studies and application of such findings in making changes in nursing practice. Additionally, it involves the measurement of outcomes derived from changes in nursing practice thereby having a narrower focus than evidence based research (Betz, et al. 2005).
Evidence Based Research
This form of research focuses on research findings, the quality improvement of data as well as other data evaluation forms. In addition, it looks into expert opinions in the identification of ways of improvement. However, this method poses a challenge in the identification of exact differences between research and evidence based practice. Evidence based research is used in closing the gap between research done and the actual practice by challenging nursing practitioners to look at the reasons behind current methods as well as processes in getting better practices (Titler et al., 2001).
Identified Similarities and Differences in EBP and Research
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It is therefore important to understand how to frame the topic, open a discussion, identify underlying concerns, choose a direction, synthesize final proposal and make a closure. All these must be done with the inclusion of the patient as a stakeholder. When poorly done, communicating the position statement may result in satisfaction of the least denominator but lack in the desired outcome.
According to Burns, Grove and Gray (2012), depending on the situation, the position statement may be communicated with the consent of the patient or without when they are incapacitated. There are other factors such as family or religious background among others that require the practitioner to exercise caution in dissemination of information. Therefore, there is no universally appropriate method because different situations call for different approaches that require personal discretion and intelligence.
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
Polit, D. F. & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott.
According to ASHA Evidence Based Practice is the combination of clinical expertise opinion, data, and patient’s perspectives, with the goal of providing high-quality services (2013). The process of evidence-based practice consists of formulating a research question, collecting evidence, including views, and then evaluating the entire process. This project introduces the research topic I’ve chosen, which identifies a researchable problem, and formulates an answerable question that is relevant to nursing and evidence-based practice.
Evidence-based practice (EBP) entails the use of explicit, reliable, and judicious evidence to make effective decisions about the care of patients. This DNP student will introduce EBP with the IOWA model. The IOWA model applies to this DNP proposal. The IOWA model is an EBP applicable in healthcare setting and implemented to show the applicability of evidence in nursing to give the best outcome. Doody and Doody (2011) noted that the IOWA model focuses on problem-focused triggers and knowledge in undertaking quality improvement study. The steps involved include topic selection, team formation, evidence retrieval, grading evidence, developing an EBP evidence, implementation of EBP, and evaluation of the progress. These steps apply to this DNP proposal, showing best practices, guidelines, procedures, and policies
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
LoBiondo-Wood, G., & Haber, J. (2014). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice (8th ed.). St. Louis, MO: Elsevier, Inc.
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
Research based practice is arguably the hallmark of professional nursing and is essential for high quality clinical and cost effective nursing care (ICN 2009)
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).
In health care, evidence-based research is crucial. Nurses revolve their practice on evidence so that they may provide the best health care. Without research, there would be no evidence to prove health care related findings (Shmidt & Brown, 2012). With appropriate
For nursing, research has played a major role in the way clinical practice is done. Research has allowed nurses to provide appropriate care to patients. It allows them to perform their job by providing them the tools and information they need in order to make the decisions on the concerns for caring the patient (Polit & Beck, 2006). Moreover, research can also take focus on the workers themselves in order to improve the practice both on a professional and personal level. An example of a study conducted by King, Vidourek, and Schweibert of University of Cincinnati created a study to determine if there is a correlation between ...
We must be able to openly listen to our patients needs and communicate effectively in order to empower our patients. They need to know that we are listening, that we understand, and that we are going to provide them with the knowledge and information needed to make their own choices. We must first be empowered in order to help empower them. Constraints Empowering our patients can be very difficult when we are faced with institutional and professional constraints.... ...
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.
The first meaningful ideas is that nurses utilize evidence- based practice approach because evidence- based practice guide nurses to structure how to make appropriate clinical decision. Implementing a mass media campaigns on smoking is very useful because it will reduce youth initiation of cigarette smoking in the population, which will decrease potential health risks associated to smoking. Implementing a fall risk assessment in health care settings is another meaningful idea because it can be decreasing the number of and severity of fall in health care settings. Critiquing research because it allows nurses as a consumer to evaluate the scientific merit of the study and decide how the results may be useful in practice by providing a detail assessment about the strengths, limitations of an article, and offer suggestions for improvement also helps nurses developed their critical thinking skills. Ethical concerns, is the third useful ideas learned about nursing research.