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Nursing process and practice
Nursing process and practice
Significance of applying evidencebased practice to nursing
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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.
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
Catheter Acquired Urinary Tract Infections (CAUTIs) has become to be classified as one among the leading infections which most individuals end up being susceptible to acquire while at the hospital. Healthcare-associated or acquired infections (HAIs) are a significant cause of illness, death, and more often than not, have resulted to cost the tax payers potentially high medical expenses in most health care settings. ("Agency for Healthcare Research and Quality," para. 1) Due to this, 1 out of every 20 patients will end up with CAUTI within the US hospitals and this has caused Agency for healthcare research and quality (AHRQ) to embark on nationwide plans to help in the eradication and control of CAUTI incidences. ("Agency
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
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
Nursing research is a systematic enquiry that seeks to add new nursing knowledge to benefit patients, families and communities. It encompasses all aspects of health that are of interest to nursing, including promotion of health, prevention of illness, care of people of all ages during illness and recovery (or) towards a peaceful and dignified death (ICN 2009)
Evidence-based practice (EBP) and research are quintessential guides that professional nurses use in the quest to deliver the best care and achieve optimal outcomes. The aim of EBP is to aid practitioners to structure care of patients with the best and most current evidence. The first step and basis of EBP is to determine there is a gap in the knowledge base to be able to ask an answerable question by forming a focused clinical question. The most useful tools to assist in forming a focused clinical question is the PICO model. This tool can be used to construct searchable questions as the initial step in using research data to guide decision-making. The tool lists search terms to look at the connection around an issue and intercessions to address the issue. Pico is a critical mnemonic that is used to form the vital parts of a well-built, clinical question.
Cullum, N. Ciliska D. and R. Haynes, Marks (2008;) Evidence – based Nursing: An Introduction.
In this case I will discuss evidence based nursing problem which has a very big impact to the nurses which is evidence- based practices for safe patient handling and movement. Evidence-based practice is critically appraised and scientifically proven evidence for delivering quality health care to a specific population. This is very important because it will help me in reduction of injuries that are associated with patient handling. There are very many approaches that can be used or rather are used in patient handling. These includes manual patient lifting, classes in body mechanics, training in safe lifting techniques, and back belts. Amazingly there has been a strong evidence that this methods still they do not help in reducing nurses or caregiver’s injuries.
Over the last 10 years evidence-based practice (EBP) has grown substantially and is changing the nursing care delivered to patients along with the nursing work environment. Nurses are more involved in the decision making process, and are making clinical decisions with better patient outcomes (Good, Fink, Krugman, Oman, & Traditi, 2011). With technology growing at such a fast pace, new and more effective medicines, medical devices, and procedures are developed daily. Digestible sensors that monitor your bodily systems and 3D printing of embryonic stem cells, blood vessels, and sheets of cardiac tissue that actually beat like a real heart, are significantly impacting the future of healthcare (Honigman,
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.
Nurses are the archeologists of the healthcare field. They research, examine, and resurrect the information needed to perform appropriate medical procedures on a daily basis. Refining that process helps utilize time to expedite sound knowledge into practice. Implementing this practice involves a community of nurses in order to keep the profession moving forward in a progressive, innovative, and improving manner. Imagine a ladder with all of its steps. Without each previous step we cannot climb any higher. If we choose to skip a step we may be missing valuable information that helped us get to that point. Every time we elevate to a new level of knowledge, we must consider the evidence that has built our foundation. It is an ongoing process. This is where evidence based nursing practices (EBNP) plays an intricate role. EBNP is a process nursing professionals use to evaluate medical evidence in order to provide quality patient care. It is an ongoing process that builds upon itself. EBNP occurs in five sequential steps that will be discussed further in this paper. The first step is the recognition of a problem and formulating a question that will result in a solution or improvement of that problem. The second step is to research evidence, based on that problem, that will guide in finding those supportive solutions. This can be the most intense and time consuming part of the process. In the third step, a collection and critique of all the evidence is completed for a qualitative approach to the appropriate solution. The fourth step involves implementation of the new solution into practice. Finally, a thorough evaluation is completed to find out if the solution worked, needs improvement, or raises new questions. This final step is...