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Quizlet evidence based practice for nursing
Application of evidence based practice in nursing
Quizlet evidence based practice for nursing
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This essay aims to demonstrate an understanding of the research process and use of evidence in nursing practice. The research article by Rostami et al. (2014) titled “Supporting adolescents with type 1 diabetes mellitus: A qualitative study” will critically examine using the Critical Appraisal Skills Program (CASP) tool. With the guide of this tool, the chosen study will be assessed in terms of strengths and limitations, the validity and reliability of its findings as well as established an insight of the research method and its relevance to nursing practice.
The NHS Outcomes Framework (NHSOF) has identified five key domains in order to deliver Evidence-Based Practice (EPB) to the patient. These five domains of the Department of Health (2014-15)
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focused on the priority areas that need to be improved in terms of health care delivery (Health & Social Care Information Center (HSCIC) (2016). This research article relates to the domain two which is “enhancing the quality of life for people with long-term condition”. Type 1 Diabetes (T1D) is a long-term condition, without adequate support it often disturbs in patient’s normal life. Thus, the providing adequate support from the families, friends and healthcare professionals is one of the ways to improve the health condition and enhance the quality of life for the people with T1D (National Institute for Health and Clinical Excellence (NICE) (2015). The rationale for choosing this article is that any interventions that can be utilised to enhance the quality of life for people living with T1D are applicable to nursing practice. The needs and value of nursing research and the use of EBP have been highlighted by the (Royal College of Nursing (RCN) “principles of nursing practice - principle F” as a crucial nursing standard to provide safe and effective nursing care (RCN 2016).
Polit and Beck (2010 p. 4) describe the research process as “a systematic inquiry designed to develop trustworthy evidence about issues of importance to the nursing profession, including nursing, practice, education, administration and informatics”. With the use of research, nurses can update themselves with the knowledge and analytical skills necessary to facilitate the use of appropriate evidence in clinical decision making for effective health service delivery (Greenhalgn 2010). Clinical decisions should be supported by current, appropriate and robust evidence rather than invalid primary training or the interpretation of personal experiences (Thompson and Dowding 2002). Baker (2010 p. 6) defines EBP as “the conscientious, explicit and judicious use of theory-derived, research-based information to make decisions about care delivery to individuals or groups of patient, taking into consideration individual’s needs and preferences”. It offers the nurse with the skills and knowledge to assess best update health care literature and practice (Donald and Greenhalgh …show more content…
2000). This article by Roshtami et al. (2014) is a qualitative study describes as a “form of social inquiry that focuses on the way people make sense of their experiences and the world in which they live” (Holloway and Wheller 2010 p. 3). It focuses on subjective data which is not easily coded into numbers, the emphasis is on people’s experiences, perspectives, understanding and belief (Borbasi and Jackson 2011). However, the qualitative study usually takes small size of sample compares to quantitative study (Polit and Beck 2010). The method used to analyse the qualitative data is crucial in establishing the trustworthiness of the data (Burl 2009). To critically appraise this qualitative study, the Critical Appraisal Skills Program (CASP) (2013) tool has been chosen. Critical Appraisal describes as “a process of carefully and systematically examining research to judge its trustworthiness, value and relevance in a particular context” (Burl 2009). Polit and Beck (2007) suggests critiquing the study for its validity and reliability all the elements of the study should examine carefully, including research design, methodology, discussion, result and conclusion section of the article. Critical appraisal allows an individual to analyse the value of the research by examining every part of the research (Polit and Beck 2010). However, Jolly (2013) criticise without reviewing the raw data of the study the qualitative research cannot be appraised. This CASP tool has a checklist with ten questions that helps the critic to understand the qualitative study and therefore allows them to analyse the key elements of the chosen study (CASP 2013). Firstly, in order to appraise the research methodology, the study needs to clearly identify its objectives and purpose (Parohoo 2014).
The aim of qualitative research is often addressed in such a way that the reader can still evaluate whether the aims of the study are achieved or not (Parahoo 2006). The authors clearly stated the aims of the research by exploring the views and beliefs of participants regarding support and ways to improve the support system in the introduction section of the article (Rostami et al 2014). The purpose and the significance of the study were also expressed in context with the article title Polit and Beck (2014) stated that the title of a study should be able to convey field or subject matter of
study. The qualitative and quantitative are two paradigms in the research (Ellis 2016) and the selection of research paradigm is depend on the aim of the study (Polit and Beck 2007). In this study, the research design is based on the descriptive qualitative approach which was appropriate for this type of research (Grove et al. 2013). This form of approach is set out to collect much more information on a topic and considered to be more exploratory and inductive in the process (Ellis 2016). According to Aveyard (2014), the data that typically gathered using the descriptive qualitative approach tends to be much richer and more in detail. Semi-structured interviews were used by the researchers to explore the support that Iranian adolescents with T1D experienced. This type of interview technique is ideal to extract a more detailed answer from the interviewee (Ellis 2016). Therefore, this research design is appropriate to address the research aims as Parahoo (2014) stated that research design must be congruent with the approach to avoid method slurring.
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
EBP is defined by Sacket et al as 'the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.' (Duncan, 2006) The best evidence in this context could therefore be argued to come from information that has been researched using quantitative methods that is numerical data that tests a hypothesis such as randomized control trials (RCT)(Duncan, 2006).
Polit, D. F. & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott.
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
EBP is a method of finding evidence and using it in practice: as Blaney (1986) states, it is used to assess health, plan, implement, and evaluate individualized care (p.182). Finotto et al. (2013) breaks EBP down into steps as follows: Formulate a research question; find the most relevant evidence; appraise evidence; integrate evidence with clinical experience and patient values to make practical decisions; and evaluate the outcome (p.460). Carrazzone (2009) and Moch et al. (2010) argue that didactic components with EBP integrated into the education are believed to be beneficial to studen...
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
“At its core evidence based ‘anything’ is concerned with using valid and relevant information in decision making” “high quality research is the most important source of valid information”. Psychological Association (2006, p. 273) defines EBP as "the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences. " When caring for patients it is fundamentally important to have a good selection of up to date evidence Based Practice clinical articles to support research strategies, this allows professionals to assemble the most recent and accurate information known which enables them to make decisions tailored to the individual’s plan of care. It is essential to have clinical expertise and have the involvement of the individual patient, they must have full engagement and incorporation in order to have the accurate evaluation.... ... middle of paper ...
230) in EBP. Clinical opinion, together with the best relevant research evidence, provides the framework to for the best patient outcome. The nurse’s clinical opinion is acquired through knowledge and skills developed from undergraduate, graduate, or continuing education, clinical experience, and clinical practice (Melnyk & Fineout-Overholt, 2010). Clinical opinion also includes internal evidence, which is generated within a clinical setting from quality improvement outcomes, management initiatives or EBP implementation projects (Melnyk & Fineout-Overholt, 2010). Nurses use their clinical opinion when they identify each patient’s condition, individual risks, personal values and expectations, benefits of possible interventions, and gather evidence for EBP. When searching for the best available evidence, there is a hierarchy in the strength of evidence. The highest level of evidence usually comes from a systematic review or an evidence-based clinical practice guideline based on a systematic review. Systematic reviews provide the strongest evidence through a summary combining the results from many relevant, unbiased studies, to answer a particular clinical question. Nurses critically assess the individual studies, to gather the best evidence available for patient care. Systematic
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
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
With dissemination of evidence you are spreading information throughout a community or the world depending on the type of dissemination. There are multiple types of dissemination and ways to disseminate evidence to people. The reasons nursing practice uses dissemination is because of how important it is to get new information to different people in many places. In this paper I will explain the clear and muddy and describe what strategy I used to clear the muddy.
The introduction of EBP has provided clinicians with the tools to use the best available evidence when making decisions (Leach, 2006). Fineout-Overholt et al. (2005) defines evidence based practice (EBP)
Nurses use evidence based practice and research to develop knowledge needed to practice in the nursing profession. Nurses use practical knowledge and theoretical knowledge in the many roles that nurses perform. As a provider of care and manager of care, nurses should use evidence based practice, research, and theoretical knowledge to ensure the best possible outcome for the patient. Lifelong education in nursing is necessary to keep up with the changes in nursing practice and to reinforce ethical knowledge and the core values that nurses use in their everyday practice. The professional value of caring as a nurse is one of the most important values. The caring attitudes of nurses will carry over to all other values that nurses should possess,