Scott & McSherry (2008) also define evidence based nursing is a process by which nurses make clinical decisions using the best available research evidence, their clinical expertise and patient outcomes. We will also discuss nursing’s simultaneous reliance on and critique of EBP in the context of critical reasoning. There will also be discussion of a study done that examined the effects of integrating evidence based practice into clinical practicum among RN-BSN students and the limitations of evidence based practice and an alternate view of decision making. Lastly we will discuss evidence that challenges the traditional practice regarding injection sites (Cocoman & Murray 2010). According to Guem et al.
Management in Health Care (EBP) This assignment will aim to discuss the implementation of a nursing initiative, which could change practice. It will focus upon the process of change in relation to evidence-based practice. Then go on to discuss barriers to change, the role of change agents and how different management and leadership styles influence the change process. The implementation of research based evidence into nursing practice has long been recognised as an important issue. The aim of evidence based practice (EBP) being to help clinicians base their actions on best current evidence.
Definations and correlation between asumptions and relationships are evolved from the nursing models to provide a systematic approach in the delivery of patient care via describing, explaning, predicting and prescribing (Mckeena, 1997). The primary role of nurses when they are committed to a patient is accountability, integrity; colloboration and advancement in the profession (Daniels, 2004).Hence nursing theories are important basis especially for the novice nurse who has little or no clinical engagement. These nurses may attribute harm or risk to patients who are dependant on them for care. These theories act as guideliness for nurses from blunders when an organisation engages a formal model to practice. Thereby patients’ lives are guarded from stake of harm.
In addition, we were often unfamiliar with the jargon and statistics described in research articles, compounding the difficulty in translating research findings into practice. Even when the concept of EBP is generally accepted, the design and construction of an effective program can be difficult to envision, internalize and implement. Much like the building of a new house, an EBP program requires a sturdy foundation, strong supportive structures, functioning utilities, and attractive fine details. Therefore, deliberate planning and preparatory work is the foundation for a successful EBP philosophy of care. Education and marketing must be done to help clinicians understand that EBP
There is a sad reality of the shortage of RN’s for both acute and chronic care nursing but why is there a wedge between our nursing units. Moreover, in preparation for this research proposal I felt that this would be a relevant problem for me to address and investigate. Goals As I work through my research proposal I would like to achieve
From the ill-perceived role of the nurse performing mundane tasks for physicians more than half a century ago, the establishment of advanced practice nursing as a distinct pillar in the health care system to the hybridization of the practice of both nursing and medicine as a nurse practitioner to address primary care physician shortages, it is still to be determined what non-clinical roles may arise in the future health care system. More recently, the operations of the Clinical Nurse Leader (CNL) by the American Association of Colleges of Nursing (AACN) Board of Directors arose "in response to client care needs and to the health care delivery environment" (Spross, Hamric, Hall, Minarik, Sparacino & Stanley, 2004, p. 2). The CNL, an APN who is a generalist, works at the microsystems level (e.g. outpatient clinics, hospital units) and is concerned with such tasks as developing and implementing strategies for plans of care at the preventive level, coordination of care and other administrative-related
This essay offers a discussion of the importance of evidence based practice within the healthcare environment. Evidence based decision making in clinical practice takes into consideration, the patient’s wellbeing, where the procedure can take place and the clinical circumstances (####,####). #####,(####) suggest that evidence based research findings are the best type to inform health professionals with regards to decisions, actions and interactions with patients. #### & ####,(####) also found that nurse’s believe there is a need to evaluate the evidence so that clinical actions can be changed if the research shows the actions are more cost effective and the results are still in the patients best interest (#### & ####.,####). A choice of articles
Meaningful use for Nurses: Implications and Recommendations Chamberlain College of Nursing Nursing Informatics NR512/2014 Meaningful use for Nurses: Implications and Recommendations The purpose of this paper is to discuss of the implications for nurses, nursing, national health policy, patient outcomes, and population health associated with the collection and use of Meaningful Use core criteria. It will include an overview of the program, an analysis of the implication of Meaningful use, evidence based recommendations for additional core criteria or why no further recommendations are needed. It will include, from a nurse’s standpoint, the positive and negative attributes of EMR. Overview of Meaning Use The National Quality Forum (NQF) developed the idea for Meaningful Use (MU) in order to formulate national priorities that would assist in health care performance and improvement efforts. The NQF published a report depicting the areas which need to be “fixed”.
Research Integration WGU Evidence-Based Practice & Applied Nursing Research EBT1 - 724.8.3-01-05 July 18, 2013 Research Integration Types/Appropriateness/Classification of Sources of Evidence The article for the American Academy of Pediatrics (AAP) and American Academy of Family Physician regarding the diagnosis and management of acute otitis media (AOM) is considered to be a filtered resource classified as evidence based guideline. The recommendations establish guidelines of the definition, assessment and management of AOM based on research literature from experts making it appropriate to use in a nursing practice situation. The second article from Block, Causative Pathogens, Antibiotic Resistance and Therapeutic Considerations in
2013). Nurses must advance their skills and knowledge through the use of evidence-based practice and a key person involved in assisting front line nurses with accepting change is the nurse leader (Hauck et al., 2013). It is the nurse leader who has the difficult task of leading change and advocating for their peers and profession. One recent example of change in health care is the 48/6 model of care, a provincial initiative developed in British Columbia to address the decline of senior (seventy + years old) health while in acute care, and also to facilitate a patient’s ability to return home (Fraser Heath Authority, 2014). The 48/6 model of care is the screening tool developed to improve individualized care plans for patients The care plan is to be completed within 48 hours of the patient’s admission, and is meant to address 6 key areas of concern (Hospital Care for Seniors, 2012).