Implementing EBP in nursing care establishes who they are, what they do, and what effect they have on patient outcomes (Overholt, 2004). All nurses have the responsibility to delivering the best care that will deliver the best outcomes to the patient. Evidence-based practice serves as a framework of how to prevent or treat common issues seen in clinical practice. The process of implementing EBP into clinical practice is accomplished by a series of steps or
Evidence Based Practice in Adult Nursing The aim of this assignment is to critique a piece of quantitative nursing research, by identifying and commenting on the purpose and relevance of the study, the research design and the methodology employed. Firstly it will illustrate how to locate and retrieve evidence relating to the specific topic. A systematic evaluation of one research paper titled: Randomised Clinical Trial Comparing the Efficacy of Two Bandaging Regimens in the Treatment of Venous Leg Ulcers (Meyers et al, 2002) will be carried out. Initially the meaning of critique will be defined and the importance of research critique to nursing will be briefly described. Elements of a recognised framework by Cormack (2000) will be used as a guideline through the critique process.
A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation. Thus, I will discuss the impact of inadequate nursing documentation that leads to malpractice lawsuits. Purpose of Medical Record Documentation Understanding the purpose of medical documentation was the first step in teaching how to prevent inadequate documentations that leads to liability and malpractice lawsuits. Monarch (2007) supports the purpose of Medical Record Documentation as the following: • Substantiating the health condition or illness or presented concern for the patient. • Effective communication among health care staff.
We will further consider the nursing skills needed by the nurse (RN) and the scientific basis in each part of the nursing process. The assessment is the first step in the nursing process. The assessment phase is where information is gathered; this data will assist in forming diagnosis, outcomes and interventions. Analyzing a patient involves collecting both subjective and objective data. First, the RN needs to collect the data.
Application of Theory Paper Nursing theory is the framework that defines nursing practice, establishes standards of care and provides the information essential for functioning patient care. Theory presents logical and educated reasons for nursing actions, based on structured, written depictions of what nursing is and what nurses do (Rousell, 2010). When problems arise within the educational, research, administration and direct patient care settings; theory supplies a foundation for dialog. When using theory to facilitate resolution of a nursing issue it guides leaders in the direction of the common goal of affording superior patient care (Rousell, 2010). In this paper I will apply the Ida Jean Orlando’s Nursing Deliberate Nursing Process Theory to patient boarding in the Emergency Department (ED), a current issue at the facility I am employed.
Reflection of Clinical Practice Nursing Essay The purpose of this essay is to demonstrate application of core components of the NMC Code of Professional Conduct (2008) using reflective practice. The NMC Code of Professional Conduct (2008) states that nurses should act in accordance with the code, using an ethical and legal framework to ensure patient wellbeing and respect confidentiality. Nurses must act in a fair, non-discriminatory way which respects customs, values and beliefs of an individual, providing care which demonstrates sensitivity (NMC 2008, p2). Reflective practice is described by Duffy (2008, p.1405) as an active and deliberate process to critically examine practice, where an individual is challenged to undertake the process of self-enquiry. Refection allows us to look at an experience and how it makes us feel and react, asking what is good and bad, and what can be learnt (Sellman & Snelling 2010).
According to the Nursing and Midwifery Council (2008) research is essential to nursing field to enhance evidence based practice. Melnyk and Fineout-Overholt (2005,p339) define evidence based practice as a problem solving approach that integrates a systematic search for and critical appraisal of the most relevant evidence to answer burning clinical questions while maximizing quality care and limiting cost. However, evidence based practice in nursing is more challenging than its use in the medical profession because of the multiple sources of nursing knowledge (Carrier andBrassey2006,p40). For this reason, it is important for researchers to understand how to figure out research techniques appropriate for them coming up with the best evidence on various issues being handled. Clearly-holdforth( 2008, p43) advocates the use of PICO question framing format while researching for it is a standardized criteria for determining a research question for all methodologies although different methodologies tackle the research
Critique of Cervical cancer prevention by vaccination: nurses’ knowledge, attitudes and intentions - Psychology Research Paper by Sidney Otoboeze Northern Lights College for PSY 101, Introduction to Psychology Tanya Clary May 18, 2011 Abstract One of the first tasks involved in the critiquing of a research paper is to try to explain the performance and tasks that have taken place. Critiquing research involves a careful examination of all aspects of a study in order to judge its strengths, limitations, meaning and significance (Hek, 1996). As demonstrated in the paper written by Boulianne, Duval, Dube, Ouakki, Gilca,Halperin, Sauvageau, Pielak, Lavoie & Simpson, (2009), it can be concluded that cervical cancer is the second most
The methodology used will be described and the rationale for this choice. The recommended sampling, data collection and analysis will be discussed and an explanation of the approaches adopted. Trustworthiness and rigour of the study and ethical issues and considerations will be referred to within context of the proposal. Finally it will be concluded as to how the proposed piece of research would add to the knowledge of nurses and the benefit it would have on their practice as well as discussing the impact it could have on patient safety and the quality improvement of care. Literature review A literature review is undertaking to summarise all current literature on a selected topic.
The Future of Nursing: Leading Change, Advancing Health http://www.nap.edu/catalog/12956.html This paper is excerpted from Appendix I of The Future of Nursing: Leading Change, Advancing Health (Institute of Medicine, 2011). I The Future of Nursing Education1 Edited by Linda R. Cronenwett, Ph.D, R.N., FAAN University of North Carolina at Chapel Hill School of Nursing SUMMARY AND CONCLUSIONS “Learn the past, watch the present, and create the future.” In October 2009, Don Berwick and I were out of the country when we received invitations from Susan Hassmiller to co-author a background paper on the future of nursing education for the Robert Wood Johnson Foundation/Institute of Medicine (RWJF/IOM) Committee on the Future of Nursing. Initial conversations led to long lists of potential topics to be covered. Inevitably, we kept coming back to the question: What would be useful to committee members who deserved a base for their deliberations that was focused and helpful? In the end, we decided that detailed descriptions of the current challenges and recommendations for the future of nursing education from two people were not the answer.