Evidence Based Practice In Nursing Research

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In todays ever changing world, with the field of health care research constantly evolving, it is extremely important for all health care providers to be able to accept to and adapt to changes in nursing field. Subsequently, there is a strong need for nurses to be willing to receive change and grow in order to foster the best outcomes for patients, through the use of evidence-based practice. According to Hauck, Winsett, & Kuric (2013) “Evidence-based practice is the conscientious and judicious use of current best available evidence, includes research findings, quality improvement data, clinical expertise and patient values to guide healthcare decisions” (p.664). Evidence-based practice has identified a need for a greater continuity of care and…show more content…
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). This paper will address the following: A history of the 48/6 followed by discussions of its implementation using Lewin’s change theory, the nurse’s role in change and lastly, considerations for future…show more content…
Interior Health’s acute care sites plan to include the 48/6 within every patient’s care, with the exception of obstetrical patients and newborns (Betman, 2014). Current evidence suggests that the benefits of implementing the 48/6 include: “improved pain management, better detection and treatment of delirium, decreased medication related events and shorter hospital stays” (Fraser Heath Authority, 2014, p.2). Originally the 48/6 was supposed to be implemented in all of BC’s acute health care settings by September 30,2014 (Foundational to Quality Patient Care, n.d.). It is perceived that the use and subsequent action of the 48/6 will require more of the nurse’s time at admission, but that it will save the healthcare system time in the long-term. Therefore “the better the initial screening and assessment, the better chance the senior has of maintaining their baseline level of independence and returning home sooner” (Hospital Care for Seniors, 2012. p.4). However, the implementation of 48/6 is being met with significant resistance. As a result of this resistance, the implementation of 48/6 is failing in many of BC’s healthcare settings including Royal Inland

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