Integration of Evidence-Based Practice into Professional Nursing Practice Chamberlain College of Nursing 351: Transitions to Professional Nursing Spring and 2010 Integration of Evidence-Based Practice into Professional Nursing Practice “It is not enough to do your best, you must know what to do, and THEN do your best.” –W. Edwards Deming. Introduction As medical treatment and technology advances, health care is constantly changing, ultimately affecting the treatment and prevention of diseases. Health care has turned to the use of evidence-based practice to provide the care that research has shown to provide the best outcomes (Troseth, 2009). Evidence-based practice (EBP) provides the research and information of how to deliver the best patient care, and can be integrated into the delivery of nursing care.
In Monitor Alarm Fatigue: An Integrative Review, research evidence was broken down into themes including: effect of excessive alarms on staff, nurse’s response to alarms, alarm sounds and audibility, technology to reduce false alarms, and alarm notification systems. Non-research evidence revealed strategies to reduce alarm desensitization. Cvach concluded the article with evidence-based practice recommendations for technology manufacturers, hospitals, and caregivers. One nursing intervention recommended was to adjust alarm parameters so that they are customized to each individual’s actual needs. This intervention ensures that the alarms are valid and that they will provide and early warning to potential critical situations.
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.
(2009) also highlights the importance of linking the philosophical perspective of nursing, the disciplinary goals, theory and practice when expanding knowledge for the discipline. Nursing's philosophical basis for disciplinary knowledge is a synthesis of the individual and the common good (McCurry et al., 2009). Knowledge for the discipline expands when philosophy, disciplinary goals, theory and practice are linked together. Further directions of the discipline are revealed when linkages between philosophy, disciplinary goals, theory and practice are strengthen (McCurry et al., 2009). My philosophy of nursing includes three important factors (1) the patient, which may include a family, a community or individuals.
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.
6. Employees will perform at a lower level if they are not motivated to do the job. 7. Employees will perform at a lower level if they are not able to control their attitudes. (Mathis, 2004) Other potential sources of the problem are that six months post retreat and agreement among Singh and Manzoni that there is a problem.
Another strategy I used was to approach a situation from more than one point of view, think through problems thoroughly, assess and investigate a problem or situation, implement good use of the nursing process in all situations. An example of thoroughly assessing a problem is, in a situation where you find an oriented head trauma patient with a sudden change in mentation. Before calling the doctor, I would first of all assess orientation, any changes in pupil size; do a set of complete vital signs. Today, I can freely say that my nursing career has evolved tremendously from an occupation to a skilled
Let us also examine as to how the practice of nursing is expected to shift based on the concepts of continuum of care, accountable care organizations (ACO’s) medical health homes (MHH), nurse-managed health care clinics (NMHCs). Taking a composite approach to patient care, nurses today are expected to handle a
This reflective essay will discuss a role play activity within an education setting in which I participated in as the narrator and the Ward manager in the Accident emergency unit. This reflection will be centred on a multidisciplinary team (MDT) meeting. The aim of this reflection is to critically reflect on the case scenario activity, as well as to identifying my further learning needs that will provide evidence based care in the further. In order to structure this reflection I have chosen to use Driscoll’s model (driscoll, 2000). Any names that are used will be changed to maintain confidentiality in line with the, Nursing and Midwifery Council code of practise (NMC, 2008).
At the beginning of the 1980’s a collective view was created on the aspects which were key to nursing being: the person, the environment, health and nursing, also known as ”the metaparadigm of nursing”. This is the basis for all current nursing theories (Verberk and Kuiper, 2006). A theory is constantly subject to changes in the environment to which the theory is applied and to the vision of the professionals who work with the theory (Smith, 1994). Theories are developed to make people work according to an underlying structure and specific approach so that they will work towards the same goals with the same vision in mind (Aggleton and Chalmers, 1986). A theory, however useful it might be as a support for the development of care approaches, should never become an unbreakable code.