Basing Nursing Practice on Evidence
As research practices evolved, healthcare practices have improved.
Today, some nursing practice is based on evidence, yet not all forms of evidence provide the best outcomes. As noted in this week’s readings and media presentation, scientific research provides the best source of evidence. Evidence-based nursing practice takes into account scientific evidence, clinical expertise, and patient preferences. Using evidence-based nursing practices can improve patient outcomes along with quality and safety of care.
Reflect on nursing practice in general and then respond to the following:
1. Define “evidence based practice”.
2. What is the difference between “evidence based practice” and research?
3. Why don’t nurses use evidence-based findings in their practice?
4. Based on the reasons you provided above, how could these barriers be reduced or overcome in the agency where you work?
NOTE: If the agency where you work has already addressed this problem, provide information about it and share how well the strategy works.
Support your response with references from the professional nursing literature. References should not be older than 5years.
· Course Text: Schmidt, N. A., & Brown, J. M. (Eds.). (2012). Evidence-based practice for nurses: Appraisal and application of research. (Laureate Education, Inc., custom ed.). Sudbury, MA: Jones and Bartlett.
o Chapter 1, “What Is Evidence-Based Practice?”
This chapter defines evidence-based practice (EBP) as the integration of clinician expertise, patient preferences, and practice that is grounded in both theory and research evidence. The authors describe multiple ethical paths that a nurse can take to obtain evidence and improve patient care. In addition, this chapter covers barriers that might prevent the adoption of an EBP such as time or lack of resources.
o Chapter 2, “Using Evidence Through Collaboration to Promote Excellence in Nursing Practice”
Chapter 2 identifies five levels of collaboration that are essential to the promotion of EBP: individual, organizational, regional, national, and international. The chapter also discusses ethical principles, codes, and laws that aim to protect the rights of human subjects.
o Chapter 3, “Identifying Research Questions”
Nurses in practice can help determine those research questions that can lead to improved patient care and changes in practice. The process of identifying research problems and the development of EBP questions are discussed in this chapter. The authors provide guidelines for identifying research problems, narrowing the scope of a research question, and formulating a problem statement.
o Chapter 14, “Weighing In on the Evidence”
This section of Chapter 14 introduces clinical practice guidelines, which provide nurses with direction on how to incorporate research findings into their daily routines. This selection explains the evolution and use of clinical practice guidelines, which consolidate research findings and seek to resolve a specific clinical problem.
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