Case Discussion: Evidence Based Practice

Case Discussion: Evidence Based Practice

Case Discussion: Evidence Based Practice

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Case Discussion: Evidence Based Practice

Case Discussion: Evidence Based Practice

Steps of Evidence-Based Practice Essay

Imagine you are on a team at your workplace and have identified a new best practice to implement. In this assignment, you will describe the steps of implementing this new practice. This will require you to do some research of your own about how change comes about in your workplace. You will need to check your policies and procedures and may need to talk with a supervisor with experience in this area. You will need to support your thoughts on why you think a change needs to occur. This should be done by using the literature.Steps of Evidence-Based Practice Essay

Objectives

Differentiate among research, research utilization, and evidence-based practice
Identify the steps of evidence-based practice
References

Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)

include text book as one reference -LoBiondo-Wood, G., & Haber, J. (2018). Nursing research: Methods and critical appraisal for evidence-based practice (9th ed.). St. Louis, MO: Elsevier.included introduction and conclusionPeer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.Steps of Evidence-Based Practice Essay

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Style

Unless otherwise specified, all the written assignment must follow APA 6th edition formatting, citations and references. Click here to download the Microsoft Word APA 6th edition template. Make sure you cross-reference the APA 6th edition book as well before submitting the assignment.

Number of Pages/Words

Unless otherwise specified all papers should have a minimum of 600 words (approximately 2.5 pages) excluding the title and reference pages.Steps of Evidence-Based Practice Essay

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.Steps of Evidence-Based Practice Essay

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

What is Evidence Based Practice in Nursing?
Evidence-based practice is “the use of the best scientific evidence, integrated with clinical experience and incorporating patient values and preferences in the practice of professional nursing care (Houser, 2015, p. 12). In your RN-BSN program you can expect to take at least one course that focuses on nursing research and evidence-based practice. In your future professional nursing practice, it will be expected that you can locate, read, and apply evidence, and consider that you will also be called upon to participate in research at some point in your career.Steps of Evidence-Based Practice Essay

5 Steps in the EBP Nursing Cycle
There are five steps in the evidence based practice (EBP) nursing cycle: ask, acquire, appraise, apply, assess (Cleveland Clinic, 2017). As you consider a patient scenario, begin by formulating a clinical question. Ask: What problem or concern do you have for your patient?

EBP Cycle: Acquire Evidence
In step 2, you will begin to search for evidence to answer your question. Perhaps you are seeking evidence to determine if music therapy is as effective in helping to relieve pain for a patient after a minor surgical procedure, as compared to medication? In step 2 you will seek out scholarly literature to explore this evidence. This literature may be found in nursing journals, as well as medical and other health care related ones.

EBP Cycle: Appraise & Apply the Evidence
To appraise the evidence you will need to critically review the articles you have found for validity and applicability (Cleveland Clinic, 2017). If for example your patients are older adults, evidence that examines the effectiveness of music therapy for adolescents may not be applicable for your patient because adolescents and older adults have different responses to pain and different needs for pain control. Also appraise the source of the evidence; think back to your nursing research course to help guide you in completing this appraisal to assure that what you are reading can be trusted. Once you locate applicable evidence you may be ready to apply it, in the form of implementing the findings with your patient.

EBP Cycle: Assess the Evidence
The final step in the process will be to assess whether or not your intervention was effective. In the patient example here you would be assessing the patient to determine if his pain was controlled with the use of music therapy. You might compare the responses of two patients, one who received only music therapy and the other who received music therapy along with pain medication.

Let your search for evidence inspire you to be an even better nurse. Do not think of this as busy work or something you can leave for others to do. Think of evidence-based practice as your commitment to being a patient advocate and health care provider who is contributing to the advancement of the profession of nursing, while respecting a patient’s values and preferences. This is not problem solving, it is an avenue to improve patient outcomes and provide quality care to your patients.Steps of Evidence-Based Practice Essay

She believes that compassion and caring are essential components of nursing education, and she strives to engage students in respectful, meaningful dialogue. She is a regular contributor to fundamental nursing textbooks and has published in the areas of holistic nursing education, educational perspectives, healthcare applications for the Internet of Things (IoT), and Service-Learning. Additional research interests include the image of nursing, creating presence in online learning communities, and self-care practices for nursing students. In her spare time Dr. Laplante enjoys spending time with her family and being a volunteer for a local animal rescue to support pet adoption and education in the community.

To significantly impact the improvement of quality in healthcare, one needs to apply evidence-based practice (EBP). Without EBP, healthcare providers are at risk for variances in care that could seriously affect patient outcomes.

A “no-brainier,” right? Yet, healthcare organizations throughout the U.S. continue to grapple with how to apply EBP. A recently published study conducted in collaboration with Elsevier Clinical Solutions and the Ohio State University College of Nursing surveyed 256 nurse executives about their beliefs and perceptions of EBP, along with some environmental aspects of their organizations.1 Among the study’s cardinal findings: even though all the respondents indicated that quality and safety were the highest priority within their organizations, focusing on EBP was the lowest. This presents a dilemma of sorts, because In order to achieve quality and safety, EBP must be applied.

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Why is there such a contradiction between focusing on quality and safety, and EBP? And what must healthcare organizations do to achieve parity among these three goals? The answer lies in:

• Developing the right organizational culture
• Education and leading with nurses
• Employing models and framework and,
• Advancing an inter professional approach.

Establishing the right organizational culture
Simply disseminating evidence-based resources throughout an organization and expecting clinicians to implement evidence-based guidelines is not enough. In fact, clinicians often admit that they do not know where to find the evidence-based resources within their organization. EBP requires real behavior change, from long-held practices and organizational cultures of “this is the way we’ve always done it here,” to practice supported by science. Leaders who truly embrace a culture of EBP encourage their clinicians to ask questions. If a culture of inquiry does not exist in which people who don’t understand ask questions, practice will not change.Steps of Evidence-Based Practice Essay

Transformation to an EBP culture requires a dynamic team vision along with clear expectations from leaders that EBP is the foundation of all care delivered within their organization. One way to do this is to embed the organization’s vision, mission and strategic plan with its expectations for EBP, as well as making sure that EBP is incorporated in the on boarding process for all new clinicians. Also, those clinicians who fall short on some EBP competencies when hired should be provided with some form of continuing education, including skill-building activities, until they achieve full competency.

Education and leading with nurses
Nurses are the largest workforce in the U.S. healthcare system. If we lead with nurses, we can make a tremendous impact. According to The Future of Nursing Report by the Institute of Medicine, this means pushing nurses to practice at the top of their license and embrace EBP.

We must bridge the gap between education and practice. For per-licensure in nursing schools, both faculty and students are hungry for tools that help them apply EBP. Post-censurer, using EBP in the work setting helps nurses apply it and advances their critical thinking. Overall, nurses should be expected to meet new EBP competencies for practicing, which means that baccalaureate and associate degree programs must teach students EBP.

Employing Models and Framework
Models and frameworks are critical to EBP. Having a model and/or framework can guide the transformational process by applying evidence at the point of care while integrating the commitment of EBP with other organizational goals.2 Too often, EBP is thought of as a theoretical concept that is difficult to embrace, but that’s just not the case. Employing models and/or frameworks also engages clinicians and scholars who are experts in their respective fields.Steps of Evidence-Based Practice Essay

Advancing an inter professional approach
Nursing and other inter professional healthcare executives must build a culture and environment that supports evidence-based care implementation and sustainability to achieve the best patient outcomes.3 Evidence-based councils composed of a team of interdisciplinary clinicians can also enhance EBP throughout an organization and lead to a higher quality of care and improved outcomes.

Physicians in particular, who have primarily relied on clinical trials in the past are now viewing evidence-based methodologies as additional options to arriving at quality-focused, value-based care. Along with nurses and other allied health professionals, they are beginning to adopt inter professional EBP as a cornerstone to greatly improve the momentum of this movement.

Probably one of the greatest challenges – and opportunities – for EBP is applying it across the care continuum. EBP is very much aligned with the Affordable Care Act and movement from fee-based to value-based service. So, in looking at EBP’s application across the continuum of care, consider this: does it make sense for a patient with heart failure to receive care as an inpatient in a hospital setting that employs evidence-based guidelines and methodologies, to then be sent home and receive care at a heart clinic that doesn’t use an evidence-based approach to care?Steps of Evidence-Based Practice Essay

We now have a great opportunity to establish EBP as a standard pillar across all healthcare settings to ensure that each patient receives evidence-based, consistent care from all providers. In addition, using EBP can enable patients to become more active participants in their healthcare.

As we look ahead to the future, EBP can be incorporated as a standard component of healthcare in all care settings in several ways: first, we need for the evidence to become more evident in the workflow. This involves transitioning from static documents to information that is actionable and evident to clinicians. Next, it is important that integration of EBP with EHR vendors is facilitated in a way that makes it usable to clinicians in their everyday practice. And let’s not forget to continue to advance an inter professional approach.

Evidence-based practice can provide an exceptional opportunity to optimize patient care and outcomes by creating and leveraging the right tools, culture, education and patient engagement skills in the overall care process.Steps of Evidence-Based Practice Essay

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument

Case Discussion: Evidence Based Practice

Case Discussion: Evidence Based Practice