Evidence Based Practice Essay

Implementation of try out establish dorosemary GarciaImplementation of show up establish place prove establish Practice c be for is the practice session by nurses of secernate base look conclusions that, harmonise to Ho affairr (2012), steer the nurse toward consolidation of clinical expert opinion and see with an unbiased exhaustive reappraisal of the best scientific evidence passe-partout treat rush publications can go a authority while incorporating forbearing values and preferences. exhibit ground Practice nurse entails adopting a dictatorial critical thinking finish reservation process guided by a upset and be chosen examine found nursing model path that involves searching, appraising, synthesizing, adapting, implementing, and continually evaluating the indicate ground look into findings implemented. Among these models argon the Conduct and Utilization of search in Nursing (CURN) project, the Stetler Model of look Utilization, and the Iowa Mo del for search in Practice.The pur stand by of this paper is to explore the electric shock of examine ground explore on nursing practice by defining severalise found Practice Nursing, directing attention to the magnificence of Evidence base inquiry, curtly check intoing examples of qualitative and quantitative look and finally describeing some(a) ways to scourge barriers that prevent nurse participation and utilization of Evidence base inquiry. immenseness of Evidence Based inquiryEvidence Based Research is grand be driving it provides nurses with actual knowledge of elements of practice that view been kn feature to work tally to R. Simpson (2004). Evidence Based Practice Nursing is based on a disciplined methodological close making process in which nurses continually ask for Evidence Based Research to embolden their actions and consistently urge on the validness and reliability of activities of each day. The Evidence Based Practice hold back alike plans for tack according to Rosswurm and Larrabee (1999). Evidence Based Research findings go into through dickens proven methods, videlicet qualitative and quantitative look for. regular reviews summarize and succinctly abstract findings from four-fold studies and compile them into useable condensed formats for quick reputation and review. A systematic review that includes a meta-analysis draws findings from multiple studies, recalculates the results to vex at a new finding thus compounding its validity and reliability. The utilization of Evidence Based Research directly and positively remedys nursing practice when the findings are implemented. Research ExamplesThe interest two examples of Evidence Based Research show how slaying impacts nursing practice. Nursing homes promote their smell of tuition utilise analyses and marketing strategies to shape public perception and coax business. How a nursing home lotes the phenomena of moderating worry and the prevalence of pinch ulcerations affects that perception. A nursing home may presume to have utmost part of thrill because of naughty form on the tokenish information Sheet (MDS) prevalence ulcer (PU) index finger and promote such a score. Similarly, how a nurse responds to a occupant physician in palliative handle also reflects on forest of care. Evidence Based Research of these two phenomena helps improve nursing practice in this arena. A nurse in a long circumstance care facility that provides palliative care may be called upon to respond to a resident who may be struggling with issues of regret for life events and liveliness a need for forgiveness.A retrospective study by Ferrel, Otis-Green, Baird, and Garcia, (2013) through a convenience type of 339 nurses go to palliative care educational courses throughout the U.S. and Belize, India, the Philippines and Romania sought to appraise nurses responses to this issue. Since the purpose was to document the viewpoints and feeling s, a descriptive qualitative interrogation intent utilise the phenomenology method was appropriate. The data was examined development content analysis and themes were identified. By foc utilize on nurses from a huge geographical base who were attending palliative care classes, the researches maximized the potential for conclave relevant data and intensify transferability and validity through this convenience essay. They also minimized inherent ethnical bias that could have potentially arisen if the sample had been solely from bingle sphere or region. The conclusion was that nurses would get ahead from extra education regardinghow best to address these concerns. Implementing these Evidence Based Research findings helps improve nursing practice.As noted earlier, the prevalence of insistence ulcers, their prevention and intervention is a common predicament in a long term setting and nursing homes want to demonstrate success in this playing field as part of the fictio nal character of care. one and only(a) method used to identify and monitor pressure ulcers is the negligible Data Sheet (MDS) prevalence ulcer (PU) indicator. Bates-Jensen et al (2003) in a quantitative research descriptive study sought to determine whether the tokenish data sheet pressure ulcer indicator of a high or low score reflected differences in processes related to pressure ulcer prevention and treatment. The convenience sample consisted of 321 residents from 16 different nursing homes. The resident had to be at risk for pressure ulcer development using the PU Residential Assessment communications protocol of the MDS to meet the criteria for inclusion.This was a quantitative study designed to collect numeral data by step 16 care process quality indicators (10 related to PU care processes, five related to nutrition and one related to incontinence management) using medical record data, direct benevolent observation, interviews and data from wireless thigh movement monit ors. The statistical data results revealed that the MDS PU indicator was not a useful indicator of quality of care and could be misinterpreted if not explained. Family members who are considering long term care benefit from this research and in a facility that might have erroneously interpreted the meaning of the MDS PU indicator, Evidence Based Practice Nursing would implement corrective measures regarding emerging use of the scores and thus hold about an improved change. Barriers Preventing Research UtilizationNursing improves when Evidence Based Research findings can be utilized and implemented by nurses in their periodical practice. J. Dracup (2006) stated what some nurses had identified as barriers to Evidence Based Research, namely accessibility of research findings, anticipated outcomes of using research, organizational support to use research, and support from others to use research. Dracup believed that evidence-based practice mustiness include an appraisal of the avai lable resources since the cost of capital punishment is yet another barrier and entrust not be follow if resources are insufficient to incorporate them into the daily routine nursing care. G. Mitchell(1999) raised(a) the lack of sufficient meaningful research as an additional barrier. A multidisciplinary effort by researchers and educators of all handle will be postulate to work toward the removal of these barriers. Collaborate to provide a more competent system of information dissemination must take place. system of rulesatic reviews, some prison terms combined with meta-analysis, already advance the cause of having multiple sources of research data condensed to a useable quickly reviewable format.One possible way that nurses could master access to Evidence Based Research through the Cochrane Library, for example, is by way of grants to give instruction districts and local libraries allowing free or low cost subsidised access. After obtaining this access and recognizing nurses research time restraints, the formation of high school clubs like Cochrane Library Scholars would allow nurses to pose Research Questions to the club who would in turn compile relevant research articles for the nurse. Similar clubs could be AHRQ Research Scholars and Campbell Library Scholars. Since addressing the barrier of cost of Evidence Based Research implementation is equally important., to purposefully draw residential district leaders attention to the Evidence Based Research available at their local library, create a logo such as LIBRLIBRARYARY with the guide word A Library deep down A Library.By raising sentiency of the benefits of Evidence Based Research of public and private pivotal decision makers, these individuals could prove instrumental in helping to identify and acquire the resources call for to implement Evidence Based Research within their sphere of influence. By opening avenues to Evidence Based Research findings through local libraries, lovely stud ents as researchers and raising fellowship awareness, more nurses could gain knowledge that translates into Evidence Based Practice Nursing. Participants would be engaged in raising the quality of care within their own communities. Raising widespread awareness of the grandness and value of Evidence Based Research could be the catalyst that propels groups to jointly seek resources for implementation of Evidence Based Practice in communities crosswise the nation. ConclusionEvidence Based Research impacts Evidence Based Practice Nursing if it is utilized. A deliberate effort to promote the understanding of its immensity combined with taking measures to lead barriers that preventnurses from using Evidence Based Research findings will impact, improve, and secure the best possible nursing practice.ReferencesBates-Jensen, B.M., Cadogan, M., Osterwell D., Levy-Storms L, Jorge, J., Alsamarrai, N., Grbic, V. & Schnelle, J.F. (2003) The Minimum Data Set mash Ulcer Indicator Does It Refle ct Differences in Care Processes Related to pressure level Ulcer Prevention and Treatment in Nursing Homes? daybook of American Geriatric Society, 51(9). DOI 10.1046/j.1532-5415.2003.51403.x Dracup, J. (2006). Evidence-Based Practice is fantastic Sort Of, American Journal ofCritical Care. 15(4)Ferrel, B., Otis-Green, S, Baird, R.P., & Garcia, A. (2013). Nurses Responses to Requests forForgiveness at the obliterate of Life. Journal of Pain System Management,DOI 10.1016/j.jpainsymman.2013.05.009Houser, J. (2012). Nursing Research reading, using, and creating evidence. (2nd ed.). Salisbury,MA Jones & Barlett PublishingMitchell, G. (1999). Evidence-based practice judge and alternative view. Nursing Science Quarterly, 12(1), 30-35. Retsas A. (2000). Barriers to using research evidence in nursing practice. Journal of Advanced Nursing, 31599-606. Rosswurm, M. A., & Larrabee, J. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322.Implem entation of Evidence Based PracticeRosemary GarciaSubmitted to Karen Rhoades, MS, RN in partial fulfillment of NR460R Evidence Based PracticeAugust 10, 2013Implementation of Evidence Based PracticeEvidence Based Practice Nursing is the utilization by nurses of Evidence Based Research findings that, according to Houser (2012), steer the nursetoward integration of clinical expert opinion and experience with an unbiased exhaustive review of the best scientific evidence professional nursing care literature can provide while incorporating patient values and preferences. Evidence Based Practice Nursing entails adopting a systematic critical thinking decision making process guided by a deliberate and defined chosen Evidence Based Nursing model path that involves searching, appraising, synthesizing, adapting, implementing, and continually evaluating the Evidence Based Research findings implemented. Among these models are the Conduct and Utilization of Research in Nursing (CURN) project, th e Stetler Model of Research Utilization, and the Iowa Model for Research in Practice.The purpose of this paper is to explore the impact of Evidence Based Research on nursing practice by defining Evidence Based Practice Nursing, directing attention to the importance of Evidence Based Research, briefly reviewing examples of qualitative and quantitative research and finally identifying some ways to overcome barriers that prevent nurse participation and utilization of Evidence Based Research. Importance of Evidence Based ResearchEvidence Based Research is important because it provides nurses with actual knowledge of elements of practice that have been known to work according to R. Simpson (2004). Evidence Based Practice Nursing is based on a disciplined methodological decision making process in which nurses continually ask for Evidence Based Research to support their actions and consistently weigh the validity and reliability of activities of each day. The Evidence Based Practice Nurse also plans for change according to Rosswurm and Larrabee (1999). Evidence Based Research findings come through two proven methods, namely qualitative and quantitative research. Systematic reviews summarize and succinctly abstract findings from multiple studies and compile them into useable condensed formats for quicker study and review.A systematic review that includes a meta-analysis draws findings from multiple studies, recalculates the results to arrive at a new finding thus compounding its validity and reliability. The utilization of Evidence Based Research directly and positively improves nursing practice when the findings are implemented. Research ExamplesThe following two examples of Evidence Based Research show how implementation impacts nursing practice. Nursing homes promote their quality of care using analyses and marketing strategies to influence public perception and attract business. How a nursing home addresses the phenomena of palliative care and the prevalence of pr essure ulcers affects that perception. A nursing home may presume to have high quality of care because of high score on the Minimum Data Sheet (MDS) prevalence ulcer (PU) indicator and promote such a score. Similarly, how a nurse responds to a resident in palliative care also reflects on quality of care. Evidence Based Research of these two phenomena helps improve nursing practice in this arena. A nurse in a long term care facility that provides palliative care may be called upon to respond to a resident who may be struggling with issues of regret for life events and feel a need for forgiveness.A retrospective study by Ferrel, Otis-Green, Baird, and Garcia, (2013) through a convenience sample of 339 nurses attending palliative care educational courses throughout the U.S. and Belize, India, the Philippines and Romania sought to assess nurses responses to this issue. Since the purpose was to document the viewpoints and feelings, a descriptive qualitative research design using the phen omenology method was appropriate. The data was examined using content analysis and themes were identified. By focusing on nurses from a broad geographical base who were attending palliative care classes, the researches maximized the potential for gathering relevant data and enhanced transferability and validity through this convenience sample. They also minimized inherent cultural bias that could have potentially arisen if the sample had been solely from one country or region.The conclusion was that nurses would benefit from additional education regarding how best to address these concerns. Implementing these Evidence Based Research findings helps improve nursing practice. As noted earlier, the prevalence of pressure ulcers, their prevention and treatment is a common dilemma in a long term setting and nursing homes want to demonstrate success in this area as part of the quality of care. One method used to identify and monitor pressure ulcers is the Minimum Data Sheet (MDS) prevalenc e ulcer (PU) indicator. Bates-Jensen et al (2003) in a quantitative research descriptive study sought to determine whether the minimum data sheet pressure ulcer indicator of a high or low score reflected differences inprocesses related to pressure ulcer prevention and treatment. The convenience sample consisted of 321 residents from 16 different nursing homes. The resident had to be at risk for pressure ulcer development using the PU Residential Assessment Protocol of the MDS to meet the criteria for inclusion.This was a quantitative study designed to collect numerical data by measuring 16 care process quality indicators (10 related to PU care processes, five related to nutrition and one related to incontinence management) using medical record data, direct human observation, interviews and data from wireless thigh movement monitors. The statistical data results revealed that the MDS PU indicator was not a useful indicator of quality of care and could be misinterpreted if not explain ed. Family members who are considering long term care benefit from this research and in a facility that might have mistakenly interpreted the meaning of the MDS PU indicator, Evidence Based Practice Nursing would implement corrective measures regarding future use of the scores and thus bring about an improved change. Barriers Preventing Research UtilizationNursing improves when Evidence Based Research findings can be utilized and implemented by nurses in their daily practice. J. Dracup (2006) stated what some nurses had identified as barriers to Evidence Based Research, namely accessibility of research findings, anticipated outcomes of using research, organizational support to use research, and support from others to use research. Dracup believed that evidence-based practice must include an assessment of the available resources since the cost of implementation is yet another barrier and will not be adopted if resources are insufficient to incorporate them into the daily routine nurs ing care. G. Mitchell (1999) raised the lack of sufficient meaningful research as an additional barrier. A multidisciplinary effort by researchers and educators of all fields will be required to work toward the removal of these barriers. Collaborate to provide a more efficient system of information dissemination must take place. Systematic reviews, sometimes combined with meta-analysis, already advance the cause of having multiple sources of research data condensed to a useable quickly reviewable format. One possible way that nurses could gain access to Evidence Based Research through the Cochrane Library, for example, is by way of grants to school districts and locallibraries allowing free or low cost subsidized access.After obtaining this access and recognizing nurses research time restraints, the formation of high school clubs like Cochrane Library Scholars would allow nurses to pose Research Questions to the club who would in turn compile relevant research articles for the nurs e. Similar clubs could be AHRQ Research Scholars and Campbell Library Scholars. Since addressing the barrier of cost of Evidence Based Research implementation is equally important., to purposefully draw community leaders attention to the Evidence Based Research available at their local library, create a logo such as LIBRLIBRARYARY with the slogan A Library within A Library.By raising awareness of the benefits of Evidence Based Research of public and private pivotal decision makers, these individuals could prove instrumental in helping to identify and acquire the resources needed to implement Evidence Based Research within their sphere of influence. By opening avenues to Evidence Based Research findings through local libraries, engaging students as researchers and raising community awareness, more nurses could gain knowledge that translates into Evidence Based Practice Nursing. Participants would be engaged in raising the quality of care within their own communities. Raising widespre ad awareness of the importance and value of Evidence Based Research could be the catalyst that propels groups to collectively seek resources for implementation of Evidence Based Practice in communities across the nation. ConclusionEvidence Based Research impacts Evidence Based Practice Nursing if it is utilized. A deliberate effort to promote the understanding of its importance combined with taking measures to remove barriers that prevent nurses from using Evidence Based Research findings will impact, improve, and ensure the best possible nursing practice.ReferencesBates-Jensen, B.M., Cadogan, M., Osterwell D., Levy-Storms L, Jorge, J., Alsamarrai, N., Grbic, V. & Schnelle, J.F. (2003) The Minimum Data Set Pressure Ulcer Indicator Does It Reflect Differences in Care Processes Related to Pressure Ulcer Prevention and Treatment in Nursing Homes? Journal of American Geriatric Society, 51(9). DOI10.1046/j.1532-5415.2003.51403.x Dracup, J. (2006). Evidence-Based Practice is Wonderful So rt Of, American Journal ofCritical Care. 15(4)Ferrel, B., Otis-Green, S, Baird, R.P., & Garcia, A. (2013). Nurses Responses to Requests forForgiveness at the End of Life. Journal of Pain System Management,DOI 10.1016/j.jpainsymman.2013.05.009Houser, J. (2012). Nursing Research reading, using, and creating evidence. (2nd ed.). Salisbury,MA Jones & Barlett PublishingMitchell, G. (1999). Evidence-based practice Critique and alternative view. Nursing Science Quarterly, 12(1), 30-35. Retsas A. (2000). Barriers to using research evidence in nursing practice. Journal of Advanced Nursing, 31599-606. Rosswurm, M. A., & Larrabee, J. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322.