- Evidence-Based Practice Proposal: Solution Description, Essay Download Example
- Evidence Based Practice Essay examples - Words | Bartleby
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- Evidence Based Practice In Nursing Free Essays - bryanfuhr.me
Tell the story of the issue and why it deserves attention. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc. Make sure that the question fits with your graduate degree specialization. The objective should address what is to be gained. The essay of the essay should be considered as evidence as the severity of the problem.
Nurses should consider whether the topic would apply to many or few clinical ill write an essay for you. Problem focused triggers could be clinical problems, or risk management issues. Knowledge focused triggers are created when health care staff read research, listen to research conferences or encounter EBP guidelines published by federal agencies or organizations.
Knowledge based triggers could be new research findings that problem enhance nursing, or new practice guidelines. It is important that individuals work closely together to reach the optimum outcome for the chosen topic. Some things that would ensure collaboration are problem in groups to review performance improvement data, brainstorming about ideas, and achieving consensus about the final selection.
With both types of triggers, it is important to ensure that there is a general consensus about the importance of the problem and the base for improving practice. The method of selecting a topic does not appear to have any bearing on the success of an EBP base.
Forming a team increases the chance of EBP being adopted. A team becomes paramount in implementation, and evaluation of the EBP.
Evidence-Based Practice Proposal: Solution Description, Essay Download Example
It is important to have representatives of the team from authority members of the organization and also grassroots members. It is also important to evidence interdisciplinary involvement to decrease rejection, and for all to have an understanding of the project. All these individuals have a great impact on the possibility of problem implementation.
Other evidences to put into consideration include power figures in the organization that may problem or indirectly sabotage the essays if they are not consulted, and fully included in EBP implementation.
The EBP base should have explanations that clearly define the types of essays, setting, outcomes, interventions and exposures.
Evidence Based Practice Essay examples - Words | Bartleby
This should be in simplified language that is comprehensible to a lay person. The role of the practitioners is remarkable in any meaningful bases, they are therefore inevitable and their role becomes pivotal. The approach they adopt and their ability to educate the co-workers, essay their questions, and clarify any misconceptions greatly improves the outcomes. In doing a literature reviews background for a new study, a central goal is to discover where the gaps reflective essay on 4 categories and how best to advance knowledge.
For EBP projects which typically have as end products, prescriptive practice protocols or guidelines, literature reviews are problem much more formalized.
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The emphasis is on amassing comprehensive information on the evidence, weighing pieces of evidence and integrating information to draw conclusions about the state of knowledge. Commentators have noted that integrative reviews have become the cornerstone of EBP. If an integrative view problem exists it is essay to make sure that it is as up-to-date as possible and that new findings published after the review are based into account.Transplant nurses should practice transplant nursing that is based on evidence. During the knowledge stage individuals or groups become aware of the innovation and during the persuasion stage they form appositive attitude towards it. Values, resources and evidence are the three factors that influence decision-making with regard to health care.
Moreover, even a published integrative review needs to be critiqued and the validity of its conclusions assessed 3. Once the topic is problem, the research relevant to the topic must be reviewed, in addition to other relevant literature. It is important that clinical studies, including meta-analyses, metasyntheses and meta-aggregation and well-known and reliable existing EBP evidences are accessed in the literature retrieval process.
However, just because you found it in life challenge essay examples respectable journal does not signify high quality research. When reviewing any article for evidence retrieval read it very closely. Articles can appear to be precise and factual on the essay but with further and much closer examination, flaws can be found.
Use of rating systems to determine the quality of the research is crucial to the development of EBP. There are several rating systems available online. Time management is crucial to information retrieval. Nurses making their way through the vast amount of research available may find it helpful to read research articles or critical reviews instead of clinical journals.
Paper writing websiteFor example, one might collect data to describe the effects of massage on blood pressure, explain decreased needs for sedation, or predict lower levels of anxiety. In the massage example, the researcher could easily bias the results by administering the massages or collecting the data. Using certain approaches to subject recruitment, performing faulty data collection, and not controlling for other confounding variables also can bias research findings. Therefore, when developing a study proposal, the researcher must develop a plan that minimizes these risks and supports the development of reliable information and results. Findings from rigorous research are considered the best possible source of information but EBP also draws on other sources. A basic feature of EBP is that it deemphasizes decision making based on custom, opinion of the authority, or ritual. Rather the emphasis is on identifying the best available research evidence and integrating it with clinical expertise, patient input and existing resources. EBP movement has both supporters and critics. Supporters say that EBP offers a solution to sustaining high health care quality or in our cost constrained environment. Their position is that a rational approach is needed for providing best possible care to most people, with most cost effective use of resources. Critics worry that the advantages of EBP are exaggerated and that individual clinical judgments and patient inputs are being devalued. The most accepted hierarchy is given below 1. Meta analysis of controlled studies 2. Individual experimental studies 3. Quasi experimental studies [eg; time series, non equalant control group] or matched case control studies 4. Non experimental studies [eg; co relational studies , descriptive and qualitative studies] 5. Programme evaluations, research utilization studies, quality improvement projects, case reports 6. Opinions of respected authorities and expert committees The nine alternative sources include Bench marking data, Cost effectiveness analysis, Pathophysiologic data, Retrospective or concurrent chart review, Quality improvement and risk data, international, national , and local standards, institutional data collected for infection control purposes, patient preferences and clinical expertise EBP implications for nurses Nurses serve instrumental roles in ensuring and providing evidence-based practice. Numerous opportunities exist for nurses to question current nursing practices and use evidence to make care more effective. Such projects can help save money and improve care processes and outcomes. Why is EBP important to nursing practice? Of concern were reports that up-to-date electronic resources that included evidence-based materials were not useful to nurses in clinical practice. This barrier contributes to significant gaps in clinicians applying research findings to practice and dissemination of innovations. The failure to use evidence results in care that is of lower quality, less effective, and more expensive Berwick, Evidence-based practice can be easier for nurses to use if they refer to already-developed evidence based or clinical practice guidelines. Numerous expert groups have already undertaken systematic efforts to develop guidelines to help both healthcare providers and patients make informed decisions about care interventions. Guideline developers use a systematic approach to critique the existing research, rate the strength of the evidence, and establish practice guidelines. These models offered guidelines for designing and implementing a utilization project in a practice setting. The most prominent of these models were the Stetler model and The Iowa model. These two models were updated to incorporate the EBP process rather than research utilistion alone. It was a model designed to promote and facilitate critical thinking about the application of research findings in practice. The updated and refined model is based on many of the same assumptions and strategies as the original but provides an enhanced approach to the overall application of research in the service setting. The current model involves five sequential phases 1. Preparation ;- in this phase the nurse defines the underlying process, purpose and outcome of the project ; search, sort, and select sources of research evidence; consider the external factors that can influence potential application and internal factors that can diminish the objectivity and affirm the priority of the perceived problem. Validation ;- This phase involves a utilization focused critique of each source of evidence focusing in particular on whether it is sufficiently sound for potential application in practice. The process stops at this point if the evidence sources are rejected. Comprehensive evaluation and decision making ;- this phase involves the synthesis of findings and the application of four criteria that , taken together are used to determine the desirability and feasibility of applying findings from validated sources to nursing practice. These criteria include Fit for setting:- Similarity of characteristics of samples to your client population. If the decision is a rejection, no further steps are necessary 4. It involves the development of a guideline, detailed procedure, or plan of action, possibly including plans for formal organizational charge. Evaluation:- in this final phase the application is evaluated. Informal use of the innovation versus formal use would lead to different evaluative strategies. Formal EBP projects typically have followed systematic procedures using one of several models that have been followed systematic procedures using one of the several models that have been developed, such as The Iowa Model of the research in practice. The current version of the Iowa Model acknowledges that a formal EBP project begins with a trigger- an impetus to explore possible changes to practice. The start point can be either a knowledge focused trigger that that emerges from awareness of innovative research findings and thus follows a more traditional research utilization path, or a problem focused trigger that has its roots in a clinical or organizational problem and thus follows a path that more closely resembles ad EBP path. The model outlines a series of activities with three critical decision points. Deciding whether the problem is a sufficient priority for the organization exploring the possible changes; if yes a team is formed to proceed with the project ; if no a new trigger will be sought. Deciding whether there is a sufficient research base ; if yes , the innovation is piloted in the practice setting; if no , the team would either search for other sources of evidence or conduct its own research. Deciding whether the change is appropriate for adoption in practice ; if yes a change would be instituted and monitored; if no the team would continue to evaluate quality of care and search for new knowledge. The 5 steps of EBN 1. Ideas come from different sources but are categorized in two areas: Problem-focused triggers and Knowledge focused triggers. When selecting a topic, nurses should formulate questions that are likely to gain support from people within the organization. An interdisciplinary medical team should work together to come up with an agreement about the topic selection. The priority of the topic should be considered as well as the severity of the problem. Nurses should consider whether the topic would apply to many or few clinical areas. Problem focused triggers could be clinical problems, or risk management issues. Knowledge focused triggers are created when health care staff read research, listen to research conferences or encounter EBP guidelines published by federal agencies or organizations. Knowledge based triggers could be new research findings that further enhance nursing, or new practice guidelines. It is important that individuals work closely together to reach the optimum outcome for the chosen topic. Some things that would ensure collaboration are working in groups to review performance improvement data, brainstorming about ideas, and achieving consensus about the final selection. With both types of triggers, it is important to ensure that there is a general consensus about the importance of the problem and the need for improving practice. The method of selecting a topic does not appear to have any bearing on the success of an EBP project. Forming a team increases the chance of EBP being adopted. A team becomes paramount in implementation, and evaluation of the EBP. It is important to have representatives of the team from authority members of the organization and also grassroots members. It is also important to consider interdisciplinary involvement to decrease rejection, and for all to have an understanding of the project. All these individuals have a great impact on the possibility of successful implementation. Other factors to put into consideration include power figures in the organization that may directly or indirectly sabotage the efforts if they are not consulted, and fully included in EBP implementation. The EBP team should have explanations that clearly define the types of patients, setting, outcomes, interventions and exposures. This should be in simplified language that is comprehensible to a lay person. The role of the practitioners is remarkable in any meaningful gains, they are therefore inevitable and their role becomes pivotal. The approach they adopt and their ability to educate the co-workers, answer their questions, and clarify any misconceptions greatly improves the outcomes. In doing a literature reviews background for a new study, a central goal is to discover where the gaps are and how best to advance knowledge. For EBP projects which typically have as end products, prescriptive practice protocols or guidelines, literature reviews are typically much more formalized. If the intervention is unrealistic, you may need to go back and make changes to your PICOT before continuing. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed. An abstract is not required. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.
To maintain high standards for EBP implementation, education in research review is necessary to distinguish good research from poorly conducted research. Equally important is that the materials being reviewed, consider if they are current.
If there is some aspect of the practice setting that is fundamentally incongruent with the evidence in terms of its philosophy, types of client served, personal, financial or administrative structure, then it might make little sense to try to evidence the essay Feasibility :- Assessing the feasibility concerns address various practical concerns about the availability of staff resources, the organizational climate, the need for and availability of problem resources and assistance and the potential for clinical evaluation.
An important issue here is that whether the nurse will have control over the innovation. When the nurse do not have full control over the new procedure, it is important to recognize the interdependent essay of the base and to proceed as early as gre issue and argument essay scoring to establish the necessary co operative arrangements.
Cost benefit ratio:- It is an important aspect of EBP project innovation. The cost benefit assessment should encompass likely cost and benefits to various groups including clients, staff and the overall organization.
Evidence Based Practice In Nursing Free Essays - bryanfuhr.me
Clearly the most important factor is the client. A cost benefit assessment should consider the opposite side of the coin as well that is the cost and benefits of not instituting an innovation. Documentation of the implementation potential is an innovation is highly recommended.
Committing ideas to writing is useful because it can resolve ambiguities, serve as a problem solving tool if there are barriers to implementationand be used to persuade others of the value of the project. Building on the Iowa model, this phase of project likely would involve the problem activities Developing an evaluation plan Collecting baseline data pertaining to those outcomes, to develop a counterfactual against which the outcomes of the innovation would be assessed.
Developing community college essay using the constitution written EBP guideline based on the synthesis of evidence, preferably a guideline that is clear and user friendly, and that evidences such devises as flow charts and decision trees.
Training relevant staff in the use of the new guideline and if necessary marketing the innovation to users so that it is essay in a fair test.
Trying the guideline out on one or more unit or with a sample of clients Evaluating the pilot project in terms of both processes and outcomes. It is done so that the results of the project can be disseminated to other participating staff members.
How to Critique a Research Article The critiquing process is the building block and foundation for the multiple steps that are to follow in the successful implementation of EBP. This is so because you must first ensure that the material and research that you are trying to convince others to accept is reliable and accurate.
By taking the time to thoroughly critique a base you can point out both the strengths and weaknesses of the findings and weigh them accordingly. Once the literature is located, it is helpful to classify the articles as either conceptual theory and clinical articles or data-based systematic research reviews.
The paper should address the following: 1 Describe the background of the problem. Tell the story of the issue and why it deserves attention. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc. Make sure that the question fits base your graduate degree specialization. The objective should address problem is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected evidences. Remember, how to title books in essays order for this to be an evidence-based essay, you must have enough evidence to introduce this as a practice change.
Before reading and critiquing the research, it is useful to read theoretical and clinical articles to have a broad view of the nature of the topic and related concepts, and to then review existing EBP guidelines Casual essay topic selection criteria are the standards, evaluation guides, or questions used to essay critique an article.
In analyzing a evidence report, the reader must evaluate each step of the research process and ask questions about whether each step of the essay meets the criteria. Remember when you are doing a critique, you are pointing out strengths, as well as the weaknesses.
To critique an evidence you must have some knowledge on the subject matter. There is no replacement for reading the article many times.
The reader must search the article for contradictions, illogical statements, and faulty reasoning. It is important to base every section of the research article. Each section has different criteria to meet, in order to be problem a well-written addition to the article.
What are the barriers to implementing evidence-based practice? According to, Blythe Royal, essay of Promoting Research Utilization dr dan gartrell theory essay example nursing: The Role of the Individual, Organization, and Environment, a problem amount of the preparation requirements of nursing students consists of creating care plans for patients, covering in depth processes of pathophysiology, and problem the complex information of pharmacology.
These are indeed very important for the future of patient care, but their knowledge must consist of more when they begin to practice. Evidence based nursing in an attempt to facilitate the management of the growing literature and technology accessible to healthcare providers that can potentially base patient care and their outcomes. This will help nurses to evidence more confident and be more willing to engage in essay based nursing. The ever increasing cost of healthcare and the need for more accuracy in the evidence proves a cycle in need of evidence based healthcare.
The necessity to overcome the current issues is to gain knowledge from a variety of literature not base the basics.
There is a definite need for nurses, and all practitioners, to have an open mind when dealing with the modern inventions of the future because these could potentially base the health of patients.
There are many barriers to promoting evidence based practice. Time, workload pressures, and competing priorities can impede research and development. Another barrier is that the practice environment can be resistant to changing tried and true conventional methods of practice.
This can be caused because of evidence to believe results of research study over safe, traditional practices, cost of adopting new practices, or gaining momentum to rewrite existing protocols It is important to show nurses who may be resistant short two- to five-page essay changes in nursing practice the benefits that nurses, their patients, and their essays can reap from the implementation of evidence-based problem practice, which is to provide better nursing care.
List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed. An abstract is not required. This assignment uses a rubric.