NURS FPX 5005 Evidence-based Practice in Nursing Essay Example
NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing
Assignment Brief: NURS FPX 5005 Evidence-based Practice in Nursing Assignment
Course: NURS FPX 5005 Introduction to Nursing Research, Ethics, and Technology
Assignment Title: Assessment 3 Evidence-based Practice in Nursing
Assignment Instructions Overview:
In this assignment, you will research the application of evidence-based practice (EBP) in nursing. You will explore various aspects of EBP, including its definition, significance, processes, challenges, and ethical considerations. Additionally, you will analyze specific clinical questions related to EBP and evaluate the ethical and regulatory concerns associated with its implementation. Through this assignment, you will gain a comprehensive understanding of EBP’s role in nursing practice and its implications for patient care.
The Student’s Role:
As a nursing student, your role in this assignment is to critically engage with the concepts and principles of evidence-based practice (EBP) in nursing. You will conduct literature reviews, analyze research findings, and apply evidence-based interventions to address clinical questions and challenges. Through this process, you will enhance your understanding of EBP’s significance in improving patient care and develop the skills necessary to integrate evidence-based practices into your nursing practice. Additionally, you will consider the ethical and regulatory implications of implementing EBP and demonstrate a commitment to upholding ethical standards in nursing research and practice.
NURS FPX 5005 Evidence-based Practice in Nursing Essay Example
Introduction
In the dynamic landscape of healthcare, nurses play a pivotal role in ensuring the delivery of high-quality patient care. Central to this mission is the application of Evidence-Based Practice (EBP), a framework that integrates external evidence, clinical expertise, patient values, and critical evaluation. This essay aims to explore the application of EBP in nursing practice, emphasizing its significance, processes, challenges, and ethical considerations.
Understanding Evidence-Based Practice
Evidence-Based Practice (EBP) is a systematic approach utilized by nurses to assess and evaluate recent innovations, best practices, and emerging literature in order to establish state-of-the-art patient care. It involves the integration of external evidence from clinically substantiated literature, clinical expertise acquired through experience, and patient preferences and values. By synthesizing these elements, nurses can make informed decisions regarding patient care, ensuring optimal outcomes (Alatawi et al., 2020).
Process of Implementing EBP
The implementation of EBP follows a structured process consisting of four key steps:
- Assessment of the patient’s clinical problem: Nurses begin by identifying and assessing the clinical problem or issue at hand. This involves gathering information through patient assessments, diagnoses, and observations.
- Exploration of related literature: Following the identification of the clinical problem, nurses conduct a thorough exploration of relevant literature. This entails searching for scholarly articles, studies, and research findings that address the specific issue.
- Appraisal of pertinent articles: Once the relevant literature is identified, nurses critically appraise the articles for credibility, relevance, and methodological rigor. This step ensures that only high-quality evidence is considered in decision-making.
- Execution and dissemination of information: After appraising the literature, nurses proceed to implement the identified best practices or interventions in patient care. Additionally, they disseminate this information to relevant stakeholders, fostering a culture of evidence-based practice within their healthcare settings (Alatawi et al., 2020).
Challenges in Implementing Evidence-Based Practice
Implementing Evidence-Based Practice (EBP) in nursing faces various hurdles, as highlighted by Alatawi et al. (2020). These challenges stem from both individual and organizational factors.
Individual Barriers:
One set of barriers revolves around individual healthcare providers themselves. These barriers are related to their professional skills, experience, and attitudes. For instance, nurses need to effectively communicate with patients, especially when patients struggle to express their concerns. This highlights the importance of strong communication skills in nursing practice.
Organizational Barriers:
Another set of challenges lies within healthcare institutions at the organizational level. These barriers are tied to resources and budgets available within these organizations. The allocation of resources significantly impacts how organizations prioritize patient care delivery. Moreover, any changes made to clinical practices within an organization can raise concerns about budget management, access to databases, and logistical issues.
Addressing these barriers requires a comprehensive approach that involves education, training, resource allocation, and organizational support. By tackling both individual and organizational challenges, nurses can better integrate evidence-based practices into their daily work, ultimately improving patient outcomes (Alatawi et al., 2020).
Significance of Scholarship for EBP Research
Scholarship plays a vital role in advancing evidence-based nursing practice. Programs such as Magnet® support nurses in conducting problem-focused research and scholarship, thereby contributing to staff development and enhancing healthcare capabilities. By engaging in scholarly activities, nurses can bridge the gap between research and practice, ultimately improving patient outcomes (Whalen et al., 2020).
Inclusion and Exclusion Criteria in EBP Research
When conducting EBP research, it is essential to establish clear inclusion and exclusion criteria to guide the selection of literature. These criteria help mitigate biases, ensure methodological rigor, and maintain a focus on relevant outcomes. Addressing biases, evaluating methodological quality, and considering multiple outcomes are fundamental aspects of evidence-based nursing practice (Saunders et al., 2019).
Evidence-Based Practice Application
Clinical Questions and Evidence-Based Practice
Clinical questions serve as the foundation for evidence-based practice, guiding nurses in their quest for relevant evidence to inform decision-making. For instance, in the context of fever management in the intensive care unit (ICU), clinical questions may revolve around identifying effective interventions and patient care technologies. By posing focused clinical questions, nurses can direct their efforts towards finding evidence-based solutions to specific healthcare challenges (Speroni et al., 2020).
Case Study: Introducing EBP in ICU Fever Management
A case study conducted by Chiwaula et al. (2021) exemplifies the application of EBP in ICU fever management. By introducing the Iowa Model of Evidence-Based Practice, nurses at Kamuzu Central Hospital in Malawi implemented evidence-based guidelines for fever management in the ICU. Managing fever in the ICU is crucial because patients there are especially vulnerable. To improve care, nurses used temperature monitoring devices with sensors. This helped them track fevers more closely, leading to better patient outcomes.
The Iowa Model aims to set clear guidelines for everyday practice. Using statistical tools like paired t-tests and spearman correlation, data from STATA 12.0 software was analyzed to see how temperature changes related to different treatments. Additionally, in another study, Liu et al. (2020) examined the use of AI technology in the iThermonitor WT705 wearable wireless device to facilitate continuous temperature monitoring for patients. This device, worn by surgical patients, continuously monitored temperature and caught more instances of fever than intermittent checks. It shows promise for further development with better algorithms.
Knowledge Gap
One big gap in Chiwaula et al.’s study is patient consent. Many ICU patients are unconscious, so getting their consent was challenging. This is a critical issue because evidence-based practice relies on patient involvement. While EBP can be a helpful guide, it’s essential to remember that patients are unique. Implementing EBP needs to consider each patient’s needs and characteristics (Chiwaula et al., 2021).
Evaluation of Ethical and Regulatory Concerns in Evidence-Based Practice
When it comes to Evidence-Based Practice (EBP), ethical and regulatory issues are crucial. Nurses need to be mindful of patient confidentiality and ethical standards. This means being transparent with patients about the study’s goals and possible health impacts, and getting their informed consent (Chiwaula et al., 2021). Ethical considerations in EBP are guided by principles like respect for patient autonomy, doing good (beneficence), and fairness (justice) (Tu & Gao, 2021).
On the regulatory side, nurses must follow guidelines from organizations like the FDA when using evidence-based technology. For instance, the implementation of a wearable wireless device for continuous temperature monitoring in ICU, like the iThermonitor WT705, needs to meet regulatory standards (Chiwaula et al., 2021).
Patient safety and privacy are top priorities, especially in interventions like fever management in the ICU. Implementing EBP might require changes in hospital systems, upgrades in technology, and financial considerations, which can raise policy challenges (Chipps et al., 2020).
Conclusion
In conclusion, evidence-based practice serves as a cornerstone of high-quality nursing care, enabling nurses to make informed decisions based on the best available evidence. By following a systematic approach to EBP, nurses can address clinical challenges, improve patient outcomes, and enhance the overall quality of care. However, the successful implementation of EBP requires addressing individual and organizational barriers, fostering a culture of scholarship, and upholding ethical and regulatory standards. Through continued dedication to evidence-based practice, nurses can fulfill their commitment to providing safe, effective, and patient-centered care.
References
Alatawi, M., et al. (2020). Barriers of implementing evidence-based practice in nursing profession: A literature review. American Journal of Nursing Science, 9(1), 35.
Chipps, E., et al. (2020). The impact of the electronic health record on moving new evidence-based nursing practices forward. Worldviews on Evidence-Based Nursing, 17(2). https://doi.org/10.1111/wvn.12435
Chiwaula, C. H., et al. (2021). Introducing evidence-based practice in nursing care delivery, utilizing the Iowa model in the intensive care unit at Kamuzu Central Hospital, Malawi. International Journal of Africa Nursing Sciences, 14, 100272.
Liu, Y., et al. (2020). Evaluation of a wearable wireless device with artificial intelligence, iThermonitor WT705, for continuous temperature monitoring for patients in surgical wards: A prospective comparative study. BMJ Open, 10(11), e039474. https://doi.org/10.1136/bmjopen-2020-039474
Saunders, H., et al. (2019). Practicing healthcare professionals’ evidence‐based practice competencies: An overview of systematic reviews. Worldviews on Evidence-Based Nursing, 16(3), 176–185. https://doi.org/10.1111/wvn.12363
Speroni, K. G., et al. (2020). Use of evidence-based practice models and research findings in magnet-designated hospitals across the United States: National survey results. Worldviews on Evidence-Based Nursing, 17(2), 98–107. https://doi.org/10.1111/wvn.12428
Tu, J., & Gao, W. (2021). Ethical considerations of wearable technologies in human research. Advanced Healthcare Materials, 10(17), 2100127. https://doi.org/10.1002/adhm.202100127
Wentland, B. A., & Hinderer, K. A. (2020). A nursing research and evidence-based practice fellowship program in a magnet®-designated pediatric medical center. Applied Nursing Research, 151287. https://doi.org/10.1016/j.apnr.2020.151287
Whalen, M., et al. (2020). Increasing Nursing Scholarship Through Dedicated Human Resources. JONA: The Journal of Nursing Administration, 50(2), 90–94. https://doi.org/10.1097/nna.0000000000000847
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