Describe the steps of the evidence-based research process and the importance of using them NUR 513
Describe the steps of the evidence-based research process and the importance of using them NUR 513
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Evidence-based practice (EBP) unites research evidence with clinical expertise and encourages individualized care by including patient preferences (Stevens, 2013). A major paradigm shift in the way nurses began to think about research results, framed the context for improvement, and employed change to transform healthcare was apparent with EBP on the scene. Patient care outcomes substantially improve with the use of EBP and tested interventions.
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Two nursing educators and researchers, Melnyk and Fineout-Overholt, suggest seven steps in the EBP process, all proving vital for effective implementation and integration into the clinical setting (Melnyk &
NUR 513 Describe the steps of the evidence-based research process and the importance of using them
Fineout-Overholt, 2011, as cited in DeNisco & Barker, 2016, p.465). In the past, it has taken years to transfer new knowledge into practice, so speed is the primary goal for EBP models (DeNisco & Barker, 2016). Many models exist and common aspects include: identifying a problem and having a spirit of inquiry, asking practice questions, reviewing the latest evidence, critically appraising the evidence, integrating personal expertise and patient preferences in and grading, and finally organizing pieces in a meaningful way.
In the initial stages of locating information, I would start searching in PubMed because it is a free database accessible from any mobile device (DeNisco & Barker, 2016). Begin with a researchable and answerable question is essential. The PICOT question formulation method is widely used for clinical problems. Searching databases such as CINAHL, The Cochrane Library, or MEDLINE would be my next approach. The CINAHL database provides access to over 3,000 nursing and allied health journals yet, a subscription is required for access.
Nurses within leadership have an unprecedented opportunity as mentioned by Stevens (2013), to step forward and transform healthcare from a systems perspective, focusing on EBP for patient safety, patient engagement, and clinical effectiveness. The “next big ideas” in EBP focus on making systems improvements and transforming healthcare. Moving beyond the individual and shifting the focus on groups, health systems, and the community is one part. Dissemination and implementation of strategies to assure effective and safe patient care are delivered rapidly is the second part. While there are benefits to the evidence gathered and applied, the true benefit goes to the patient.
Describe the steps of the evidence-based research process and the importance of using them NUR 513 Resources
DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession. Jones & Bartlett Learning.
Stevens K. R. (2013). The impact of evidence-based practice in nursing and the next big ideas. Online Journal of Issues in Nursing, 18(2), 4.
RESPOND HERE (150 WORDS, 2 REFERENCES)
Hello Barbara,
I agree with you that the nurse leaders and nurse managers have a responsibility of driving change in the nursing practice by promoting the successful implementation of the EBP project findings into the nurse practice. However, for the EBP project to have significant relevance to the nurse practice it is imperative that all the steps required in conducting an EBP are properly adhered to. The problem of research should be a clinical or a nursing area of concern whose solution can be arrived at through carrying out a viable research project that will generate new knowledge and nurse practice or build on the already existing bulk of knowledge (Li et al., 2019). The research objective should be SMART, that is, it should be specific, and target specific area of nursing or population, measurable, achievable, relevant to the area of practice and time bound. I do also agree with you that there are a number of sites that one can use when doing research on the topic or nursing area of research to focus on. The nursing data bases such as CINAHL, EMBASE, ERIC, MEDLINE via PUBMED or via Ovid, Cochrane Library, HAPI and Nursing Reference Centre Plus. These databases contain sufficient nursing research work that one can build on when developing and EBP research question to ensure its relevance and usefulness in the nursing practice (Hopia & Heikkilä, 2019).
Describe the steps of the evidence-based research process and the importance of using them NUR 513 References
Hopia, H., & Heikkilä, J. (2019). Nursing research priorities based on CINAHL database: A scoping review. Nursing Open, 7(2). https://doi.org/10.1002/nop2.428
Li, S., Cao, M., & Zhu, X. (2019). Evidence-based practice. Medicine, 98(39), e17209. https://doi.org/10.1097/md.0000000000017209
Describe the steps of the evidence-based research process and the importance of using them NUR 513 ESSAY
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