NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Sample Answer for NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture Included After Question

Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization. In response to your peers, compare the role and implementation of EBP in your specialty area with another advanced registered nurse specialty.

A Sample Answer For the Assignment: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Title: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

The “spirit of inquiry” suggests an openness to questions, continued growth, and clinical review of outcomes which may lead to more questions. Wyant, 2018 explains the “spirit of inquiry” as an ongoing curiosity about the best evidence to guide clinical decision-making. As an advanced registered nurse, it is important that we use evidence-based practice (EBP) to guide our practice, processes, and skills to ensure favorable patient outcomes. Advanced practice nurses need to be knowledgeable in new research and EBP and to share this knowledge with coworkers. In behavioral and mental health there is often not a lot of research available, particularly with children and adolescents. The main subject of research is to decrease seclusions and restraints as these can be traumatizing for the patient as well as lead to injury or death. We often find that utilization of adult research is effective but often takes modifications in attempts to make it child-friendly and trauma-informed. It seems other area’s often have a vast amount of research and EBP available to them. 

Wyant, T. (2018, January 18). A spirit of inquiry leads to evidence-based answers to practice questions. ONS Voice. https://voice.ons.org/news-and-views/a-spirit-of-inquiry-leads-to-evidence-based-answers-to-practice-questions  

A Sample Answer 2 For the Assignment: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Title: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization. In response to your peers, compare the role and implementation of EBP in your specialty area with another advanced registered nurse specialty.

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Science teaches us to explore and question. In medicine, it the same. There is always something to explore in medicine, whether its to improve upon interventions or to learn complex diseases. Throughout my career as a nurse and nursing student, it was always expressed to me that in order for me to become a successful nurse I would need to engage in continuing education for the life of my career. In life, we should always strive for continuing education for personal development and growth. The future of nursing will require nurses to question, explore and take initiative making decisions on patient care, interventions, in leadership and public health. “Explain the importance of a spirit of inquiry in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization. In response to your peers, compare the role and implementation of EBP in your specialty area with another advanced registered nurse specialty” (National League of Nursing, 2014, para. 1). The COVID-19 pandemic was a wake up call in that we as a nation need to focus on improving our nursing practice. Nurses will need to be encourage and pushed into leadership roles, executive positions and in the areas a research and development. Many nurses took the lead in saving their patients and hospitals as the pandemic ravaged hospitals throughout the country. There was also a spike in people researching how to get into the field of medicine (particularly in nursing and nursing research). There became a fascination into epidemiology, public health and medical research as people and nurses became curious about vaccine development and how outbreaks of disease and virus happen. As a advanced registered I would encourage evidence based culture by being an example of someone who uses EBP and work in collaboration with other staffers to implement EBP research into the real world. During the heigh of the pandemic, EBP research was used to help patients as other interventions and methods failed.

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Implementing EBP

In the field of advanced nursing practice, there are various ways advanced nurses implement EBPs. Nurse practitioners implement and EBP “when she/he prescribes a treatment for a patient that is substantiated by scientific research; Often, nurse practitioners look for an experimental study that compares the efficacy of a treatment with an untreated control group” (Nurse Practitioner Schools, 2021).

Certified mid-wifery

For nursing midwives, EBP is are used to enhance the lives of the mother, child and community. Mothers are the backbone of communities and the health and safety of woman determines the health and safety of their respective communities. Areas of challenges are identified and EBP are used to improve the lives of women in order to safely carry, deliver and raise children.

NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture References:

National League of Nursing. (2014). Practical/Vocational Nursing Program Outcome: Spirit of Inquiry. https://www.nln.org/docs/default-source/default-document-library/spirit-of-inquiry-final.pdf?sfvrsn=0

Nurse Practitioner Schools. (2021). Guide to Evidence-Based Nursing Practice for NPs. Retrieved from https://www.nursepractitionerschools.com/resources/guide-to-evidence-based-nursing-practice/

A Sample Answer 3 For the Assignment: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Title: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Spirit of inquiry is defined as a continuous sense of wonder that guides both learning and practices. Nurses can be highly influenced by the spirit of inquiry practices in a beneficial way. In nursing, the spirit of inquiry will raise questions, challenge established and existing practices, and look for new ways to solve problems. When asking the right questions in the right way, obtaining the best available evidence, and determining what practice changes are needed are all part of addressing a clinical problem through evidence-based practice (EBP) (National League for Nursing, 2021). Developing nurses with an inquiry mindset within a culture that promotes a systematic approach to asking clinical questions is a critical component of the EBP journey. When conducting an evidence-based study or question, utilizing the spirit of inquiry supports the ongoing curiosity of evidence that would dictate a clinical decision. As a nurse, it is essential to understand if an intervention is necessary, beneficial for the client, and supported by evidence-based practice. Nurses and collaborative team members work to improve clinical problems by using clinical reasoning or judgment. The spirit of increased exit and the first step of the evidence-based process will begin. The overall outcome or goal in predictable patient care settings, nurses will use evidence, tradition, and patient preferences in collaboration with health care team members to promote optimal health status.

National League for Nursing. (2021). Practical/Vocational Nursing Program Outcome: Spirit of Inquiryhttps://www.nln.org/docs/default-source/default-document-library/spirit-of-inquiry-final.pdf?sfvrsn=0#:~:text=Spirit%20of%20inquiry%20is%20a

A Sample Answer 4 For the Assignment: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Title: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Evidence-based practice for nursing is driven by the influence and motivation to seek more information that would support interventions and practice. The spirit of inquiry is the term given to this motivation as nurses continue to question current practices and knowledge for evidence-based practice. Without it, research would go stale and would not produce any change that could significantly increase positive outcomes in health care or practice. Evidence-based culture is dependent on those who nurses who seek to explore more possibility in practice, patient care and health knowledge so that health care not only constantly improving but also evolving to meet changes in health demands and technologies. Advanced registered nurses can encourage inquiry in their respective areas of practice where they feel that although there is good outcomes, better ones can be produced with a change in evidence-based practice. This would require extensive research which those advanced nurses must have the motivation to thoroughly examine through the evidence-based research process. Giving opportunity to make changes to how they practice and how it affects the patients will produce professional rewarding as well as personal ones too which is why nudging and leading other nurses to participate in change can greatly improve patient outcomes from interventions (Arzouman, 2015).

Nurse Informaticists utilize evidence-based communication and technology integration techniques so that patient care and information systems are beneficial to all parties involved. Utilization of nursing experience in order to enhance communication or health records can streamline patient care so that efficiency can reach maximum potential. Leadership is also important to nursing informatics and communication when implementing evidence-based practice interventions. Having knowledge of communication barriers and having implementing creativity in overcoming them provides valuable resources to patient care and health (Farokhzadian, Jouparineiad, Fatehi & Falahati-Marvast, 2021).

NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture References:

Arzouman, J. (2015). Evidence-Based Practice: Share the Spirit of Inquiry. MEDSURG Nursing, 24(4), 209–211.

Farokhzadian, J., Jouparinejad, S., Fatehi, F., & Falahati-Marvast, F. (2021). Improving nurses’ readiness for evidence-based practice in critical care units: results of an information literacy training program. BMC Nursing, 20(1). https://doi-org.lopes.idm.oclc.org/10.1186/s12912-021-00599-y

A Sample Answer 5 For the Assignment: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Title: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Having an evidence-based culture is important in nursing and having one that possesses a spirit of inquiry is even more important. Having a spirit of inquiry within an evidence-based culture helps to support a systematic process for asking clinical questions related to a clinical problem (Wyant, 2018). Spirit of inquiry is the beginning step in the evidence-based practice (EBP) process. This is where one has the curiosity of what the best evidence is to help guide one in clinical decision making for a problem that they are trying to address (Wyant, 2018). You know when a spirit of inquiry exists within a work culture when you have nurses collaborating on ways to improve clinical problems through using clinical reasoning and judgement (Wyant, 2018). To encourage a spirit of inquiry as an advanced registered nurse within my practice or organization is to model it. By leading and supporting this culture, will help to encourage others to trust each other and encourage the change process. By doing this, it will help get rid of the “it’s the way we have always done it mentality” and move towards the thinking of what does the evidence show when looking at clinical problems. This will help create a collaborative culture among a team and when the team starts seeing the benefits from it, it will be the go-to process when looking into changing clinical processes. It is important that leadership supports implementation research and practice so that it fosters a culture of collaboration and organizational climate for implementation science (Nelson-Brantley & Chipps, 2021).

NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture References:

Nelson-Brantley, H. V., &. Chipps, E. (2021). Implementation science and nursing leadership: Improving the adoption and sustainability of evidence-based practice. The Journal of Nursing Administration, 51(5), 237-239. doi:10.1097/NNA.0000000000001006

Wyant, T. (2018, January 18). A spirit of inquiry leads to evidence-based answers to practice questions. ONS Voice. https://voice.ons.org/news-and-views/a-spirit-of-inquiry-leads-to-evidence-based-answers-to-practice-questions

A Sample Answer 6 For the Assignment: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Title: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Once a search is carried out to find relevant articles within a chosen topic, a literature review helps bring together what is already known about a topic, facilitating new learning opportunities (Watts, 2020). Gaps in current knowledge can be identified, or theories and academic opinions may raise new research areas during critical analyses. The initial question asked may evolve or change altogether when researching a posed question. Other themes or questions that may surface during the research journey, adding curiosity to what should be researched next. This “spirit of inquiry” is essential to our knowledge base and our peers well.

Nurse leaders have considerable influence on implementing evidence-based practice (EBP) in their departments, units, and organizations; however, resistance to change can stall innovations (Tucker & Mazurek Melnyk, 2019). Effective leadership requires an understanding of change theory, how change is facilitated and blocked, successful change steps, and strategies to promote each step. Implementation for promoting EPB falls into seven categories: leadership, coaching, communication, reinforcements, recognition, measurement, and reporting. Different strategies may be needed at each stage of change to promote and sustain the change. Nurse leaders can successfully implement EBP changes by being knowledgeable about a proposed change, partner with staff, engage the help of mentors or change agents, work with senior leaders, thank and celebrate all staff in the process, and disseminate findings.

NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture References

Tucker, S., & Mazurek Melnyk, B. (2019). A leader’s guide to implementing evidence-based practice: Lead the way to healthcare quality and safety. American Nurse Today14(6).

Watts, K. (2020). How to conduct a literature review. Podiatry Review77(1), 14–15.

A Sample Answer 7 For the Assignment: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Title: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

The spirit of inquiry also known as the step 0 of the evidence-based practice (EBP) process refers to the nurses’ curiosity in regards to the best practices to direct the clinical decision making process (Bell, 2021). The spirit of inquiry is vital to the EBP process to the extent that some experts have asserted that before engaging in the process, the spirit of inquiry must be present (Bell, 2021). In the event that a spirit of inquiry and the culture that supports are absent, nurses and other health care practitioners are less likely to embrace EBP (Melnyk et al., 2009). A spirit of inquiry is important in the nursing practice because it discourages nurses from engaging in practices that are not supported by evidence.

As an advanced registered nurse, there certain steps that can be taken to foster an evidence-based culture within health care organizations. First, understand and eliminate the barriers to evidence-based practices. The main barrier to this practice is lack of EBP knowledge and skills (Melnyk et al., 2009). Therefore there is need to increase awareness about the importance of EBP to the organization. Second, it is important to foster a culture that promotes EBP and offers the required resources to sustain EBP practices such as availability and access to the necessary databases.

NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture References

Bell, S. G. (2021). Step 0: The Spirit of Inquiry. Neonatal Network, 40(1), 38-39. https://doi.org/10.1891/0730-0832/11-T-686.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009). Igniting a spirit of inquiry: An essential foundation for evidence-based practice. American Journal of Nursing, 109(11), 49-52.

A Sample Answer 8 For the Assignment: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Title: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

The first step in the evidence-based process is developing a spirit of inquiry (DeNisco, 2021). A spirit of inquiry is a questioning perspective towards practices and processes, inquiring if the current practice is the best way to do something or how it can be improved (Melnyk & Fineout-Overholt, 2018). A spirit of inquiry is important in an evidence-based culture in order to progressively improve patient outcomes. Organizations focused on a value-based delivery of care, where quality and safety is emphasized more than services rendered possess a spirit of inquiry where data and practices are reviewed to find ways to improve positive patient outcomes related to their healthcare and patient experience (DeNisco, 2021).

All health professionals, in different roles can participate with a spirit of inquiry, and should be supported in their efforts by organizations, for trying to improve the practices specific to their role (Melnyk & Fineout-Overholt, 2018). In order to be successful in implementing evidence-based practice and change processes and organization needs to cultivate a culture that is supportive of a spirit of inquiry (Melnyk & Fineout-Overholt, 2018). In my current leadership role, I can encourage the spirit of inquiry within my organization, by producing an environment that encourages feedback and acknowledgement of failed processes, in order to produce solutions. In my own practice while reviewing data with quality personal, I can inquire and question the current practice and the evidence it’s based on, if data reveals unsatisfactory metrics negatively impacting patient outcomes.

NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture References:

DeNisco, S. M. (2021). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Jones & Bartlett Learning.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-Based practice in nursing and healthcare (4th ed.). Wolters Kluwer Health.

A Sample Answer 9 For the Assignment: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Title: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

It is important to foster a spirit of inquiry in an evidence-based culture because it fosters a curious attitude toward information and knowledge. It is important to foster a spirit of inquiry in an evidence-based culture because it fosters a curious attitude toward information and knowledge. Learning, understanding, and improving drive the spirit of inquiry. In order to make informed decisions, individuals need a spirit of inquiry as well as reliable and objective data (Wyant, 2018). Individuals are encouraged to question the validity and reliability of evidence presented to them as it encourages critical thinking. A lack of inquiry can lead people to accept information without questioning its accuracy or relevance. A culture of continuous improvement is further facilitated by a spirit of inquiry.

Nursing informatics can foster a culture of curiosity by encouraging employees to ask questions and seek knowledge. By attending regular educational sessions, participating in discussions, and participating in training programs that emphasize asking questions, evidence-based practices can be achieved. Nursing informatics provides staff with access to a wide range of resources, including research articles, guidelines, and best practices (Garcia & Joy, 2022). It encourages staff to seek information and keeps them informed of the latest evidence. The role of nurse informatics in fostering critical thinking can be achieved by providing staff with opportunities to analyze and interpret data, identify gaps in knowledge, and challenge assumptions. Nursing informatics can recognize and reward staff who demonstrate innovation and creativity in identifying evidence-based practices and implementing them (Garcia & Joy, 2022). Staff can be encouraged to take ownership of their practice by fostering a culture of continuous improvement.

NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture References

Garcia-Dia, M. J. (2022). Inspiring innovation with nursing informatics. Nursing Management53(5), 48. https://doi.org/10.1097/01.NUMA.0000829280.88865.c2

Wyant, T. (2018). A Spirit of Inquiry Leads to Evidence-Based Answers to Practice Questions. ONS Voice. https://voice.ons.org/news-and-views/a-spirit-of-inquiry-leads-to-evidence-based-answers-to-practice-questions

A Sample Answer 10 For the Assignment: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Title: NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture

Translating evidence-based practice (EBP) to cultivate a spirit of inquiry and culture of excellence involves persistent engagement and commitment from all healthcare professionals and interdisciplinary teams. According to McEnery (2016), a spirit of inquiry is an unwavering curiosity that informs learning and practice. The spirit of inquiry is important in questioning the current clinical practices to establish whether there exist gaps and opportunities to improve patient care. The spirit of inquiry helps practitioners answer the when, why, who, and how questions. When questions are asked using suitable approaches, obtaining the best evidence becomes easy, ensuring that clinical problems find solutions.

As an advanced registered nurse, I will encourage the spirit of inquiry by gathering the infrastructure, such as literature review and scientific evidence, to support EBP activities and empowering nurses to question and seek the answer to identified practice questions. I will harness my power as a leader to gatherresources to support appropriate and timely inquiry, enhancing positive organizational outcomes. I will also encourage the spirit of inquiry by modeling it. I need to lead by example for the practice to become a crucial culture in the organization.

EBP is critical in nurse leadership. Nurse leaders can use evidence to support change and strengthen their practice by developing a connection between research, clinical evidence, practice, and education to create a workplace that promotes critical thinking and new knowledge. Without EBP, nurse leaders are unable to make the best decisions. Majers and Warshawsky (2020) highlight that evidence-based management (EBM) is a growing practice among business leaders, and its importance is hastily growing among nurse leaders. Nurse leaders who employ the technique are more successful in establishing and realizing quality patient outcomes.

NUR 590 Topic 1 DQ 2: Importance Of  “Spirit Of inquiry” In EBP Culture References

Carter, E. J., Rivera, R. R., Gallagher, K. A., & Cato, K. D. (2018). Targeted interventions to advance a culture of inquiry at a large, multicampus hospital among nurses. JONA: The Journal of Nursing Administration48(1), 18-24.

Majers, J. S., & Warshawsky, N. (2020). Evidence-based decision-making for nurse leaders. Nurse leader, 18(5), 471-475.

McEnery, N. (2016). LibGuides: Evidence-Based Medicine: Igniting a Spirit of Inquiry.

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