WHAT IS THE MAIN ISSUE FOR YOUR ORGANIZATION IN ADDRESSING A SOLUTION TO EVIDENCE-BASED NURSING PRACTICE? NRS 493

WHAT IS THE MAIN ISSUE FOR YOUR ORGANIZATION IN ADDRESSING A SOLUTION TO EVIDENCE-BASED NURSING PRACTICE? NRS 493

Topic 2 DQ 2

What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.

The main issue for my organization in addressing a solution to evidence-based nursing practice is the lack of nurses within the hospital to carry out evidence-based practice because qualitative care is lost because there isn’t enough nurses to carry out this task. Evidence based practice is extremely open and supportive of change which is important because of the constantly revolving nature of healthcare and disease. It can be defined as the application of research and new knowledge into daily patient care (Wilson & Austria, 2021). This is also the acceptance of abandoning old models and practices to better fit the general population and patients of diverse backgrounds who don’t fit into the mold of the “average patient.” Evidence based practice is the collaboration of researched evidenced, clinical experience, and preferences of the patients in order to provide treatment so that patient outcomes would improve patient outcomes (“Why is evidence-based practice in nursing so important?,” 2018). Evidence based practice is incorporated everyday into the nursing field in a process similar to the scientific method.

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This starts with the nurses formulating a question to find a solution to a problem, gathering data and evidence about the patient’s condition, medical and family history, analyzing the evidence to find a correlation or link to different disease and identify a pattern, then applying the information found into practice. Evidence based practice aids nurses in making decisions about their patients’ healthcare and treatment not just based on their own opinion but backed by research and the opinion of the patient. This also allows for nurses to be able to evaluate the risks and benefits of certain preventive methods, treatments, and preventive plans which all contribute to the overall decrease in demand for healthcare resources because patients will be diagnosed and treated correctly without delegating excessive personnel and resources trying to treat the wrong condition which lengthens a patients stay in the hospital, decreases patient outcomes, and decreases the effectiveness and quality of healthcare given by an organization. The first step in resolving this issue is acknowledging that there is an issue affecting evidence based practice within the organization. I believe the next step is asking the staff and personnel including doctors, technicians, nurses etc about what issues each unit faces and cross checking to see which of the issues are most commonly being brought up so that those issues can be solved first. Then it is necessary that the management team of the organization to formulate and brainstorm the correct and most reasonable approach to solving the issue whether that be in the form of having a job fair to increase the amount of nurses or decrease the budget and admission of patients so that the organization only does and takes what they already have resources for.

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Wilson, B., & Austria, M.-J. (2021). What is evidence-based practice? What is Evidence-Based Practice? Retrieved April 24, 2022, from https://accelerate.uofuhealth.utah.edu/improvement/what-is-evidence-based-practice

Why is evidence-based practice in nursing so important? Eastern Illinois University. (2018, April 21). Retrieved April 21, 2022, from https://learnonline.eiu.edu/programs/rn-to-bsn/evidence-based-practice-important/

Esther Obiyaa

Posted Date

May 4, 2022, 4:07 AM

Evidence-based practice (EBP) is the act of making decisions about patient care that draws on an understanding of the best currently available evidence on the topic. EBP includes the integration of the best available evidence, clinical expertise, and patient values and circumstances related to patient and client management, practice management, and health policy decision-making. 

The EBP encompasses more than just applying the best available evidence, many of the concerns and barriers to using evidence-based practice revolve around finding and applying research. In addition, the health personnel’s scope of practice, level of education, knowledge, previous experience with a patient, and competence are very pertinent to help carry out the evidence-based practice. Using clinical decision-making and judgment is very important. The patient cannot be left out when it comes to evidence-based practice. Considering the patient’s spiritual, cultural, and psychosocial needs to provide best practice services (American Physical Therapy Association, 2020).

The main issue for my organization in addressing a solution to evidence-based nursing practice is nurses’ reluctance to change (Mahmoud & Abdelrasol, 2019). In the hospital where I worked, the hospital developed new policies of care based on the new findings by researchers in the healthcare delivery system. I have the privilege to precept new hires on my unit and always I notice differences in how these new hires are trained by other nurses, not going by the EBP protocol provided by the hospital. This can be solved by nurse managers and nurse educators continuously educating nurses on the new EBP protocols and evaluating their effectiveness. In addition, nurses can be each other’s keepers by correcting each other respectfully when patient care is not provided based on the hospital protocol.

References

American Physical Therapy Association (March 23, 2020) Components of Evidence-Based Practice

https://www.apta.org/patient-care/evidence-based-practice-resources/components-of-evidence-based-practice

Mahmoud, M. & Abdelrasol, Z.(2019).Obstacles in employing evidence-based practice by nurses in their clinical settings: a descriptive study. Frontiers of Nursing,6(2) 123-133. https://doi.org/10.2478/FON-2019-0019

Sharia Jones

Posted Date

May 1, 2022, 8:09 PM

Replies to Raimol Joseph

At the rehabilitation hospital one main obstacle to EBP implementation is lack of nurse knowledge regarding EBP. The American Association of Colleges of Nursing (AACN) believes that education has a significant impact on the knowledge and competencies of the nurse clinician. In addition, clinicians with Bachelor of Science in Nursing (BSN) degrees are prized for their skills in critical thinking, leadership, and health promotion and are well-prepared to implement EBP into nursing (AACN, n.d.). At the organization, there are 24 full-time dayshift registered nurses and of these, 4 are BSN educated. This represents approximately 16% of the dayshift nurses with the critical thinking skills and knowledge to incorporate EBP approaches. Nurses educated at the baccalaureate level and higher have been confirmed to have greater EBP competency (Larochelle & Beaudet, 2017). 

The first step in addressing and resolving this issue is to gain support from administration and management to cultivate an environment that embraces and promotes continuing education and offer incentives for registered nurses (RNs) seeking to advance their education to the baccalaureate and higher degree levels (AACN, n.d.). 

References 

American Association of Colleges of Nursing (AACN). (N.d.). AACN Fact Sheet – Impact of Education on Nursing Practice. https://www.aacnnursing.org/news-information/fact-sheets/impact-of-education 

Larochelle, N., & Beaudet, L. (2017). [Developing the role of head nurses in promoting evidence-based practices among hospital staff nurses: an integrative literature review]. Rech. Soins Infirm., 28944631. https://pubmed.ncbi.nlm.nih.gov/28944631 

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Coraline Powell

replied toSharia Jones

May 1, 2022, 11:42 PM

  • Replies to Sharia Jones

Hello Sharia,

The lack of EBP knowledge is a problem that most nurses have to face. At the moment, research methods and evidence based practice is taught in undergraduate education, however, that is barely enough to prepare nurses for the real task of implementing EBP (Li et al., 2019). Nurses have to understand that the implementation of EBP has to go hand in hand in their practice, and this is very different from what they learn in class, as during classes, all they are doing is finding EBP and recommending implementation thereof. It is therefore vital to ensure that nurses are properly empowered on how EBP works in practice.

The best way to resolve this issue is improving nurse onboarding. This is by ensuring that new nurses in an organization are introduced to the organization’s EBP model. Furthermore, this calls for organizations to similarly develop institutional policies and practices that will ensure that there is a streamline process for the implementation of evidence based practice. On the other hand, it is also important that nurses are taught strategies on how best to integrate EBP into their day to day practice and this includes both EBP research and implementation. Through these strategies, nurses will not only be knowledgeable on EBP, but also be better placed on how to implement it in the face of their nursing duties.

References

Li, S., Cao, M., & Zhu, X. (2019). Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses-systematic review. Medicine, 98(39), e17209. https://doi.org/10.1097/MD.0000000000017209

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