Note: Sample below may appear distorted but all corresponding word document files contain proper formattingExcerpt from Research Paper:
It is however also important to consider the importance of internal individual factors such as the self-confidence levels of nurses. According to Hockenberry, Wilson and Barrera (2006), for example, note that nurses could feel considerably intimidated by the demands of EBP in nursing practice. Their limited knowledge of the research process thus serves as a barrier to its effective implementation.
Furthermore, the authors also raise the management problem, with nurses feeling a lack of power within their environment even if they do believe that they are able to handle the requirements of effective evidence-based practice. This brings the issue of research back to the leadership issue. In addition, nurses often experience a lack of autonomy, authority, and a basic lack of adequate resources to offer excellent patient care. The authors however suggest that overcoming the barriers to effective EBP could lead to increased job satisfaction for nurses.
In this way, improved nursing practice will complement satisfaction from the work and will have a cumulatively positive effect upon the nursing profession as a whole. Many authors make suggestions on overcoming the barriers to evidence-based practice.
III. OVERCOMING BARRIERS to EBP
According to Drury and several other authors, leadership has manifested itself as one of the primary problems creating barriers to the effective implementation of EBP. It therefore makes good sense to make nursing leadership the target as an instrument of overcoming such barriers. According to Drury, a good leader should master three basic skills, all of which relate to change: the leader should initiate change, promote the acceptance of change, and ensure a safe environment for other initiaters of change.
One of the elements that make nurses reluctant to implement evidence-based practice in their nursing is the fact that they experience a basic uncertainty about how to accomplish this. Attempting to force them to do so makes matters worse. Nurses who are treated like this feel not only victimized, but also intimidated. A good leader should avoid this at all costs.
Udod & Care (2006) provide some practical examples about how such leadership can be accomplished. The most important factor is that leaders must promote the cause of evidence-based practice by themselves believing in and championing it. On an individual level, for example, leaders can demonstrate commitment to EBP by role modeling it. In other words, leaders must themselves become instruments of evidence-based practice to show nurses on a very practical level how beneficial it is for practice.
Once nurses become more confident and show a tendency towards acceptance of the new mode of practice, the next step for leaders would be to create a network of opportunities for nurses themselves to practice EBP. This can be done in a variety of ways, where each individual nurse is provided with an information outlet for research, such as a computer, the findings of which she will then later share in a collaborative environment. Collaboration is an important concept. While no profession can be said to ever occur in isolation, nursing is particularly a manifestation of collaborative practice. In this way, EBP becomes not only a more effective way of serving patients, but also of supporting other nursing staff.
This is also important in terms of time constraints. Nurses can take turns to do research and share this with others, along with suggestions on how to implement theory practically. This will both diversify and lighten the workload, decrease unhealthy stress for nurses, and also provide a basis for greater job satisfaction.
Most importantly, Udod & Care (2006) also note that leaders are to provide psycho-social support to nurses who are in the learning process when implementing the new mode of nursing, where research, evidence, and practice converge.
Being at the heart of the barrier matter, research is another important element that should enjoy focus when implementing evidence-based practice. Drury (1998) suggests that research teams should be developed within the nursing profession, which will further the solution to several of the problems mentioned above. In addition to considerably lightening the collective workload, as mentioned above, such research teams should be composed in a very specific way in order to ensure the greatest effect rather than acting as only a further barrier to effective evidence-based research.
The composition of research teams should be such that its leaders are those who are educated in the art of carrying out and evaluating research. These group leaders can then act as coaches to the rest of the group, who can then "graduate" to become future researchers and teachers. Furthermore, group members should also comprise those registered nurses who work directly with patient care and leaders. Such teams can then collectively act to bring the strength of each individual group member to a team that is ultimately able to implement evidence-based practice in a much more effective way than individuals can.
Such research teams, according to Drury's findings, can then also demonstrate the importance and usefulness of research to those who are not aware of this, they can continue to develop the research prowess of graduate nurses, encourage critical thinking, share research, promote research acceptance, and initiate change while developing researchers.
Research teams then have the potential to implement the necessary elements of evidence-based practice to the hospital setting in a very practical way without significantly adding to the workload of any individual nurse or leader. Indeed, teams can provide the solutions to most of the individual, organizational and environmental barriers to EBP mentioned above.
IV. ADVANTAGES of EBP in NURSING
As seen above, there are many and divergent advantages to the implementation of EBP in nursing. In addition to more effective leadership, teamwork and patient care, Udod & Care (2006) also note that evidence-based nursing practice integrates research and practice in a way that promotes the science base. In other words, nursing practice will not only be improved, it will also develop in terms of future research, practice, and as a science in itself.
What this means in a practical sense is that research results are applied to practice. The practice of the evidence reveals the effectiveness or lack thereof of the evidence implemented, which is then retained or discarded as a result. Soon, the entire institution will be based not only upon research or practice, but upon a combination of the two in a culmination of solid scientific fact. This in itself provides a basis for further scientific research that can be implemented as practice on an experimental basis. Indeed, existing research can be enhanced by new research generated by hospital staff themselves.
This is much more effective and beneficial to nursing practice as a whole than to overload individual nurses with duties that they can barely perform adequately within a single working day. Research teams empower both nursing research and practice by providing the opportunity for both management and nursing practitioners to work together, combine the strengths of group members, and become a solid scientific entity.
This effect has a further effect upon the perception of patients regarding their care. Being more consistent and based upon recent research, nursing practice itself will improve. Patients will receive a higher quality of care from personnel members who enjoy their work and find meaning in its practice. In addition, nurses will also be concerned about providing client satisfaction to patients who are recognized as caring and being knowledgeable about their own health. In this way, nurses become more knowledgeable as well as being recognized for their knowledge. Furthermore, nurses will come to a position where they will be eligible for leadership positions themselves.
In general, the main advantage of implementing evidence-based nursing in this way is its beneficial effect upon the well-being not only of nursing professionals and their leaders, but also upon those who make use of their services.
In conclusion, the best practice when coping with the challenges of implementing evidence-based practice in the nursing profession is to follow a number of logical steps. The first is to determine the nature of the challenge. In general, these challenges tend to revolve around a combination of work and research volume. These challenges can be addressed effectively by the implementation of research teams, which combine the expertise of a number of individuals rather than expecting each individual to handle both patient workloads and theoretical research.
Finally, the issue of evidence-based practice is obviously a very current one in nursing. It is commonly recognized that this practice should be implemented in order to optimize patient care. However, it should also be recognized that the needs of nursing practitioners and their leaders are to be taken into account. Fulfilled, happy nursing and research practitioners can provide much better services than those who feel insecure, victimized, and afraid of change. Hence, leadership should be the starting point in implementing effective change that would ultimately lead to better hospital practice and health care. In this way, not only the satisfaction of clients, but also of those who serve them, will be recognized.
"Evidence-Based Practice And Applied Nursing" (2010, March 15) Retrieved December 5, 2016, from http://www.paperdue.com/essay/evidence-based-practice-and-applied-nursing-633
"Evidence-Based Practice And Applied Nursing" 15 March 2010. Web.5 December. 2016. <http://www.paperdue.com/essay/evidence-based-practice-and-applied-nursing-633>
"Evidence-Based Practice And Applied Nursing", 15 March 2010, Accessed.5 December. 2016, http://www.paperdue.com/essay/evidence-based-practice-and-applied-nursing-633
This is one of the most common forms of research and, for some research questions is clearly a strong design (Ethics in Critical Care Nursing Research, 2005). The research that was done in this article would be considered a non-experimental type. There were two types of observation that were conducted. The first type was that of focus groups and the second being the file audit, both of which are observational
In principle, the EBP concept relies on fundamental areas of focus within a total-process approach to delivering the highest quality healthcare services (Hardcastle, Usher, & Holmes, 2006; Williamson, 2009). In clinical medicine, that begins with the formulation of the most relevant clinical questions, and continues with the use of the skill to identify the best current evidence, appraise it systematically, and optimally applied to specific situations. Meanwhile, throughout that process,
Evidence-Based Practice in Nursing Evifence-based Practice In Nursing Purpose of the appraisal The article chosen is Hauck, Winsett, and Kuric (2013) Leadership facilitation strategies to establish evidence-based practice in an acute care hospital, because it addresses a vital aspect of nursing practice. Evidence-based practice is critical for nursing in order to ensure that preventable complications are avoided. Improving patient care is one of the burdens that is placed upon hospitals, and this would
Evidence-Based Practice Task a: Nursing Research Journal in APA-Format Chaney, D. & Glacken, M. (2004). Perceived Barriers and Facilitators to Implementing Research Findings in the Irish Practice Setting. Journal of Clinical Nursing, 13, 731-740. The five areas of research, background information, literature review, methodology discussion, data analysis, and conclusion in the journal article. Areas of Research Report Issues Addressed The researchers used information from previous studies like Treacy & Hyde, 2003 to create background for the
Still, the concept of guided imagery tends to stray far from traditional methods of pain management. Pharmaceuticals have long been a major method of treatment for pain, but have resulted in major backlashes in regards to patients becoming addicted, especially in long-term and chronic cases of pain. If guided imagery could be a successful method, it may reduce pain or increase pain tolerance, without the threat of chemical dependence. There
Evidence Base Practiced Reseach Evidence Base Practiced Research Evidence-based practice is considered to be a combination of the best practice gotten from patient care data, research study, and expert opinion so as to identify dissimilar approaches of improvement in providing high quality care that reflects things such as needs, values, interest and selections of the patient. Skills and Knowledge gained in the procedure of evidence-based practice assist health care workers to bring
Evidence-based practice is an approach that has been applied to clinical practice and nursing. Evidence-based practice started initially in medicine and went to fields like education, psychology, nursing and dentistry. It should be noted that the research is based on studies that were carried out and these studies go on to fit the scenario that is currently being dealt with. Treatments that are supported empirically are the ones that are proven