Evidence Based Practice And Research †MyAssignmenthelp.com

Questions: 1.How evidence-based practice improve patient outcomes? 2.How the evidence-based practice is applied theoretically and clinically? 3.Is it feasible to expect RNs to implement EBP in the clinical setting without training/support? Answers: Introduction Evidence-based nursing refers to the provision of nursing care using the current research and studies to improve the quality of nursing practice and patient outcome. The evidence-based practice works in conjunction with standard of practice. In the view of registered nurses, evidence-based practice (EBP) approach utilizes the training and support of various stakeholders to better the practice. There are various standards of practice that works in harmony with the EBP to improve patient outcome and quality of nursing care. Standards of practice have been developed through multiple studies aiming at improving the quality of care and patient clinical outcome. For instance, some nursing cares are complex that requires training of the nursing practitioners. Evidence-based nursing isolates evidence from multiple knowledge defined in studies and research findings using various implementation criteria and models. The findings and studies offer the theoretical aspect of nursing care that can also be implemented into practice. The following position statement explores the application of evidence-based practice in nursing practice. 1. As a nursing practitioner, Evidence-based practice (EBP) has a profound effect on nursing practice science and education throughout nursing practice. Evidence elucidated from studies and research offers platforms to redesign care to uphold safety, effective and direction that can be used to improve care. According to the RNs standard of practice 3.3, evidence-based practice ensure continuous lifelong professional learning (Nursing and Midwifery Board of Australia, 2015). EBP gives the nursing practitioners knowledge from studies and research finding that equip nurses with the knowledge and this has a potential of improving patient outcome (Shojania Grimshaw 2005). In terms of clinical patient outcome, the evidence from research is meant to transform knowledge into practice aiming to improve patient outcome. There are different models and theories that are gained from evidence gained in studies that form part of theories in educating nurses. Nursing practice is the beneficiary of the knowledge gained from studies in science. It is a common understanding that knowledge alone does not improve patient outcome since the proper understanding of the knowledge and its application in practice hold more ground. In addition, studies provide to an inter-professional team that provides competencies that are required for practice. For instance, studies show the application of current information technology in improving nursing care. This also has potential improvement in the patient outcome (Feldman set al. 2005). Nursing practitioners use the available evidence to develop a plan of care for the patient according to the standard of practice 5.1 (Nursing and Midwifery Board of Australia, 2010). This standard indicates that the data and other available evidence can be used to improve the patient outcome. In addition, EBP offers the theoretical options that are used to improve the plan for patient care among nursing practitioners since research findings offer various new ways to improve patient care thus improving patient clinical outcomes. The theoretical aspect of the EBP lies on the conformity of the findings to the set standards of practice since there is need to implement this evidence in line with the standards of nursing (Estabrooks, 2004). Evidence-based practice also bring into the nursing practice new discoveries and insight that improve quality of nursing care. There are many different findings that are added to the nursing practice and this ensures that nurses offer quality service to clients. This also includes new clinical practices that forms part of patient outcome improvement that is an important aspect of nursing practice. For instance, within the past few decades much attention has been drawn to application of IT in nursing care. This new information technology findings aim to monitor and improve patient care in various care facilities (Feldman et al. 2005). 2. In the nursing perspective, evidence-based practice is theoretically applied to train nurses and applied clinically in practice. This implies that evidence-based practice is theoretical knowledge of the clinical understanding of the evidence of practice. The application of evidence-based practice is combined with the standard of practice as highlighted by the Nursing Midwifery Board of Australia (NMBA) Registered Nurse Standards for Practice. The evidence offers the theoretical platforms where the quality of the nursing practice is improved though nurses have limited training. It is common belief evidence is meant to standardize nursing practice. According to DiCenso, et al. (2005), evidence-based practice give the theoretical perspective of the clinical practice that is used to improve service delivery. For instance, the evidence-based nursing practice provides the basis of Standard of Practice 6 that seeks to Provides safe, appropriate and responsive quality nursing practice. T his implies that the evidence-based practice gives the RNs the theoretical ground for improving quality of service (Titler, 2006). An example of the model that has been used to apply knowledge that is evidence from the studies is the ACE Star model (Stevens, 2006). The model based on some points namely discovery, evidence summary, and translation into action, integration, and evaluation. Firstly, discovery refers to that knowledge based on the research studies that also provide gaps in nursing practice that need to be improved. Secondly, evidence summary can be referred to utilization and synthesis of that evidence into the formation of reviews of the system. Thirdly, translation of the evidence-based practice according the standard of practice and expertise is also an important stem of application of evidence based nursing. Fourthly, integration is the combination of all the evidence-based and action to produce a better service. Lastly, evaluation is the point of weighing the impact of the evidence-based practice, especially on the patients outcome. The evaluation of the implementation of evidence conforms to t he Standard of Practice 7 that requires an evaluation of the outcome of nursing practice. The model gives insight into how evidence is transformed and implemented into the actual practice (Olade, 2004). 3. It is not feasible to expect RNs to implement EBP in the clinical setting without training/ support. Implementation of evidence-based practice requires training and support for the nursing practitioners. RNs need much training to transfer the knowledge or evidence available in studies and research into practice (Newhouse et al. 2005). This is the due complexity of some knowledge available in studies that require prior knowledge and understanding of such finding before implementation. For instance, research findings for endotracheal suctioning require good training on the endotracheal suctioning before applying the finding in practice. There are procedures for endotracheal suctioning that nursing practitioners must be trained first before applying the procedure in the practice. Moreover, skills are required to implement clinical findings in practice especially in the implementation of new plans of care. In order assess implementation of evidence-based practice is important to consi der a good example of a model of implementation of evidence-based practice (Kirchhoff, 2004). Nursing professionals require support from other professionals as also highlighted by the RNs standard of practice 2.7 (Nursing and Midwifery Board of Australia, 2007). The standard of practice highlights the engagement of health professionals in the provision of service. Some other health professionals need to offer support to nursing practitioners, especially on research so as to be acquainted with knowledge in different field including biomedical research. This will enable practitioners to implement research findings into practice. Moreover, the nursing practitioners need support from the government especially the department of health to ensure that various research findings are adopted and used in practice. According to Grimshaw et al. (2006), some research finding requires machinery and equipment to implement and this can only be achieved when the RNs has support from all the stakeholders in the healthcare system. Rebuttal Despite the strategies that can be used to implement the evidence-based practice, the evidence-based practice cannot be implemented due to lack of training and support. Nursing practitioners currently lack major training and support that can assist the practitioners to implement the evidence based nursing practice. Firstly, the continuous stream of knowledge within nursing practice requires continuous training. More finding on nursing care is continuously produced yet the nursing practitioners remain the same and this makes the implementation of these findings difficult. Secondly, the nursing practitioners lack the necessary support from the department of health that can be used to implement the evidence-based nursing practice in the healthcare systems. This implies that in as much as the standards of practice offer the ground for EBN, the nursing care lack the infrastructure necessary for the implementation of EBP (Soukup, 2000). Conclusion In conclusion, in the nursing view, evidence-based practice or evidence-based nursing offers the approach to improve quality of nursing care and patient outcomes. The implementation of this studys findings requires both the training and support to enable the nursing practitioners to apply the theoretical aspect of the clinical findings. In addition, the registered nurses standard of practice offers the guidelines through which this evidence are applied in practice. This leaves no doubt that it is not feasible for nurses to implement evidence-based practice without prior training. Therefore, evidence-based practice points to the possibility of continuous improvement of nursing care and engagement of other health care professionals according to standards of practice. 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