Evidence-Based Practice
Student Name:
Institutional Affiliation:
Evidence-Based Practice
The impact of EBP on nursing and patient outcomes is evident in current nursing practice (Skaggs et al., 2018). In my practicum setting, healthcare leaders and nurses collaborate to identify various challenges or risks experienced by nurses and patients and the most effective EBP interventions to implement to address the issues. Secondly, EBP models are utilized in my practicum setting to understand the risks or effectiveness of treatments or particular nursing practices. Thirdly, in my practicum setting, EBP models are applied to enable healthcare providers with scientific research or evidence to make well-founded decisions. They allow them to stay updated about various new medical protocols for patient care (Osop, 2018).
I will use the Stetler Model to facilitate the adoption of new approaches. This evidence-based model enables healthcare providers to recognize a significant problem or need in their practice or the healthcare setting and assess research findings and other relevant evidence to identify an EBP project or intervention necessary to address the issue (Christenbery, 2017). This EBP model involves various steps. The first is preparation. Here, a healthcare professional recognizes a priority need and the importance of the EBP project. The second step is validation. This phase aims to evaluate different sources of evidence and their quality. Thus, here, quality and relevant evidence are selected to support the project. In the third step, the evidence findings are summarized and assessed rationally to determine whether it is acceptable and feasible to apply in practice. The fourth step is called translation research findings, or EBP interventions are implemented to create the intended change. The last phase involves the evaluation of the EBP project to determine whether the intended change was achieved. If not, necessary changes or strategies are made to solidify the change (Christenbery, 2017).
References
Christenbery, T. L. (2017). Evidence-Based Practice in Nursing: Foundations, Skills, and Roles. Springer Publishing Company.
Skaggs, M. K. D., Daniels, J. F., Hodge, A. J., & DeCamp, V. L. (2018). Using the evidence-based practice service nursing bundle to increase patient satisfaction. Journal of emergency nursing, 44(1), 37-45.
Osop, H. B. (2018). A practice-based evidence approach for clinical decision support (Doctoral dissertation, Queensland University of Technology).
New Models for Evidence-Based Practice
Question
Week 5: New Practice Approaches, Part II
A hallmark of the DNP-prepared nurse is the ability to go into a health setting, identify a problem, examine the evidence, and develop new approaches in practice to improve outcomes for patients, populations, and/or organizations. This, in turn, can lead to the development of new models of evidence-based practice.
This week you examine evidence-based practice models and frameworks that assist with the adoption of new practice approaches. You apply this focus as you continue your practicum experience.
Learning Objectives
Students will:
• Evaluate the use of evidence-based practice models and change theories and frameworks for facilitating the adoption of new practice approaches
• Appraise current evidence for addressing a practice issue
• Evaluate the quality of evidence using the GRADE guidelines
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Learning Resources
Required Readings
Gallagher-Ford, L., Fineout-Overhold, E., Melnyk, B.M. & Stillwell, S.B. (2011). Evidence-based practice step-by-step: Implementing an evidence-based practice change American Journal of Nursing, 111(3), 54-60.
Rosswurm, M. A., & Larrabee, J. H. (1999). A model for change to evidence-based practice. Journal of Nursing Scholarship, 31(4), 317-322.
Pryse, Y., McDaniel, A., & Schafer, J. (2014). Psychometric analysis of two new scales: The evidence-based practice nursing leadership and work environment scales. Worldviews on Evidence-Based Nursing, 11(4), 240-247.
Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: a systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.
Schaffer, M.A., Sandau, K.E., & Diedrick, L. (2013). Evidence-based practice models for organizational change: overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209.
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Discussion: New Models for Evidence-Based Practice
A professional goal for DNP-prepared nurses is to produce new evidence-based models of care and develop evidence-based guidelines. As you continue to develop and engage in your EBP Assignment, keep this aim in mind. What could help to facilitate the acceptance of new practices?
As noted in earlier weeks, every specialty area should base practice on research and evidence. For example, in informatics, an informatician who plans to implement a new health information system would be wise to follow a model that research shows has been effective. Similarly, those involved in leadership or management can review change models and theories, exploring current evidence on best practices that produce positive results. For this Discussion, you evaluate evidence-based practice models, change theories, and frameworks that assist with the adoption of new evidence-based practice approaches.
To prepare:
• Reflect on your practicum setting and the use of evidence-based practice models. How are these models used? If they are not used, how might the integration of an evidence-based practice model change practice?
• Review the Rosswurm and Larrabee article presented in the Learning Resources focusing on the model they present for integrating new evidence-based practices.
• Research and locate an evidence-based practice model from nursing or another discipline that could be used in your specialty area to lead a systematic change to evidence-based practice approaches. You may also use a model or framework discussed in your course text, Translation of Evidence Into Nursing and Health Care Practice.
• Consider how using a model for evidence-based practice can facilitate adoption of new approaches to practice.
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Post a cohesive response that addresses the following:
1 page
• Discuss the use of evidence-based models in your practicum setting.
• Describe a model for evidence-based practice or change theories and frameworks that you could utilize to facilitate the adoption of new approaches to practice. Substantiate your selection with evidence from the literature.
New Models for Evidence-Based Practice