How does the focus of research and evidence-based practice (EBP) differ? Discuss the application of research findings into evidence-based nursing practice. Provide a example of evidence-based practice used in your work facility or within the nursing profession. Were there any challenges or barriers to implementing the evidence-based practice? If so, how were they overcome?
Research and evidence-based practice (EBP) are both crucial components of nursing practice, but they have distinct focuses and approaches. Research in nursing primarily aims to generate new knowledge by conducting studies, experiments, or systematic reviews, often in controlled environments. EBP, on the other hand, emphasizes the integration of current best available evidence with clinical expertise and patient values to inform and guide decision-making in practice. While research provides the foundation for evidence-based practice, EBP focuses on applying research findings in real-world clinical settings.
The application of research findings into evidence-based nursing practice is a vital process that facilitates the delivery of high-quality care. By integrating current evidence with clinical expertise, nurses can make informed decisions that optimize patient outcomes and promote effective and efficient care. One example of evidence-based practice used in my work facility is the implementation of hourly rounding to improve patient safety and satisfaction. Research has consistently shown that regular rounding on patients at specified intervals can reduce the incidence of falls, call light use, and overall patient satisfaction.
Challenges and barriers can be encountered during the implementation of evidence-based practice. Some common barriers include resistance to change, lack of resources, and limited time and support. In the case of hourly rounding, one of the main challenges we faced was resistance from the nursing staff who were accustomed to their usual routines. Many nurses expressed concerns about the feasibility and impact of hourly rounding on their workload and patient care responsibilities. Additionally, there was a lack of clarity on how to effectively implement and sustain the practice.
To overcome these challenges, several strategies were employed. First, a comprehensive education and training program was developed to ensure that all staff understood the rationale behind hourly rounding and its potential benefits. This program also provided guidance on how to incorporate rounding into existing workflows without compromising patient care. Additionally, open lines of communication were established, allowing nurses to voice their concerns and provide feedback throughout the implementation process. This helped to address any misconceptions or fears and increased staff buy-in.
Moreover, organizational support was crucial in overcoming barriers to implementing evidence-based practice. Resources, such as additional staffing or equipment, were allocated to support the implementation of hourly rounding. This was done in recognition of the potential benefits of the practice in improving patient safety and satisfaction. Leadership played a key role in fostering a culture of EBP by providing the necessary resources and support, as well as continuously promoting the importance of evidence-based practice in improving patient outcomes.
Furthermore, ongoing evaluation and monitoring were conducted to ensure the effectiveness and sustainability of the evidence-based practice. Data on falls, call light use, and patient satisfaction were collected before and after the implementation of hourly rounding to assess its impact. This data was then shared with the nursing staff, demonstrating the positive outcomes and reinforcing the value of evidence-based practice.
In conclusion, the focus of research and evidence-based practice in nursing differs, with research aiming to generate new knowledge and EBP focusing on applying current evidence in clinical practice. The integration of research findings into evidence-based nursing practice leads to improved patient outcomes and high-quality care. The implementation of evidence-based practice can face challenges and barriers, but these can be overcome through education and training, open communication, organizational support, and ongoing evaluation and monitoring. The example of hourly rounding in my work facility demonstrates the successful implementation of evidence-based practice by addressing staff resistance, providing necessary resources, and continuously evaluating outcomes.