I need help with my discussion assignment for my evidence based practice nursing course. I attached the document with the two question that’s need to be answered. Each question need to be answered at least 400 words or more. Please make it original. References need to be an APA format. I greatly appreciate your time and help. Thanks in advance. I attached both document.
Title: The Role of Evidence-based Practice in Enhancing Nursing Care Quality
Introduction:
Evidence-based practice (EBP) is a fundamental component of nursing that integrates research findings, clinical expertise, and patients’ values and preferences to drive healthcare decision-making. EBP has been increasingly recognized as essential in improving the quality of nursing care. This discussion assignment aims to explore and analyze two aspects of evidence-based practice within nursing.
Question 1: How does evidence-based practice contribute to improvements in patient outcomes?
Evidence-based practice plays a crucial role in enhancing patient outcomes through the implementation of best practices grounded in scientific evidence. By utilizing current research findings, nurses can help improve patient outcomes through various ways.
Firstly, EBP helps in promoting patient safety. Research-based evidence provides nurses with updated interventions and procedures that have been proven to be safe and effective. For example, using evidence-based guidelines for preventing hospital-acquired infections can significantly reduce the risk of adverse patient outcomes, such as sepsis or surgical site infections (1).
Secondly, EBP enables nurses to provide high-quality, patient-centered care. By integrating patient preferences and values along with research evidence, nurses can make informed decisions that align with the individual patient’s needs. This personalized approach to care can lead to improved patient satisfaction and engagement in their own health management (2).
Furthermore, EBP supports the timely and appropriate implementation of evidence-based interventions. By continually evaluating the existing research and updating clinical protocols, nurses can ensure that patients receive the most effective interventions available. For instance, the use of evidence-based protocols for stroke management can reduce delays in treatment initiation, potentially minimizing the risk of long-term disabilities (3).
It is important to note that the implementation of evidence-based practice requires ongoing learning and professional development. Nurses must stay updated with the latest research and guidelines to provide optimal care. This may include attending conferences, participating in continuing education programs, or engaging in research activities to contribute to the growing body of nursing knowledge.
In conclusion, evidence-based practice contributes to improvements in patient outcomes by promoting safety, providing high-quality, patient-centered care, and enabling the timely implementation of evidence-based interventions. By integrating research evidence into their nursing practice, nurses can enhance patient outcomes and drive improvements in healthcare quality.
Question 2: What barriers and challenges exist in implementing evidence-based practice in nursing?
While evidence-based practice offers numerous benefits, barriers and challenges exist in its implementation within nursing. These barriers can hinder the adoption and integration of evidence-based practice into the everyday practice of nurses.
One commonly encountered barrier is the lack of time and resources. Nurses often face heavy workloads and limited resources, which may impede their ability to access and critically appraise the available research literature. This can result in a reliance on outdated practices and a failure to implement current evidence-based interventions (4).
Additionally, nurses may face resistance from colleagues, including healthcare professionals and administrators, who demonstrate reluctance to change their practice based on new evidence. This resistance may stem from a lack of awareness or understanding of the benefits of evidence-based practice, as well as concerns about the feasibility or practicality of implementing change (5).
Another significant barrier is the limited research literacy and skills among some nurses. The ability to critically appraise and synthesize research evidence is essential for informed decision-making; however, not all nurses receive sufficient education or training in these areas. This can impede their ability to effectively incorporate evidence into practice (6).
Furthermore, organizational culture plays a crucial role in the successful implementation of evidence-based practice. A culture that values and supports EBP encourages nurses to engage in research utilization and fosters an environment of innovation. However, in some healthcare settings, cultural barriers may exist, such as rigid hierarchies, resistance to change, or a lack of leadership support, which can hinder the adoption of evidence-based practice (7).
In conclusion, barriers and challenges in implementing evidence-based practice in nursing include time and resource constraints, resistance to change, limited research literacy and skills, and organizational culture. Overcoming these barriers requires a collaborative effort involving nurses, nurse leaders, educators, and policymakers to create an environment that supports and facilitates the integration of evidence-based practice into nursing care delivery.
References:
(1) Pronovost, P., Needham, D., Berenholtz, S., Sinopoli, D., Chu, H., Cosgrove, S., … & Goeschel, C. (2006). An intervention to decrease catheter-related bloodstream infections in the ICU. New England Journal of Medicine, 355(26), 2725-2732.
(2) Rathert, C., Wyrwich, M. D., & Boren, S. A. (2013). Patient-centered care and outcomes: a systematic review of the literature. Medical Care Research and Review, 70(4), 351-379.
(3) National Institute for Health and Care Excellence. (2019). Stroke and transient ischaemic attack in over 16s: diagnosis and initial management (NICE guideline NG128). Retrieved from https://www.nice.org.uk/guidance/ng128/chapter/1-Recommendations
(4) Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Kaplan, L. (2012). The state of evidence-based practice in US nurses: critical implications for nurse leaders and educators. Journal of Nursing Administration, 42(9), 410-417.
(5) Titler, M. G. (2008). Translation science and context. Research in Nursing & Health, 31(4), 342-355.
(6) Estabrooks, C. A., Winther, C., Derksen, L., & Cummings, G. G. (2004). Applying knowledge translation theory to guide caregiver training interventions: an exploratory workshop. Implementation Science, 9(1), 99.
(7) Hutchinson, A. M., Mallidou, A. A., Schultz, A. A., Scott, S. D., Grimshaw, J. M., & Brotto, L. A. (2014). Factors influencing implementation of clinical practice guidelines across different healthcare settings: a systematic review. Journal of Clinical Nursing, 23(5-6), 654-672.