...EVIDENCE BASED PRACTICE BENCY GNANASIGHAMANI AMERICAN SENTINEL UNIVERSITY Introduction Medical and health care is one of the most dynamic human disciplines, and large amounts of money are spent annually on high-quality and sophisticated research, resulting in an exponential growth in health care literature. Regularly, new and more effective medicines, medical devices, and procedures are invented. One major objective behind all these efforts is to help doctors, nurses, and medical technicians provide the best possible care and treatment to patients. In addition to using traditional and well-established procedures and practices, health care practitioners are adopting innovative interventions that are based on best practices as well as solid research-based evidence. Evidence-based practice is one such technique and is quickly gaining popularity due to its potential to effectively handle clinical issues and provide better patient care (ANA 2003). Implementation of Evidence Based Practice places additional demands on nurses to apply credible evidence to individual client situations through searching related evidence, using clinical judgments, and considering client values and system resources. To effectively apply the Evidence Based Practice process, in addition to the basic skills required to undertake nursing work, a nurse must have the ability to: identify knowledge gaps, formulate relevant questions, conduct an efficient...
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...NRS-433V All Weeks Discussions To purchase this tutorial visit here: http://mindsblow.us/question_des/NRS-433VAllWeeksDiscussions/2857 contact us at: help@mindblows.us NRS-433V All Weeks Discussions NRS-433V Module 1 DQ 1 Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles. NRS-433V Module 1 DQ 2 What similarities and differences can you identify between the nursing process and the research process? NRS-433V Module 2 DQ 1 The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature. NRS-433V Module 2 DQ 2 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Why should it be studied? Justify your rationale. NRS-433V Module 3 DQ 1 The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. What are the differences and similarities between two of the three types of studies? NRS-433V Module 3 DQ 2 Qualitative data has been described...
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...Vision for the future of nursing Currently, health care in the US has been made accessible and affordable to everyone, as evidenced by the increase in the number of patients in the health care system. The nursing profession is already facing numerous challenges to deliver good quality and safe patient care. Therefore, there is a need for growth in remodeling the nursing profession to meet the high demand of an aging population with more complex needs. The nurses have to quickly adapt to a new world of technology that is complex and sophisticated. The nurse, as the primary health care provider, has the power to provide a consistent environment to the patient. In order to direct the nursing profession forward, professional nursing organizations will have to address the following: expanded role of nurses, the use of evidence- based practice, the value of the nurse’s role in research, and the changing trends in health care. Evidence-based practice and trends in health care and the future of nursing “Evidence for nursing practice comes from research and other sources. Evidence-based practice requires an understanding of how research findings and other evidence inform and guide practice” (Fawcett & Garity, 2009, p. 3). Evidence-based practice (EBP) is developed to help in the delivery of a higher quality of care and the best outcome for patient’s health. In the past, nurses have been performing in their field based on established practices and experiences. Early efforts...
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...SCHOOL OF NURSING Models of Capstone Projects: A Conversation Terri E. Weaver, PhD, RN, FAAN Professor and Dean University of Illinois at Chicago College of Nursing © Weaver, 2012 Jane M. Kirkpatrick, PhD, MSN, RNC-OB Head, School of Nursing Associate Dean, College of Health and Human Sciences Purdue University Objectives for this session Discuss the intent and scope of the DNP capstone scholarly project: – Differentiating from the PhD thesis – How the project demonstrates competencies Determine similarities and differences among multiple forms of DNP projects/capstones in terms of scope and expected deliverables Examine the issues that surround the DNP project/capstone If it Walks Like a Duck and Talks Like a Duck – Is it a capstone project? An endeavor by any other name: capstone, practice inquiry, scholarly project focused on practice May benefit group, population, or community (NONPF, 2007) Scholarly work that translates (is implemented) evidence into practice – Sustainability (Ahmed, et al., 2013) AACN description of DNP project “Rather than a knowledge-generating research effort, the student in a practice focused program generally carries out a practice applicationoriented “final DNP project,” which is an integral part of the integrative practice experience (AACN, 2006, p.3) Project possibilities (NONPF, 2006) Translate research into practice Quality improvement (care processes, patient outcomes) ...
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...Future of Nursing Health care reform and technology are contributing factors affecting the future of nursing. The need to continue education for higher degree is becoming evident; nurses can no longer use the former mind- set traditional way to perform practice. Nurses need to be more flexible and be willing to incorporate new treatment options into their care. Nurses will continue to be guided by the use of nursing theories to promote quality care. Nurses need to become proactive in their education and in developing their leadership skills to remain competitive in their changing roles (Suhr, 2008). Evidence-Based Practice Historically, evidence based-practice (EBP) was used back to Florence Nightingale’s era and reinforced to current nursing practice. Nurses used to practice based on traditions and experiences by selecting nursing interventions to influence outcomes. Little scientific evidence supported clinical decision and expected outcomes during that time. EBP began to apply quality improvement studies to develop critical pathways and care in the early efforts to study interventions outcome (Mcdonald, 2001). “Evidence-Based Practice (EBP) combines information about the results of well-designed research, clinical expertise, patient concerns and patient preferences. EBP serves as the foundation in the form of a set of values, sources and criteria upon which to gain access to, select and critique knowledge for nursing practice” (Waite & Killian, 2010). Research...
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...Reflection Essay Nursing Ethics and Evidence-Based Practice Rachel Lutz Professional Nursing December 10, 2010 Throughout this course I have been able educate myself on many areas of nursing that involve more than just patient care. One area that I found particularly interesting was ethical principlism. Ethical principlism involves using a set of ethical principles to provide framework that will support moral behavior and decision making while caring for patients. (Masters, 2009, p.92) There are four principles that define this idea. These include autonomy, beneficence, nonmaleficence, and justice. Both beneficence and nonmaleficence go hand in hand to show how nurses truly work for the good of the patient. Beneficence involves nurses taking action to promote well being for their patients. While nonmaleficence teaches nurses to refrain from certain actions that could cause harm. (Masters, 2009 p. 93) I believe that these concepts are very important in nursing. One must be able to understand that caring for a patient is more than acquiring skills. You need to have compassion and love in the care you provide. Nursing must be more than just a job. If the desire to help the patient is not present, the ability for the nurse to make the proper judgments can be skewed. Patient advocacy is a key requirement for a nurse. It is important that nurses are able to be taught ethical principles that will guide their thinking toward the good of the patient. Masters describes...
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...VISION FOR THE FUTURE OF NURSING 10 Human Genome Project completed the initial mapping and sequencing of a composite set of human genes in 2003” (p. 392). This is an area of nursing practice that nurses will question their own morals and ethics. With technology on the rise, there will be new ethical dilemmas and nurses will be more active in exploring ethical aspects of patient care. Nurses’ ethical perspective will be respected by other professionals and as a result, nurses in larger numbers will sit and serve on ethics committees as ethics consultants. As new roles become the norm, nurses need to be trained in these specific areas to have the knowledge how to care for these patients. Nursing care will become more important in the future as the nation’s demographic changes. Nurses must be culturally competent and recognize that cultural sensitivity begins with health care providers. The rise of community base health care is seen throughout the United States and nurses will be needed to fulfill these roles in the community base setting such as school nursing, hospice, clinics, HMOs, and other health care settings (Chitty & Black, 2010). Conclusion As different trend in nursing become more popular in the future professional nurses must keep up with the new trends and practice evidence-based nursing. Professional nurses must be aware of and incorporate in their daily practice nursing theories to care for their patients. Finally, with new trends and roles available to nurses, most...
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...Association of Colleges of Nursing (AACN) is committed to advancing professional nursing roles and highlighting the connection between well-educated nurses and quality health care. As a leading supporter of academic institutions that educate advanced practice registered nurses (APRNs), AACN is keenly aware of the direct link between graduate-prepared nurses and both patient safety and positive outcomes. Within the APRN community, Clinical Nurse Specialists (CNSs) play a unique role in the delivery of high quality nursing care. These clinicians are experts in evidence-based nursing and practice in a range of specialty areas, such as oncology, pediatrics, geriatrics, psychiatric/mental health, adult health, acute/critical care, and community health among others. In addition to direct patient care, CNSs also engage in teaching, mentoring, consulting, research, management and systems improvement. Able to adapt their practice across settings, these clinicians greatly influence outcomes by providing expert consultation to all care providers and by implementing improvements in health care delivery systems. AACN supports the full definition of the Clinical Nurse Specialist outlined in the American Nurses Association’s 2004 publication titled Nursing: Scope & Standards of Practice. (See Attachment A). Further, the growing body of research on CNS outcomes shows a strong correlation between CNS interventions and safe, cost-effective patient care. CNS practice has been directly linked to...
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...Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
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...Edition Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
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...Evidence-Based Nursing Practice Many professional associations, federal government agencies, and other organizations, using research findings and other evidence have developed clinical practice guidelines and standards of care through the years to improve the healthcare practices. The reasons why different groups have come together and have established and implemented guidelines and standards are because there have been many problems and issues that the healthcare setting have encountered. Theses guidelines reduce or decrease, “Never Events”, while improving quality care and patient safety. The purpose of this paper is to review the guidelines that has been developed to address the Urinary Tract Infections (UTI) problem, it’s importance and significance to nursing practice, as well as its impact on the patients and community, and the differences in care based on evidence. “Patients with indwelling catheters, even with current standards of care and evidence-based practice, urinary tract infections continue to be a problem”(Kevin J. Ribby, June 2006). Practice setting problem Urinary tract infections continue to be a problem in healthcare. The numbers of patient’s with urinary tract infections are still too high. “A plethora of articles have been written about nosocomial urinary catheter-related infections, management of the catheter, and proper placement of the indwelling catheter in the male patient 4 but little about the impact of nursing education on outcomes related to...
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...degree level verses a baccalaureate degree level After the completion of nursing education, all prospective registered nurses are required to take their NCLEX – RN exam. “Entry into the practice of nursing is regulated by the licensing authorities within each of the NCSBN member board jurisdictions (state, commonwealth and territorial boards of nursing). To ensure public protection, each jurisdiction requires candidates for licensure to pass an examination that measures the competencies needed to perform safely and effectively as a newly licensed, entry-level registered nurse (RN).” (e.g; Wendt, Kenny, Schultz. 2011. P.8). There are four categories within the NCLEX-RN exam. These include: Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial integrity and Physiological integrity (P.9). Once the applicant has passed the NCLEX-RN exam they can be employed at various healthcare settings such as acute, long term care, or community based settings. There are many ways to obtain your education in nursing. One path is the Associates Degree in Nursing. The Associate’s Degree is offered at community colleges and junior colleges and is typically “two years in length and consists of a balance between general education and clinical nursing courses, all of which carry academic credit.” (Creasia & Friberg. Conceptual Foundations: The Bridge to Professional Nursing Practice, 5th Edition. Mosby, 102010. p. 26). Within the Associate’s Degree, students...
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...How Evidence based practice is applied in my health care practice setting. In everyday nursing practice, nurses are encouraged to incorporate and utilize evident base practice in their day to day nursing care. Evidence-based practice is using scientific evidence to determine best practice. Scientific evidence is important in clinical decision making. EBP is very relevant and critical in today’s clinical and nursing practice and it is evident in quality care. It is used to attain best clinical outcomes. For the following reasons, the process of EBP has to be monitored through ongoing quality monitoring and improvement. Nurses in all patient care setting should apply EBP to their day to day nursing intervention, implementation and evaluation of nursing practice. The goal of evidence based practice in nursing leads to cost efficiency, time efficiency, quality patient care. It is used to improve practice, using interventions to reach desired patient outcome by looking at a problem area. EBP gives my nursing setting knowledge and information of evidence needed to care for patients from diverse backgrounds necessary to improve health outcomes. In clinical setting, developing and initial implementation of evidence based practice involves a lot of processes and strategies. An example of evidence based practice in my in my work setting is hourly rounding. The introduction and implementation of hourly rounding in my hospital setting has lead to good patient outcome, patient satisfaction...
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...The evolution of nursing has been positively affected through the manifestations of evidence-based practice. The realm of nursing changed education, clinical experiences, and history as scholarly critiqued research cultivated into evidence-based practice. Research developments necessarily influence clinical and educational objectives favorably. Nursing importance provides a foundation including factual sources that builds the practical application of nursing. Research not only provides a quality education while completing studies, but it also allows learning incessantly. Such continual knowledge benefits nurses individually and together professionally. Why do we need evidence-based practice? Evidence-based practice allows a more...
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...There is an increased focus in nursing to obtain a baccalaureate degree in nursing prior to entering the field. Many employers are requiring that an entry level nurse have their BSN degree. Employers are seeking out magnet status. In order to obtain this elite status they must have a high ratio of advanced degree nurses with their BSN or higher. The evidence behind having more nurses educated at a higher level is patient centered care. The differences in education between an associate degree nurse and a baccalaureate prepared nurse will be looked at thru this paper. The second item that will be addressed in this paper is how the care for patients differs between the ADN and BSN prepared nurse. Differences in education A person wants to go to school for nursing but are overwhelmed with a decision does this person obtain an associate’s degree in nursing or continue on further for a baccalaureate degree prior to entering the field of chosen study. This dilemma has been debated on for many years. The obvious difference between the two educations is the length of study. Both are able to sit for the same board exam the NCLEX at the end of study and they are both technically skilled for an entry level position. One may think then that there is really no difference in education other then the last three letters behind their name. The baccalaureate student not only studies for a longer period of time but there is an emphasis on evidence-base clinical practice and leadership within the curriculum...
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