Nursing Clinical Setting Business Implement Research

Question: Describe about the Nursing Clinical Setting for Business Implement Research. Answer: The essay is an individual position statement on the topic of evidence based practice (EBP) and the view that nurses are expected to implement research findings into practice but they are not trained to do this. The topic concludes by stating that nurses should not be expected to engage in EBP in clinical setting. However the individual position statement is that EBP is extremely critical for effective nursing practice and nurses should be encouraged to engage in EBP by giving them adequate training to support such practice. The essay takes the individual statement further by describing about benefits of EBP in patient outcome and how to introduce feasible changes in the system to promote EBP in daily nursing practice. Evidence based practice (EBP) is the approach to integrating current best available research evidence with individual clinical expertise to take best decision for patient care. It is a balanced combination of health professionals cumulated experience, respect of patient values and use of a strong research based evidence (Buysse et al., 2012). The practice of EBP is essential due to increased queries about the effect of certain treatment and therapies from patient. In such case, EBP helps in analyzing relevant research article in interested area of practice to find out the best way to improve health status. The demand for EBP has also increased in nursing practice and training as nurse spends the maximum length of time with patient. This demand has also increased due to increased queries about treatment options from well-educated consumers (DiCenso et al., 2014). It is important to apply EBP both theoretically and clinically to improve patient outcome. This does not means just integrating research findings into daily practice, but also integrating standards of nursing practice, nursing expertise and patient values in care of patient. Hence, nurse must be aware that they need to follows nursing standards of practice as well as learn the skills of evidence based practice. The guideline for registered nurse standard of practice includes analyzing nursing practice, engaging in therapeutic relationship, providing adequate information to patient to enable health decision making, conducting culturally appropriate assessment, constructing nursing plan after setting priorities and goal and being accountable for providing safe and high quality of nursing care (Nursing and Midwifery Board of Australia - Professional standards, 2016). Integration of EBP along nursing standard of practice leads to favorable outcome for patient. Utilization of best knowled ge in research promotes uptake of care and also favors individualization of care according to patients cultural values and preference. The topic on EBP highlighted that nurse are not trained to efficiently apply evidence based practice in nursing and hence they should be expected to engage in EBP in their daily practice. However, the individual position statement oppose this fact because there is more pressure from consumers and health care organization to get desired patient outcome as well as save cost involved in treatment (Stevens, 2013). Evidence based practice minimizes the risk of adverse outcome as health decision is made after effectively analyzing accurate journal article to determine what approach is best for patients. This works to satisfy patient expectation as well as reduce cost involved in treatment (Schmidt Brown, 2014).The only challenge that lies in effectively implementing EBP among nurses is that of accurately applying that research in daily practice. Hence, it is necessary to understand nurse perspective to identify what acts as barrier in engaging in EBP, so that those barriers are addressed in training session for nurses. Research studies on factors that prohibit nurses from engaging in evidence based practice are inadequate skills in EBP and misconception among nurse that it is not effective and it is a complex process which consumes a lot of time in interpreting research findings. The culture and environment of health care facility also impedes introducing EBP in daily activities when health authority takes relevant steps to make the process acceptable to all health care staff. Outdated policies and organizational practice also acts as barrier in recognizing the benefits of EBP. The pattern of nursing education or curricula can also be regarded as reasons to why nurse find it a complex process to utilize in health care setting (Melnyk et al., 2012). The nursing curricula teaches nurse about the ways to conduct research, however no education is given on how to take an evidence-based approach to care. Hence, if immediate step is taken to address this barriers and conducting training for teaching skill s in EBP is given to nurses, it will help to reduce the time to interpret research findings and implement them in practice setting (Melnyk et al., 2014). In order to support my individual position statement, the recommendation is to arrange training session for nurses to teach skills to apply EBP. The initiative for effective implementation will include adoption of EBP through alignment of nursing curricula according to EBP skills, utilizing models and theories to teach nurse about EBP and making health staff aware about new scientific and technological development in nursing practice (Aarons et al., 2012). Adaptation of this sophisticated plan will help nurses to implement evidence-based intervention effortlessly. In the absence of adequate guidance, nurse often face challenges in applying research finding in complex practice setting. Instilling in nurses the knowledge of theory and practice related to interpreting research articles is essential to move them towards evidence based nursing intervention (Lewis, 2015). This will enable the nurse to practice according to registered standard of nursing practice and use best evidence for s afe and high quality practice (Nursing and Midwifery Board of Australia - Professional standards, 2016). To excel in EBP, it is essential that nurse develop the spirit inquiry and learn to inquire about different possible outcomes of a nursing intervention. The first approach to applying EBP clinically is to start analyzing the benefits of current practice. The questions may be like- Which medication is more effective to treat children with depression? or Will twice checking medication help to remove nursing errors?. The second most appropriate way to move ahead with the inquiry is to develop a PICOT format for inquiry to decide the specific population of patient, area of intervention, comparison with other intervention to decide effectiveness and analyzing outcome within a fixed time frame (Williamson et al., 2015). After this, the nurse can be trained to find the most relevant research article by searching with key words. This will enhance their information searching skill. PICOT question should always be kept in mind while researching recent research article. The next important skill is to critically appraise the study to determine if the research is valid. Nurse will have to question themselves whether same method will give better result in my practice area. Critically appraisal skill is an effective way to assess the reliability and applicability of research findings (LoBiondo-Wood Haber, 2014).The registered nurse standard of nursing practice also states that nurse should use a variety of thinking strategies to decided which evidence based intervention is safe for practice (Nursing and Midwifery Board of Australia - Professional standards, 2016). After selection of relevant research article, the best way forward for nurse is to integrate those evidence with their nursing expertise and also respect patient values in providing care. The National competency standards of nursing practice also encourage nurse to respect the rights, dignity and values of patient to optimize decision making process. It helps to build a therapeutic relationship with the patient and facilitate patient-centered care (Nursing and Midwifery Board of Australia - Professional standards, 2016). It is necessary to inform patient about evidence based intervention and involve them in decision making to decide whether patient should receive new intervention or not (DiCenso et al., 2014). This is the most critical component of EBP. Patient support tools are also helpful to provide information about evidence based intervention in a simple format to patients. After implementing a new change in practice, it is also necessary for nurse to determine the impact of innovation on health outcome of patients. The success of evidence based practice may be judged on the basis of length of stay post-intervention, cost involved and the rate of complications in the process. If the change is favorable for patient, it is also necessary to disseminate the change to other practice settings so that increased number of patients gets benefits (Dogherty et al., 2013). Hence it is feasible for registered nurse to adopt EBP in their daily practice once they get adequate training to learns the skills of EBP. Another important recommendation is the health care organization must be responsible to make this change feasible and adopt policies so that the process becomes easier for all health care professional to follow. The above information supports my individual statement that nurses should also be expected to engage in EBP in practice setting. My statement goes against the topic that since nurse does not get training; they should not be expected to adopt EBP. The individual statement however stressed that it is very important that nurse also engage in this practice to meet patient expectation and improve quality. To make this change feasible, adequate support to the statement was given by explaining about ways to train nurse to learn skills in EBP and mitigate the challenges they face in adopting it in regular practice routine. Reference Aarons, G. A., Cafri, G., Lugo, L., Sawitzky, A. (2012). Expanding the domains of attitudes towards evidence-based practice: the evidence based practice attitude scale-50.Administration and policy in mental health and mental health services research,39(5), 331-340. Buysse, V., Winton, P. J., Rous, B. E. T. H., Epstein, D. J., Lim, C. I. (2012). Evidence-based practice.Zero Three,32, 25-29. DiCenso, A., Guyatt, G., Ciliska, D. (2014).Evidence-based nursing: A guide to clinical practice. Elsevier Health Sciences. Dogherty, E. J., Harrison, M. B., Graham, I. D., Vandyk, A. D., Keeping?Burke, L. (2013). Turning Knowledge Into Action at the Point?of?Care: The Collective Experience of Nurses Facilitating the Implementation of Evidence?Based Practice.Worldviews on Evidence?Based Nursing,10(3), 129-139. Lewis, S. (2015). Qualitative inquiry and research design: Choosing among five approaches.Health promotion practice, 1524839915580941. LoBiondo-Wood, G., Haber, J. (2014).Nursing research: Methods and critical appraisal for evidence-based practice. Elsevier Health Sciences. 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. Melnyk, B. M., Gallagher?Ford, L., Long, L. E., Fineout?Overholt, E. (2014). The establishment of evidence?based practice competencies for practicing registered nurses and advanced practice nurses in real?world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs.Worldviews on Evidence?Based Nursing,11(1), 5-15. Nursing and Midwifery Board of Australia - Professional standards. (2016).Nursingmidwiferyboard.gov.au. Retrieved 16 October 2016, from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx Schmidt, N. A., Brown, J. M. (2014).Evidence-based practice for nurses. Jones Bartlett Publishers. Stevens, K. (2013). The impact of evidence-based practice in nursing and the next big ideas.The Online Journal of Issues in Nursing,18(2). Williamson, K. M., Almaskari, M., Lester, Z., Maguire, D. (2015). Utilization of evidence-based practice knowledge, attitude, and skill of clinical nurses in the planning of professional development programming.Journal for nurses in professional development,31(2), 73-80.