Wednesday, December 11, 2019
The Effect Of Evidence Based Practices â⬠MyAssignmenthelp.com
nursing Question: Discuss about the Effect Of Evidence Based Practices. Answer: The effect of evidence based practices has been reflected across different sectors of healthcare centers ensuring high quality practice, proper education as well as science. Recent experts in the field of healthcare are of the opinion that there is a huge importance of evidence based quality improvement as well as healthcare transformation which will ensure redesigning care that would be safe, efficient and effective (Dogherty et al., 2013). National experts have thereby helpednursing professionals by providing multiple direction-setting recommendations where nurses have already responded to the launch initiatives. This will actually enhance the valuable contributions that nurses had made, can make or will make to promise the development of the safest and effective care. Researchers have stated evidence based practice as the process which involves the conscientious use of best current evidence in making different decisions about patient care. It is mainly incorporating three importan t parts (Ubbink, Guyatt Vermulen, 2013). This is a systematic search as well as a critical appraisal for the most relevant evidence in order to make correct decisions in solving a clinical issue. The other two are keeping in mind the patients preferences and values and the nurses own clinical expertise. However evidence based practice is not a simple procedure and need to be followed in a systematic procedure in a proper manner so that the results obtained are not only accurate but also the procedure becomes rapid and quick to perform (Novak, 2014). Therefore, trainings are required so that students can learn the techniques for conducting such practice and can meet the true sense of the help provided by the evidence based techniques. Without training, the steps of conducting the evidence based research cannot yield successful result and ultimately will result in loss of confidence of the nurses and chance of effective care by the nurses could never be achieved. After proper trainin g only, they can be held at the forefront of the EBP implementation. In the present assignment, importance of effective training for evidence based practice will be discussed along with the different barriers that may arise due to improper learning and incapability to apply evidence based care. It will include 4nursing standards of NMBA and how they could be met only with effective training in EBP in nursing. Some of the barriers that nursing students or new nurses often face while adopting to EBP practice is the shortage of time. Researchers on this topic are of the opinion that monthly more than 8000 articles are released in different disciplines of and hence it becomes impossible to go through a maximum for them to transit their care plan to a new care plan (Stokke et al., 2014). Hence, proper strategy to refine the searches and following this with the correct up to date selection by narrowing searches to very few articles is very important which is often not done by nurses. Hence this process becomes quite hectic for them and also takes a lot of time (Dozois et al., 2014). Such a huge amount of time, if spent on searching and collecting evidences, will affect the nurses time of caring the patients which in turn will lead to poor patient satisfaction (Weng et al., 2013). Hence, it is believed that without training, this practice cannot achieve it main essence. This can be supported by the standard 3 which states the importance of maintaining the capability of practice. Standard 3.1 says that the nurse needs to consider and respond in a timely manner to the health and wellbeing of self and others in relation to the capability for practice ("Standard of practice, Nursing and midwifery board of Australia", 2016). If a nurse here remains busy searching for new evidences and cannot apply the correct and safest care on time, it would ultimately compromise the main focus of conducting the EBP. Another issue which is also faced by the nurses is the lack of confidence of conducting the researches in the right way and loss of authority for them to change the practice to a new method of practice. It is found that many nurses complain that they are often not sure of the proper ways of conducting evidence based practices as their classes in the universities have been mainly theoretical (Sadeghi et al., 2014). This makes them face difficulty or makes them unsure that whether they are following the right approach. This apprehensiveness makes them stay away from conducing new changes and hence try to follow the old traditional nursing interventions. Moreover due to such confusions in nurses, they are also prevented from implementing new changes as the nurse leaders do not provide them the authority to take any risks with the patient health. Therefore training is extremely important to teach them the right technique and manage to find the best evidence so that they become confident with their tasks (Schimdt Brown, 2014). This confidence and skilled attribute will help the nurse leaders also to allow them implement changes in practice when they gain confidence over the student nurses and their new approaches to patients. Standard 5 states the need to Develops a plan for nursing practice. Proper confidence of the nurse, while conducting EBP is very important as this will lead her in selecting the evidences which will have the best outcomes on patients. Proper training can ensure the nurses in maintaining standard 5.2. stating helping them to collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons . Training will also ensure that the nurse has gained the capability to properly search literature and accordingly ensure maintenance of standard 5.4 plans and negotiates how practice will be evaluated and the time frame of engagement, and also standard 5.5 c oordinates resources effectively and efficiently for planned actions ("Standard of practice, Nursing and midwifery board of Australia", 2016). Several others criteria need to be developed by nurses other than the basic nursing capabilities which can never be possible without proper training and guidance from experts of the similar background. Nurses should be helped in aspects like effectively identifying knowledge gaps, formulation of different relevant questions as well as conducting efficient literature research. They need to have complete idea about the procedure of applying the correct rules of evidence to determine the validity of the researches (Weaver, Dy Rosen, 2014). Not only application of the literature finding is sufficient to handle the patient problem but appropriately involving the patient in the clinical decision making is also important to ensure safe and culturally competent care. These can be only achieved by proper guidance by trainers and teachers (Edmunds et al., 2013). Therefore training of EBP will help the registered nurses to be aligned with the standard 6 called the Provides safe, appropriate an d responsive quality nursing practice. When all the above mentioned attributes will be incorporated by the nurses after proper guidance by the trainers, nurses can follow the standard 6.1. which states that provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people ("Standard of practice, Nursing and midwifery board of Australia", 2016). The better the attributes leant; the better will be their enhancement of the handling of the EBP procedures and better will be outcome of the patient ensuring high patient satisfaction. Another barrier often faced by nurses while implementing evidence based practices issues in getting accustomed with the statistical procedures, improper understanding of the technical jargons as well as difficulty in judging the quality of the papers. The last attribute is exceptionally important an every nurses should develop the capability to understand that the paper they have selected are authentic or not. Training is therefore extremely important to help them learn the procedures by which they can select or reject the papers and thereby finalize on the most authentic ones (Kris et al., 2014). Moreover, training is also very important for them to develop knowledge about the statistical procedures followed on the papers so that they can understand how a particular intervention and its efficiency is established by the researchers (Loveday et al., 2014). This would help the nursing professionals to maintain the standard 1.1 which states accesses, analyses, and uses the best availabl e evidence, that includes research findings, for safe, quality practice ("Standard of practice, Nursing and midwifery board of Australia", 2016). By properly gaining knowledge, it would help in analyzing and using the best evidence by rejecting the improper ones for safe quality practice (Greenhalgh, Howick Maskarey, 2014). Therefore, I can stand in the support of the statement that indeed training is very important to develop the skills of evidence based practice without which nurses will not be able to conduct proper care. I strongly believe on the necessity of every healthcare centers to establish strong training teams who would be guiding the nurses in their approaches of EBP. The attempt to include evidence based practice in the bachelors degree in nursing is indeed a good attempt to incorporate the practice in the real life settings. However, only teaching about the procedures for effective application of EBP is not enough (Aarons et al., 2015). The healthcare organizations would be encouraging the nurses to undergo proper training session even in their workplace so that they can adapt to the culture of evidence based practices while developing care plan for the patients. Getting adapted to the environment will automatically boost their confidence (Young et al., 2014). As nurses remain in the fore front while establishing the safest care to increase patient satisfaction, they should prepare themselves in way where they can ensure that the most recent innovations, current trends in care, technological advancement, developed ways of handling healthcare issues and concerns and others are inculcated by them. Therefore nurses are indeed at the forefront of the EBP practices and they should be properly trained to maintain their responsibilities. From the above discussion, it is quite clear that training is necessary for evidence based practices. Without this, a nurse would not be able to adhere with the recent development in clinical researches and innovations made in technological advancement in healthcare sectors. As a result they will never be able to provide the best care. Therefore, not providing the training but still holding them responsible for giving the best care to patients is not justifiable. Without training, nurses may face many issues in taking on the EBP approach like improper time management, incorrect procedures to select proper articles, improper ways to develop knowledge about the validities, technical terms, statistics and others. Hence, healthcare institutions and organizations should first give proper trainings and then only they should hold nurses as forefront of the implementation of the evidences collected in the clinical setting. References: Aarons, G. A., Ehrhart, M. G., Farahnak, L. R., Hurlburt, M. S. (2015). Leadership and organizational change for implementation (LOCI): a randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation.Implementation Science,10(1), 11. 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. Dozois, D. J., Mikail, S. F., Alden, L. E., Bieling, P. J., Bourgon, G., Clark, D. A., ... Johnston, C. (2014). The CPA Presidential Task Force on Evidence-Based Practice of Psychological Treatments.Canadian Psychology/Psychologie canadienne,55(3), 153. Edmunds, J. M., Beidas, R. S., Kendall, P. C. (2013). Dissemination and implementation of evidencebased practices: Training and consultation as implementation strategies.Clinical Psychology: Science and Practice,20(2), 152-165. Greenhalgh, T., Howick, J., Maskrey, N. (2014). Evidence based medicine: a movement in crisis?.Bmj,348, g3725. Kris-Etherton, P. M., Akabas, S. R., Bales, C. W., Bistrian, B., Braun, L., Edwards, M. S., ... Pratt, C. A. (2014). 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