Evidence-Based Practice in Nursing & Healthcare Essay

Evidence-Based Practice in Nursing & Healthcare Essay

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.Evidence-Based Practice in Nursing & Healthcare Essay

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In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

· Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

· Reflect on which type of dissemination strategy you might use to communicate EBP.Evidence-Based Practice in Nursing & Healthcare Essay

Post at least

1). two dissemination strategies you would be most inclined to use and explain why.

2). Explain which dissemination strategies you would be least inclined to use and explain why.

3). Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use.

4). Be specific and provide examples.

5). Explain how you might overcome the barriers you identified.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 10, “The Role of Outcomes on Evidence-based Quality Improvement and enhancing and Evaluating Practice Changes” (pp. 293–312)Evidence-Based Practice in Nursing & Healthcare Essay
Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 328–343)
Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 378–427)
Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54–60. doi:10.1097/10.1097/01.NAJ.0000395243.14347.7e. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2011/03000/Evidence_Based_Practice,_Step_by_Step_.31.aspx

Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f

Melnyk, B. M. (2012). Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6a

Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e

Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomes. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188

Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e

Within this essay Evidence based Practice will be identified and the significant effect it has on the nursing profession, barriers will also be explored in the implementation of Evidence Based Practice. Individuals need specific care tailored to them, it is vitality important to have the correct professional and appropriate personal care. In order to receive this we need to get the patient involved in the decision process, listen to their views and opinions and receive the relevant, accurate, professional and medical information. Once all the information is collaborated a personal care package can be put into practice. Evidence – Based Nursing, An introduction (2008, p.1) “ At is core evidence based ‘anything’ is concerned with using…show more content…
This outlines the fact it is crucial to have the best external evidence including both clinical and professional inputs. It also highlights the patients’ rights preferences and their autonomy should be without doubt taken into account during the research process. The best method for treating patients for nurses and any other medical professionals is to use Evidence Based Practice. Evidence-Based Practice in Nursing & Healthcare Essay This is because it brings together years of accurately recorded clinical knowledge from previous cases with will be relevant in the treating of your patient. The process of using Evidence Based Practice in a patients care plan consists of five key stages. Asses the patient and formulate the problems from this you will then need to access the relevant clinical articles. Using this information you should then be able to assess which is the best method of treatment discarding any misleading or ambiguous articles. You then need to incorporate this knowledge into the patients care plan. Finally you need to evaluate and assess the patient during treatment to ensure effectiveness.

For several decades, health services researchers have reported associations between nurse staffing and the outcomes of hospital care.2–4 However, in many of these studies, nursing care and nurse staffing were primarily background variables and not the primary focus of study.5 In the 1990s, the National Center for Nursing Research, the precursor to the National Institute of Nursing Research, convened an invitational conference on patient outcomes research from the perspective of the effectiveness of nursing practice.6 It was hoped that as methods for capturing the quality of patient care quantitatively became more sophisticated, evidence linking the structure of nurse staffing (i.e., hours of care, skill mix) to patient care quality and safety would grow. However, 5 years later, the 1996 IOM report articulating the importance of nurses and nurse staffing on outcomes concluded that, at that time, there was essentially no evidence that staffing exerted an effect on acute care hospital patients’ outcomes and limited evidence of its impact on long-term care outcomes.Evidence-Based Practice in Nursing & Healthcare Essay

There has been remarkable growth in this body of literature since the 1996 IOM report. Over the course of the last decade, hospital restructuring, spurred in part by a move to managed care payment structures and development of market competition among health care delivery organizations, led to aggressive cost cutting. Human resources, historically a major cost center for hospitals, and nurse staffing in particular, were often the focus of work redesign and workforce reduction efforts. Cuts in nursing staff led to heavier workloads, which heightened concern about the adequacy of staffing levels in hospitals.7, 8 Concurrently, public and professional concerns regarding the quality and safety of patient care were sparked by research and policy reports (among them, the IOM’s To Err is Human9), and then fueled by the popular media. A few years ago, reports began documenting a new, unprecedented shortage of nurses linked to growing demand for services, as well as drops in both graduations from prelicensure nursing education programs and workforce participation by licensed nurses, linked by at least some researchers to deteriorating working conditions in hospitals.10, 11 These converging health care finance, labor market, and professional and public policy forces stimulated a new focus of study within health services research examining the impact of nurse staffing on the quality and safety of patient care. An expected deepening of the shortage in coming years12 has increased the urgency of understanding the staffing-outcomes relationship and offering nurses and health care leaders evidence about the impacts of providing care under variable nurse staffing conditions. This chapter includes a review of related literature from early 2007.Evidence-Based Practice in Nursing & Healthcare Essay

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Identifying Nurse-Sensitive Outcomes
The availability of data on measures of quality that can be reasonably attributed to nurses, nursing care, and the environments in which care is delivered has constrained research studying the link between staffing and outcomes. While nurse leaders have been discussing the need to measure outcomes sensitive to nursing practice back to at least the 1960s, widespread use of the terms “nurse/nursing-sensitive outcomes” and “patient outcomes potentially sensitive to nursing” is a relatively recent development. Nurse-sensitive measures have been defined as “processes and outcomes that are affected, provided, and/or influenced by nursing personnel, but for which nursing is not exclusively responsible.”13, 14 While some scholars feel the term “nurse-sensitive measure” is fundamentally incorrect because patient outcomes are influenced by so many factors, health care is practiced in a multidisciplinary context, and few aspects of patient care are the sole purview of nurses, there is a broad recognition that some outcomes reflect differences in the quality of nursing care patients receive and therefore presumably respond to the characteristics of the environments in which care is provided (including staffing levels).Evidence-Based Practice in Nursing & Healthcare Essay

No matter what label these measures are given, measures that have conceptual and clinical links to the practice of nursing and are sensitive to variations in the structure and processes of nursing care are an essential ingredient in this area of research. Data sources from which to construct these measures must be identified, and exact definitions indicating how measures are to be calculated must be drafted. This is particularly critical if different individuals or groups are involved in compiling quality measures. There have been calls for standardization of measures of the quality of health care for some time,1, 15 along with outcome measures related to the quality of nursing care. Inconsistent definitions have slowed progress in research and interfered with comparability of results across studies. A paper, now under review, examines and compares common measures of adult, acute care nurse staffing, including unit-level hospital-generated data gleaned from the California Nursing Outcomes dataset, hospital-level payroll accounting data obtained from the California Office of Statewide Health Planning and Development, hospital-level personnel data submitted to the American Hospital Association, and investigator research data obtained from the California Workforce Initiative Survey. Findings reveal important differences between measures that may explain at least some inconsistencies in results across the literature (Spetz, Donaldson, Aydin, personal communication February, 2007).Evidence-Based Practice in Nursing & Healthcare Essay

Efforts to address the standardization imperative began with the American Nurses Association’s (ANA) first national nursing quality report card initiative. This initiative began with a literature search to identify potential nurse-sensitive quality indicators. Next, expert reviewers examined and validated a smaller, selected group of indicators and measures from among these.16 The ANA then funded six initial nursing quality report card indicator feasibility studies, which developed and refined these first sets of measures, documenting the quality of nursing care in acute care settings. The California Nursing Outcomes Coalition (CalNOC) was among the first State-based feasibility projects conducted by the ANA that ultimately served as the basis for the National Database for Nursing Quality Indicators (NDNQI) established in 1997. Maintaining an informal collaboration with the NDNQI, CalNOC continues to function as a regional nursing quality database, and more recently, CalNOC methods have been adapted by both the emerging Military Nursing Outcomes Database and VA Nursing Outcomes Database projects. All four groups currently collect and analyze unit-level data related to the associations between nurse staffing and the quality and safety of patient care. Together, they have formed an unofficial collaborative of nursing quality database projects. Evidence-Based Practice in Nursing & Healthcare Essay