NRS 490 Essay Discussions
WEEK 1 : EBP Proposal and Nursing Practice
The aim of this essay is to explore the relationship between the research process and evidence based practice. The author of this essay intends to explore and illustrate an understanding of the various types of evidence used within nursing practice. There are barriers to implementing research into practice, the author intends to give explanation to these barriers and detail strategies/organizations that assist to putting research into nurse’s everyday practice. Two journal articles will be critiqued within this essay; the aim of this is to indicate which evidence has been used, to assess the strengths and weaknesses in the research process and to evaluate its usefulness in practice.NRS 490 Essay Discussions
Principles of Evidence Based Practice
Research can be described as a method of investigating a chosen area to illicit new information on the topic or to build on previous knowledge. In nursing research the aim of this research is to provide clients, their carers and their families with the best possible care in all aspects of their treatment to promote well being (Burns and Grove 2001).
“The conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence based medicine means integrating individual clinical expertise with the best available external evidence from systematic research.” (Sackett et al 1996;72)
Nurses are at the front line of healthcare and have most one to one contact time with clients; therefore it is essential that the foundation of their practice be formed from reliable evidence (Parahoo 2006). Evidence based practice sets out to integrate the best possible evidence, nursing knowledge and patient views into practice. It is vital that nursing staff be knowledgeable of the latest findings in nursing research and are able to access and opt for the most suitable evidence to inform and implement into their practice. (Gerrish 2006) suggest that evidence based practice consists of research, patient experience and clinical expertise.
It is important to address which research findings nurses should consult to inform their clinical practice in order for them to deliver adequate care to their patients. There are many different types of evidence available to practitioners; Gray Muir (1997) as cited in Gerrish (2006) outlines a hierarchy of evidence and indicates which types are more superior. Placed at the top of the hierarchy are systematic reviews and multiple randomized controlled trials (RCTs). A systematic review is essentially a study done on prior research; this is then deemed as secondary research (Parahoo 2006). The aim of this type of review is to carry out an extensive and thorough search of material already available on this topic. The most fitting material in relation to the topic is chosen, this is then evaluated, the findings are then collaborated and summarized to answer the original question. This process should be performed in a clear manner so that it would be possible for others to carry out this research. In second place on the hierarchy is randomized controlled trials, third; non-randomized controlled trials, fourth; non-experimental studies and fifth; descriptive studies/expert committees. This hierarchy is more suited to quantitative research and is deemed inappropriate if outcomes are not measurable (Gerrish 2006).
There are many organizations that provide information on research and guidance to how it should be implemented into clinical practice. The National Institute for Health and Clinical Excellence (NICE) offer clinicians guidelines and criteria to follow with the aim of developing nursing care to the benefit of the clients health (NICE). The Cochrane Collaboration supply research material which is available to everyone. Their aim as an organization is to provide health care workers, clients and their carers with information on the most current and reliable evidence used within health care settings.NRS 490 Essay Discussions
There are several different barriers to implementing evidence into clinical practice; Gerrish (2006) suggests that these barriers can be set into four categories; the nature of the evidence, communication of the evidence, knowledge and skill of the nurse and organizational barriers. Barriers with regard to the nature of the evidence may include research questions unsuitable to clinical practice. In relation to communication of evidence the language used in the research may be deemed as inaccessible due to complex terminology. It has been identified that barriers concerning the nurses skill include troubles identifying or appraising evidence and also lack of confidence of the individual in using resources to access the research. Organizational barriers seem to indicate that lack of support from senior staff in providing information and time to implement changes are the main cause for concern.
Parahoo (2006) suggests that there are four main components in the research process. Identification and formulation of the research question is the first stage in the process, this is where the researcher determines what is being researched and a question is created. Previous literature researched in the chosen field may be consulted by the researcher to help define concepts. The final question must be clearly set out. The second stage of the process is the collection of data, in this part of the process several decisions will have to be made before data is collected. The design of the study, methods used within it and sometimes piloting need to be decided upon. The population that will be participating needs to be defined at this point consent may need to be sought from ethical committees. Once these arrangements are in place the data can be collected. The third stage in this process is the analysis of data, at this stage the researcher would analyze, translate and display their findings. It is important to note that before the data was collected the researcher would have decided on how the analysis would be conducted. After analysis the researcher would typically translate findings, examine the limitations and make suggestion as to how to implement into practice. Recommendations may be made for additional research needed. The final stage in research process is the dissemination of findings. An organization that might be responsible for this area would be NICE, the barriers to the implementation of evidence are outlined above.
There are many ethical issues involved in the research process; the author of this essay intends to discuss some of these implications. Beneficence is an important ethical issue, it is essential that the study should be of the benefit of its participants and in the best interests of the overall public. Confidentiality is another ethical issue within the research process, any information gathered should be respected. Consultation to the participant’s wishes should be sought throughout the process and care must be taken by the researcher when publishing results so not to unintentionally expose the identity or information of its participants.NRS 490 Essay Discussions
conclusion
The author of this essay has explored the relationship between evidence and the clinical setting. Research, evidence based practice and the research process was considered. Barriers to implementing evidence based practice and the strategies/organizations used to avoid these barriers were discussed. Critiques of two research articles are included in this essay; these critiques aim to illustrate the author’s understanding of the research process and knowledge of the various types of research and the methods used.
WEEK 2 : Solution to Evidence-Based Nursing Practice
Evidence-based practices have been associated with improved patient outcomes in the clinical setting. In most cases, such clinical interventions usually reduce the rate of medication errors and provide long-term solutions. This essay evaluates how the consistent use of condoms can be a proper way of overcoming the cases of sexually transmitted infections and unwanted pregnancy among students due to unprotected sex.
Clinical Issue
The higher cases of unprotected sex among teenagers and young adults have been on a rise in high schools and colleges where they have got the freedom that they were seeking. Furthermore, “Health Promotion and Maintenance” is one of the NCLEX category, which has a subsection known as the “High-Risk Behavior” (NCSBN, 2017). Hence, the clinical issue highlighted is classified as one of the high-risk tendencies that are associated with younger people. The subcategory that the medical providers should identify the inappropriate activities that the patients are undertaking and raise awareness about the concerns associated with such issues. From that point, they can have programs that can transform the behaviors of the population and help them in avoiding such elements to overcome their infections.NRS 490 Essay Discussions
Importance
A discussion of the high-risk behaviors can help the nurses in identifying how certain infections are caused. As a result, they can suggest the evidence-based practices that can address the problem and provide long-term solutions. In the process, the patients will remain healthy and avoid the risk factors that can increase their chances of contracting some serious infections. The high school and college students will also understand the danger associated with having multiple sexual partners. The knowledge can enhance their awareness of such situations and how they should avoid the issues that might undermine their health.
On the other hand, the failure to comply with such requirements can place the well-being of the patient population at risk. For instance, unprotected sex will result in higher cases of sexually transmitted infections (STIs) and pregnancy among young adults (Ashenhurst, Wilhite, Harden, & Fromme, 2017). As a result, such negative effects can interfere with their education because the ladies might be forced to abandon school so that they can take care of their new-born babies. They can also spend more time in the medical institutions and funds as they are seeking treatment for the STIs that they have acquired.
The healthcare system will keep getting more cases of infections and ladies with unwanted pregnancy seeking…
WEEK 3 : Methods for Evaluating Evidence
The fifth step of the process, outcome evaluation, attempts to interpret the results and evaluate the outcomes of the applied evidence (intervention). Outcome measures may be psycho social (quality of life, improved patient perception of care, reduction in depressive and anxiety symptoms), physiologic (improved health, reduced complications), or functional improvement. Evaluation of the process and the results may occur through peer assessment, audit, or even self reflection. Depending on the type of outcomes achieved, it may be possible to compare the outcomes of a study with similar outcomes on a local, regional, national, or international level.NRS 490 Essay Discussions
The Iowa Model for Evidence-Based Practice to Promote Quality Care has been revised to better address sustainability of EBP, inter professional change implementation, and patient-eccentric care for clinicians at all levels of practice, guiding them through a team-based, multi phase process. The path initiates with a clinical “trigger” that identifies a clinical problem and includes decision points with evaluative feedback loops when recommending and implementing practice change. The model phases are inter professional team formation; evidence review, critique, and synthesis; change implementation through piloting; ongoing evaluation; and outcomes dissemination.
The Advancing Research and Clinical Practice Through Close Collaboration Model is for building resources and training mentors who play a central role in facilitating and sustaining EBP at the point-of-care and throughout the organization. The model has seven steps: cultivating a spirit of inquiry; asking a PICOT-formatted clinical question; collecting, critically appraising, and integrating the best evidence with clinical expertise and patient preferences; and evaluating and disseminating practice change outcomes.
The Johns Hopkins Nursing Evidence-Based Practice Model is clinician-focused, allowing rapid and appropriate application of current research and best practices. It simplifies the EBP process and cultivates a culture of care based on evidence. It has three overall steps: practice question, evidence, and translation. Its directive tools are intended for practicing clinicians working individually or in a group to address clinical inquiries.
The Promoting Action on Research Implementation in Health Services (PARIHS) Framework has been revised into the integrated or i-PARIHS framework. The framework refers to evidence-based change as practice innovation. It contends the core elements of successful implementation of practice innovation is dependent on the type of evidence available, context of the care setting, and how the process is facilitated. The framework emphasizes the importance of taking into consideration the perspectives of all recipients of the intended change.
Although these are just a few models for translating evidence into practice, each outlines and promotes the need for a systematic approach to evidence-based change. Each addresses the sustainability of EBP through organizational culture change, stakeholder engagement, comprehensive literature review and appraisal, barrier identification, impact evaluation, and outcomes dissemination. Regardless of the preferred model, the EBP process should tell the story of how a problem was recognized, addressed, and improved, and that story should be shared.NRS 490 Essay Discussions
WEEK 4 : EBP Implementation
While evidence-based practice is regarded “as the gold standard in patient care,” Luciano and colleagues note that research shows that hospitals and clinics can take about 17 years to adopt a practice after the release of the first systematic evidence showing it helps patients.
According to Luciano and colleagues, a big part of the challenge is adapting the practices to fit a clinic’s environment.
“Leaders have to balance two conflicting needs: to adhere to standards and to customize for the local context,” they write. “Attempting to simply ‘plug in’ a new practice to a different hospital or clinic often conflicts with existing practices. … But deviating from the evidence-base can weaken the effectiveness of the practice and lessen the benefits.”
The 4 keys to implementing evidence-based practices
With these challenges in mind, Luciano and her colleagues conducted research on organizational change and identified four approaches leaders can use to implement evidence-based practices at their organization “while staying close to the foundational evidence.” Specifically, Luciano and colleagues urge leaders to:
- Understand the data. While some evidence-based practices and treatments are applicable to multiple clinical contexts, in other instances, the data behind an evidence-based practice may not translate to your organization. “What if the evidence-base is constructed from different patient populations, hospitals with different structures or cultures, or countries with different regulatory environments and payment structures,” Luciano and colleagues write.
In those situations, leaders need to adapt the evidence-based practices to fit their organization. And that requires understanding the data, Luciano and colleagues write.
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For example, Luciano and colleagues recommend that leaders look at the data and consider “what is similar, what is different, and why those might matter.” They add, “Leaders should also consider whether existing data is sufficient to support implementing a new practice … or if additional data should be collected to verify the efficacy.”NRS 490 Essay Discussions
Even after the practice is implemented, leaders should continue the data collection process so they can reassess and make modifications as needed, according to Luciano and colleagues.
- Consider your resources. Similarly, every organization has different resources at their disposal, making it likely that leaders will need to modify evidence-based practices to fit the resources that are available to them, Luciano and colleagues write.According to Luciano and colleagues, adapting a method based on resources can shift providers’ reactions from “we don’t have the resources to do that” to “how can we apply these practices with the resources we do have?”
For instance, while hospitals that don’t have “sophisticated [EHRs] may not be able to implement electronic patient smart order sets,” they could “still attain similar improvements in care coordination by using paper checklists,” Luciano and colleagues write.
- Establish patient-centered goals. When implementing a new evidence-based practice, health care leaders need to identify goals based on patient-centered outcomes, according to the Luciano and colleagues. “The goal of implementing an evidenced-based practice should not be the implementation itself,” they write.”For example, many hospitals have the goal of reducing inpatient length of stay. If the change leaders focus just on the inpatient length of stay itself, they may create a program that rushes the patient out of the hospital before they are ready,” Luciano and colleagues write. “If instead the goal is to optimize recovery … the focus shifts to the patient experience, and reduction in inpatient length of stay is simply the residue of a provider and patient-friendly program.”
- Identify your preferences. Finally, leaders should note that health care providers’ personal preferences often determine whether an organization will adopt a new practice, according to Luciano and colleagues.”Preferences driven by subjective, idiosyncratic reasoning inhibit adopting new approaches that can attain better health outcomes, reduce expenses, and decrease errors,” Luciano and colleagues write.NRS 490 Essay Discussions
For example, one health system that adopted a standardized set of tools found that physicians preferred the tools they’d been trained on, even though evidence showed the old tools were more costly and had no impact on patient outcomes.
Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that you might or will need to work with that will improve the implementation process and the outcomes of your EBP project.
The emerging medical technology, especially in diagnostics and therapeutics has significantly enhanced patient care and the manner in which healthcare is provided in general. Moreover application of medical technology has played a critical role not only in enhancing health outcomes but also in reducing healthcare costs. Some of the medical technologies have facilitated early diagnosis and treatment of potentially chronic and fatal illnesses such as cervical cancer.My evidence based project is based on the need to educate surgical patients on the dangers of health complications associated with Obstructive Sleep Apnea(OSA) especially in unmonitored settings. Empirical research studies indicate high occurrence of adverse health outcomes associated with OSA complications in surgical patients due to lack of adequate diagnostics mechanisms to detect OSA before and after the patient undergoing surgery (Lemus, McMullin & Balinowski, 2016).
Research demonstrates a high prevalence of OSA complications in ambulatory care, a factor attributed to low monitoring of the outpatients (Brenner & Goldman, 2014). To prevent the adverse outcomes associated with OSA complications, educating the patient and caregivers would help in diagnosing and preventing the patient from suffering the negative effects. In this regard, my evidence based project is educational, aimed at enhancing the self-efficacy of surgical patients and their care givers especially in homecare setting in regard to addressing complications associated with OSA.NRS 490 Essay Discussions
The technology that could improve the implementation of the project is telemedicine. This would facilitate monitoring and delivery of care to surgical patients in unmonitored settings. The technology is suitable during postoperative period, especially when the patient is under homecare. Application of telemedicine in the implementation of this project is feasible because of increased penetration of broadband and fast internet speed across the country, which makes it cost effective method of monitoring and educating patients and their caregivers remotely. Moreover, telemedicine can easily be integrated with other medical technologies and applications, thereby enabling a multidisciplinary approach in provision of care for outpatients (Tan & and Ong, 2012).
Although telemedicine is appropriate in implementation of my EBP, I do not plan to use it for various reasons. First, it is susceptible to frequent interruptions and technical hitches, which could effectively jeopardize delivery of care for patients in remote areas with poor internet accessibility. Secondly, telemedicine would not be appropriate for patients with limited knowledge about the technology and those with diminished functional capability especially due to advanced age.
Conclusion
Application of technology in in delivery of healthcare services could enhance health outcomes of the patients. In my evidence based project, telemedicine would play a major role in providing information and monitoring of patients in unmonitored settings for complications associated with OSA. However, vulnerability of telemedicine to technological problems is a major barrier to its application. Since my project aims at educating surgical patients on complications associated with OSA, the training would take place in hospital setting using face to face approach.
WEEK 6: Aspects of Evidence-Based Practice Project
Following consultation with my mentor regarding the implementation of the evidence based practice solution, three critical areas that need to be considered include financial, clinical and quality aspects. The evidence based practice solution to the problem of increased application of anti psychotics in the treatment of dementia involved application of non-pharmacological interventions in the treatment of behavioral and psychological symptoms including psychosis.
One financial aspect that need consideration in the developing the evidence based practice project is whether the evidence based solution would help in reducing the cost of healthcare services for the targeted population. Delivery of low cost but high quality healthcare services is one of the core objectives of nursing practice in the 21st century (Houser & Oman, 2012). The evidence based practice project is expected to reduce the cost of healthcare by minimizing the rates of readmission for patients with dementia and reducing medical costs associated with purchase of drugs. NRS 490 Essay Discussions
In regards to quality consideration, it is important that the intervention helps in promoting the anticipated patient health outcomes, which include reducing mortality rate, promoting the patients quality of life and minimizing hospital readmission’s among others indicators. In regards to the EBP project, the evidence based practice intervention would promote the quality of care by reducing the adverse health outcomes associated with the use of anti psychotics in treating patients with dementia, such as high mortality. Additionally, it would enhance patient satisfaction.
One clinical aspect that need consideration is the availability of healthcare staff, with relevant expertise and knowledge to facilitate the implementation of the evidence based solution both in the outpatient and inpatient setting. In the midst of the prevailing shortage of healthcare professionals in the healthcare system, it is important to consider the skill mix required for the successful implementation of the EBP solution, its availability and the implications on the workload of the healthcare professionals in an organization.
WEEK 7 : Methods for Dissemination of EBP Project
Dissemination of evidence based practice results involves targeted circulation of information and interventions to a particular public health or clinical practice audience (Choi, 2005). The main objective of dissemination is to increase and promote the spread of knowledge regarding evidence based interventions, with an intention of enhancing its greater application and patient outcomes (Cain & Mittman, 2012). There are various internal and external methods of disseminating evidence based project. However, the method applied should be effective.
Effective dissemination is characterized by positive engagement of the targeted audience, which enhances awareness, understanding and motivation to implement in the workplace. The choice of dissemination methods depends on the targeted audience. Healthcare audience is mostly interested on how specific evidence fit into a specific context and the implications of adopting the changes on various aspects, such as policy, quality of care, staffing and funding among other aspects (Cain & Mittman, 2012).
The internal method that I would use to disseminate the evidence based practice is the hospital board. Hospital board essentially comprises of the employees of the health organization, such as nurses, physicians and other professionals involved in patient care. While disseminating the EBP to the hospital board the most appropriate method to apply would be face to face. The approach facilitates interaction and instant feedback especially during questioning sessions. NRS 490 Essay Discussions
The external method that I would apply is presentation in conferences of professional organizations, particularly American Nurses Association. The professional organization would provide an ideal platform to facilitate dissemination of the project to large audience of nurses. The method that I would use in the conference is face to face to facilitate consultation and discussion with other nursing professionals. The communication strategies applied would vary in the internal and external forums. For instance, the hospital board comprises of colleagues, which implies that the communication would be less formal and more interactive compared to presentation in American Nurses Association conference.
Presentation of my evidence based results to the two groups is important to facilitate sharing of the knowledge and information in the nursing fraternity. This would enhance decision making capability among the group members involved in nursing practice and promote patient outcomes. Moreover, reporting the findings to the groups would facilitate constructive criticism of the results, thereby providing an opportunity to improve them before implementation.
WEEK 8: Clinical and Statistical Significance of EBP
For successful implementation of evidence based practice, understanding and interpretation of the research is essential. For this reason, it is important to understand the difference between statistical significance and clinical significance. Statistically significant result implies a relationship or a difference between the variables that was not solely caused by normal variation or chance. In this regard, statistical significance as a parameter in evidence based practice shows the extent or the likelihood that finding from research is true and does not occur by a chance (Heavey, 2015).
The probability value (p value) is used to show the chance of the randomness of a particular result occurring but not the actual variance between the variables under question. In research analysis, results are statistically significant when the probability value generated during the analysis is less that the certainty level needed by a researcher. In research studies including evidence based practice, researchers normally set probability values at 0.05, which imply a chance of 5% that the result was not caused by a probability and a 95% certainty that there exist an actual relationship between the variables analyzed in the study (Heavey, 2015). NRS 490 Essay Discussions
Clinical significance is essentially a subjective interpretation of research findings as meaningful for patient under care, and therefore likely to influence the behavior of healthcare provider (Heavey, 2015). A clinically significant result occurs when medical experts believe that the finding is considerable enough to be medically crucial and hence be applied as a guide in provision of care to patients.
In evidence based research practice, statistical significance must always be determined before determination of clinical significance. However, clinical significance is usually a subjective evaluation and cannot be established by a single experiential test. I can use clinical significance to support positive outcomes in my project outcome by ensuring that the result is statistically significant. This is due to the fact that majority of statistically significant findings are normally have clinical significance.
WEEK 9 : Barriers to EBP and their Solutions
Barriers to EBP Change
Time and knowledge: When asked what they need more of, busy clinicians will often say time is their priority. Lack of time is often cited as a barrier to implementing EBP. In addition, uncertainty or lack of knowledge about the EBP process is also a barrier, which includes critiquing and appraising the literature related to the clinical problem being addressed.
Resistance: We’ve all probably heard the phrase “because we’ve always done it this way” when asking why we do what we do every day. Changing this culture can be a challenge, but as EBP becomes the norm in health care, it should be easier to overcome. One person alone is insufficient to change a practice, which is why having a culture that supports a spirit of inquiry and an evidence-based approach to care is so important.
Strategies to Overcome
Stakeholders: One of the first and most important things you can do is to engage the appropriate stakeholders. Doing this builds trust and enables you to learn from their experience and provide input on the project. Stakeholders can also play a role in identifying outcome measures. Having buy-in from the start will help you to plan a better project and implementation strategy.
Administration support: Similarly, having support from your administration from the beginning is a key factor in success. Administration may be able to inform you about other projects that used similar implementation techniques and how they worked. Also, administration plays a key role in developing an organizational culture that supports EBP.NRS 490 Essay Discussions
Changing the way we practice is really changing a behavior, but behavior change isn’t easy. It takes persistence, perseverance, and a willingness to be open to new options along the way. You will hit barriers, but you will also learn strategies that will help you to overcome them. Working together, we can ensure an EBP environment that will lead to better outcomes for our patients and ourselves.
WEEK 10 : EBP and BSN-Prepared RN
Throughout the years, nursing has evolved — both in the way nurses provide patient care and the way they are educated. Over the past few decades though, evidence-based practice has emerged as the gold standard of care and greatly influenced Bachelor of Science in Nursing (BSN) coursework.
What Is Evidence-Based Practice?
Evidence-based practice (EBP) is a patient-centered approach founded on independent scientific research, clinical expertise and patient experiences. Nurses and other healthcare providers who utilize this approach must consider the most recent healthcare research when determining the course of care and treatment.
The field of nursing earned recognition as an applied science in the 1960s, and research efforts intensified. The accumulation of research may have led to increasing knowledge levels; however, healthcare leaders began to express concern at the widening gap between the ideal healthcare environment and what patients were actually experiencing. Moreover, they were worried that the growing amount of scientific background and research was not being transferred and applied consistently to clinical patient care, thereby failing to meet the goal of improved and consistent outcomes.
In response, the Institute of Medicine (IOM) — which changed its name to the National Academy of Medicine (NAM) in 2015 — issued Crossing the Quality Chasm: A New Health System for the 21st Century in 2001. This report noted prior research that indicated the current system was causing preventable harm. It also reiterated the need for uniformity across the healthcare system to ensure that all patients were receiving the highest quality of care no matter where they sought treatment. To reach that goal, it was theorized that incremental changes would not be enough — a complete overhaul would be necessary. One of the recommendations was to implement EBP.
How Is Evidence-Based Practice Used in Nursing?
The transition to EBP has impacted nursing in several ways. First, nursing education has changed. Colleges and universities have altered their BSN program curricula to incorporate EBP. Students pursuing the degree, even through accelerated online RN to BSN programs, will find coursework that focuses not only on increasing a nurse’s overall knowledge base, but also on the importance of professional accountability. These programs emphasize critical thinking skills and encourage students to consider the patient’s clinical, cultural, religious and socioeconomic backgrounds, as well as relevant scientific research.NRS 490 Essay Discussions
The growing use of EBP has also led to a greater interest in and emphasis on nursing research. While bachelor’s programs may contain at least one course related to nursing research, students may find it beneficial to further hone their skills. Although research may not frequently be a task assigned to entry-level nurses, it can be helpful to know about new and emerging scientific data since it can have a more direct influence on current and future professional nursing practices than in the past.
Becoming familiar with various research methodologies may prepare nurses for careers away from the bedside. With the accumulation of clinical experience and the completion of a Master of Science in Nursing (MSN) degree, nurses will find many more opportunities in research. These roles are often more independent and require less patient contact. Nurse researchers may design studies or trials, collect and review data, and write and publish their findings.
What Are the Benefits of Evidence-Based Practice?
The ultimate goal of the EBP movement is to standardize and improve access and quality of care across the healthcare system. Certain patient and nurse benefits include the following:
Improved patient outcomes. The heavy focus on raising the overall quality of care may lead to improved outcomes and health for patients. Using the most current healthcare research can help minimize complications associated with chronic illness and prevent additional illness or disease.NRS 490 Essay Discussions
Lower costs of care. Roughly one in four Americans are living with multiple chronic illnesses and the cost of caring for these patients can often be substantial. Using EBP’s patient-centered approach may help eliminate unnecessary costs linked to treating chronically ill patients as well as reduce expenses for healthier patients, too.
Superior nursing skills. Incorporating EBP throughout a nurse’s education and clinical experiences develops more advanced critical thinking and decision-making skills. Nurses are better able to adapt to situations, utilize informatics and work in interdisciplinary teams. They also feel a greater sense of confidence and pride in their work.
Advancing Patient Care
Evidence-based practice has become an integral component of delivering high-quality, patient-centered care. Nursing students in an RN to BSN program will learn EBP theories and apply this knowledge in their careers. Offering benefits to both patients and nurses, evidence-based practice is helping to lead the way in advancing patient care.NRS 490 Essay Discussions