NURS 6052 Week 8 Assignment Essentials of EBP

Now that you have located available research on your PICOT question, you will examine what the research indicates about nursing practices. Connecting research evidence and findings to actual decisions and tasks that nurses complete in their daily practice is essentially what evidence-based practice is all about. This final component of the Course Project asks you to translate the evidence and data from your literature review into authentic practices that can be adopted to improve health care outcomes. In addition, you will also consider possible methods and strategies for disseminating evidence-based practices to your colleagues and to the broader health care field.NURS 6052 Week 8 Assignment Essentials of EBP

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To prepare:

Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?

With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.

Explore possible consequences of failing to adopt the evidence-based practice that you identified.

Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?

To complete:

In a 3- to 4-page paper:

Restate your PICOT question and its significance to nursing practice.

Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles.NURS 6052 Week 8 Assignment Essentials of EBP

Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.

Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?

This part of the Course Project is due. It should be combined with the other two components of the Course Project and turned in as your Portfolio Assignment for this course.

Note: In addition, include a 1-page summary of your project.

You will combine Parts 1, 2, and 3 of your Course Project (assigned in Weeks 2, 4, and 8 respectively) into one cohesive and cogent paper.

What is Evidence-Based Practice?

The classic definition of Evidence-Based Practice (EBP) is from Dr David Sackett. EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research”.2NURS 6052 Week 8 Assignment Essentials of EBP

EBP has developed over time to now integrate the best research evidence, clinical expertise, the patient’s individual values and circumstances, and the characteristics of the practice in which the health professional works.3

So, EBP is not only about applying the best research evidence to your decision-making, but also using the experience, skills and training that you have as a health professional and taking into account the patient’s situation and values (e.g. social support, financial situation), as well as the practice context (e.g. limited funding) in which you are working.  The process of integrating all of this information is known as clinical reasoning.  When you consider all of these four elements in a way that allows you to make decisions about the care of a patient, you are engaging in EBP.4

Why is Evidence-Based Practice Important?

EBP is important because it aims to provide the most effective care that is available, with the aim of improving patient outcomes.  Patients expect to receive the most effective care based on the best available evidence.  EBP promotes an attitude of inquiry in health professionals and starts us thinking about:NURS 6052 Week 8 Assignment Essentials of EBP Why am I doing this in this way?  Is there evidence that can guide me to do this in a more effective way?  As health professionals, part of providing a professional service is ensuring that our practice is informed by the best available evidence.  EBP also plays a role in ensuring that finite health resources are used wisely and that relevant evidence is considered when decisions are made about funding health services.4

What happened before Evidence-Based Practice?

Before EBP health professionals relied on the advice of more experienced colleagues, often taken at face value, their intuition, and on what they were taught as students.  Experience is subject to flaws of bias and what we learn as students can quickly become outdated.  Relying on older, more knowledgeable colleagues as a sole information source can provide dated, biased and incorrect information.  This is not to say that clinical experience is not important – it is in fact part of the definition of EBP.  However, rather than relying on clinical experience alone for decision making, health professionals need to use clinical experience together with other types of evidence-based information.5 NURS 6052 Week 8 Assignment Essentials of EBP