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NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing

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Capella University

NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology

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Evidence-Based Practice in Nursing

Nurses dedicate a substantial portion of their time to critically assessing and evaluating patient care quality within dynamic healthcare environments. Adapting to evolving patient needs and staying updated with medical advancements, treatments, and literature is essential. Evidence-Based Practice (EBP) serves as a framework for evaluating recent innovations, best practices, and emerging literature to establish state-of-the-art patient care (Alatawi et al., 2020).

Criteria and Process for Implementing EBP

Nurses encounter recurrent challenges that their prior experiences can resolve in daily practice. However, novel issues demand further investigation. To address such challenges, EBP follows a systematic four-step process:

  1. Assessment of the patient’s clinical problem.
  2. Comprehensive review of related and reliable literature.
  3. Critical appraisal of pertinent articles.
  4. Execution and dissemination of gathered information.

Nurses formulate a clinical problem statement based on initial assessments, guiding database searches. Rigorous scrutiny ensures credibility and relevance of sources, facilitating the implementation of identified treatment protocols (Alatawi et al., 2020).

According to Alatawi et al. (2020), barriers to EBP adoption encompass both individual and organizational factors. Individual barriers relate to healthcare providers’ professional competence, including their experience and attitudes. Organizational barriers involve resource allocation and budgeting, impacting the prioritization of optimal patient care.

Scholarship for EBP Research

Addressing complex healthcare issues requires substantial investment in time and resources. Programs such as Magnet® support evidence-based nursing practice and research (Wentland & Hinderer, 2020). Clinical nurses play a pivotal role in driving problem-focused research, contributing to staff development and healthcare enhancement (Whalen et al., 2020).

Saunders et al. (2019) outline inclusion and exclusion criteria for evidence-based nursing practice, emphasizing considerations such as biases, methodological quality, and diverse outcomes.

Clinical Questions in EBP

Speroni et al. (2020) highlight widespread adoption of the EBP model in Magnet-recognized hospitals in the United States. The Iowa Model of Evidence-Based Practice predominates, demonstrating efficacy in enhancing patient care.

Clinical Question: “Which Interventions, Along with Patient Care Technologies, Control Fever Based on EBP in the ICU?”

Chiwaula et al. (2021) introduced the Iowa Model of Evidence-Based Practice in the ICU at Kamuzu Central Hospital (KCH). Effective fever management in the ICU relies on temperature monitoring devices with integrated sensors, enabling systematic care by frontline nurses.

Considerable knowledge gaps persist, particularly regarding patient consent due to the unconscious state of many ICU patients. Tailoring EBP guidelines to individual patient needs requires careful consideration of diverse circumstances and symptoms (Chiwaula et al., 2021).

Ethical and Regulatory Considerations for EBP

Ethical considerations necessitate transparency and patient consent regarding study objectives and potential health impacts (Chiwaula et al., 2021). Upholding the Belmont principles—respect for autonomy, beneficence, and justice—is crucial in EBP (Tu & Gao, 2021). Regulatory compliance with FDA recommendations for evidence-based technology ensures patient safety and privacy, especially in interventions like ICU fever management (Chiwaula et al., 2021).

Policy challenges may arise from structural adjustments, technological upgrades, and financial considerations associated with EBP implementation (Chipps et al., 2020).

Conclusion

Evidence-Based Practice is pivotal in addressing evolving healthcare challenges, provided nurses receive support for scholarly research endeavors. Upholding rigorous standards in literature evaluation, ensuring methodological rigor, and respecting patient confidentiality are essential in advancing EBP.

References

Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S., & Banakhar, M. (2020). Barriers of implementing evidence-based practice in nursing profession: A literature review. American Journal of Nursing Science, 9(1), 35. https://doi.org/10.11648/j.ajns.20200901.16

Chipps, E., Tucker, S., Labardee, R., Thomas, B., Weber, M., Gallagher-Ford, L., & Melnyk, B. M. (2020). The impact of the electronic health record on moving new evidence-based nursing practices forward. Worldviews on Evidence-Based Nursing, 17(2). https://doi.org/10.1111/wvn.12435

Chiwaula, C. H., Kanjakaya, P., Chipeta, D., Chikatipwa, A., Kalimbuka, T., Zyambo, L., Nkata, S., & Jere, D. L. (2021). Introducing evidence-based practice in nursing care delivery, utilizing the Iowa model in the intensive care unit at Kamuzu Central Hospital, Malawi. International Journal of Africa Nursing Sciences, 14, 100272. https://doi.org/10.1016/j.ijans.2020.100272

NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing

Saunders, H., Gallagher‐Ford, L., Kvist, T., & Vehviläinen‐Julkunen, K. (2019). Practicing healthcare professionals’ evidence‐based practice competencies: An overview of systematic reviews. Worldviews on Evidence-Based Nursing, 16(3), 176–185. https://doi.org/10.1111/wvn.12363

Speroni, K. G., McLaughlin, M. K., & Friesen, M. A. (2020). Use of evidence‐based practice models and research findings in magnet‐designated hospitals across the United States: National survey results. Worldviews on Evidence-Based Nursing, 17(2), 98–107. https://doi.org/10.1111/wvn.12428

Tu, J., & Gao, W. (2021). Ethical considerations of wearable technologies in human research. Advanced Healthcare Materials, 10(17), 2100127. https://doi.org/10.1002/adhm.202100127

Wentland, B. A., & Hinderer, K. A. (2020). A nursing research and evidence-based practice fellowship program in a Magnet®-designated pediatric medical center. Applied Nursing Research, 151287https://doi.org/10.1016/j.apnr.2020.151287

NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing

Whalen, M., Baptiste, D.-L., & Maliszewski, B. (2020). Increasing Nursing Scholarship Through Dedicated Human Resources. JONA: The Journal of Nursing Administration, 50(2), 90–94. https://doi.org/10.1097/nna.0000000000000847

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