This document discusses the utilization of evidence-based practice in a hospital setting, the encouragement of nurses to implement EBP ideas, factors necessary for successful implementation, and changes needed in the workplace for improving evidence-based practice. It also includes references for further reading.
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Running head- EMBEDDING A CULTURE OF EVIDENCE-BASED PRACTICE EMBEDDING A CULTURE OF EVIDENCE BASED PRCATICE Name of the Student Name of the University Author note
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1EMBEDDING A CULTURE OF EVIDENCE-BASED PRACTICE Table of Contents Question 1- Utilization of evidence-based practice in my institution.............................................2 Question 2 – Encouragement of the nurses to implement EBP ideas..............................................2 Question 3 – Factors necessary for implementing evidence-based practice successfully...............3 Question 4 – Changes needed in the work place for improving the evidence based practice.........5 References........................................................................................................................................7
2EMBEDDING A CULTURE OF EVIDENCE-BASED PRACTICE Question 1- Utilization of evidence-based practice in my institution Evidence based practice is an approach of problem solving in clinical practices which incorporates the evidences which are best collected from different studies which are well defined, values of the patient and preferences. It also involves advices from the clinical experts while making decisions about the cases of the patients. Presently I am employed in a hospital where the evidence based practices are utilised. Question 2 – Encouragement of the nurses to implement EBP ideas Yes, the nurses participate in implementing Evidence based practice ideas in the hospitals. The nurses participate in implementing the ideas by organising different meetings and conferences so the improvement of the patients can be improved. The nurses use a variety of sources for implementation of the evidence based practice. The nurse use the systematic reviews, do research studies on different topics for knowing about how to increase their knowledge so that they can improve their practice of implementation of different evidence based practice. The nurses study the abstraction journals which contains the summary of valid and clinically useful studies which are published (Fitzsimons & Cooper, 2012).They also follow the clinically practice guidelines. The guidelines are based on the most researches available that are extremely thorough and helpful. When they cannot do proper researches, they consult and take the opinions from different experts. Apart from helping in the systematic management of the hospital, the nurses also implement their evidence based ideas in the clinical treatment of the patient. Many example are there where the nurse use EBP in their daily practices. For example, the nurses help the patient in preventing from different hospital acquired infections. The nurses do this by adhering to different evidence based control policies. This involves always keeping the
3EMBEDDING A CULTURE OF EVIDENCE-BASED PRACTICE environment of the hospital clean, by wearing self-protective clothing so that she herself cannot get the infection (Saunders & Vehviläinen-Julkunen, 2016).The nurses also involve using of barrier precautions and also they follow the proper hand washing practices. The next example is using of oxygen in patients with COPD. In providing the patients with oxygen the nurses use their evidence based practices. Normally, by providing the paint with oxygen, serious issues like hypercarbia, acidosis happens which may even lead to death. In order to avoid the complexes, evidence practices are used by the nurses. The practice helps to prevent them from hypoxia. Another important practice followed by the nurse is measuring the blood pressure of the children non-invasively. Nurses must use evidence based practice for measuring he blood pressure and specially for the children as it is difficult in measuring blood pressure than the adults. Measuring the blood pressure of the children involves auscultatory method and after that the measurements are compared with the data that are available with the oscillometric method. The other important clinical practice that the nurse do by following several evidences is the intravenous catheter size and blood administration. The nurse follow the evidence based practices at the time of using intravenous catheters at the time o administration of blood for RBCs infusion (Melnyk et al., 2016). The protocol of this is the nurses must use small guage catheter which increase the comforts of the patient. Question 3 – Factors necessary for implementing evidence-based practice successfully The factors required for implementing successful evidence based practice are- Shared governance – Shared governance is a model of nursing practice which has been designed for the integration of core values and beliefs which serves as a mean of
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4EMBEDDING A CULTURE OF EVIDENCE-BASED PRACTICE achieving and providing quality care. This model has been introduced for improving the environment of the nurses, the satisfaction and retention (Malik, McKenna & Plummer, 2015). Feedback of outcomes- The feedback helps in improving the work of the nurses at various stages. The feedback of the outcomes help in analysing the performance of the leaders. The changes in the environment attained after implementation of the practices can be analysed from the feedbacks (Taylor et al., 2015). Visible leadership and support – For maintaining the implementation of the evidence based practice, the nurses must have the leadership skills. The leadership skills include maintaining the balance between the production efficiency and safety, maintaining trust throughout the organization, managing the process of the skills, properly involving the workers in the work processes and using the knowledge of the management practices to the best (Taylor et al., 2015). Educational programmes- The nurse must be responsible for the arrangement of different educational practices like arrangement of seminars or conferences. All the workers of the hospital must participate in the seminars (Wiechula et al., 2016). Mentors – The faculty or the member who serves as the mentor should properly help the nurses at all instances mainly to those nurses who lack the skills and knowledge about how to integrate the evidences into practices. The mentors must assist the nurses whenever they need (Wiechula et al., 2016). The multidisciplinary working body- The multidisciplinary working body of the hospital is another important factor which help in implementing the evidence based practices. The nurses alone cannot implement a practice, they have to take the help of other workers of
5EMBEDDING A CULTURE OF EVIDENCE-BASED PRACTICE the hospital. For example for providing the patients with medicines the nurses need to take the help of the pharmacist of the hospital for providing the medicines (Wiechula et al., 2016). Platforms for dissemination- The policy must be prepared in such a way that it can be spread or disseminate to other places (Blackman et al., 2015). Library resources and clinical librarians- For properly implementing evidence based practices, the nurses must make sure that the resources for studying are enough so that they can get clear knowledge about the studies that they are doing (Blackman et al., 2015). Recognition and reward- Proper rewards should be given to the nurses who are working hard, properly manage the works of the patients, can perform all the clinical works efficiently. They should be recognised and awarded (Read & Laschinger, 2015). All the above mentioned factors are important because these are the key factors upon which the whole evidence based practise is dependent. These factors are important and must be available for nurses and in healthcare field works.Apart from these, the financial assistance also needs to be added as if a hospital do not have sufficient assistance of finances, then more sources will be available for the study of the nurses. Question 4 – Changes needed in the work place for improving the evidence based practice Changes are always needed for improving the conditions of the workplace. In my workplace, me and my colleagues are facing different problems in implementing the evidence based practices. The first important problem that we are facing is the lack of time and organizational cultures (Vaismoradi, Jordan & Kangasniemi, 2015).The time given to us for
6EMBEDDING A CULTURE OF EVIDENCE-BASED PRACTICE completing a work like completing research studies, systematic studies and other works related to the hospital is very small. We cannot complete our works confidently. The cultures of the organization is also not good. Less people are here who help each other with their works. The workers do not communicate with each other much. Another most important problem that we are facing in the workplace is the support from the managers and the nurse mentors (Bertram, Blase & Fixsen, 2015).The managers do not provide us with much support. When the employees go to them for any help regarding any mater, they just make excuses and avoid the problems. The employees suffer after that, sometimes the employees have to give penalty also for not performing well. The mentors are not efficient in guiding the nurses properly. They do not provide the nurses with adequate information regarding the evidence based practices. They do not provide the nurses with the study materials inspite of having lots of books and journals in the library. They give lame excuses that the study materials are not provided as they the nurses will not be able those. The knowledge that the mentors possess are very limited, that is not meant for guiding a group of nurses. The nurses get demotivated because of the mentors. These problems f solved by providing proper time, changing the organizational cultures and changing mentors and managers, then the nurses can work efficiently.
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7EMBEDDING A CULTURE OF EVIDENCE-BASED PRACTICE References Bertram, R. M., Blase, K. A., & Fixsen, D. L. (2015). Improving programs and outcomes: Implementationframeworksandorganizationchange.ResearchonSocialWork Practice,25(4), 477-487. Blackman, I., Henderson, J., Willis, E., Hamilton, P., Toffoli, L., Verrall, C., ... & Harvey, C. (2015). Factors influencing why nursing care is missed.Journal of clinical nursing,24(1- 2), 47-56. Fitzsimons, E., & Cooper, J. (2012). Embedding a culture of evidence-based practice.Nursing Management,19(7). Malik, G., McKenna, L., & Plummer, V. (2015). Perceived knowledge, skills, attitude and contextual factors affecting evidence‐based practice among nurse educators, clinical coaches and nurse specialists.International journal of nursing practice,21, 46-57. Melnyk, B. M., Gallagher‐Ford, L., Thomas, B. K., Troseth, M., Wyngarden, K., & Szalacha, L. (2016). A study of chief nurse executives indicates low prioritization of evidence‐based practiceandshortcomingsinhospitalperformancemetricsacrosstheUnited States.Worldviews on Evidence ‐Based Nursing,13(1), 6-14. Read,E.A.,&Laschinger,H.K.(2015).Theinfluenceofauthenticleadershipand empowerment on nurses’ relational social capital, mental health and job satisfaction over the first year of practice.Journal of Advanced Nursing,71(7), 1611-1623.
8EMBEDDING A CULTURE OF EVIDENCE-BASED PRACTICE Saunders, H., & Vehviläinen-Julkunen, K. (2016). The state of readiness for evidence-based practiceamongnurses:Anintegrativereview.InternationalJournalofNursing Studies,56, 128-140. Taylor, J., Coates, E., Brewster, L., Mountain, G., Wessels, B., & Hawley, M. S. (2015). Examining the use of telehealth in community nursing: identifying the factors affecting frontline staff acceptance and telehealth adoption.Journal of advanced nursing,71(2), 326-337. Vaismoradi, M., Jordan, S., & Kangasniemi, M. (2015). Patient participation in patient safety and nursing input–a systematic review.Journal of clinical nursing,24(5-6), 627-639. Wiechula, R., Conroy, T., Kitson, A. L., Marshall, R. J., Whitaker, N., & Rasmussen, P. (2016). Umbrella review of the evidence: what factors influence the caring relationship between a nurse and patient?.Journal of Advanced Nursing,72(4), 723-734.