Evidence-based Practice in Nursing

Running head: NURSING
Nursing
Name of the Student
Name of the University
Author Note

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Part 2
Answer 1
According to Standard 6 of Registered Nurses Standards For Practice by Nursing and
Midwifery Board of Australia (2016), it is the duty of the nursing professional to provide
safe, responsive and quality care to the patients. Evidence-based practice (EBP) in nursing is
conscientious yet problem solving approach under the clinical practice that helps to
incorporate the best evidences from the well-designed studies, the values of the patients and
clinicians expertise in order to design therapy plan. Proper designing of the therapy planning
based on the patient preferences and clinical guidelines help to design care patient-centred
care plan and thereby helping to improve the overall quality of care (LoBiondo-Wood and
Haber 2017).
Answer 2
The five steps of the evidence-based practice model include ask, acquire, appraise,
apply and assess the information associated with the prevailing patient scenario and
prevailing guidelines. The four phases of the Tanner’s 2006 Clinical judgment include
noticing, interpreting, responding and reflecting of the current scenario. Noticing is the
process of perceiving salient or important aspects of the situation and this can be linked to the
observation of the patient situation and current trends in practice of EBP guidelines.
Interpreting signifies making sense o what is being noticed and this can be linked with the
analysis of the information from the scholarly articles of EBP guidelines. Responding
include acting based don situation alternatively it can be said that linking the therapy or
intervention planning with the patients’ clinical priority. Reflecting signifies professional
development that is also a part of EBP (Hines and Wood 2016).

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Figure: Relationship between the Tanner’s 2006 Clinical judgment and evidence-based
practice
(Source: Tanner 2006)
Answer 3
Consideration of the patient’s values and preferences signifies cultural, spiritual and
ethnic values of the patient. For example, the indigenous populations residing in Australia are
inclined towards their family members. The connection to the family and community is
reported as an important aspect of the indigenous culture. The family members play a
significant role in the promotion of healthy lifestyle habits among the indigenous people.
Such that during the promotion of the physical activity among indigenous obese and Type 2
Diabetes patients must be family centered in order to increase the level of adherence
(Dahlberg et al. 2018).

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Answer 4
Barriers at the organizational level towards the implementation of the EBP include
back of trained human resources, lack of proper access to internet connection (mainly in the
rural areas) and heavy workload creating problem for successful critical thinking approach.
Barriers at the individual level include lack of adequate time and unwillingness to go through
the systematic review of literatures, lack of proper skills to navigate through the computer
and lack of standard proficiency in English (Khammarnia et al. 2015). The barriers at the
patient level towards the implementation of the EBP include lack of familiarity of the patient
population with EBP guidelines and inability of the patient and their family members of
about the outcome of the EBP therapy towards improving the level of patients’ outcome
(Khammarnia et al. 2015).
Answer 5
The strategies that can facilitate the implementation of the evidence-based practice
under the clinical settings include: (i) Promotion of leadership quality among the nurse
managers for promoting EBP under clinical units within the hospital settings. Facilitating
proper leadership quality among the nurse managers helps to improve the workplace culture,
structure and function of human resources and thus helping to increase the provision for EBP
(Kueny et al. 2015). (ii) Improving perception of the nursing professionals about EBP and its
importance in promoting quality care to the patient will help to motivate the nurse to
implement EBP more frequently into practice (Weng et al. 2013).
Answer 6
Randomized control trials (RCT) are considered higher level evidence because they
are considered to be unbiased and are associated with less systematic errors. Random
allocation of subjects in experimental and placebo groups help in the reduction on the