Evidence For Nursing Assignment Analysis

EVIDENCE FOR NURSING Assessment Item 2: Understanding
research concepts
Due date: Sunday December 22, 2019 Weight: 35% of overall mark
PART ONE: Contribution to the second and the third online discussions (max 6 marks)
PART TWO: General Questions on Evidence based Practice (max 12 marks)
1. Refereeing to the Registered nurse standards for practice (2016), explain the role of evidence
based practice in nursing profession? (Max 100 words, 2 marks)- needs referencing
Evidence based practice is used in making sure that the nurse makes the right decisions and provides
safe, quality nursing practices in the line of person centered and evidence based frameworks,
(Registered nurse standards for practice 2016). This is done by accessing, analyzing and using all the
available research evidence, developing practice via knowledge, actions, feelings, beliefs and
experiences reflection in identifying how to carry out practice. Through evidence based practice, the
nurse is able to respect all cultures and experiences of clients presented to them and responds to
community and family roles. It is through evidence based practice that the registered nurse is able to
comply to the regulations, legislation, policies and guidelines that are of importance in their practice
when making decisions. 1
2. How the Evidence Based Practice model can be integrated in to the tanner’s model of clinical
judgment to enhance nurses’ clinical decision makings? (Max 150 words, 2 marks)- needs
referencing
Tanner’s model of clinical judgement stressed the impact the background of a nurse, his/her situation how
the relationship between the nurse and the patient influences how the nurse notices, interprets data and
outcomes, how the nurse takes action and evaluates an experience reflectively, ("Tanner's Model of Clinical
Judgment Applied To: Journal for Nurses in Professional Development,"). Through evidence based practice,
the nurse can make sound clinical judgement through noticing, interpreting, responding and reflecting. in the
noticing phase, impressions are formed in the nurse’s mind about a situation in regard to the nurses’
knowledge, expectations, values, experiences and how he/she relates with the patient. The next phase
involves data interpretation where the nurse uses diverse reasoning types to respond by taking action or not.
The nurse uses a reflection on action to intervene and evaluate the effectiveness and the paths of change
needed. The reflection on action is evidence based through self-evaluation which the nurse can develop and
improve their clinical judgement from research based experience.2
3. One of the components of Evidence Based Practice is consideration of the patient’s values and
preferences. What does this mean? Using an example, explain the importance of this
component (max 100, 2 marks)- needs referencing
1 "Registered Nurse Standards for Practice," Nursing and Midwifery Board of Australia - Home, accessed
December 21, 2019, https://www.nursingmidwiferyboard.gov.au/codes-guidelines-statements/
professional-standards/registered-nurse-standards-for-practice.aspx.
2 " Tanner's Model of Clinical Judgment Applied To...: Journal for Nurses in Professional Development," LWW,
accessed December 21, 2019,
https://journals.lww.com/jnsdonline/Citation/2013/09000/Tanner_s_Model_of_Clinical_Judgment_Applied_to.12.aspx
https://journals.lww.com/jnsdonline/Citation/2013/09000/
Tanner_s_Model_of_Clinical_Judgment_Applied_to.12.aspx.
Evidence for Nursing Assessment 2: Understanding research
concepts 1

This means that the patient’s values and preferences and the freedom they need should be analysed when
making decisions in evidence based practice. Patients should be involved in the decision making process
thus shared decision making is used where the patient and the doctor work together in assessing the benefits
and the risks accompanied by all the treatment options available, ((Kunneman et al 2015). Patient’s values
and needs are carefully and systematically analysed in decision making to help deal with uncertainties in
medicine where the patient’s outcome desired through every treatment strategy is put into consideration. The
value a patient place in the expected outcomes is identified through various ways that helps identify the
probability of better health state in a patient that can make them indifferent with their current state of health
and gamble for a better state of health. 3
4. What are some barriers to implementation of evidence based practice? (Max 3 barriers, 1.5
marks)- needs referencing
The barriers towards implementation of evidence based practise include lack of time where the nurse
lacks sufficient time to follow the procedures of EBP due to at times work overload and patient
cases, (American
Journal of Nursing 112, no. 12 2012) Another barrier is organizational culture
that does not support EBP such as getting past workplace resistance and constraining power of the
phrase. The other challenge is finding it hard to change behaviour due to earlier education offered to
nurses.4
5. What strategies can facilitate evidence based practice in the clinical settings? (Max 3 strategies,
1.5 marks)- needs referencing
One of the strategies to facilitate EBP is the use of enough mentors of EBP at the bedside who can
work hand in hand with the clinician on duty and help them learn the skills of EBP and consistently
implement them, ("AJN On the Web," 2019). Another strategy should address the organizational
culture where the current strategy should be analysed and instil the need of using EBP in an hospital
and show how it works through reminders and reinforcement. Another strategy is the making sure
that there are enough EBP resources, patients populations and a good setting for this practice.5
6. Why randomised controlled trails are considered as ‘higher level evidence’? (max 50 words, 2
marks)- needs referencing
They are considered higher level evidence because their design is unbiased and they have minimal
risk of systematic errors, (&NA 2013). An example includes when allocating subjects to two or
more groups for treatment, the two study types randomise the confounding factors which may lead to
biased results. An experts’ opinion is biased by the experience of the author and so confounding
factors are not controlled. 6
3 "Kunneman, M., C. A. Marijnen, M. C. Baas-Thijssen, Y. M. Van der Linden, T. Rozema, K. Muller, A. H.
Pieterse, et al. "Considering patient values and treatment preferences enhances patient involvement in
rectal cancer treatment decision making."
Radiotherapy and Oncology 117, no. 2 (2015), 338-342.
doi:10.1016/j.radonc.2015.09.005.
4 Michael Fergenson, "AJN On the Cover,"
AJN, American Journal of Nursing 112, no. 12 (2012): xx,
doi:10.1097/01.naj.0000423495.77404.0b.
5 "EBP 2.0: From Strategy to Implementation: AJN The American Journal of Nursing," LWW, accessed
December 21, 2019,
https://journals.lww.com/ajnonline/Fulltext/2019/04000/EBP_2_0__From_Strategy_to_Implementation.27
.aspx.
6 "Cited by ..," National Center for Biotechnology Information, accessed December 21, 2019,
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3124652/citedby/.
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