Research on Nursing in Healthcare

Added on - 01 May 2020

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1Running head: NURSINGNursingName of student:Name of university:Author note:
2HEALTHCAREEvidence-based practice (EBP) is a crucial element of optimal quality care in all areasof nursing and is fundamental to influence positive changes across the diverse health caresystems. EBP is known to be a continual interactive process that involves the conscientiousand judicious and explicit utilisation of the best available evidence for providing care topatients coming in multifaceted health issues. Since it is the responsibility of the nurses tooptimise patient outcomes and improve clinical practice, along with ensuring transparencyand accountability in decision making, EBP is to be adhered to at all levels (LoBiondo-Wood& Haber, 2017).The position taken in relation to EBP for registered nurses is thatEBP is needed forimproving patient outcomes in clinical settings. Registered nurses are to provide best qualitypatient care through acquiring competencies for evidence-based nursing practice as a part oftheir professional development. In this context, it is to be highlighted that healthcareorganisations must come forward and provide support and training to RNs for enabling themto carry out EBP. Without the sufficient training and support, it would not be feasible toplace nurses in a position to demonstrate capabilities for EBP.As opined by DiCenso et al., (2014) nursing is a profession that is an amalgamation ofboth science and arts, relying on knowledge from the physical, social, behavioural andbiological sciences for making decisions. Nursing knowledge is to be gained though anumber of ways that include formal education, research and clinical practice. For gainingcompetence in science and art of nursing, one must engage in life-long learning. Evidence-based practice refers to the integration of best available evidence for literature into ownpractice for the purpose of enhancement of clinical expertise and respect for patient values. Itconsiders external and internal influences on practice, thereby encouraging a critical thinkingprocess while caring for a patient population or a system. EBP is the approach taken bynurses for making decisions that are appropriate and based on clinical expertise in
3HEALTHCAREcombination with relevant and recent research on the concerned nursing topic. This form ofpractice has been linked with providing care based on principles understood from criticallyanalysing high quality research and their significant findings (Stevens, 2013).EBP is guided by the NMBA registered nurse standards for practice that entails nursesto engage in continual research for improving their practice. According to Standard 1, nursesare required to think critically and analyse their practice. An RN is required to use a diverserange of thinking strategies and the evidence at disposition for making important decisionsand providing safe practice within suitable person-centred frameworks. The Standard 5entails nurses to appraise relevant and comprehensive information and document them forfuture purposes. Based on this documentation agreed plans could be developed in partnershipwith patients. According to Standard 6, RNs are to delegate ethical goal-directed actions onthe basis of evidence that ensure planned outcomes (nursingmidwiferyboard.gov.au, 2016).According to Melnyk et al., (2014) the transition EBP is characterised by three phases;practice, evidence and translation. The process is multifactoral and involves a series of keysteps. The first and most crucial step is the identification of a ‘trigger’ that is a clinicalquestion arising from current practice. With knowledge focus, a current practice can bequestioned for shared scientific knowledge, while with problem focus an improvement can bemade in the existing facts. The following steps consider carrying out a research independentlyor in teams, critically analysing te research, drawing implications for practice from theresearch and forming teams to disseminate the findings. The evidence gathered from theresearch are to be imparted to all members of the professional team, so that collaboration inbringing about a change in practice is fostered.Patient outcomes are influenced largely by EBP with the underlying notion that thecare process is guided by recent updates in practice principles. The areas where practicedevelopment can be made include acute syndromes for patients, readmission, multifactoral
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