BLOG: OBSERVATION OF EBP
As a DNP-prepared nurse, you will have a significant voice in your healthcare setting to advocate for evidence-based practice (EBP). Understanding how evidence can inform better nursing care and improve patient outcomes is fundamental to successful advocacy.
Blogs help facilitate a meaningful and more informal classroom environment—one that fosters dialogue, interaction, and the dissemination of ideas in a functional platform (Kuo et al., 2017). Blogs also promote community building and a collaborative learning approach through the sharing of ideas. Although this blog may function somewhat like a Discussion, its aim is to be more open ended and informal in terms of sharing perspectives, thoughts, and experiences on a given prompt.
For this Blog entry, you will observe a healthcare organization with which you work currently (or if that is not possible, an organization with which you worked previously) to identify examples of EBP, as well as examples for which EBP is needed.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
Learning Resources
· Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021).
Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.
· Chapter 5, “Searching for Evidence” (pp. 99–128)
Note: You previously purchased this text for NURS 8002.
· McEwen, M., & Wills, E. M. (2022).
Theoretical basis for nursing (6th ed.). Wolters Kluwer.
· Chapter 12, “Evidence-Based Practice and Nursing Theory” (pp. 261–281)
· White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2024).
Translation of evidence into nursing and healthcare (4th ed.). Springer.
· Chapter 1, “Evidence-Based Practice” (pp. 1–25)
Note: Pay special attention to information about the PET model on pages 9–11.
· Chapter 2, “The Science of Translation and Major Frameworks” (pp. 25–53)
· Chapter 8, “Methods for Translation”
· “Quality Improvement and Rapid Cycle Performance Improvement” (pp. 174–176)
· Chapter 9, “Project Management for Translation” (pp. 191–220)
· Jones-Schenk, J., & Bleich, M. R. (2019).
Implementation science as a leadership and doctor of nursing practice competencyLinks to an external site..
The Journal of Continuing Education in Nursing, 50(11), 491–492.
· Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020).
Application of project management tools and techniques to support nursing intervention researchLinks to an external site..
Nursing Outlook, 68(4), 396–405.
·
Document:
College of Nursing PowerPoint Template (PowerPoint presentation)
Download College of Nursing PowerPoint Template (PowerPoint presentation)
· Microsoft. (n.d.).
Microsoft 365 for Mac quick startsLinks to an external site.
.
Note: If you are a Mac user and have never experienced PowerPoint before, this source will guide you through the basics of how to use PowerPoint. The time estimate for this resource is approximately 20 minutes.
· Microsoft. (n.d.).
PowerPoint for Windows trainingLinks to an external site.
.
Note: If you are a PC user and have never experienced PowerPoint before, this source will guide you through the basics of how to use PowerPoint. The time estimate for this resource is approximately 20 minutes.
· Walden University Academic Skills Center. (n.d.).
How do I create a strong PowerPoint presentation?Links to an external site.
· Walden University Academic Skills Center. (n.d.).
MS PowerPoint resources: Getting startedLinks to an external site.
.
· IRL – Research and Science Course. (2019, August 30).
What is implementation science?Links to an external site.
[Video]. YouTube.
· IRL – Research and Science Course. (2019, August 30).
Theories and frameworks in implementation scienceLinks to an external site.
[Video]. YouTube.
· OASIS. (n.d.).
Locate evidence-based practiceLinks to an external site.
[Interactive media]. Walden University.
· Walden University. (2021).
DNP glossaryLinks to an external site.
[Interactive media]. Walden University Canvas.
· Walden University, LLC. (2011).
An evidence-based practice model [Video]. Walden University Canvas.
Note: In this video, Kathleen White discusses the PET model.
Also Note: This resource is seminal to the field.
To Prepare
· Review the Learning Resources for this week related to EBP.
· Consider the conditions that support EBP within healthcare organizations.
· Observe a healthcare organization with which you work currently (or if that is not possible, an organization with which you worked previously) to identify examples of EBP that have been successful.
· Observe a healthcare organization with which you work currently (or if that is not possible, an organization with which you worked previously) to identify examples of nursing practices that lack an evidence base and have been less than successful.
Note: Be sure to review the grading rubric for this Blog so you fully understand what is expected of you. To access the rubric, click on the
three dots that appear at the upper right of the Blog Assignment page. Choose
Show Rubric.
By Day 3 Of Week 4
Address the following in your Blog entry:
· Describe one example you observed in which evidence-based practice (EBP) has been utilized. Explain why it has been successful.
· Describe one example you observed in which EBP has not been utilized. Explain why it has not been successful. Then, explain how utilizing evidence could help make the nursing practice more successful.
RESPOND TO THIS DISCUSSION POST
EL N IR
Dec 16 10:49pm
Manage Discussion by Elizabeth N Irungu
Reply from Elizabeth N Irungu
Blog: Observation of Evidence-Based Practice.
Evidence-Based Practice (EBP) utilizes the most up-to-date scientific research and evidence to inform decision making on patient care (Hjorland, 2011). Healthcare professionals, for example nurses, play a significant role in patient care and outcomes. Incorporating and supporting evidence-based practices in organizations is important to ensure patients receive the highest quality and effective care while reducing healthcare costs.
Evidence-Based Practice I have Utilized.
One evidence-based practice I have utilized in my clinical setting is the fall prevention protocol. Falls are the leading cause of injury among hospitalized elderly patients (Saleh et al., 2019). Hester Davis Fall Risk Assessment Tool (HDS) is an evidence-based tool of choice that my organization utilizes to assess and predict elderly patients who are at risk for falls. The HDS consists of nine variables that assess patients’ who are at risk for falls, they include, patient last known fall, mental status, age, mobility, toileting, medications, electrolytes status, communication and behavior (Philip, 2019). The HDS provides staff with the proper assessment tools with interventions to implement for patients at risk for falls. HDS is a tool that has been researched and proven by evidence to be effective in fall reduction.
The use of HDS assists healthcare providers, for example nurses and doctors, in developing comprehensive care plans that aim at reducing fall incidents and hospital costs associated with patient falls. At my place of work, we have implemented effective strategies, for example, patients who are identified as fall risk have color coded arm bands, gowns and socks. Direct care providers are required to perform hourly rounding, monitor bed/chair alarm activation system and complete patient teaching and education each shift. Staff meetings are mandatory to assess and evaluate the continuous need and effectiveness of the fall prevention protocol. The success of Hester Davis Fall Risk Assessment Tool (HDS) is evident in the reduction of falls and related injuries in my organization because it addresses both patient specific needs and modifiable risk factors (Philip, 2019). Hospitalized elderly patients require continuous risk assessment and care plan adjustments based on current evidence. (LeLaurin & Shorr, 2019). Use of the evidence-based fall prevention protocol is evident in the reduction of falls and other related injuries in my organization leading to consistency and reliable outcomes.
Unsuccessful Evidence-Based Practice.
One example of evidence-based practice that was not effective was the pressure ulcers management and prevention tool in a previous skilled nursing facility I worked at. The nursing facility continuously used outdated wound care practices without considering practices that are supported by current research. For example, staff at the nursing facility continued to turn and repositioning patients every two hours without considering other risk factors. At the facility, wound care nurse failed to utilize strategies that are evidence-based and promote wound healing for example, use of pressure relieves devices, nutrition supplementation, close lab monitoring and weekly comprehensive skin assessment for high-risk patients. Lack of additional and up to date practices resulted in an increase and worsening of pressure ulcers and infections among the nursing home residents. According to Yamamoto (2020), lack of proper wound care prevention and management tools can lead to development of ulcers, infections and sepsis (Yamamoto et al., 2020). Failure to use evidence-based practices in nursing care resulted in poor quality of care, increased risk of complications and an increase in healthcare costs.
Utilization of Evidence-Based Practices.
Use of evidence-based practices (EBP) improve clinical efficiency by allowing healthcare providers to make informed decisions. Constant use of evidence-based practices ensures patients receive the best and current quality care minimizing variation in clinical care practices (Saleh et al., 2019). Evidence-based practices provide nurses with knowledge and skills needed to make effective clinical decisions that contribute to positive patient outcomes. Health care costs for patients and organizations are significantly reduced when healthcare providers utilize effective EBP in delivering patient care. Patients become satisfied with the care provided, which increases their perception of the organization and fosters a culture of excellence.
Strategies to Successful Integrate EBP into Nursing Practice.
Integrating evidence-based practices into nursing care requires nursing staff to develop a culture of continuous education. Organization leaders need to create an environment that values research and the application of evidence-based practices. Moreover, leadership needs to offer their staff training, support and mentorship programs that promote and encourage the use of current practices, tools, technology and resources. Collaborative care within the organization is another strategy that aims at integrating evidence-based practices into patient care delivery. For example, nurses can collaborate with physical therapists to generate care plans for patients with mobility issues or generalized weakness and are at risk for falls. Collaboration with other healthcare providers plays a critical role in efficiency and effectiveness of patient care. Collaboration may help identify areas for improvement and implementation of EBP to improve practices and outcomes (LeLaurin & Shorr 2019). It is of critical importance for healthcare providers and leaders to base their work on current research and evidence-based practices to better serve patients and the communities at large.
References
Philip, B. (2019). Implementation strategies to increase uptake. Hester Davis tool tailoring of fall prevention interventions. Grand Valley State University. Kirkhof 112 college of nursing
Hjorland, B. (2011). Evidence-based practice: An analysis based on the philosophy of science.
Journal of the American Society for Information Science and Technology, 62(7), 1301-1310.
LeLaurin, J. H., & Shorr, R. I. (2019). Preventing falls in hospitalized patients: State of the science. Clinics in Geriatric Medicine, 35(2), 273-283.
Saleh, U., Bae, S. H., Rheaume, A., Boyle, D. K. (2019). Nurses’ use of evidence-based practice at the bedside. Applied Nursing Research, 50, 124-129.
Yamamoto, M., Nakamura, M., Harada, K., & Ohno, T. (2020). Evidence-based practice of pressure ulcer prevention in nursing: A systematic review. Journal of Wound Care, 29(6), 331-340.
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