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Challenges of implementing evidence based practice nursing essay

Education This word cloud represents the roles and growing responsibilities of the school nurse. NASN, 2016 Evidence-based practice is an important approach to provide the best quality care to patients and their families. Research has shown patients who receive care based on evidence from well-designed studies experience nearly 30 percent better outcomes. For example, to make a practice change based on the best evidence, one would conduct a literature search and critically appraise the literature.

Once best practices are determined, the practice change can occur. However, in the event that evidence does not exist or is severely limited, a systematic research study is warranted.

  1. Through multiple phases, this project developed a website that serves as a central repository of information on core QSEN competencies, knowledge, skill, attitudes, teaching strategies, and faculty development resources designed to prepare nurses to engage in quality and safety. The Health Professions Education report IOM, 2003 declared that current educational programs do not adequately prepare nurses, physicians, pharmacists or other health professionals to provide the highest quality and safest health care possible.
  2. The more defined the intervention, the more focused the search for evidence will be. An instrument to measure EBP readiness in student and clinical populations.
  3. The initiatives call for better use of the knowledge that may be gained from quality improvement efforts.

Conducting research can provide the necessary evidence on which to base nursing practice. History of Evidence-Based Practice Archie Cochrane, a British epidemiologist, founded the evidence-based practice movement in which his influence and dedication were key in helping individuals make well-informed decisions about healthcare. In addition, Sigma Theta Tau International provides systematic reviews, entitled Worldviews on Evidence-Based Nursing, to guide nursing practice across many priority topics.

While all five steps are critical, the fifth step is one of the most neglected. It is not uncommon for practitioners to implement a practice change based on evidence, but fail to evaluate the effectiveness of the change. Evaluation of the practice change is paramount, as it is imperative nurses and other healthcare professionals know how a particular treatment worked or the effectiveness of clinical decisions. A clear description of the patient population and setting is necessary to retrieve the most relevant evidence.

The intervention of interest may include, but is not limited to, any treatment, patient perception, exposure or diagnostic test. The more defined the intervention, the more focused the search for evidence will be. The comparison intervention usually is the standard of care compared to a new treatment or procedure. The comparison also can be a true control, such as a placebo. Specific identification of the outcome variable facilitates the search for evidence that has investigated the same outcome.

The authors maintain that asking the questions in this format will yield the most relevant and best evidence. In addition to these strategies, it is imperative federal agencies, healthcare organizations, health insurers, policy makers and regulatory bodies advocate for and require the use of evidence-based practice. Further, translational research must be established as a high priority by funding agencies.

The program also provides a mechanism for disseminating successful practices and strategies among nursing systems. A key characteristic of Magnet-recognized organizations is not only adaptation to regulatory considerations related to the model-of-care delivery, but the incorporation of evidence-based practice throughout the organization. To date, there are 225 Magnet-recognized organizations.

However, this poses a challenge in that new nurses often are focusing on their transition to professional nursing practice and learning various policies and procedures. It is not uncommon for new nurses to focus more on tasks and organizational skills than specific patient needs. Once confidence is gained, new nurses are better able to focus on patient needs, thereby facilitating implementation of evidence-based practice.

Nurse administrators are key leaders in facilitating an evidence-based practice culture within a healthcare facility. They are in the best position to support new nurses in their transition and in evidence-based practice. The first step in preparing for an oral presentation should involve knowledge about the target audience.

Issues to consider include educational level and current knowledge level of topic, as well as logistical issues such as number of participants, length of presentation and availability of audiovisual equipment.

Evidence-based practice poster presentations should follow a format, including a statement of the problem, a clinical question, search for evidence, presentation of evidence and clinical practice implications.

When presenting evidence-based practice information at a professional committee meeting, prepare by knowing the target audience and how much time is allotted to share the information. Journal clubs are steadily evolving and can serve as a vehicle for sharing and learning about best evidence on site. Articles reviewed by journal club participants should generally be studies or evidence reviews that are current, use valid and reliable instrumentation, have appropriate study designs and are appropriate to the clinical practice for the staff.

When publishing an evidence-based practice article challenges of implementing evidence based practice nursing essay a peer-reviewed journal, follow the instructions specific to the journal. The general format, however, begins with identification of the clinical problem and the clinical question, followed by the search for evidence, presentation of the evidence, critical appraisal of the evidence with implications for future research, application to practice and evaluation of the practice change.

The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas

No Longer an Option Evidence-based practice, a problem-solving approach to using best evidence in making decisions about patient care, is no longer an option for staff nurses. Patient care must be based on evidence for optimal outcomes. Equally important as utilizing evidence as the foundation of quality patient care is the conduct of research to fill the gaps in existing nursing literature.

While nurses can be taught how to implement evidence-based practice at the bedside, ongoing support is necessary from nursing administration. This support is critical in facilitating an evidence-based practice culture within the healthcare facility.

Evidence-based practice in nursing and healthcare. Lippincott, Williams and Wilkins. Nursing interventions and patient outcomes: A meta-analysis of studies.

Nursing Research, 37 5303-307. Methods and critical appraisal for evidence-based practice. The Cochrane Database of Systematic Reviews.


Sigma Theta Tau International. Worldviews on evidence-based nursing. Research Centre for Transcultural Studies in Health.

Evidence-Based Practice

Evidence based clinical practice tutorial. Scope and standards for nurse administrators.

Organizational self-assessment for Magnet readiness. Supporting new nurses in evidence-based practice. Journal of Nursing Administration, 34 11490-492. Attend to many factors and use multiple strategies. Joint Commission Journal on Quality Improvement, 26 4171-188.