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There is power in having data to support change. The EBP process is one way of advancing improvements in healthcare. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale supported by evidence. Can you also provide 2 responses that I can use to 2 peers?
Provided below are examples by other peers:
Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale supported by evidence.
According to Bramer, de Jonge, Rethlefsen, Mast, and Kleijnen (2018), a systematic search for studies needs a well-defined clinical question that is not vague or too broad so the evidence-based practice (EBP) search results of studies that appear will be an adequate amount. This strategy is critical when you create a PICOT question and are searching for literature studies to determine the available studies for addressing the PICOT clinical question (Melnyk, 2015). The second strategy that was important is to stay true to the PICOT question. I always was having to review the PICOT question and compare the EBP information outcomes to the PICOT question to ensure the results were relevant. Melnyk (2015) explains that there are seven steps to interpret the research outcome through data analysis. The third strategy was the use of an EBP model to guide the implementation of the EBP project. The Iowa Model of Research-Based Practice was the guide to create a pilot program before implementing to an entire clinical practice. The Iowa model uses a team of stakeholders for the EBP project to help motivate staff, implement the plan, and evaluate the outcomes of the EBP pilot and EBP project to assist in any changes in the clinical practice (Melnyk, 2015). The team can change over time and consist of IT specialist, administrative officers, nurses, providers to review data and help keep excitement round the EBP project (Buckwalter., 2017). I will incorporate all these strategies into my practice-based office. The three approaches will assist in my research knowledge expansion and help to identify areas in the clinical practice that can be improved with an EBP project.
Bramer, W. M., de Jonge, G. B., Rethlefsen, M. L., Mast, F., & Kleijnen, J. (2018). A systematic approach to searching: an efficient and complete method to develop literature searches. Journal of the Medical Library Association, 106(4), 531–541. https://doi.org/10.5195/jmla.2018.283
Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., … Tucker, S. (2017). Iowa Model of Evidence-Based Practice: Revisions and Validation. Worldviews on Evidence-Based Nursing, 14(3), 175–182. https://doi.org/10.1111/wvn.12223
Melnyk, B. M. (2015). Evidence-based practice in nursing and healthcare: A guide to best practice. Philadelphia: Lippincott Williams & Wilkins.
Evidence based practice is critical to the growth of the nursing profession. It promotes the evolution of nursing, and improves the care being provided to patients. A topic I am passionate about is the impact of a plant-based diet on the patient’s health and the concept of viewing food as medicine. I am interested in exploring the correlation of a carnivorous diet and health issues such as heart disease, cancer, and diabetes. Further investigating new information on the specific correlation of plant-based diet and the reduced risk of heart disease, diabetes, and cancer goes hand in hand with my specialty track because I will be able to use the information gathered in a way that will affect clinical practice. If the evaluation of my data proves to be effective, then I can work towards implementing diet-based changes to the nursing profession. I will be able to provide evidenced-based education to patients, colleagues, and the community. Perhaps even promoting the transition to vegan meals in the hospital setting. For change to take place, one must first begin with educating others on the significance and the benefits of these changes.
Another strategy that I will be incorporating into my practice based on this course is educating the staff about the EBP process. As a nurse leader I would first demonstrate the value of evidence-based practice by educating the staff the importance of EBP. I would explain how EBP can promote effective nursing interventions, effective care, and improved outcomes for patients, and how it provides the best available evidence for clinical and educational decision-making (Finkelman, 2012, p. 431). When implementing EBP we can run into barriers, but as leaders we cannot give up and we can find ways and means to implement EBP in any healthcare organization. According to Finkelman (2012), nurse leaders can volunteer to set protocols and policies, bookmark websites, select EBP project that interest staff and make it interesting for staff members.
Bowers, B. (2018). Evidence-based practice in community nursing. British Journal of Community Nursing, 23(7), 336-337. doi:10.12968/bjcn.2018.23.7.336
Finkelman, A. (2012). Leadership and management for nurses: Core competencies for quality care (2nd ed.). Boston, MA: Pearson.
Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale supported by evidence
Although challenging, this course has been highly beneficial as it provides the tools to help improve my practice. I have learned it is not enough to simply suggest a change or a new course of action, but one must research the issue to evaluate past studies and practices. I noticed that studies are published despite their flaws and weaknesses. This course has taught me to evaluate studies to determine whether their findings are significant. I find several strategies that I could be of use in my practice.
First, I would use evidence-based practice when making changes in my work environment. Evidence-based practice would allow me to use strategies that have been tested in the healthcare field, instead of using those that are solely based on tradition. This would help me provide the highest quality care to my patients (Melnyk & Fineout-Overholt, 2015).
Second, this course has taught me how to appraise the evidence found in the studies to determine, for example, strength and significance. Critically appraising the available evidence would help me choose the best evidence-based practice to implement in order to help for my patients. Knowing that the best EBPs often originate from randomized controlled trials (RCTs) will guide me in implementing the best possible strategies (Melnyk & Fineout-Overholt, 2015).
Last, I have learned effective implementation and evaluation are important with a new strategy. Changing processes or workplace culture can bring a lot of stress and resistance (Smollan, 2015). An implementation strategy facilitates the introduction of a change in the workplace. I have also learned to evaluate the outcomes of the change to determine whether it is beneficial to my practice in the long term (Melnyk & Fineout-Overholt, 2015).
Overall, the strategies learned in this course would greatly help to improve my practice.
Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based nursing & healthcare: A guide to best practice (3rd ed.). Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9781469893334/cfi/0!/4/[email protected]:51.6
Smollan, R. K. (2015). Causes of stress before, during and after organizational change: a qualitative study. Journal of Organizational Change Management, 28(2), 301-314. https://doi.org/10.1108/JOCM-03-2014-0055
Many of us, for many years, have had the thought of a clinical, innovative idea that would enhance clinic productivity, staff subject knowledge, and patient education and overall health promotion and plan of care.
The 3 more important strategies to clinical practice change, that I would take away from the course for implementation in practice are:
1.) Developing a PICOT (clinically guided question); continuously cultivating a spirit of inquiry; recognizing clinic areas of opportunity for improvement. Acknowledging preferences and needs of patients that are not met.
2.) Critically Appraising Evidence; assuring that the rationale for my proposed clinical practice change stemmed from a reliable and valid, proven study. Without current best evidence, practice is rapidly outdated, often to the detriment of patients (Melnyk, B. & Fineout-Overholt, E., 2014). Clinicians must include the latest evidence in their daily decision making. Evidence evolves on a continual basis (Melnyk, B. & Fineout-Overholt, E., 2014). Thompson et al., (as cited by Correa-de-Araujo, R., 2016), suggests that access to reliable evidence-based information, the ability to critically appraise and incorporate that evidence in clinical decision making are critical steps toward successful implementation of evidence-based nursing.
3.) Intervention and Implementation; implementing of a successful, functional, and measurable intervention. A pilot of the intervention on a low scale would be beneficial before implementing it. Introduction to clinic staff for critique and input is also important.
The Centers for Disease Control and Prevention (CDC) suggests, to start the intervention phase by reviewing the characteristics of your community and your intended participant and consider the most appropriate setting for your intervention, build on the experience of others. Modification of an intervention to meet the need of a community may be necessary.
Centers for Disease Control. (2018). Planning, Implementing and Evaluating and Intervention. Retrieved from: https://www.cdc.gov/violenceprevention/pdf/chapter…
Correa-de-Araujo R. (2015). Evidence-Based Practice in the United States: Challenges, Progress, and Future Directions. Health care for women international, 37(1), 2-22. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC48048…
Melnyk, B. & Fineout-Overholt, E. (2014). Evidence-Based Practice in Nursing & Healthcare (3rd ed.). Wolters Kluwer Health / Lippincott Williams & Wilkins-LWW. Retrieved from: https://digitalbookshelf.southuniversity.edu/#/boo…
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