Summary: Outcome Three In The Doctor Of Nursing Practice

The model that will be utilized to implement the change outlined within this paper is the Stetler Model. The model focuses on the nurse as the main critical thinker, but can be utilized by a group of clinicians. The model uses a systematic approach to bring about change through a five step process that involves the following: preparation, validation, comparative evaluation and decision-making, translation/application, and evaluation (Schaffer, Sandau, and Diedrick, 2013). This model focuses on defining the needs priority by way of evidence based research. Evidence is gathered externally via research and internally such as outcome data, consensus data, and experimental information (Schaffer, Sandau, and Diedrick, 2013).

My knowledge in the Doctor of Nursing Practice (DNP) continues to expand as I progress through the DNP program. The knowledge I have attained while in the study of the DNP I and DNP II is priceless. For example, recognizing stakeholders and utilizing networking has helped me to progress on my DNP project (Gokenbach, 2012). I also have a better understanding as well as the purpose of a DNP project. My mentors have been great in directing me in remaining on the right track.

Evidence-based practice will definitely be more likely to thrive in environments where nurses feel they are being supported by both management staff and available resources. When nurses are offered further resources such as hands on training or simulation training that is backed by evidenced based research they can feel more secure and confident in the job they are able to perform during their shift. Nurses can thrive in their work place organization by building onto their basic knowledge and therefor enabling the nurse to climb the clinical ladder. As our book states “continuing to apply learning contributes to ongoing evidence based practice as one uses newer research and theory as a part of one’s practice.” Nurses who take control of their

I enjoyed reading your discussion post. Nurses must understand how organizational infrastructure and culture affects implementing and sustaining evidence-based practice. Although an evidence-based practice may be well documented and proven to positively, impact patient care, organizational structure and culture may present barriers to change. For example, financial constraints, tradition, or attitudes of leadership may hinder the implementation of evidence-based practice (Huber, 2014). Change agents or opinion leaders can influence the promotion and adoption of nursing evidence-based practice through creativity and persistence (Huber, 2014).

The nurse’s ability to comprehensively assess the needs of patients and provide evidenced based practice benefits patients by improving outcomes. The use of evidenced based practices assists facilities with achieving accreditation requirements (Grove, Burns, Gray, 2013). Most importantly, nurses receive self-gratification for their

Historically, nursing programs and medical schools have taught students to base their clinical decisions on expertise, experience, or single-sourced literature instead of a careful systematic review of all the available evidence (Pellegrini, 2006). Evidenced based practice recognizes that clinicians need to place less emphasis on scientific authority, custom, or ritual and more emphasis on the most current evidence that is present in literature. As more peer reviewed journals were available

This approach quickly started to show real benefits to patients and in reducing costs. Other practitioners soon followed and the principles of this approach have now been adapted by all aspects of many health systems including service users, policy makers, health care managers and, of course, nurses. An initial criticism of the evidencebased practice (EBP) approach was that it fostered a belief that most practices were largely determined by research evidence. This was a challenge for nursing where the research base has still a long way to develop.

PICOT Question The essentials of doctorate of nursing practices require that the advance practice nurse formulate a framework for operation of evidence-based nursing. To practice evidence-based nursing, however, it is also necessary to develop a properly formulated question about the patient population, the intervention, a comparison, and outcome (Zaccagnini & White 2014). Becoming proficient in the ability to perform this data collection will enhance the advance practice nurse capabilities of appropriately developing an evidence-based study that will bring about an effective change to all in the health care industry.

Evidence based practice (EBP) is to demonstrate the best practice, which has been supported, with a clear rationale to back it up, while acknowledging the patient/clients best interest. In this professional outline it will be discussed why EBP is so important to start with student nurses career and continuing throughout the nursing career and the second main point will be on the impact it has on patient outcomes regardless of discipline. I believe if this mind set is instilled early in the nurses career the practice will evolve it a more proactive

Evidence-Based Practice Application The practice of nursing has changed over the years from a task-oriented job to a science-based profession (Brown, 2013). With this change, research studies have become a pivotal part of the nursing profession, providing the information that is used to expand, improve, and generate new nursing knowledge (Brown, 2013). Evidence-based practices (EBP) in nursing are based on the best available research data generated from these studies (Weng et al., 2013). An example of the research used in documenting an EBP was found in an article by Hammonds et al.

The term Evidenced-based practice (EBP) is one of the most talked about concepts in healthcare. Nursing scholars, worldwide, have sought to provide healthcare workers with the evidence from research to be transform this into clinical care. To ease this transference of data into practice, scholars have developed EBP models. These models direct the researcher with the process from hypothesis to implementation of the data. The perplexity of EBP is that the data can come from research, clinical experience, patients, or local context and environment (Rycroft-Malone, et al., 2012).

1. CONCEPT 1-EVIDENCE-BASED PRACTICE IN NURSING This concept was deducted from module 2 with the topic “Concept of Evidence-based practice”. Evidenced-based nursing is a way of making decision and providing nursing care that is based on clinical issues and combine it with the most current, relevant research that is available on that issue. Evidence based nursing utilize the most up to date method of providing care, which have been proven via assessing high quality studies and statistically with significant research findings.

In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).

It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as

Giving care to a patient is not a straightforward process because a patient is made up of advanced systems. Symptoms and the severity of a disease process are dependent on a particular patient, and it may not always be uniform from patient to patient. Because of this, nurses must be able to use their knowledge appropriately to help a patient. Nurses use techniques, such as Evidence Based Practice, in order to integrate new and advanced knowledge into their patient care (Canada, 2016). By exercising evidence based practice, nurses effectively seek knowledge, take experience from past situations, and apply this intelligence to best give patient care (Canada, 2016).