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).
The two Evidence Based Practice models that I decided to compare are the Johns Hopkins Nursing model and the ACE Star model. The Johns Hopkins Nursing model “helps bedside nurses translate evidence to clinical, administrative, and educational nursing practice” ( p. 302). The Johns Hopkins Nursing model focuses on nursing and nursing practice. The model helps nurses translate evidence-based practice into practice and enhances nursing autonomy, leadership, and engagement with interdisciplinary colleagues (). While on the other hand the ACE Star model focuses taking several forms of knowledge and turning it into evidence-based practice.
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
Team D designed the Quality analysis and implementation guidelines of the nurse training and data collection. NR training to be conducted and customized by the USA-WCH Nursing Division and developed with MGH as a
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 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).
The nurse advances from the provider of care for one individual to an expert who can apply evidence-based practice and nursing scholarship to populations and systems. A review of the literature showed a breach in knowledge related to the evaluation of the impact of the DNP program on the graduate DNP’s nursing practice. Redman, Pressler, Furspan, and Potempa (2015), examined the number of articles that were authored or co-authored by DNP’s like a reflection of scholarship with DNP nurses. Eleven thousand five hundred seventy-five DNP students were enrolled in programs as of 2012, with 690 articles recognized as being authored/co-authored by DNPs Redman et al. (2015).
Objective #5, synthesizing research is the back bone of good nursing. We have been taught that every action we take as nurses should be evidence based in order to deliver the best most effective nursing care. Throughout the nursing curriculum we have written a various evidence based papers which have molded our nursing practices and the way we deliver care. Artifact #1 is an in-depth look at research on the myocardial infarction (MI) protocol, how it was developed, and its effectiveness. The paper was written for the Health promotion III course.
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.
Insight gained through practice changes can also lead to additional learning opportunities, making it a continuous, dynamic process (Melnyk & Fineout-Overholt, 2022). The Johns Hopkins Model provides nurses with a systematic approach incorporating research findings into clinical decision-making to improve patient care. It enables continuous monitoring of outcomes and identifies areas for improvement. The goal of this model is to ensure that research findings and practices are incorporated into patient care. This framework is relevant to my project because it has a problem-solving approach to clinical
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
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.
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.
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
The discipline promotes preventative care as a means for citizens to stay healthy, avoid serious illnesses, and reduce emergency room visits as well as hospitalizations. To successfully advance this agenda, registered nurses must seek advanced training. In this regard, United States nursing associations are urging RNs to trade up from pursuit of the traditional Advanced Practice Registered Nurse (APRN) accreditation to the new nursing standard of Doctor of Nursing Practice (DNP) credential. This intensive learning track prepares advanced nurses to play an enhanced role in promoting the well-being of the population.
