Individual Position Statement On Evidence Based Practice- Samples

Question: Discuss about the Individual Position Statement On Evidence Based Practice. Answer: The transition of a nursing student to a registered nurse is often stressful, exciting, and challenging. Nursing students often start feeling insecure about their capabilities and competence before stepping into working life. A huge gap exists between research, clinical knowledge and their implementation into practice. A patient centered healthcare delivery requires the implementation of evidence-based practice in the healthcare setting. It is generally defined as an interdisciplinary approach that nurses and clinicians use in medicine. This practice encompasses making best use of all available research evidence in providing patient care. This position statement will focus on the views of the author on the utility of such evidence based research in nursing. Evidence-based practice (EBP) utilises all availablenursing knowledge in decision making process related to improvement of healthcare process. The principle aim of these practices is to provide holistic care to the patients in a hospital setting. EBP is extremely promising to the achievement of improved patient outcomes. The author gained a deeper insight into its components and the gaps that exist in nursing practice. Healthcare According to the author, an accurate implementation of EBP safeguards the safety of patients and helps in preventing avoidable harms (Clark et al., 2016). There are several models that have contributed to the development of these practices. The Iowa model started with identification of the problem or trigger. These triggers are usually problem focused or knowledge focused. This is followed by the formation of a team. The team generally encompasses clinicians, key stakeholders, staff nurses and other healthcare professionals who are involved in EBP (Schaffer, Sandau Diedrick, 2013). A synthesis of evidence succeeds the step. The outcomes are finally evaluated and the findings are disseminated. Components- EBP is the judicious and conscientious use of best available nursing evidences, while looking forward to a quality improvement among the patients. It makes best use of a combination of clinical evidence and expertise. The author states that nursing knowledge provided the information that healthcare decisions cannot be taken purely relying on evidences. 3 components, which include clinical expertise, patient preferences and best research produce desired outcomes. (Hunter, 2016). The author often encountered patients who questioned the prognosis and aetiology of the disorders they were suffering from, the effects of the intervention that was being administered to them and the usefulness of the diagnostic tests that were performed to determine their health condition. Role of EBP in improving patient outcome- It is widely accepted that EBP makes the process of delivering better patient outcomes easier for clinicians and nurses. It makes complete use of new knowledge and transforms them into clinically utilizable forms. These are then effectively implemented across the care team, within the system and the impact on patient healthy and performance is finally measured. This leads to better patient outcomes.Several studies have been carried out that assisted the author to draw this conclusion. Results from different research studies helped to believe that evidence based research leads to the production of most reliable knowledge about the likelihood of a given strategy to be successful in changing a patient's health status to desired outcomes.A statistical study compared the effects of traditional approach and EBP in an internal medicine service and displayed results, which suggested a reduction in mortality and length of hospital stay upon EBP interv ention (Melnyk et al., 2014). Furthermore, the results provided evidence for the presence of better patient outcome and improved performance of the physicians. Other studies showed that the intended effects of EBP are standardization of best evidence and healthcare practices to science and reduction of illogical care variations. Thus, unpredictable health outcomes were greatly reduced. An increase in demand for safe and good health care service supported the implementation of EBP. The Nursing and Midwifery Board of Australia has set various standards of practice for a Registered nurse (RN), that entitles them with the responsibility of carrying out person-centred and evidence-based practices in order to play a supportive and curative role (Nursingmidwiferyboard.gov.au, 2017). The nursing curriculum helped the author gain a deeper understanding of these standards, which state that the role of an RN is to access, analyse and bring best available evidence into effective action. The standards encompass policies or ru les that make it mandatory for RNs to search for current research findings and apply them in the healthcare settings with the aim of achieving better and safer care service quality. The standards also suggest that an RN is responsible for developing EBP through reflection on her experiences, feelings and beliefs on shaping the practice and should think critically while compiling the policies and legislations relevant to EBP while making decisions. Moreover, they state that RNs are accountable for ensuring that they are capable for delivering safe practice. They should undergo self-management and respond at times of concern. The standards state that nurses should modify and apply the evidence based findings depending on the specific wants and preferences of the patients (Nursingmidwiferyboard.gov.au, 2017). The standards emphasise on development of a relevant plan, in partnership for appraisal of the research information that has been collected, prior to documenting the evidences and implementing them in a hospital setting (Missen et al., 2014). Owing to the fact that these standards recognise presence of mentors of utmost priority in direct implementation of the practices, the mentors are involved in directly working with the nursing staff. Moreover, they should evaluate the progress towards the expected patient outcomes and modify their plans accordingly. Thus, the author suggested that comprehensive conduction of evidence-based assessments is extremely beneficial for optimising health outcomes (Nursingmidwiferyboard.gov.au, 2017). Untrained nurses and EBP- Although, nurses are involved in improving patient outcomes they often show inconsistency while implementing EBP. Lack of adequate education and training skills create difficulty for nurses to incorporate EBP in their care settings. Untrained nurses are unaware of the effectiveness of the research evidences. This can be contributed to the fact that they are lack adequate computer skills and basic internet facilities that are need for searching the current research trends. This leads to the development of several misconceptions related to EBP, and creates drastic effects on patient health outcomes (Stevens, 2013). Lack of teamwork and the perception of the need to improve evidence based care leads to poor patient compliance. Another limitation to the implementation of EBP by nurses is the vast amount of available scientific literature. Unskilled nurses often fail to keep a record of the new research that is being conducted in the field of medicine. Moreover, difficulty in interpreting statistical results from such research and lack of skill to assess the clinical terms related to the findings act as barriers in the effective implementation. Thus, the author drew the conclusion that untrained nurses should not be given the responsibility of applying the evidences in real-time settings. If the evidences are put into practice by untrained registered nurses, the rate of mortality, morbidity will increase. Moreover, there will be an increase of the length of hospital stays and readmissions. Thus, from the above documented facts, it can be concluded that nurses can enhance their skills by utilising EBP. However, they need to be able to make best use of clinical information, technical skills and critical thinking capabilities before applying any of such practice on patients. The transition to the role of a registered nurse will be successful only if there is a focus on enhancing competencies to improve patient safety and healthcare quality. Therefore, it is not feasible for untrained RNs to implement EBP across hospitals. References Clark, M., Raffray, M., Hendricks, K., Gagnon, A. J. (2016). Global and public health core competencies for nursing education: A systematic review of essential competencies.Nurse education today,40, 173-180. Hunter, L. (2016). Making time and space: the impact of mindfulness training on nursing and midwifery practice. A critical interpretative synthesis.Journal of clinical nursing,25(7-8), 918-929. Melnyk, B. M., Gallagher?Ford, L., Long, L. E., Fineout?Overholt, E. (2014). The establishment of evidence?based practice competencies for practicing registered nurses and advanced practice nurses in real?world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs.Worldviews on Evidence?Based Nursing,11(1), 5-15. Missen, K., McKenna, L., Beauchamp, A. (2014). Satisfaction of newly graduated nurses enrolled in transition?to?practice programmes in their first year of employment: a systematic review.Journal of advanced nursing,70(11), 2419-2433. Nursingmidwiferyboard.gov.au. (2017).Registered Nurse Standards for Practice. Nursingmidwiferyboard.gov.au. Retrieved 30 October 2017, from https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines- Statements/Professional-standards/registered-nurse-standards-for-practice.aspx Schaffer, M. A., Sandau, K. E., Diedrick, L. (2013). Evidence?based practice models for organizational change: overview and practical applications.Journal of Advanced Nursing,69(5), 1197-1209. Stevens, K. R. (2013). The impact of evidence-based practice in nursing and the next big ideas.Online Journal of Issues in Nursing,18(2), 4-4.