Question

Describe a clinical nursing rotation situation where you were concerned (e.g., a higher incidence of falls, infections, errors, etc.) and where decisions were made to improve the situation. What sources of evidence were utilized to make the decision (e.g., personal experience, expert advice, etc.)? Please answer with opinion/personal experience...

Answer 1

The clinical situation where I was concerned is the higher incidence of fall, which I witness during my clinical practice, a patient with impaired cognition fell from the bed in home health setting when the CNA who was taking care of the patient forget to lower the height of the bed and did not put the side rail in place. The decision that was made to improve the situation is that the nurse manager implement training, educating the staff about fall factors and prevention strategies, she also Making changes in the nursing home environment to make it easier for residents to move around safely. Such changes include putting in grab bars, adding raised toilet seats, lowering bed heights, and installing handrails in the hallways. The source of evidence that were utilized is expect advice because it was supported by evidenced based practice to prevent the higher incidence of falls.. How can you use evidence to improve nursing care as a new nurse?As a new nurse, I will rely on research findings to help in my practice decisions, I will use critical thinking to apply research directly to specific patient care situations. The research processallows me as a nurse to ask and answer questions systematically that will ensure that decisions are based on sound science and rigorous inquiry. Research will help me in a variety of settings answer questions about patient care, education, and administration. Research ensures that practices are based on evidence, rather than eloquence or tradition.

EBP is important because it aims to provide the most effective care that is available, with the aim of improving patient outcomes. Patients expect to receive the most effective care baseEBP helps nurses determine an effective course of action for care delivery.

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EBP involves the following five steps:

Form a clinical question to identify a problem.

Gather the best evidence.

Analyze the evidence.

Apply the evidence to clinical practice.

Assess the result.