Question

Describe one internal and one external method for the dissemination of your EBP project results. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your results to both of these groups. How will your communication strategies change for each group? References are needed.

Answer 1

Evidence based practice in nursing:

According to the ANCC in the documentation, hospitals must demonstrate that nurses evaluate and use published research in all aspects of clinical and operational processes. The research can generate a new knowledge about a phenomenon or validating existing knowledge. Evidence based practice helps nurses to provide care in a better way based upon previously established evidence. Evidence based practice looks at research findings, quality improvement data and other forms of evaluation data, and expert opinion to identify methods of improvement. Nurses need to be observant all the times since they are the persons who are at immediate reach to the patients and their attendants. A very close and concise observation of nurse is required for proper assessment of health condition of a patient, and to discriminate the medical condition of a person from others. This evidence helps in proper diagnosis and medical care given to the patient.

Evidence based practice and research based practice often used interchangebely. Nursing practice is dynamic and always changing because of new information orginating from research, client issues and technology development. Evidence based practice include nurse's clinical experience,practice trends,and individual client preferences,whereas research based practice refers to the knowledge based on systematic research studies.

The six characterstic of Evidence based practice includes:

client centered

scientifically based

population outcomes based

Refined through quality improvementand benchmarking

individualised to each client

compatible with system policy.

Examples of EBP:

Reduce the time interval between when a physician writes the presciption order to when the patient receives the first dose.

Optimize the treatment and prevention of anaemia during caesarian section.

Improve the patient satisfaction in noise reducing activity.

Reduce the needle injuries in nursing personnel.

Examples of EBP results:

1. A study conducted regarding the benefits of discontinuing the routine practice of listening to the bowel sounds who have undergone abdominal surgery.The evidence based project resulted in saving nursing time without having negative patient outcomes.

2.Another evidence based results shows average nurses knowledge is outdated and they does not i mprove the quality care and health outcomes.

The EBP project results should be discussed because

it improves the quality and patient outcome.

it enable the nurses to systemically transfer the evidence based knowledge into clinical practices.

it is essential to provide competent and safe nursing care.

it increases the confidence in decision making.

it improve the skills and critical thinking.

it enhances the nurses to lead a job satisfaction and group cohesion.

it reduces the cost in health care and saves time and effort.

Reference:

Cook D. Evidence-based critical care medicine: a potential tool for change. New Horiz. 1998;6(1):20–5.

Jennings BM, Loan LA. Misconceptions among nurses about evidence-based practice. J Nurs Scholarsh.2001;33(2):121–7.

Goode CJ, Piedalue F. Evidence-based clinical practice. J Nurs Admin. 1999;29(6):15–21.

Newhouse R, Dearholt S, Poe S, et al. Evidence-based practice: a practical approach to implementation. J Nurs Admin. 2005;35(1):35–40.

Soukup SM. The center for advanced nursing practice evidence-based practice model. Nurs Clin North Am.2000;35(2):301–9.