an approach to providing nursing care that uses the most current research available to improve the safety, health, and well- being of patients.
evidence-based practice
focuses on delivering high-quality patient care while reducing healthcare costs and variations in patient outcomes
evidence-based practice
focuses on the integration of clinical expertise including the knowledge, critical reasoning, and judgment skills acquired through nursing training and professional experiences.
evidence-based practice
The earliest demonstrations of evidence-based practice in nursing date back to the ___ when Florence Nightingale’s book Notes on Nursing outlined the framework for evidence-based nursing practice as we know it today.
1850s
positive patient outcomes by supporting a shared decision-making approach between nurses and patients
Reduced Risk of Hospital-Acquired Infections
nurses involve patients in their care planning, promoting patient autonomy (patient right)
alter methods of care if the current care plan contradicts best EBP, contributing to improved patient care
reduce cost of healthcare (prevent complications)
top 5 benefits to the patient of EBP
scientifically supported research for well educated-decisions
stay up-to-date about new nursing interventions and protocols used in patient care.
enhances critical thinking among nurses
promote strong decision-making skills
based on research, use of EBP encourages lifelong learning
top 5 benefits to the nurse of EBP
helps promote consistent care to patients based on evidence-driven research findings
more favorable patient outcomes are achieved, resulting in increased patient satisfaction.
reduce the demand for healthcare resources, making it possible to allocate resources where they will be most effective.
help reduce healthcare costs by utilizing relevant research to determine the and cost-effective treatment options for patients.
having knowledgeable nurses, capable of understanding and implementing the best methods of patient care for clients.
top 5 benefits to healthcare organization of EBP
In this situation, the student may be given a mock patient profile and asked to come up with a patient care plan based on scientifically-supported evidence-based practices.
assigning case studies
to enhance the nurse/nursing student’s knowledge and understanding of research processes and strengthen their ability to synthesize and appraise research studies.
journal clubs
students have the chance to do research and present their findings to instructors and/or their peer group and discuss suggested methods for implementing patient care.
clinical presentations
allow students time to think about the information presented and hone their critical- thinking and decision-making skills.
quizzes
Nurse educators may use opportunities in the lab to allow students to demonstrate ways they would implement EBP in the clinical setting.
on-campus laboratory intensives
known as an effective learning-teaching approach in nursing education; students learn with and from one another
creating small work groups
didactic presentation of information during which the instructor uses an activity to promote the student’s engagement with the course content. These activities are sometimes referred to as engagement triggers; student return demo
interactive lectures
Nursing instructors can make use of sources like campus computer labs to teach students how to access online sources of data and information and how to validate their findings.
teaching research methods
Nursing instructors can utilize clinical preceptors to help enforce the students’ understanding of evidence-based practices.
One way to do this is to require students to have an end-of-shift report with the instructor and classmates where they discuss the activities of their day, including ways EBP were, or should have been, used.
requiring collaboration with a clinical preceptor
Some nursing instructors find that giving students specific research assignments helps them develop the skills necessary to perform relevant searches, validate, information, and develop care plans for clients.
research papers
critical thinking
scientific mindset
effective written and verbal communication
ability to identify gaps
ability to integrate findings into practice relevant to the patient's problem
5 main skills required for evidence-based practice in nursing
clinical expertise
when deciding to utilize evidence for patient care
practice management
decision-making
integration of best available evidence
5 main components of EBP in nursing
1 Assessing the Patient and Developing Clinical Questions
Finding relevant evidence to answer the clinical question
acquire evidence and validate its relevance to the patient's specific situation
appraise the quality of evidence and decide whether to apply the evidence
apply the evidence to patient care
evaluate effectiveness of the plan
steps in EBP in nursing practice
Not Understanding the Importance of the Impact of EBP in Nursing
fear of not being accepted
Negative attitudes about research and evidence-based practice in nursing and its impact on patient outcomes
Lack of knowledge on how to carry out research
Resource constraints within a healthcare organization
work overload
Inaccurate or Incomplete Research Findings
patient demands do not align with EBP in nursing
lack of internet access while in the clinical setting
some nursing supervisors/manager may not support EBP nursing practices
10 major challenges nurses face in the implementation of EBP
be open-minded
mentor other nurses
support and promote opportunities for education growth
ask for increased resources
be research-oriented
think ways to make your work environment research-friendly
promote EBP competency by offering strategies sessions
stay up-to-date about healthcare issues and research
actively use information to demonstrate EBP within team
create opportunities to reinforce skills
develop templates that support EB decision making
review evidence for its relevance to orgs.
12 ways nurse leaders can promote EBP in nursing
involves reverence, respect and protection towards each person, as a free being with unique history.
is not relative to social status, nor physical and intellectual performance.
justifies human rights
human dignity
place importance on socially conferred worth, reputation, and a positive social image.
honor cultures
place importance on context independent, individual and inherent worth, which is less affected by social regard of others.
dignity cultures
Let people choose their own clothing
Involve them in decisions relating to their care
Address the person appropriately.
Make food look appealing and tasty.
Respect personal space and possessions.
Hygiene and personal care
Promote social activities.
Engage in conversation.
8 ways to promote dignity in care
about understanding that each of us is made in God's image
Every person has an innate human dignity no one can take away.
Human dignity is given freely to all human beings; whether saint or sinner, imprisoned or freed, powerful or marginalized.
catholic social teaching
This means that a nurse abstains from attaining personal gain at the patient's expense and refrains from jeopardizing the therapeutic nurse–patient relationship.
nurse-patient boundaries
conducted within boundaries that separate professional and therapeutic behavior from non-professional and non- therapeutic behavior
nurse-client relationship
in care work help maintain the necessary distance between the person giving and the person receiving care; help ensure all needs are met
boundaries
means preserving authorized restrictions on access and disclosure, including means for protecting personal privacy and proprietary information.
confidentiality
is an ethical duty that prevents certain people from sharing information with third parties.
confidentiality
is the right to freedom from intrusion into one's personal matters or information.
privacy
protects information (data) from unauthorized access
confidentiality
is the accuracy and consistency of data as well as the completeness and reliability of systems
integrity
is the ability for users to access systems and information when needed, even under duress.
availability
means being responsible to someone, or for some action, and ensuring that you are able to explain what you do.
accountability
is defined as the acceptance of responsibility for honest and ethical conduct
in nursing practice is integral to professional practice.
It is concerned with weighing the interest of patients with diverse health issues while using professional judgment, knowledge, skills, and evidence-based practices to make decisions that promote positive patient outcomes.
accountability
helps foster trusting relationships between patients and nurses
nurses who hold themselves accountable set themselves up for success
reduces the misuse of valuable healthcare resources
can promote positive reputation for facilities
accountability in nursing practices
four core components of accountability in nursing practice