Evidence based practice paper sample essay
What does EBP entail?
Integrating the most up-to-date research evidence with clinical expertise and patient values and preferences is the foundation of evidence-based practice (EBP), a method for making decisions in a variety of sectors. The practice of making clinical decisions based on the best available data is called evidence-based practice, and it aims to improve health outcomes for both people and entire populations.
Evidence-based practice (EBP) in healthcare refers to making decisions about a patient’s diagnosis, treatment, and prevention based on the strongest available data from scientific studies. Evidence-based nursing practices are often used in other sectors, such as education and social work, to make decisions about interventions and programs based on the best available data.
In order to provide effective evidence-based care, practitioners must be able to critically appraise the quality and relevance of available data and take into account the unique features and preferences of each patient or client. Positive results for the individuals they serve are more likely when practitioners use EBP to make decisions based on the best available evidence.
More about EBP
What is EBP and why is it important? Importance of EBP
What are the 7 steps of the EBP process?
What are the EBP Models?
Evidence-based practice sample question
ASSESSMENT 2 – REPORT: TRANSLATING RESEARCH INTO EVIDENCE-BASED PRACTICE (40%)
Assessment 2: Report – Translating research evidence into practice (40%)
Assessment 2: REPORT: Translating research into evidence-based practice (1,200 words)
Date due: Week 9,
Assessment details: Evidence based practice paper sample essay
As a nurse or midwife, ideally, you will base your nursing practice on the best available evidence. However, you will be faced with situations where the practice that is followed is not based on evidence. The following case study has been provided to give you some context around how a situation may evolve where nursing staff may not comply with evidence-based practice.
Note: You not do not have to refer to the below case study when providing answers. : Evidence based practice paper sample essay
Peter Smith, a 67-year-old Indigenous man, presented to his general practitioner (GP) with his daughter, with a ten-month history of constipation and abdominal discomfort. More recently, he has felt very fatigued and had been experiencing lower abdominal pain. In the weeks prior to Peter consulting his GP, he had noticed his stools were long and narrow, and small amounts of bright blood on the toilet paper. Peter had ignored many of these early signs as he thought that as he was getting older. Peter is of Aboriginal descent, and recently moved from the outback to join his daughter in the city as he has not been looking after himself.
The GP performed a digital rectal examination to eliminate the presence of haemorrhoids. On examination, the GP palpated a firm irregular non- capsulated mass in Peter’s rectum. The GP arranged a consultation with a gastrointestinal specialist. The specialist performed a colonoscopy. During the colonoscopy, a biopsy was taken of the large sessile lesion located in the proximal third of Peter’s rectum. Three polyps were also removed from Peter’s colon. The biopsy results confirmed a stage IIA rectal adenocarcinoma.
Peter has been admitted to the surgical ward for an abdominal-perineal resection and the formation of a sigmoid colostomy.
Peter’s postoperative recovery was uneventful. On Day 6, the Registered Nurse from night duty reported to the Stomal Therapist Clinical Nurse Consultant (CNC) that an area of approximately 5cms x 3cms surrounding Peter’s colostomy was excoriated with sloughy areas. The stoma itself remained viable and was working well.
The Stomal Therapist CNC believed that there has been an increase in patient colostomy skin breakdown on the colorectal postoperative ward. The CNC is concerned that there has not been adherence to to the ward\’s policy for colostomy skin care that is based on the research evidence.
The Stomal Therapist CNC undertook a baseline audit and indeed found that the cleaning of the skin around the stoma during colostomy bag changes was not done uniformly or according to the ward’s policy. This resulted in new strategies to be implemented that aimed to increase compliance with ward policy. Following the introduction of these strategies, a follow-up audit found there has been an increase in compliance with the ward\’s policy and a subsequent significant decrease in colostomy skin breakdown.
Read through the following information to understand, and meet the requirements of this assessment:
Step 1: Literature search: Evidence based practice paper sample essay
Using the case study as a starting point for a situation where the nursing care provided may not be based on evidence-based practice, conduct a journal search for literature on the barriers and faciliators of compliance with evidence-based practice.
Note: You will use this literature to support your argument in answering the key areas.
For help with performing a literature search revisit Module 3.
Step 2: Collect evidence to respond to the key areas
Using the literature, you have found, collect evidence to respond to the following:
1. Within the patient-centered care model, discuss barriers and facilitators to achieving compliance with evidence-based nursing;
2. Discuss two (2) strategies that may help decrease non-compliance of a policy or clinical practice guidelines;
3. Discuss how you could help ensure the capability of maintaining and sustaining adherence to a policy or clinical practice guidelines beyond the initial implementation period.
Step 3: Structure and write your report
Using your responses to the key areas and your supporting evidence prepare a report.
Your report should consist of the following sections:
Your introduction should introduce the significance of evidence-based practice in providing quality nursing care and briefly preview the key areas to be discussed in your report (25 words)
The body of your report should contain a discussion that answers the three (3) key areas:
• The barriers and facilitators to achieving compliance with evidence-based nursing practice. (400 words)
• Strategies to help decrease non-compliance to a policy or clinical practice guidelines. (350 words)
• Recommendations for maintaining and sustaining adherence to a policy or clinical practice guidelines beyond the initial implementation period. (400 words)
Your conclusion should briefly summarise the key findings from your report. (25 words)
Note: The reference list is not included in the word count.
Articles to assist students with Assessment 2: Evidence based practice paper sample essay
Barth_why are clinical practice guidelines not followed_2016.pdf Barth_why are clinical practice guidelines not followed_2016.pdf – Alternative Formats
Chapter 16.pdf Chapter 16.pdf – Alternative Formats
Knudsen_realities of practice change_2021.pdf Knudsen_realities of practice change_2021.pdf – Alternative Formats
KRISTE~1.PDF KRISTE~1.PDF – Alternative Formats
Mathieson_barriers facilitators EBP community nursing_2018.pdf Mathieson_barriers facilitators EBP community nursing_2018.pdf – Alternative Formats
MATHIE~2.PDF MATHIE~2.PDF – Alternative Formats
Mazrou_expected benefits CPGs_factors affecting adherence and methods implementation.pdf Mazrou_expected benefits CPGs_factors affecting adherence and methods implementation.pdf – Alternative Formats
McArthur_barriers and facilitators implement EB guidelines long erm care_2021.pdf McArthur_barriers and facilitators implement EB guidelines long erm care_2021.pdf – Alternative Formats
Proctor_outcomes for implementation research conceptual distinctions_uses FAME_2011.pdf Proctor_outcomes for implementation research conceptual distinctions_uses FAME_2011.pdf – Alternative Formats
Yoo_clinical nurses beliefs knowledge organizational readingess of EBP creating culture_2019.pdf Yoo_clinical nurses beliefs knowledge organizational readingess of EBP creating culture_2019.pdf – Alternative Formats
Evidence based practice paper solution
Nursing care that is guided by evidence-based practice ensures that patients receive quality and safe care. According to Mathieson et al. (2018), effective translation of research evidence into clinical practice with patients increases healthcare quality and improves patient outcomes. The purpose of this assignment is to report some of the issues that surround the translation of evidence into practice. The key areas that the report will cover include; the barriers and facilitators to achieving compliance with evidence-based nursing practice, strategies to help decrease non-compliance to a policy or clinical practice guidelines, and recommendations for maintaining and sustaining adherence to a policy or clinical practice guidelines beyond the initial implementation period.
The Barriers and Facilitators to Achieving Compliance with Evidence-Based Nursing Practice
Within the patient-centred care model, some factors facilitate evidence-based practice implementation in nursing practice while others hinder the process. The organization’s leadership, supported by adequately informed champions, is one of the key facilitators to enhanced compliance with evidence-based nursing practice in contemporary healthcare settings (McArthur et al., 2021). An organization’s leadership and champions play the key role of offering direction for nurses and other healthcare professionals to follow to ensure the successful translation of research into practice (Sasaki et al., 2020). As further reported by McArthur et al. (2021), other factors that facilitate adherence to evidence-based nursing practice include; availability of resources, well-designed strategies, the protocols in place, and time. In addition to these factors, Mathieson et al. (2019) indicate that a quality and safety culture, commitment among the nurses, and consistency in terminologies have a positive influence on evidence-based practice adherence among nurses. Ideally, an organization should work closely with nurses to encourage compliance with evidence-based nursing practice.
Individual, context, and organizational factors can prevent nurses from maintaining compliance to evidence-based nursing practice within the patient-centred care model. Findings of a study conducted by McArthur et al. (2021) revealed the major barriers to compliance with evidence-based practice as time constraints, lack of organizational support, lack of teamwork, limited finances to meet high evidence-based practice implementation costs, and inadequate staffing. As Mathieson et al. (2019) explain, resistance from nurses can hinder the successful translation of research evidence into nursing practice. The reason is that nurses who do not deem a given practice useful will not support it leading to non-compliance. Barth et al. (2016) conducted a survey with the aim of understanding why nurses and other healthcare professionals do not follow clinical practice guidelines. They discovered that barriers to clinical practice guidelines’ compliance include; the lack of familiarity with the contents, limited implementation skills among clinicians, the variation between the goals of patients and those of clinicians, and limited resources. Generally, an organization’s leadership should foster a culture that encourages nurses to comply with evidence-based practice.
Strategies to Help Decrease Non-Compliance with a Policy or Clinical Practice Guidelines
To demonstrate their commitment to evidence-based practice, healthcare organizations should put in place strategies to help decrease non-compliance with clinical practice guidelines or a healthcare policy. The reality of evidence translation as perceived by nurses is that it is always characterized by numerous challenges that must first be addressed for a successful transition to occur (Krudsen et al., 2021). One of the strategies to ensure compliance with evidence-based practice is to train nurses to implement a particular policy. During such training, the organization should communicate the rationale for a given practice change and its impacts on patient outcomes. Training basically increases the nurses’ skills, knowledge, and attitudes regarding a particular healthcare policy (Qumseya et al., 2021; Sasaki et al., 2020). Nurses will feel motivated to implement the policies outlined in clinical practice guidelines when they are empowered to perform the associated tasks thereby leading to compliance.
Another strategy that may help to increase compliance to clinical practice guidelines is leadership support. An organization’s leadership provide both human and non-human resources that are needed to support the delivery of quality healthcare services (Qumseya et al., 2021). McArthur et al. (2021) identified leadership support and availability of resources to be among the key facilitators of evidence-based nursing practice compliance. As Qumseya et al., (2021) explain, ensuring that nurses have access to clinical practice guidelines improves guidelines adherence and compliance. Therefore, the leadership should provide nurses with clearly documented clinical practice guidelines at the point of care to improve compliance. An organization that is able to address the barriers to evidence-based nursing practice compliance will be able to increase adherence to a healthcare policy or clinical practice guidelines.
Recommendations for Maintaining and Sustaining Adherence to a Policy or Clinical Practice Guidelines Beyond the Initial Implementation Period
Nurses play a key role in helping their organizations to implement, maintain, and sustain evidence-based nursing practice. Healthcare organizations that are able to maintain and sustain adherence to healthcare policy and clinical practice guidelines beyond implementation can assure patients of high-quality healthcare and improved outcomes (Proctor et al., 2011). One of the recommendations for maintaining and sustaining compliance with clinical practice guidelines is continued teaching and training of both new and existing employees (Liu et al., 2022). An organization that provides routine training and teaching to its employees about a policy or clinical practice guidelines enhances staff knowledge and understanding of the guidelines thereby ensuring increased compliance.
Providing feedback to employees regarding their performance after the initial implementation of guidelines can help to maintain and sustain adherence to a policy or clinical practice guidelines. Through feedback, employees are able to understand their strengths and weaknesses including areas that they need to improve to maximize compliance (Liu et al., 2022). Again, an effective organizational structure that supports a safety and quality culture will influence the maintenance and sustainability of compliance to clinical practice guidelines or policy. The leadership should not only provide the required resources but should also set guidelines for training staff and providing feedback (Mazrou, 2013; Liu et al., 2022). According to Yoo et al. (2019), it is easy to sustain adherence to clinical practice guidelines in an organization that minimizes barriers, enhances facilitators, budgets properly, fosters personnel training, and focuses on vision. In this regard, it is recommended that an organization should reduce barriers and enhances facilitators to clinical practice guidelines compliances while at the same time focusing on its mission and vision in order to maintain and sustain compliance.
Conclusion: Evidence based practice paper sample essay
Translation of research evidence to practice still presents a big challenge for healthcare organizations due to non-compliance to clinical practice guidelines among healthcare professionals. Individual, organizational, and contextual factors act as barriers and facilitators of compliance with health policies or clinical practice guidelines. In order to ensure the successful implementation of health policies or clinical practice guidelines and sustain their compliance, healthcare organizations should minimize barriers, enhance facilitators, budget properly, foster personnel training, and focus on their vision and mission.
References for the Evidence based practice paper sample essay
Barth, J. H., Misra, S., Aakre, K. M., Langlois, M. R., Watine, J., Twomey, P. J., & Oosterhuis, W. P. (2016). Why are clinical practice guidelines not followed?” Clinical Chemistry and Laboratory Medicine (CCLM), 54(7), 1133-1139. https://doi.org/10.1515/cclm-2015-0871.
Knudsen, É. N., King, B. J., & Steege, L. M. (2021). The realities of practice change: Nurses’ perceptions. Journal of Clinical Nursing, 30(9-10):1417-1428. doi: 10.1111/jocn.15693.
Liu, X. L., Wang, T., Tan, J. Y., Stewart, S., Chan, R. J., Eliseeva, S., Polotan, M. J., & Zhao, I. (2022). Sustainability of healthcare professionals’ adherence to clinical practice guidelines in primary care. BMC Primary Care, 23(1), 36. https://doi.org/10.1186/s12875-022-01641-x
Mathieson, A., Grande, G., & Luker, K. (2019). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis. Primary Health Care Research & Development, 20, e6. https://doi.org/10.1017/S1463423618000488.
Read readings on ebp:
- NURS 6052 Where in the World Is Evidence-Based Practice? SAMPLE
- Define each research, evidence-based practice, and evidence-informed practice
- PICOT and Evidenced-Based Practice Sample Paper
- NUR 550 Evidence-Based Practice Project Proposal Identification of Nursing Practice Problem Essay
- DQ: Evidence-based practice and standardized clinical guidelines have improved organizations and the ability of providers to provide care with the highest level of evidence to each patient.
- Adopting a research-based (or evidence-based)practice