NURS 350 Discussion Research in Nursing

NURS 350 Discussion Research in Nursing

NURS 350 Discussion Research in Nursing

Week 1 Discussion

DQ1 How does the focus of research and evidence-based practice (EBP) differ? Discuss the application of research findings into evidence-based nursing practice.

DQ2 Provide a specific example of evidence-based practice used in your work facility or within the nursing profession. Were there any challenges or barriers to implementing the evidence-based practice? If so, how were they overcome?

Top nursing paper writers on hand to assist you with NURS 350 Discussion Research in Nursing assignment. Get A Custom Nursing Paper Help

Steps in the EBP process

The EBP process has seven critical steps:

1. Cultivate a spirit of inquiry.

2. Ask a burning clinical question.

3. Collect the most relevant and best evidence.

4. Critically appraise the evidence.

5. Integrate evidence with clinical expertise, patient preferences, and values in making a practice decision or change.

6. Evaluate the practice decision or change.

7. Disseminate EBP results.

Cultivating a spirit of inquiry means that individually or collectively, nurses should always be asking questions about how to improve healthcare delivery. The burning clinical question commonly is triggered through either a problem focus or a knowledge focus. Problem-focused triggers may arise from identifying a clinical problem or from such areas as risk management, finance, or quality improvement. Knowledge-focused triggers may come from new research results or other literature findings, new philosophies of care, or new regulations.

Regardless of the origin, the next step in the EBP process is to review and appraise the literature. Whereas a literature review for research involves identifying gaps in knowledge, a literature review in EBP is done to find the best current evidence.

Hierarchy of evidence

In searching for the best available evidence, nurses must understand that a hierarchy exists with regard to the level and strength of evidence. All of the various hierarchies of evidence are similar to some degree.

• The highest (strongest) level of evidence typically comes from a systematic review, a meta-analysis, or an established evidence-based clinical practice guideline based on a systematic review.
• Other levels of evidence come from randomized controlled trials (RCTs), other types of quantitative studies, qualitative studies, and expert opinion and analyses.