Evidence Based Practice In Nursing Essay

Evidence-Based Practice Paper Topic

by CC Wisconsin
  Views: 40,877   Comments: 15

  1. 0 Hi everyone,
    I am writing an EBP paper this semester and need ideas of nursing practices that may not be evidence-based. Any suggestions would help. Thanks!
    •  
  2. I would like to recommend a classic in this line of inquiry, a slim volume called "Nursing and ritualistic practice by Virginia H Walker (1967)." You can still get it for cheap on Amazon. There is also a follow-up volume. I came across it completely by accident one day wandering in the stacks (remember stacks? They are in libraries) and it ruined me for life, as the concept of evidence-based practice wasn't as firmly established then as it is now, and I always wanted to know WHY we did something. As an example...in some nursing units, everyone's respiratory rate is 18. In some units, it's 20. Or 16. Why is that?
    If you google "ritualistic practices in nursing," you'll also find a number of interesting-looking articles and studies, any of which should give you some great, great ideas. This could be a lot of fun.
  3. Jan 3, '13 by CC Wisconsin
  4. Jan 3, '13 by jenannebeard
    I did mine on chlorhexidine impregnated patches at central line catheters.
  5. I thought there was a lot of evidence on that?
  6. Jan 3, '13 by jenannebeard
    Quote from GrnTea
    I thought there was a lot of evidence on that?
    We weren't expected to find something that hasn't already been proven, just use different articles/studies to back up the topic.
  7. Jan 3, '13 by Esme12, ASN, BSN, RNSenior Moderator
    but this is asking for nursing practices taht are NOT backed with evidence based studies...right???
  8. Jan 3, '13 by jenannebeard
    Wouldn't you essentially need to use studies in an EBP paper if it's an EBP paper?! LOL

    Otherwise your conducting a plenty lengthy study your self that will takes a while.

    Just my thought!
  9. Jan 3, '13 by CC Wisconsin
    The paper can be on any nursing practice. The goal of the paper though is to find whether or not that practice is evidence-based or not. I'd like to pick a topic that isn't necessarily evidence-based just to keep my life interesting. My initial thought was on the semi-fowlers position for labor and delivery. Thanks for the responses
  10. I saw a form a few days ago talking and infection control pertaining to stethoscopes and covers. Here's the link: When did wearing a stethoscope become popular

    It's not all about that, but if you read through it, many talk about how they use covers, but some say that is an infection risk. It would be a topic interesting to research, since there were a wide variety of answers in that forum, but I don't know if it's EBP.
  11. Jan 4, '13 by Esme12, ASN, BSN, RNSenior Moderator
    Quote from SUNFL0WER
    I saw a form a few days ago talking and infection control pertaining to stethoscopes and covers. Here's the link: When did wearing a stethoscope become popular

    It's not all about that, but if you read through it, many talk about how they use covers, but some say that is an infection risk. It would be a topic interesting to research, since there were a wide variety of answers in that forum, but I don't know if it's EBP.
    That's a good one....
  12. Mar 24, '15 by lindalou82
    So CCwisconsin what did you finally do your paper on?? I have to do the same paper and I am totally stuck!! We are suppose to think about a patient we have had in our clinical practice. I had no interesting patients that this paper applied to!! So frustrating!!
    Thanks for any help
  13. How about using trendelenberg in patients that are hypotensive. Or installing air to determine NGT placement.

Relationship between the research process and evidence based practice

rodrigo | April 7, 2014

WritePass - Essay Writing - Dissertation Topics [TOC]

The aim of this essay is to explore the relationship between the research process and evidence based practice. The author of this essay intends to explore and illustrate an understanding of the various types of evidence used within nursing practice. There are barriers to implementing research into practice, the author intends to give explanation to these barriers and detail strategies/organisations that assist to putting research into nurse’s everyday practice. Two journal articles will be critiqued within this essay; the aim of this is to indicate which evidence has been used, to assess the strengths and weaknesses in the research process and to evaluate its usefulness in practice.

Principles of Evidence Based Practice

Research can be described as a method of investigating a chosen area to illicit new information on the topic or to build on previous knowledge.  In nursing research the aim of this research is to provide clients, their carers and their families with the best possible care in all aspects of their treatment to promote wellbeing (Burns and Grove 2001).

“The conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence based medicine means integrating individual clinical expertise with the best available external evidence from systematic research.” (Sackett et al 1996;72)

Nurses are at the frontline of healthcare and have most one to one contact time with clients; therefore it is essential that the foundation of their practice be formed from reliable evidence (Parahoo 2006). Evidence based practice sets out to integrate the best possible evidence, nursing knowledge and patient views into practice. It is vital that nursing staff be knowledgeable of the latest findings in nursing research and are able to access and opt for the most suitable evidence to inform and implement into their practice. (Gerrish 2006) suggest that evidence based practice consists of research, patient experience and clinical expertise.

It is important to address which research findings nurses should consult to inform their clinical practice in order for them to deliver adequate care to their patients.  There are many different types of evidence available to practitioners; Gray Muir (1997) as cited in Gerrish (2006) outlines a hierarchy of evidence and indicates which types are more superior. Placed at the top of the hierarchy are systematic reviews and multiple randomised controlled trials (RCTs). A systematic review is essentially a study done on prior research; this is then deemed as secondary research (Parahoo 2006). The aim of this type of review is to carry out an extensive and thorough search of material already available on this topic. The most fitting material in relation to the topic is chosen, this is then evaluated, the findings are then collaborated and summarised to answer the original question. This process should be performed in a clear manner so that it would be possible for others to carry out this research. In second place on the hierarchy is randomised controlled trials, third; non-randomised controlled trials, fourth; non-experimental studies and fifth; descriptive studies/expert committees. This hierarchy is more suited to quantitative research and is deemed inappropriate if outcomes are not measurable (Gerrish 2006).

There are many organisations that provide information on research and guidance to how it should be implemented into clinical practice. The National Institute for Health and Clinical Excellence (NICE) offer  clinicians guidelines and criteria to follow with the aim of developing nursing care to the benefit of the clients health (NICE). The Cochrane Collaboration supply research material which is available to everyone. Their aim as an organisation is to provide health care workers, clients and their carers with information on the most current and reliable evidence used within health care settings.

There are several different barriers to implementing evidence into clinical practice; Gerrish (2006) suggests that these barriers can be set into four categories; the nature of the evidence, communication of the evidence, knowledge and skill of the nurse and organisational barriers. Barriers with regard to the nature of the evidence may include research questions unsuitable to clinical practice. In relation to communication of evidence the language used in the research may be deemed as inaccessible due to complex terminology. It has been identified that barriers concerning the nurses skill include troubles identifying or appraising evidence and also lack of confidence of the individual in using resources to access the research. Organisational barriers seem to indicate that lack of support from senior staff in providing information and time to implement changes are the main cause for concern.

Parahoo (2006) suggests that there are four main components in the research process. Identification and formulation of the research question is the first stage in the process, this is where the researcher determines what is being researched and a question is created. Previous literature researched in the chosen field may be consulted by the researcher to help define concepts. The final question must be clearly set out. The second stage of the process is the collection of data, in this part of the process several decisions will have to be made before data is collected. The design of the study, methods used within it and sometimes piloting need to be decided upon. The population that will be participating needs to be defined at this point consent may need to be sought from ethical committees. Once these arrangements are in place the data can be collected. The third stage in this process is the analysis of data, at this stage the researcher would analyse, translate and display their findings. It is important to note that before the data was collected the researcher would have decided on how the analysis would be conducted. After analysis the researcher would typically translate findings, examine the limitations and make suggestion as to how to implement into practice. Recommendations may be made for additional research needed. The final stage in research process is the dissemination of findings. An organisation that might be responsible for this area would be NICE, the barriers to the implementation of evidence are outlined above.

There are many ethical issues involved in the research process; the author of this essay intends to discuss some of these implications. Beneficence is an important ethical issue, it is essential that the study should be of the benefit of its participants and in the best interests of the overall public. Confidentiality is another ethical issue within the research process, any information gathered should be respected. Consultation to the participant’s wishes should be sought throughout the process and care must be taken by the researcher when publishing results so not to unintentionally expose the identity or information of its participants.

Conclusion

The author of this essay has explored the relationship between evidence and the clinical setting. Research, evidence based practice and the research process was considered. Barriers to implementing evidence based practice and the strategies/organisations used to avoid these barriers were discussed. Critiques of two research articles are included in this essay; these critiques aim to illustrate the author’s understanding of the research process and knowledge of the various types of research and the methods used.

Related

Tags: free essay, strategies

Category: Free Essays, Social Science

0 comments

Leave a Reply

Your email address will not be published. Required fields are marked *