NURS FPX 5005 Assessment 3 Evidence-Based Practice Application
Evidence-Based Practice Application
The majority of nurses’ time is spent analyzing and evaluating patient care quality. Because the situation of the patient is constantly changing, nurses work in a temporal environment. Nurses must stay up to date on new research, treatments, and medicines. Evidence-Based Practice (EBP) determines the method used to assess and evaluate recent advancements as practices and literature to establish cutting-edge inpatient care. NURS FPX 5005 Assessment 3 Evidence-Based Practice Application
External evidence, clinical expertise, patient values, and critique are all driven by EBP. In the course of my work as a nurse, I evaluate any novel and pertinent method based on my own experience, patient feedback, and external evidence. Personal experience refers to the clinical expertise of individuals based on patient care, while external evidence refers to clinically proven and cutting-edge literature.
Analysis of Criteria and Process for Implementing EBP
Nurses face the same issues over and over again as they go about their day-to-day work. Nevertheless, they may be confronted with novel issues that call for investigation. For this reason, Proof Based Practice (EBP) fills in as a Four stage process which is given beneath:
- Assessment of the patient’s clinical issue
- Looking through the related and reliable writing
- Evaluation of articles
- Execution and dispersal of data
NURS FPX 5005 Assessment 3 Evidence-Based Practice Application
To begin with, medical caretakers record and accumulate data in light of the underlying meeting or conclusion and structure a clinical issue explanation. They use a database to search for relevant studies, journal articles, and related literature using that statement. Because outdated tests and procedures can have an impact on the viability of a treatment in today’s rapidly developing world, they evaluate the validity of reports based on relevance and credibility. Nurses report the treatment and carry it out based on this thorough literature review (Alatawi et al., 2020).
As indicated by Alatawi et al. ( 2020), the barriers to EBP are both personal and institutional. The professional competence of individuals, such as experience and attitude, is related to the individual barrier. When working with patients who are unable to explain their issues, nurses need to be able to understand and communicate with them. Authoritative boundaries are connected with offices and financial plans accessible in the establishment where medical caretakers work. It has to do with how far a company is willing to go to provide the best patient care. Access to databases, tests, and other logistical issues arise with any internal practice change within the organization.
Importance of Scholarship for EBP Research
- Programs like Magnet® support evidence-based nursing practice and research because solving a problem requires individuals’ time and resources, which may not be available to nurses (Wentland & Hinderer, 2020). Clinical nurses are unique in their use of innovative problem-driven research and scholarship to support staff and capacity building (Whalen et al., 2020).
- Saunders et al.’s inclusion and exclusion criteria for carrying out evidence-based nursing practice 2019) contain the following details:
- Evaluation and the viability of methodological quality must be taken into consideration by nurses conducting EBP research. Biases in the selection of the literature must be avoided.
- Multiple outcomes must be the primary focus.
Clinical Questions Related to Evidence-Based Practice
Speroni and others 2020) conducted a survey with responses from 127 of 181 research nursing leads from various US hospitals with Magnet accreditation. The implementation of strategic nursing goals by nursing leaders is the basis for the evaluation of magnet-recognized hospitals. The review showed that more than 90% utilize the EBP model. According to the study, hospitals use the Iowa Model of Evidence-Based Practice the most. Nurses’ working conditions and patient care have been enhanced by EBP.
Clinical Question: Which Interventions along with Patient Care Technologies Control Fever Based on EBP in ICU?
According to Chiwaula et al., one of the EBP strategies utilized in the ICU of Kamuzu Central Hospital (KCH) is the Iowa Model of Evidence-Based Practice. 2021). Fever monitoring is a major concern in the intensive care unit (ICU) because ICU patients are extremely vulnerable and necessitate intervention due to inconsistencies in the fever management protocol. The study emphasizes the significance of using patient care technology—a temperature monitoring device with connected sensors—for fever monitoring in the intensive care unit. In order to provide patients with the most effective, competent, and efficient care possible, this method has empowered frontline nurses in the systematic management of the ICU.
NURS FPX 5005 Assessment 3 Evidence-Based Practice Application
The motivation behind the model is to create a rule for routine practice. STATA 12.0 was used to collect and analyze the data. It was used to apply statistical tools like paired t-tests and to use Spearman correlation to link the patient’s condition (change in temperature) to clinical interventions. Liu et al.’s study ( 2020) examined the application of AI to the iThermonitor WT705 wireless wearable device. This gadget helped in constant temperature checking for patients confessed to the careful wards. During the perioperative period, the device assisted in the continuous temperature measurements. The study demonstrated that this device is more effective than intermittent observations at capturing fevers. By incorporating advanced algorithm training and development, the device’s precision can be enhanced.
Knowledge Gap in Study
Patients’ consent could not be obtained because the majority of those in the intensive care unit are unconscious, and permission was sought from patients’ caregivers. Because EBP is based on patient feedback and participation (Chiwaula et al.,), this is the primary area of uncertainty. 2021).
EBP has the potential to become the go-to guide for a patient with a particular condition, but each patient’s circumstances and symptoms may differ. When using EBP to implement guidelines, extreme caution is required (Chiwaula et al., 2021).
Evaluation of Ethical and Regulatory Concerns for EBP
According to Chiwaula et al., ethical concerns regarding patient-doctor confidentiality and the code of ethics mandate that patients be informed of the study, that health implications be sought, and that permission be sought whenever patient-related investigations are carried out. 2021). Evidence-based practice’s ethical considerations ensure that all Belmont principles of ethics must be adhered to (Tu & Gao, 2021). Belmont’s moral standards incorporate regard for the independence of people, helpfulness, and equity. The FDA’s regulatory recommendations must be met in order for evidence-based technology to be considered. The FDA’s regulatory recommendations and the Belmont principles had an impact on how the wearable wireless technology device iThermonitor WT705 was put into use for continuous temperature monitoring in hospitals’ intensive care units. Complete NURS FPX 5005 Assessment 3 Evidence-Based Practice Application
Patient well-being and protection are worries that occasionally can call for mediation as on account of fever mediation in the ICU (Chiwaula et al., 2021). While implementing EBP, patient safety becomes a major consideration when intervention is related to serious procedures. EBP always calls for organizational structural changes and technological advancements, both of which necessitate additional funding and are linked to financing, a further policy concern during EBP implementation (Chipps et al., 2020).
Conclusion
If nurses who participate in these studies are given opportunities and scholarships because they are contributing their time and effort, Evidence-Based Practice may be able to address novel issues in the healthcare industry. Nurses who use evidence-based practice must make sure that their methods are of high quality and adhere to stringent criteria for literature evaluation. Concerns regarding patient confidentiality and anonymity must be maintained during any EBP study.
References
Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S., & Banakhar, M. (2020). Barriers of implementing evidence-based practice in the nursing profession: A literature review. American Journal of Nursing Science, 9(1), 35. https://doi.org/10.11648/j.ajns.20200901.16
Chipps, E., Tucker, S., Labardee, R., Thomas, B., Weber, M., Gallagher-Ford, L., & Melnyk, B. M. (2020). The impact of the electronic health record on moving new evidence-based nursing practices forward. Worldviews on Evidence-Based Nursing, 17(2). https://doi.org/10.1111/wvn.12435
Chiwaula, C. H., Kanjakaya, P., Chipeta, D., Chikatipwa, A., Kalimbuka, T., Zyambo, L., Nkata, S., & Jere, D. L. (2021). Introducing evidence-based practice in nursing care delivery, utilizing the Iowa model in the intensive care unit at Kamuzu Central Hospital, Malawi. International Journal of Africa Nursing Sciences, 14, 100272. https://doi.org/10.1016/j.ijans.2020.100272
Liu, Y., Liu, C., Gao, M., Wang, Y., Bai, Y., Xu, R., & Gong, R. (2020). Evaluation of a wearable wireless device with artificial intelligence, iThermonitor WT705, for continuous temperature monitoring for patients in surgical wards: A prospective comparative study. BMJ Open, 10(11), e039474. https://doi.org/10.1136/bmjopen-2020-039474
Saunders, H., Gallagher‐Ford, L., Kvist, T., & Vehviläinen‐Julkunen, K. (2019). Practicing healthcare professionals’ evidence‐based practice competencies: An overview of systematic reviews. Worldviews on Evidence-Based Nursing, 16(3), 176–185. https://doi.org/10.1111/wvn.12363
Speroni, K. G., McLaughlin, M. K., & Friesen, M. A. (2020). Use of evidence‐based practice models and research findings in magnet‐designated hospitals across the united states: National survey results. Worldviews on Evidence-Based Nursing, 17(2), 98–107. https://doi.org/10.1111/wvn.12428
Tu, J., & Gao, W. (2021). Ethical considerations of wearable technologies in human research. Advanced Healthcare Materials, 10(17), 2100127. https://doi.org/10.1002/adhm.202100127
Wentland, B. A., & Hinderer, K. A. (2020). A nursing research and evidence-based practice fellowship program in a magnet®-designated pediatric medical center. Applied Nursing Research, 151287. https://doi.org/10.1016/j.apnr.2020.151287
Whalen, M., Baptiste, D.-L., & Maliszewski, B. (2020). Increasing Nursing Scholarship Through Dedicated Human Resources. JONA: The Journal of Nursing Administration, 50(2), 90–94. https://doi.org/10.1097/nna.0000000000000847
