Apa Format: 2 Pages With 3 References From Waldenu Library

Apa Format 2 Pages With 3 References 1 From Waldenu Librarydiscussion

In your practice as a nurse, you may use procedures and methods that did not necessarily originate in evidence, but instead were derived from informal and unwritten conventions, traditions, and observations. While these techniques may have merit, practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as “evidence” for revising practices to improve outcomes across health care. Based on this evidence, you can formulate a question. In this Discussion, you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project.

This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP). To prepare: Consider a recent clinical experience in which you were providing care for a patient. Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures. How do you know if the tasks were based on research?

What questions have you thought about in a particular area of care such as a procedure or policy? Review Chapter 2, pages 31–34 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question. Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment. Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.

Paper For Above instruction

Evidence-based practice (EBP) is a cornerstone in modern nursing, aiming to enhance patient outcomes through the integration of the best available research evidence with clinical expertise and patient preferences. However, the transition from traditional routines and unwritten conventions to research-informed care is often challenged by various barriers within healthcare settings. Recognizing the importance of EBP and understanding how to formulate appropriate clinical questions using frameworks like PICOT are essential steps in adopting evidence-based interventions effectively.

In my recent clinical experience, I was caring for a postoperative patient requiring wound care management. Initially, my approach was primarily based on standard procedures outlined by the hospital policy, which are often informed by expert consensus rather than current research. To determine whether my actions were evidence-based, I critically appraised the guidelines and literature related to wound care. This process involved consulting recent studies highlighting the most effective dressing materials and infection prevention strategies. Through this process, I recognized that certain practices I employed, such as routine dressing changes at fixed intervals, might not be supported by the latest evidence advocating for more patient-centered, condition-based scheduling.

In considering future clinical questions, I identified a specific area for improvement: the use of antimicrobial dressings for certain wounds. To formulate a precise clinical question, I employed the PICOT framework, which stands for Population, Intervention, Comparison, Outcome, and Time. My PICOT question was: “In postoperative wound patients (P), does the use of antimicrobial dressings (I), compared to standard dressings (C), reduce infection rates (O) within 30 days (T)?” This question guides a focused investigation into the evidence supporting different dressing choices and their impact on patient outcomes.

Implementing EBP can be impeded by various barriers, including organizational resistance, limited resources, and lack of staff education, as discussed in “Adopting Evidence-Based Practice in Clinical Decision Making.” One significant barrier in my organization is resistance to change among staff, often stemming from a lack of familiarity with new research or skepticism regarding its applicability. To overcome this barrier, I propose a multifaceted plan that involves ongoing education sessions, peer-led discussions, and the integration of EBP protocols into standard workflows. Providing staff with access to current research articles, along with training on critical appraisal, can foster a culture receptive to evidence-based changes.

In summary, adopting EBP requires deliberate efforts in questioning current practices, formulating precise clinical questions like PICOT, and addressing organizational barriers proactively. By fostering an environment that values continual learning and evidence application, nurses can significantly improve patient outcomes and advance the quality of care.

References

• Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
• Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.
• Walden University Library. (2023). Critical Appraisal of Research Evidence. Retrieved from https://library.waldenu.edu
• Fineout-Overholt, E., Melnyk, B. M., & Mays, M. Z. (2010). Transforming health care through nursing research and evidence-based practice. Worldviews on Evidence-Based Nursing, 7(2), 74-83.
• Proctor, E., et al. (2011). Outcomes for implementation research: Conceptual distinctions, measurement challenges, and research agenda. Administration and Policy in Mental Health and Mental Health Services Research, 38(2), 65–76.