Evidence-Based Practice Overview Provided

Rubric1 Evidence Based Practice Overview Provided A Comprehensive Ov

Provide a comprehensive overview of evidence-based practice and the steps involved. Fully explain the responsibilities of the BSN-prepared nurse related to healthcare delivery. Discuss the role of a BSN-prepared nurse in adapting to changes in healthcare delivery. Identify the benefits of telehealth accurately. Identify the limitations of telehealth accurately. Identify the barriers to the implementation and use of telehealth accurately. Describe how nurses can enhance the use of evidence-based practice in telehealth. Fully integrate three relevant sources of supporting evidence. Ensure accuracy in grammar, sentence structures, and word choice to enhance content.

Paper For Above instruction

Evidence-Based Practice (EBP) is a systematic approach that combines the best available research evidence with clinical expertise and patient values to facilitate optimal healthcare outcomes. The steps involved in EBP include formulating a clear clinical question, searching for the best evidence, critically appraising the evidence, integrating the evidence with clinical expertise and patient preferences, and evaluating the outcomes of the practice changes (Melnyk & Fineout-Overholt, 2019). This structured process ensures that patient care decisions are grounded in scientifically validated information and tailored to individual patient circumstances, thereby improving the quality and safety of healthcare delivery.

Responsibilities of a Bachelor of Science in Nursing (BSN)-prepared nurse extend beyond traditional caregiving roles to encompass leadership, policy advocacy, and participation in quality improvement initiatives. Specifically, BSN nurses are responsible for applying evidence-based practices, advancing patient safety, and coordinating multidisciplinary care. They also serve as educators for patients and colleagues, advocating for best practices and continuous quality improvement within healthcare organizations (American Association of Colleges of Nursing [AACN], 2021). Furthermore, BSN-prepared nurses are expected to take an active role in health promotion and disease prevention, leveraging their broader educational background to influence healthcare outcomes positively.

The role of a BSN-prepared nurse in adapting to healthcare changes is vital in maintaining high standards of care amidst evolving circumstances, such as technological advances and policy shifts. These nurses are often at the forefront of integrating new health technologies, including telehealth, into routine practice. They facilitate organizational change through training staff, advocating for innovation, and ensuring compliance with regulatory standards. Their leadership in change management not only supports smooth transitions but also promotes sustainable improvements in healthcare delivery (Jefferies & McGill, 2020).

Telehealth offers numerous benefits that enhance healthcare accessibility, efficiency, and patient engagement. It allows patients in remote or underserved areas to receive specialist consultations without the need for travel, reducing barriers to care (Wootton, 2019). Telehealth also enables real-time monitoring of chronic conditions, improves medication adherence, and facilitates timely interventions, which can lead to better health outcomes. Additionally, telehealth supports cost savings for both healthcare organizations and patients by decreasing hospital readmissions and emergency visits (Dorsey & Topol, 2016).

However, telehealth has limitations that must be acknowledged. Challenges include technological barriers such as lack of access to reliable internet or necessary devices, especially among low-income or rural populations. Privacy and security concerns pose risks of data breaches and unauthorized access to sensitive health information (Chau et al., 2020). Additionally, the absence of physical examinations can limit diagnostic accuracy, and some patients or providers may lack familiarity or comfort with digital platforms. These limitations hinder widespread adoption and integration of telehealth into standard healthcare practice.

Barriers to implementing telehealth include regulatory restrictions, reimbursement issues, technological disparities, and resistance to change from healthcare providers or patients accustomed to traditional in-person visits (Sharma et al., 2020). Variability in state or federal policies concerning licensure, privacy laws, and reimbursement models further complicates telehealth integration. Infrastructure challenges, such as insufficient broadband access in rural areas, also impede effective implementation. Overcoming these barriers requires coordinated efforts from policymakers, healthcare organizations, and technology developers.

Nurses can play an essential role in enhancing evidence-based practice in telehealth through multiple strategies. They can serve as champions for telehealth adoption by advocating for policies that support reimbursement and regulatory adjustments. Nurses also contribute by participating in or leading research initiatives to evaluate telehealth effectiveness, safety, and patient satisfaction. Training and educating colleagues and patients about best practices in telehealth utilization further promotes its effective integration (Grady et al., 2020). Moreover, nurses can engage in quality improvement projects to identify and address gaps, thereby fostering continuous enhancement of telehealth services.

References

  • American Association of Colleges of Nursing (AACN). (2021). The essentials of baccalaureate education for professional nursing practice. https://www.aacnnursing.org/Portals/42/Publications/BaccEssentials.pdf
  • Chau, V., Weekes, N. Y., & Simpson, S. H. (2020). Myths and realities of telehealth implementation. Journal of Telemedicine and Telecare, 26(8), 499-505.
  • Dorsey, E. R., & Topol, E. J. (2016). The digital evolution in healthcare. Nature, 536(7617), 223–229.
  • Grady, C., Haring, B., & Gauthier, A. (2020). Enhancing telehealth practice: nursing leadership and evidence-based models. Journal of Nursing Administration, 50(10), 474-481.
  • Jefferies, D., & McGill, E. (2020). Managing change in healthcare: leadership strategies in nursing. Nursing Leadership, 33(2), 9–17.
  • Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.
  • Sharma, A., Zhong, H., & Fan, T. (2020). Barriers and facilitators to telehealth adoption: perspectives from patients and healthcare providers. Journal of Telemedicine and Telecare, 26(5), 271-280.
  • Wootton, R. (2019). Telehealth in the National Health Service. Journal of Telemedicine and Telecare, 25(2), 77-83.

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