NUR 501 Module 5 Discussion Principles of Research and Evidence-Based Practice

Sample Answer for NUR 501 Module 5 Discussion Principles of Research and Evidence-Based Practice

Module 5 Discussion 

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Research and evidence-based practice (EBP) are fundamental principles in advancing the quality of care in healthcare settings, including for advanced practice nurses (APNs). Firstly, research involves systematic investigation and analysis to generate new knowledge or validate existing theories. APNs must understand research methodologies, including quantitative, qualitative, and mixed methods approaches, to critically appraise evidence (Gerrish et al., 2022). They should be able to discern the strengths, limitations, and applicability of various research studies to inform their clinical practice. 

Secondly, evidence-based practice involves integrating the best available evidence from research with clinical expertise and patient preferences to make informed decisions about patient care. APNs play a crucial role in bridging the gap between research findings and clinical practice by translating evidence into action (McNett et al., 2021). This process requires APNs to continuously update their knowledge base, critically evaluate evidence, and apply findings to individual patient scenarios while considering contextual factors such as socioeconomic status, cultural beliefs, and healthcare resources. 

Effective implementation of research and EBP in advanced practice nursing requires a multifaceted approach. Firstly, APNs should cultivate a culture of inquiry within their practice settings by encouraging curiosity, critical thinking, and continuous learning among their colleagues. This involves promoting open dialogue, sharing research findings, and fostering collaboration between interdisciplinary team members to integrate evidence into practice. 

In addition, APNs must actively seek out and critically appraise relevant research literature to stay abreast of the latest evidence in their specialty areas. This involves accessing reputable databases, such as PubMed, CINAHL, and Cochrane Library, to identify high-quality studies, systematic reviews, and clinical practice guidelines. APNs should also engage in lifelong learning activities, such as attending conferences, workshops, and continuing education programs, to enhance their research literacy and clinical decision-making skills. 

Furthermore, APNs should champion the use of standardized EBP frameworks, such as the Iowa Model of Evidence-Based Practice or the ACE Star Model of Knowledge Transformation, to guide the systematic implementation of evidence into practice (McNett et al., 2021). These frameworks provide a structured approach to identifying clinical questions, searching for evidence, critically appraising research, integrating findings into practice, and evaluating outcomes to promote quality improvement and patient safety. 

Moreover, APNs should actively involve patients and their families in the decision-making process by providing them with evidence-based information, discussing treatment options, and eliciting their preferences and values. This patient-centered approach fosters shared decision-making, enhances treatment adherence, and improves patient outcomes by aligning care with individual needs and preferences (Gerrish et al., 2022). 

Finally, APNs should advocate for organizational support and resources to facilitate the integration of research and EBP into clinical practice. This may involve collaborating with nursing leadership, quality improvement teams, and clinical educators to develop policies, protocols, and clinical pathways based on best available evidence. Additionally, APNs can serve as mentors and role models for novice nurses, guiding them in the use of research and EBP to deliver high-quality, patient-centered care. By embracing research and EBP principles, APNs can contribute to advancing the science and art of nursing practice while improving patient outcomes and promoting healthcare quality and safety. 

References 

Gerrish, K., Nolan, M., McDonnell, A., Tod, A., Kirshbaum, M., & Guillaume, L. (2022). Factors influencing advanced practice nurses’ ability to promote evidence‐based practice among frontline nurses. Worldviews on Evidence‐Based Nursing, 9(1), 30-39. https://doi.org/10.1111/j.1741-6787.2011.00230.x 

McNett, M., Masciola, R., Sievert, D., & Tucker, S. (2021). Advancing evidence‐based practice through implementation science: Critical contributions of doctor of nursing practice and doctor of philosophy‐prepared nurses. Worldviews on Evidence‐Based Nursing, 18(2), 93-101. https://doi.org/10.1111/wvn.12496  

Sample Answer 2

Principles of EBP 

            Evidence-based practice (EBP) combines patients’ unique characteristics and conditions with clinical expertise and the most recent and significant examination discoveries. As a result, excellent and cutting-edge research findings should serve as the foundation for medical caregivers’ clinical independence. For cutting-edge practice medical attendants (APNs) to provide high-quality, patient-centered care, research and evidence-based practice (EBP) standards are critical (Abu-Bread Cook, AbuAlrub, Obeidat, and Assmairan, 2021). In terms of clinical expertise, patient characteristics, and preferences, EBP incorporates the best available examination data to inform decisions and improve patient outcomes. 

APNs should first perform a comprehensive literature search using databases and reliable sources to find high-quality evidence. Using evidence-based practice resources like Cochrane Library or PubMed, or working with healthcare librarians, can help to improve the effectiveness and efficiency of the literature search process (Abu-Baker, AbuAlrub, Obeidat, & Assmairan, 2021). The following criterion requires APNs to base their targeted and relevant addressing on the concerns of their patients or their clinical ability. These requests should be SMART — clear, quantitative, achievable, suitable, and time-sensitive. Planning specific requests works with the identifiable proof of the best proof for determining. 

According to Ylimäki et al. (2022), APNs should evaluate research evidence rigorously, paying particular attention to its validity and quality It entails an evaluation of the sample size, measurable investigation, information-gathering tactics, a focus on plan, and potential bias. Evaluation data can be tested using a guide for fundamental examination instruments, such as the fundamental Evaluation Agenda. Furthermore, EBP emphasizes the importance of considering patients’ convictions, interests, and individual conditions while making decisions. APNs should maintain real correspondence, participate in joint direction, and incorporate patients concurrently (Ylimäki et al., 2022). Patient-centered treatment is supported by knowledge of the patient’s goals, values, culture, and financial situation. APNs should apply evidence-based therapies or practice modifications following the most up-to-date research, according to another principle. It could entail adjustments to clinical guidelines, policies, or patient care. 

Clinical pathway development, quality assurance program implementation, and healthcare professional education and training are a few examples of implementation methodologies. It is vital to consistently observe and evaluate modifications arising from procedures to evaluate their efficacy and attain additional enhancements. APNs must also integrate the best available evidence with their clinical skills, judgment, and judgment. A thorough grasp of the requirements and preferences of the patient is provided by this integration, which takes into account individual variability, comorbidities, and other environmental aspects. In certain patient settings, the APN’s experience and knowledge are crucial for interpretation and evidence-based decision-making (Ylimäki, et al., 2022). Another principle of EBPs is that APNs must engage in professional development and ongoing education. 

Keeping up with current research, going to conferences, and journal clubs, and becoming a member of professional associations all help in lifelong learning. APNs can give better treatment by staying up to date on evidence because it is based on what is currently understood (Ylimäki, et al., 2022). To effectively use these principles, APNs need to foster an organizational culture that values evidence-based practice and is supportive of it. Interprofessional working groups, access to resources, mentorship from qualified scientists or subject matter experts, and preparedness for evaluation procedures can all help to improve EBP implementation. APNs can improve nursing practice, achieve quiet results, and advance medical care by adhering to appraisal and evidence-based practice (EBP) guidelines. 

References 

Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based practice beliefs and implementations: a cross-sectional study among undergraduate nursing students. BMC Nursing. 

Ylimäki, S., Oikarinen, A., Kääriäinen, M., Holopainen, A., Oikarainen, A., Pölkki, T., . . . Tuomikoski, A.-M. (2022). Advanced practice nurses’ experiences of evidence-based practice: A qualitative study. Nordic Journal of Nursing Research.