Reflecton your professional definition of evidence-based practice developedin Professional Roles and Values,includingany necessary changes to your definition
Therecent past has more than ever seen the growth in popularity ofevidence-based practice, which makes it important for us nurses tonot only know what it means, but to also understand how to use it andhow important it is in protecting patient safety. While there aremany definitions of evidence-based practice, what is synonymous withall the definitions is that evidence-based practice involves theconscious and judicious use of the existing best evidence incollaboration with both clinical expertise and patient values whenmaking health care decisions (Grove, & Cipher, 2016). Which iswhy my professional definition of evidence-based practice developedin professional roles and values will simply be using evidence toguide practice, where the evidence is developed from professionalroles and values acceptable to the individuals, families andcommunities being served.
Theprogram provided the knowledge base forming the basis for beginningpractice which consequently serves as a springboard for futureprofessional development. While I appreciate that this is important,it is not the end of the learning process as new evidences come updaily from technological advances, completion of research and uniquechallenges from patients and personal experiences hence the growingneed for evidenced-based practice developed in professional roles andvalues. For purposes of this reflection, I will use my courseassignments, “Decreasing ER Wait Times” as the artifacts. In thiscase, evidence-based practice from my definition incorporatesresearch, clinical expertise and patient preferences and values toimprove outcomes and quality of life. Since long wait times affectthe overall outcome of intervention, reducing wait times can beachieved from conducting research on current practices, approachesand strategies and from clinical expertise of nurses and the valuesand preferences of patients, families and the community to developbetter strategies for solving the problem.
Reflecton your understanding ofevidence-basedpractice and applied nursing research by doing the following:
Discuss how you are able to evaluate current primary research and apply the concepts to your nursing practice
Evaluationof evidence from medical studies is a complex process that not onlyhaving an in-depth understanding of the different methodologies, thereliability and validity of the primary study, but also having aproper understanding of proper application of the different types ofstudy(Grove,& Cipher, 2016). Current primary research basically draws on thefindings of original research and such sources are about researchgathered from research subjects or participants while secondaryresearch and sources draw on a range of sources. I would give mostfocus to primary research as they present original findings and aremore reliable and relevant. Based on this, I am able to evaluatecurrent primary research by first clearly identifying the specificpatient group or condition of interest, determining an intervention,setting a baseline and an expected outcome then consequently findsources providing relevant evidence. In cases where the interventionsare working and only improvement is required, primary research on thespecific intervention is required to identify the weaknesses and comeup with improvement measures.
Explain how your experience in the program helped you achieve excellence in evidence-based practice.
Myexperience in the program has provided useful insight on how as anurse I should be able conduct both primary research and secondaryresearch and I am now able to different and properly conduct bothquality improvement research and research aimed at improving aproduct. Thanks to the program, I can confidently conduct research onevidence-based practice and my practice is much better as I amguaranteed of continuously learning on new and improved methods ofproviding care. From my assignment “Decreasing ER wait times”, Ican now conduct further research on the topic and make improvement onER wait times which affects overall outcome of intervention and islikely to reduce mortality rates and improve quality of healthcaredelivery. Another example of where I initiated an improvement is onthe approaches and strategies for transforming the caregivingschedule.
Grove,S. K., & Cipher, D. J. (2016). Statisticsfor nursing research: A workbook for evidence-based practice.Elsevier Health Sciences.