Evidence-Based Practice in Nursing
Evifence-based Practice In Nursing
Purpose of the appraisal
The article chosen is Hauck, Winsett, and Kuric (2013) Leadership facilitation strategies to establish evidence-based practice in an acute care hospital, because it addresses a vital aspect of nursing practice. Evidence-based practice is critical for nursing in order to ensure that preventable complications are avoided. Improving patient care is one of the burdens that is placed upon hospitals, and this would only be achievable if they implement evidence-based practice. This is a research article focusing on the effects of leadership towards establishing evidence-based practice strategies within a hospital. The researchers intended to analyze the beliefs of nurses on the importance of using evidence-based practice to improve patient care (Hauck et al., 2013). The researchers also investigated the readiness of the organizational in using evidence in the daily nursing practice. The research article focuses on an area that has been neglected by many researchers (Hauck et al., 2013), which makes this article quite effective for improving and increasing knowledge in the field of nursing. The researchers chose an area that is vital for maintaining nursing knowledge, which is vital for improving patient care. By increasing the usage of evidence practice, a nurse would have vital information on what to do when faced with a specific situation. Evidence-based practice gives a nurse the opportunity to use research studies when making practical decisions, which would support and ensure that they make informed decisions. The researchers were attempting to solve the clinical problem of failing to use evidence-based practice in the performance of their duties. Hauck et al. (2013) were able to proof that implementing evidence-based practice within the hospital needs to receive backing from all stakeholders and not just the direct nurses. Using evidence-based practice, a nurse would have to increase their knowledge, as they would be reading and analyzing different studies. Incorporating evidence with their expertise, the nurses can make better decisions and improve patient care.
There is a challenge in changing the mindsets of people, which has made it hard to implement evidence-based practice successfully within a hospital. The nursing leaders were assumed to be supporting the usage of evidence-based practice, but they are mostly at fault when it comes to the strategy implementation (Hauck et al., 2013). Nursing leaders should be at the forefront of implementing evidence-based practice within the hospital. The researchers were attempting to establish how effective the three distinct groups of nurses were when it came to evidence-based practice. The researchers wanted to demonstrate that the use of EBP within a facility would improve patient care and increase nurse satisfaction with their decision. In order for the researchers to do this, they needed to gauge who were the champions of implementing this practice. Using the article one can clearly see that there is room for improvement if EVB is to be fully implemented within the hospital. There is a clear indication that leaders should be more encouraging and supportive of EBP.
The problem been addressed in the article is affected by the lack of support from leaders and indirect care RNs (Hauck et al., 2013). There has been limited training on how to best implement an EBP culture within an organization. The support afforded by the leaders is not demonstrated physically. This makes it difficult to create such a culture within the hospital. According to Hauck et al. (2013) the failure to rely on evidence-based practice forces nurses to rely on their clinical experience when making decisions. Decision-making that is supported by evidence will not raise many questions, and it is likely to lead to favorable results than decisions based on experience. The reliance on experience is preferred by most nurse’s because they like handling the situations in the same way. Using evidence-based practice would mean that a nurse had to try something they have not done, and they might fear the outcomes.
Appraisal of the article
The level of evidence presented by the research article is 2c. This is because the research uses a prospective descriptive comparative design, which attempts to analyze the nurses’ beliefs on the importance of EBP, the frequency of EBP use in their daily practice, and the organizations readiness for EBP after implementing a strategic plan for EBP (Hauck et al., 2013). The study only describes what is happening and does not try to examine the effects of the various independent and dependent variables. The study been prospective means that the data to be used is not available, and it is only after the study has begun that the data would be generated. Since the strategy has not been implemented, the researchers could not generate any data. The research was conducted in a single hospital, and it incorporated nurses who were already working within the facility for at least three months (Hauck et al., 2013). The study was located in a non-teaching hospital, which was a limitation. This is because the evidence discovered could not be assumed true for other teaching hospitals. The researchers have critically appraised relevant studies, and they have demonstrated the importance of using EBP in nursing care (Hauck et al., 2013). The article has been well formulated, and it has incorporated vital information from different sources. The relevance of the information is presented in a discussion manner and the researchers have attempted to link the literature to their research. The research design does support the research question, but the design is limited because the researchers can only make observations of the strategy implementation without altering any variables. The research question is vital for the advancement of EBP in hospitals, and the research should be expanded to include other hospitals. Conducting the research in two separate locations would assist in determining the effective methodologies for implementing the strategy. Hauck et al. (2013) states that the instruments used for measuring the results are evidence-based practice belief scale, evidence-based practice implementation scale, and organization culture and readiness for system-wide integration survey. The instruments were used to measure change before and after the strategy implementation. These are valid and reliable instruments since they showed if there were any changes and indicated the level of change. The before measurement was vital as it demonstrated who supported EBP most and the level of support offered. The instruments are reliable since there was enough evidence to support the measurements. The researchers have shown that there was an increment in the baseline and actual results obtained. Hauck et al. (2013) posits that the impact of the strategic EBP plan on the nurses’ beliefs increased by 7%, which indicated that the strategic plan target was achieved. The practice belief scale used 16 items that were scored on a Likert-like scale. The researchers also used Cronbach’s alpha in their measurements. According to Hauck et al. (2013) the impact of the strategic plan on frequency of using EBP indicated low scores, and there was not difference between baseline and final scores. The scores might have been low, but the hospital achieved a 14% increment from the baseline. The organizational culture was impacted by the EBP strategic plan since the hospital was able to achieve a 19% increase while the target was set at 10%. Organizational readiness achieved the highest percentage in terms of how much it was impacted by the EBP strategic plan. The target was set at 10%, and the result indicated a 26% increase (Hauck et al., 2013).
The study results demonstrate that of the three categories namely direct care, indirect care, and director/leader, the direct care group was supportive of the use of EBP in their daily nursing duties. The leaders whom it had been initially indicated by the baseline results were supportive of the use of EBP were found to be a hindrance to the strategy implementation (Hauck et al., 2013). The direct care nurses complained that the leaders and indirect care nurses were hindering their progress. The usage of baseline scores prevented the researchers from foreseeing problems during the strategy implementation, which could be seen as a problem strategy success. The lack of support affected the study results in that it showed that the leaders were assumed supportive, but in the real sense, they were unwilling to adopt the strategy. The study can be easily replicated in another setting, but the results obtained from this study cannot be relied upon. This is because it only centered on one location, which was a non-teaching and faith-based hospital.
Findings
The current practice has incorporated a clearly focused strategic plan that is used to modify the culture of the nurses and their leaders. The unit is currently encouraging the usage of EBP and material facilitation is done upon request and approval. The leaders have undergone training that encouraged them to modify their views, and this has positively affected the nursing practice within the unit. Nurses are encouraged to challenge each other’s decision, but this challenge should not affect patient care. Patient care should be at the helm of all decisions. The current practice is reflective of the positive outcomes of the study. Using EBP has assisted the unit to make informed decisions and not rely upon experience. Experience has limitations because the same procedure could have detrimental consequences on another patient. The use of EBP has had positive outcomes in that the unit is now able to understand and easily conduct research analysis.
The risks associated with change are obstacles during implementation, failure, and lack of resources. The changes been proposed need support from all within the hospital (Hauck et al., 2013). In order to ensure there is support for the change directors should be the champions for the change. Adopting this change would ensure that all hospital staff are on board and would prevent any legal claims that might arise from using EBP. The usage of evidence-based practice could result in unexpected outcomes, which might lead to patient complications. This would be unethical as the nurses should have conducted due diligence to ensure that there were no side effects to the procedure. Research studies might have overlooked an area that might cause problems during the implementation of the procedure (Hauck et al., 2013). This might give rise to legal problems that might affect the hospital negatively.
In order for the findings to be implemented within the hospital, the management should make sure that there is a library of studies readily available for the nurses. The EBP is only possible if there are relevant studies available for use within the facility. A library should be created, and nurses encouraged to utilize it for increasing their knowledge. The nurses should be accorded time for research, which would allow them to combine research with their work. Hauck et al. (2013) argues that time is vital, as nurses are mostly overwhelmed with responsibilities. Without enough time, it would be impossible to implement the change successfully. Nurse leaders should be willing to undergo leadership training in order for them to become change champions. These training would demonstrate to them the need to be adaptive and willing to adopt new changes. Once they accept changes, it would be easy for the nurses to follow them. It would be desirable to implement the study findings, but there is a need for organizational change. This change would ensure that the implementation is successful, and the nurses benefit from the study findings. It is feasible to implement the changes because one does not need to begin with a major implementation, but rather the leaders should implement the change in phases. Phase implementation ensures that each stage is well-planed for, and the outcomes are achieved before the next stage begins. Implementing the study findings will provide the hospital with the necessary tools for encouraging EBP amongst the nurses. It also demonstrates its commitment towards EBP.
Translation and application
The study findings can be easily translated into practice, but they will require considerable support from all stakeholders. The hospital management should develop a strategy that understands the needs of the nurses. The strategy should also indicate the anticipated risks, which would assist them to mitigate against the risks. Translating the findings into practice will need for clear roles assignment. This will ensure that all stakeholders know what they are responsible for, and they can plan for it properly. The baseline findings should not be relied upon since the study findings have shown that these measurements are misleading, especially for the indirect nurses and director category (Hauck et al., 2013). The decision to use the study findings should be based on the literature review conducted by the researchers, the results of the study, and their demonstrated ability of using EBP. The study has shown that culture change is possible, and there are more benefits to gain from using EBP for decision-making. Patient care would also be improved since most emphasis is placed on reducing preventable complications (Hauck et al., 2013). Using evidence, a nurse would know the effects of the procedure and if it will be successful beforehand. The study findings are not easy to translate in order to decide on its implementation. This is because it focused solely on one hospital, and the results might not be translated to another facility. The findings are only applicable if the conditions are the same. This would make it hard to implement the findings at another setting that has different conditions, but for the same facility, the findings could be easily implemented. The study findings have demonstrated that the direct nurses are willing to use evidence-based practice (Hauck et al., 2013), but they receive resistance from the other two categories. The lack of support demonstrates a common hindrance to implementing this change. For the implementation to succeed it is vital for the hospital to empower its direct nurses (Hauck et al., 2013), this ensures that they have the power to implement and follow up on research they believe is beneficial for the care of their patient.
In order to translate the findings into practice, it would be vital to interview the patients and establish if they have any objection to the hospital implementing EBP. The patients would have an opportunity to voice their concerns or support for EBP. Patient support is vital, as they should be willing to embrace EBP if the hospital is to implement the practice successfully. Patients should be shown how EBP could be beneficial to their care and its cost saving benefits. Expert opinion is applied to all research, and this is vital as it offers some insights that the researchers might have failed to notice. Evidence-based practice should only use research and studies that have been reviewed. This will ensure that there is expert opinion on the usage of the study for actual patient care.
References
Hauck, S., Winsett, R.P., & Kuric, J. (2013). Leadership facilitation strategies to establish evidence-based practice in an acute care hospital. Journal of advanced nursing, 69(3), 664-674. doi: 10.1111/j.1365-2648.2012.06053.x
Get Professional Assignment Help Cheaply
Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?
Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.
Why Choose Our Academic Writing Service?
- Plagiarism free papers
- Timely delivery
- Any deadline
- Skilled, Experienced Native English Writers
- Subject-relevant academic writer
- Adherence to paper instructions
- Ability to tackle bulk assignments
- Reasonable prices
- 24/7 Customer Support
- Get superb grades consistently
Online Academic Help With Different Subjects
Literature
Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.
Finance
Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.
Computer science
Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!
Psychology
While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.
Engineering
Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.
Nursing
In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.
Sociology
Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.
Business
We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!
Statistics
We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.
Law
Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.
What discipline/subjects do you deal in?
We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.
Are your writers competent enough to handle my paper?
Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.
What if I don’t like the paper?
There is a very low likelihood that you won’t like the paper.
Reasons being:
- When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
- We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.
In the event that you don’t like your paper:
- The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
- We will have a different writer write the paper from scratch.
- Last resort, if the above does not work, we will refund your money.
Will the professor find out I didn’t write the paper myself?
Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.
What if the paper is plagiarized?
We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.
When will I get my paper?
You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.
Will anyone find out that I used your services?
We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.
How our Assignment Help Service Works
1. Place an order
You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.
2. Pay for the order
Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.
3. Track the progress
You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.
4. Download the paper
The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.
PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!
