According to (UNF, 2016), a lager percentage of employers are seeking employees who have furthered their education and have earned at least a Bachelor of Science in Nursing (BSN) degree. This is due to the movement of organizations wanting nurses to be move involved in the decision-making process. According to (UNF, 2016), evidence-based practice (EBP) in nursing is now a key component in improving patient care and outcomes. Evidence-based practice is taught in baccalaureate programs. According to (UNF, 2016), BSN prepared staff can offer many benefits, such as enhanced training and skills development in critical thinking, leadership and evidence-based practice. According to (UNF, 2016), the Institute of Medicine recommends that 80% of nurses have at least a BSN by 2020.
I found an article by (Farokhzadian & Poorchangizi, 2017) which lists some suggestions on strategies to integrate EBP in a clinical setting. One that I would suggest my organization use is the creation of a learning environment and designing and delivering training programs such as EBP journal clubs. My organization already has an online learning website that we use for our internal training. I would suggest that we get access to EBP journals from organizations such as the National Commission on Correctional Health Care. A second way that I would continue to integrate EBP in my organization is promoting a culture of evidence-based decision making in our clinical area. I would do this by continuing to read current research articles that could benefit my practice as a correctional health nurse.
The only obstacle I can think of would be, nurses who are not interested in taking the extra steps to learn about EBP. Some Nurses who aren’t BSN prepared in my unit are older nurses, who are set in their ways, and may be difficult to persuade to embrace EBP. I think if they are given access to printed journals or articles that they can read and receive their continuing education hours for doing so, may be a good way to encourage them to learn about new evidence-based practices.
Farokhzadian, J., & Poorchangizi, B. (2017). 115: STRATEGIES OF INTEGRATION OF EVIDENCE-BASED PRACTICE IN THE CLINICAL SETTINGS. Retrieved from http://bmjopen.bmj.com/content/7/Suppl_1/bmjopen-2016-015415.115.citation-tools
UNF. (2016). The Importance of Evidence-Based Practice in Nursing. Retrieved from https://onlinedegree.unf.edu/articles/the-importance-of-evidence-based-practice-in-nursing.aspx
Re:Topic 10 DQ 2
When I graduated nursing school 40 years ago, nurses were taught to follow orders and learn procedures. There was not much talk of nurses using critical thinking skills, much less doing research on nursing practice. Fast forward to today and nurses are being taught to think about “why it is they are following a certain protocol, can it be done more efficiently or safely with better patient outcomes?” Evidence based practice (EBP) is changing how nurses perceive their surroundings and actions. It encourages them to think about the “why” certain practices are done a certain way. With questioning one’s beliefs and practices, one thinks of different ways or processes that can improve the outcomes for better patient care. This is where EBP is making strides in the way new nurses are taught to critically think about nursing practice and processes. The are taught to question and see if they can find a better solution to a problem to improve patient care. The call for EBP quality improvement and changes to healthcare underscores the need for redesigning patient care that is safe, effective and efficient (Stevens, 2013).
One way I plan to continue to use EBP in my practice is by continuing to use education for the nurses and patients to improve readmission rates, length of stays and decrease injection site complications. The second way I plan on using EBP is to start a study on lack of sleep while in the hospital and the need for pain medication. My theory is that patients are being awakened during the night a minimum of four to five times for vital signs, medication administration, lab sticks, etc. Ineffective sleep is contributing to the patient’s perception of pain and fatigue. Is it really necessary to wake someone at 4am for a blood pressure check, or have labs drawn at 3am for someone else’s convenience? I think there must be a better solution and allow the patient to sleep for at least five to six hours uninterruped at night. Then there is a study about daily baths and linen changes reducing infection rates. That one is a no brainer, but apparently, we have to go back to old school on that study! This class has been a real eye opener for me because I see now that I can help solve a problem and make a difference for my patients!
Stevens, K., (May 31, 2013) “The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas” OJIN: The Online Journal of Issues in Nursing Vol. 18, No. 2, Manuscript 4.