Nursing Role & Scope - Week 9 - Evidence-Based Professional Nursing Practice

Open Posted By: ahmad8858 Date: 01/03/2021 High School Essay Writing

Please answer the question below:

1.  How do I know what I know about nursing practice? Are my nursing decisions based on myths, traditions, experience, authority, trial and error, ritual, or scientific knowledge?

·      Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

Please provide plagiarism report.

Category: Mathematics & Physics Subjects: Algebra Deadline: 24 Hours Budget: $80 - $120 Pages: 2-3 Pages (Short Assignment)

Attachment 1

Evidence-Based Professional Nursing Practice

Chapter 9


Evidence-Based Practice: What Is It?

Evidence-based practice (EBP) is a framework used by nurses and other healthcare professionals to deliver optimal health care through the integration of best current evidence, clinical expertise, and patient/family values.


Why Is EBP Relevant in Nursing? (1 of 2)

Helps resolve problems in the clinical setting

Results in effective patient care and better outcomes

Contributes to the science of nursing through the introduction of innovation to practice

Keeps practice current and relevant by helping nurses deliver care based on current best research


Why Is EBP Relevant in Nursing? (2 of 2)

Decreases variations in nursing care and increases confidence in decision making

Supports Joint Commission on Accreditation of Healthcare Organizations (JCAHO) readiness because policies and procedures are current and include the latest research

Supports high quality patient care and achievement of Magnet status


Steps in the EBP Process (1 of 2)

Cultivate a spirit of inquiry and culture of EBP among nurses and within the organization.

Identify an issue and ask the question.

Search for and collect the most relevant and best evidence to answer the clinical question.

Steps in the EBP Process (2 of 2)

Critically appraise the evidence and synthesize the evidence.

Integrate evidence with clinical expertise and patient preferences to make the best clinical decision.

Evaluate the outcome of any EBP change.

Disseminate the outcomes of the change.

Barriers to EBP in Nursing (1 of 3)

Lack of value for research in practice

Difficulty in changing practice

Lack of administrative support

Lack of knowledgeable mentors

Insufficient time

Lack of education about the research process

Lack of awareness about research or EBP


Barriers to EBP in Nursing (2 of 3)

Research reports/articles not readily available

Difficulty accessing research reports and articles

No time on the job to read research

Complexity of research reports

Lack of knowledge about EBP

Lack of knowledge about the critique of articles


Barriers to EBP in Nursing (3 of 3)

Feeling overwhelmed by the process

Lack of sense of control over practice

Lack of confidence to implement change

Lack of leadership, motivation, vision, strategy, or direction among managers


Promoting EBP: Individual Nurse

Educate yourself about EBP.

Conduct face-to-face or online journal clubs, share new research reports and guidelines with peers, and provide support to other nurses.

Share your results through posters, newsletters, unit meetings, or a published article.

Adopt a reflective and inquiring approach to practice.


Strategies to Promote EBP: Organizations

Specific identification of the facilitators and barriers to EBP

Education and training to improve knowledge and strengthen beliefs related to the benefits of EBP

Creation of an environment that encourages an inquisitive approach to patient care



P: Patient, population, or problem

I: Intervention, exposure, or topic of interest

C: Comparison or alternate intervention

O: Outcome

(T): Time or timeframe


PICO(T) Questions

In (patient or population), what is the effect of (intervention or exposure) on (outcome) compared with (comparison or alternate intervention)?

For (patient or population), does the introduction of (intervention or exposure) reduce the risk of (outcome) compared with (comparison or alternate intervention)?


Electronic Resources

National Library of Medicine

Cochrane Library

National Guideline Clearinghouse

Joanna Briggs Institute

Agency for Healthcare Research and Quality

Centre for Health Evidence

Registered Nurses’ Association of Ontario


Evaluation of Evidence

What is the source of the information?

When was it developed?

How was it developed?

Does it fit the current clinical environment?

Does it fit the current situation?


Levels of Evidence

Meta-analysis or systematic reviews of multiple well-designed controlled studies

Well-designed randomized controlled trials

Well-designed nonrandomized controlled trials

Observational studies with controls

Systematic review of descriptive and qualitative studies

Single descriptive or qualitative study

Opinions of authorities and/or reports of expert committees

Appraisal of Research Using the Critical Appraisal Skills Programme (CASP)

Checklists provide tools to interpret research evidence.

Checklists are specific to types of research.

Checklists provide frameworks to determine strength and reliability of research reports.

Institute of Medicine (IOM) Standards for Clinical Practice Guideline Development

Standard 1: Establishing

Standard 2: Management of conflict of interest

Standard 3: Guideline development group composition

Standard 4: Use of systematic reviews

Standard 5: Establishing evidence and strength of recommendations

Standard 6: Articulation of recommendations

Standard 7: External review

Standard 8: Updating

Appraisal of Guidelines for Research and Evaluation (AGREE II)

Scope and purpose

Stakeholder involvement

Rigor of development

Clarity and presentation


Editorial independence


AGREE II Category #1

Scope and purpose

Overall objectives of the guideline are specifically described.

The health questions covered by the guideline are specifically described.

The population to whom the guideline is meant to apply are specifically described.

AGREE II Category #2

Stakeholder involvement

Guideline development group includes individuals from all relevant professions.

The views and preferences of the target population have been sought.

Target users of the guideline are clearly defined.

AGREE II Category #3 (1 of 2)

Rigor of development

Systematic methods were used to search for evidence.

The criteria for selecting the evidence are clearly described.

The strengths and limitations of the body of evidence are clearly described.

The methods used for formulating the recommendations are clearly described.

AGREE II Category #3 (2 of 2)

Rigor of development (cont.)

The health benefits, side effects, and risks have been considered in formulating recommendations.

There is an explicit link between the recommendations and the supporting evidence.

The guideline has been externally reviewed by experts prior to publication.

A procedure for updating the guideline is provided.

AGREE II Category #4

Clarity and presentation

Recommendations are specific and unambiguous.

Different options for management of the condition or health issue are clearly presented.

Key recommendations are easily identifiable.

AGREE II Category #5


The guideline describes facilitators and barriers to its application.

The guideline provides advice and/or tools on how the recommendations can be put into practice.

The potential resource implications of applying the recommendations have been considered.

Guideline presents monitoring and/or auditing criteria.

AGREE II Category #6

Editorial independence

The views of the funding body have not influenced the content of the guideline.

Competing interests of guideline development group members have been recorded and addressed.

Implementation Models for EBP

Center for Advancing Clinical Evidence (ACE) Star Model of Knowledge Transformation

The Iowa Model of Evidence-Based Practice

Agency for Healthcare Research and Quality Model

Johns Hopkins Nursing Evidence-Based Practice Model

Diffusion of Innovation Framework