Evidenced-based Practice Proposal Using the Research Process
Research is a systematic review of an issue using different approaches. It collects and evaluates data to support problem solving. It provides new data and information in solving problems. Evidenced-based practice combines clinical expertise with research. In this paper, we will discuss an overview of my selected EBP project which provides foundation to the MSN EBP project, identify nursing concern to be improved, the purpose statement for the EBP proposal, PICOT question and literature search process, the theoretical framework to be used in this EBP proposal, and conclusion.
Overview of Selected Evidenced-based Practice Project
Research is the process to gather new data and discover new knowledge. According to the U.S. Department of health and Human Services (n.d.), “research is a systemic investigation designed to develop knowledge”. Research is a systematic process, not just about discovering knowledge. Research is considered valid and reliable when a scientific method is used in consecutive steps by the researcher. Research assists in applying new treatments, methods, and practices to patient care, which results in increased effectiveness.
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Evidence-based practice is a moderately new concept. EBP is a problem-solving approach to clinical decision-making to make patient outcomes better. EBP incorporates knowledge of the research process, and clinical judgement and decision-making. EBP is to improve safety and quality, and enhance optimal care of patient (CCN, 2017). According to Melnyk et al. (2010), there are seven steps of the evidence-based practice process starting with inquiry, come up with clinical questions, Search for the best literature, review the evidence, combine literature review with one’s clinical expertise to make changes, assess the outcomes of changes, and disperse the results. EBP reflects high-quality evidence from research, clinician expertise, patient preferences, available resources, and the context in which care is delivered (Dadich & Hosseinzadeh, 2016). EBP doesn’t always utilize research. It also relies on best evidence by leaders and experts.
Evidence-based practice can’t be implemented without research. Research is conducted to generate new knowledge or to validate existing knowledge based on theories. Evidence-based practice doesn’t validate existing knowledge or develop new knowledge. According to Conner (2014), research is about developing new knowledge, whereas EBP is finding and translating the best evidence into clinical practice. Research uses quantitative or qualitative methodology to develop new knowledge, while EBP uses first-rate clinical evidence from research to make safe decisions for patients (Conner, 2014). EBP is combination of best research evidence, clinical expertise, and patient values in making decisions about the care of individual patients”(Straus and Sackett, 1998).
My MSN program specialty track is Family Nurse Practitioner. My practice focus is primary care setting. Advance practice and master prepared nurses have a better understanding of evidence-based research and implement. As the nursing profession continues to evolve, expectation is that the nurse follows scientific foundation to support the care. As a master’s-prepared advanced practice nurse, we combine past and current evidence-based knowledge and skills, and apply them to current practice to improve patient outcome (CCN, 2017). Masters prepared nurses are responsible for implementing EBP into current practice. The Master’s-prepared advanced practice nurse is expected to improve practice in selected specialty track by examining knowledge gaps, come up with research, and find solutions to improve practice (National League for Nursing [NLN], 2010). Research has proven that when nurses practice using EBP, patient outcomes improve (Black et al., 2014).
Identification of the Nursing Concern to be Improved
I currently work in emergency room, and have seen increased number of patients admitted due to congestive heart failure. Heart failure is also known as Congestive Heart Failure because of fluid buildup in different body organs and extremities (CDC, 2015). In patients with CHF, the heart muscle is too weak to pump enough blood to meet the body’s requirements. Majority of the heart failure cases are chronic or long-term. It affects about 5.7 million adults in the United States (CDC, 2016). According to CDC, approximately 50% of the people who are diagnosed with heart failure die