NURS FPX 5005 Assessment 3 Evidence-Based Practice Application Evidence-Based Practice Application

NURS FPX 5005 Assessment 3 Evidence-Based Practice Application

EBP drives external evidence, clinical expertise, patient values, and critique. Any novel and relevant method in practice as a nurse is evaluated based on external evidence, personal experience, and patient feedback. External evidence relates to clinically proven and state-of-the-art literature, while personal experience relates to the clinical expertise of individuals based on patient care.

Analysis of Criteria and Process for Implementing EBP

During day-to-day activities, nurses are exposed to repeated problems that their prior experience can solve. Still, they are sometimes exposed to novel issues that may require research. For this purpose, Evidence-Based Practice (EBP) serves as a Four step process which is given below:

1. Examination of the patient’s clinical problem
2. Searching the related and trustworthy literature
3. Assessment of articles
4. Execution and dissemination of information

First, nurses record and gather information based on the initial interview or diagnosis and form a clinical problem statement. Using that statement, they use a database and search for relevant studies, journal articles, and related literature. They analyze the validity of reports based on relevance and credibility because, in this progressing world, there can be outdated tests and procedures that affect treatment viability. Based on this intensive literature review, nurses report and execute the treatment (Alatawi et al., 2020).

According to Alatawi et al. (2020), the barriers associated with EBP are individual and organizational. The individual barrier is related to the professional competence of individuals, like experience and attitude. Sometimes nurses work with patients who cannot explain their problems, which makes nurses’ understanding and communication relevant. Organizational barriers are related to facilities and budgets available in the institute where nurses work. It relates to how far an organization is willing to go to provide the best care for the patient. Any change in practice inside the organization involves budget concerns, access to databases, tests, and other logistic issues.

Importance of Scholarship for EBP Research

Solving a problem requires individuals’ time and resources, which the nurses may not bear, so programs like Magnet® support evidence-based nursing practice and research (Wentland & Hinderer, 2020). Clinical nurses are distinctive in implementing new problem-driven research and scholarship to help capacities and staff development (Whalen et al., 2020). 

Inclusion and exclusion criteria for conducting evidence-based nursing practice from Saunders et al. (2019) include the following points:

1. The nurses who are conducting EBP research must take care of any biases during the selection of literature
2. Evaluation and viability of methodological quality must be considered.
3. The focus must be more than one outcome

Clinical Questions Related to Evidence-Based Practice

Speroni et al. (2020) conducted a survey encompassing respondents of 127 out of 181 research nursing leads from different Magnet-recognized hospitals across the US. Magnet-recognized hospitals are evaluated based on nursing leaders’ implementation of strategic nursing goals. The study showed that over 90% use the EBP model. The study indicates most used model in hospitals is the Iowa Model of Evidence-based-practice. EBP has improved patient care and the work environment for nurses.