NUR 699 Week 8 Discussion 2
You will now incorporate into your practice of this course are identified three strategies:
1. Use the data to support change in my practice.
2. Use the EBP process to advance improvements in healthcare.
3. Join an EBP group 3.
The EBP Process is a way to advance improvements in healthcare. The EBP process involves the following steps: Examine, Synthesize, and Implement. In this course I learned techniques to improve my practice based on critical thinking, literature review, and clinical experience. I am now able to use the EBP Process to improve my practice by
Based on the principles of evidence-based practice introduced in this course, I will now identify three strategies that I will incorporate into my practice to improve outcomes for patients/clients. The first strategy will be to use collaborative care in my practice. By having staff that are interdisciplinary working together with patients, I believe there could be better outcome improvement and sustainability of work done by staff. With access to a physician they are more likely to see a physician on a regular basis. In studying the literature (Riesgraf et al., 2011), the use of collaborative care has been associated with better patient outcomes and lower costs for patients/clients.
Since taking this course and applying a few of these strategies I have seen improved patient care. The EBP process is allowing me to take a closer look at things and decide what works best for my patients, my staff, and myself. Some of the strategies I have incorporated into my practice are:
The EBP method allows healthcare providers to act on evidence to improve the quality of care. I will use this process moving forward in my community-based health prevention work that focuses on nutrition, diabetes, and wellness for African Americans over 50 years old.
Three strategies that will be incorporated into the practice are:
1) Knowing the policy makers;
2) Understanding the EBP process and its five phases,
3) Utilizing a practice guideline.
In my healthcare organization, we have many examples of successful change. The EBP toolkit that I learned in this course has been helpful to me when writing grants and planning changes in practice. Having the audacity to change what we do requires a plan, data to back up our reasoning and support for the change, and follow through.
The EBP process was an interesting method to consider how best to improve your practice. The EBP process is comprised of 5 steps (Kenny, Heller & LoGerfo, 2011). Those steps are:
1) form a hypothesis,
2) research the hypothesis,
3) establish the relationship between variables and outcomes using statistical methods such as test statistics, confidence intervals and P values,
4) design your study using randomization if possible
5) interpret study results with attention to study limitations and sources of bias.
Over the last two months, I have learned many new strategies and processes that could be implemented into my daily practice as a Certified Medical Assistant. One change that I will implement is the practice of having all medications be provided in bottles with proper labeling with the date and time of administration to facilitate a more efficient review process. Another change that I can implement is implementing new office procedures in order to create an effective Computerized Medical Record system.
I plan on incorporating these strategies into my practice:
Based on this course, I will incorporate three strategies into my practice. First, I will be able to identify why EBP is important to the healthcare setting. Second, I will be able to complete a systematic search of evidence for solving clinical problems. Finally, I will be able to implement and evaluate changes based on evidence in my practice.
“Having a diverse set of strategies to implement change is important because not all changes will be well received. I can now use my leadership skills to encourage the staff I work with to formulate a policy or procedure that will follow the EBP process, which will help me lead in a way that empowers my colleagues. As a nurse manager, I can lead by example and coach others in using the evidence-based practice process for quality improvement projects within our unit. It is important for our profession to have nurses who continue to keep up with research so we can be advocates for change when needed.”
EBP is a process that helps me to define a clinical question, determine the study’s relevance in my practice setting, and review the available evidence. This course has taught me new strategies that I can incorporate into my work to encourage EBP. First, I plan to collaborate with other members of my health care team to identify clinical problems and search for research studies addressing these problems. Second, I will explore the EBP databases on my own so that I will be able to ask better questions when discussing research with my colleagues. Finally, I will share the articles that I have found with other nurses in my unit and encourage them to look at the evidence before changing their practice.
This course is designed to give you the tools you need to better support your patients and improve healthcare overall. There are many approaches to evidence-based practice but no one-size-fits-all strategy. Use this course as a starting point to develop a tailored approach that works for you. Remember: there is no one tool or EBP process alone that will lead to change; individual engagement, teamwork, educational material have all proven to be effective strategies. Take them all into consideration when developing your personal approach as an evidence-based practitioner.
Healthcare informatics is a growing and dynamic field. The nursing profession must be innovative thinkers, and decision makers to meet the challenges and opportunities presented by new technology (Liu, 2014). This course had an impact on my practice in that it motivated me to develop a process for evidence base practice. I recently initiated the EBP process in my organization and had expected some resistance, but to my surprise most of the staff embraced the concept. Our goal was to address delays in discharges which could put patients at risk for preventable harms such as confusion. Our project goal was focusing on improving communication with unit clerks prior to patient discharge by 10% within two months. This would allow us time to discharge our patients safely during daylight hours and decrease unit congestion in the evenings. We utilized several different interventions and found that giving verbal report to the unit clerk on all patients when reported at bedtime each night was the best practice (implementing EBP).
There are multiple changes we can make to improve the quality of care in healthcare. Evidence-based practice is just one way to identify and correct inefficiencies. The three strategies I will incorporate into my practice include; first, closely evaluating our current standards of care based on evidence-based best practices and make appropriate changes; second, closely monitor patient outcomes to assure proper application of evidence-based practices; and third, continuing formal education on evidence-based best practices.
As a clinical nurse in an intensive care unit, my goal is to support patients and families with the best evidence-based practice possible. The course has provided me with the basic knowledge necessary to critically evaluate research to determine if it can be incorporated into my practice. One way that I have been practicing EBP was through research presentations during staff huddles or on other forums, where nurses can share evidence from recent research that is pertinent to their practice areas. I will continue this practice by using PICOT questions in the development of presentation topics and utilizing the information presented in module 2 regarding how to conduct a search and evaluate a study’s credibility. I also plan to seek opportunities beyond these presentations—like potentially joining a team working on an organizational performance improvement project. I also plan to make a difference by collecting data and evidence for small projects within my own practice setting. One such project may be around hand-offs in our ICU pre- and post any change to current practices based on new evidence from reliable sources.
Based on the researcher skills and conceptual thinking I have developed from this course, I will be a better healthcare practitioner. In my practice, I will explore the best current evidence for my patients’ conditions and treatments.
I am newly motivated based on this course to begin a quality improvement process in the ED where I work. We may start small, but I want to convince my fellow collegiate that our patients are listening and want to be heard.
The Statistical Process Control (SPC) process is utilized to assess the variability in a system. This data can be used to improve systems and to identify areas for change. I learned about the main concepts of SPC: control charts, normal distributions, special cause variation and sampling. This will help me understand how systems work and will allow me identify strategies for improvement and support evidence based practice.
There is power in having data to support change. The EBP process is one way of advancing improvements in healthcare. Identify three strategies that you will now incorporate into your practice based on this course. Explain your rationale.