Individual Position Statement on Evidence Practice-myassignmenthelp

Question: Discuss about theIndividual Position Statement on Evidence Based Practice. Answer: Introduction Evidence-based practice aims at hardwiring available nursing knowledge into making decisions related to healthcare process to improve the provisions of care and the patient outcomes. It holds huge promise to produce the intended health outcomes. Majority of the healthcare deficits lead to significant avoidable harms. The Quality Chasm Report was first developed in the form of a blueprint with the objective of redesigning healthcare processes. The chasm focused on using evidences to inform best practices in a hospital setting (Harolds, 2016). This report aims to elaborate on the effect of evidence-based practice on patient outcomes and the role of nurses in implementing such practice. Discussion Components of EBP Evidence-based practice (EBP) can be best defined as the explicit, conscientious, and judicious use of current evidences while making decisions related to care of individual patients. Clinical expertise is integrated with the best clinical evidence that is available from systemic research. This integration helps to provide a holistic care to the patients and increases patient satisfaction. Nursing knowledge helped me understand that evidence, itself, is not sufficient to make healthcare decisions. However, it plays an essential role in supporting the patient care process. Complete integration of all the three components in clinical decision making process, enhances the opportunity for increased clinical outcomes and better quality of life (Andre Heartfield, 2011). Patient encounters often lead to the generation of questions that are related to the effects of therapy, prognosis of diseases, utility of diagnostic tests, and aetiology of disorders. Therefore, the practice requires nurses to acquire new skills, engage in efficient literature search, and apply formal rules of evidence to evaluate the clinical literature (Courtney McCutcheon, 2010). Figure 1- Components of EBP Role of EBP in improving patient outcome Results from several researches helped me gain knowledge that improved patient outcomes, high care quality, reduced hospitalization costs, and greater satisfaction are achieved when compared to traditional care approaches. The standards of practice set by the Nursing and Midwifery Board of Australia states that a Registered nurse (RN) is entitled with the duty of carrying out evidence-based and person-centred practices and should follow approaches that have a preventative, supportive and curative role (Nursingmidwiferyboard.gov.au, 2017). These standards provided me the information that when an RN is involved in accessing, analyzing and using the best available evidence, which includes research findings, a safer and better quality of care service can be given to the patients, catering to their specific demands. These standards also state that a relevant plan should be developed to appraise the comprehensive research information collected, before documenting and applying the evidence in hospital setting. Mentors of evidence-based practice directly work with clinicians and try to implement the best practices (Daly, Speedy Jackson, 2017). Supportive context of EBP, administrative support and multifaceted education program assistance enhance the effectiveness of EBP in improving the outcomes. An organized setting or environment where the patients receive healthcare services is an extremely important factor in implementation of evidence at care centres. I realized that patient outcomes are greatly enhanced with the implementation of a wide range of strategies such as availability of resources and mentors, enhancement of individual skills of healthcare leaders and clinicians, allotment of sufficient time, tools and resources that enable clinicians to engage in effective research of the best possible care approaches (Stevens, 2013). My nursing knowledge also assisted me to understand that patient outcomes get improved on rewarding or recognizing the staff who are engaged in the effort of implementing EBP and by the presence of healthcare leaders who are responsible for spearheading the teams and creating strategic goals and vision for achieving best patient-centred care (Aarons Sommerfeld, 2012). In order to measure the effect of EBP on patient outcome, a study was conducted that aimed to develop EBP competencies for APN and registered nurses, practicing in clinical setting. These competencies could be used by the healthcare institutions to obtain a high performing system that sustains EBP. Initially, a set of competencies were formulated by national EBP leaders through a consensus building process, followed by conduction of a survey across the nation with the aim to determine clarity and consensus of the developed competencies (Melnyk et al., 2014). From the findings, I can deduce that higher quality and consi stency was observed in patient outcomes and the cost of hospitalization reduced significantly when these competencies were incorporated in the healthcare system. Another research focused on reporting a natural experiment, where an EBP unit was formed by reorganization of the internal medicine service. However, the rest of the services were unchanged. The units were made to attend to similar patients and the outcomes were compared. I deduced that patients who were subjected to EBP, showed a significantly lower death risk and shorter length of hospital stays (Emparanza, Cabello Burls, 2015). This helped me reach the conclusion that implementation of such evidence-based approaches are effective in enhancing patient outcomes. Clinical and theoretical application of EBP My clinical knowledge and the standards of practice helped me understand that a registered nurse plays a vital role in ensuring the engagement and application of evidence-based practice at the point of care. There are several formulations of national competencies that are specific for registered nurses. Before implementing these EBP to a theoretical setting, it is necessary to identify the competencies (Florin et al., 2012). The implementation process involves some essential activities such as, planning a course of action, engaging appropriate individuals in the implementation, executing the implementation following the standards of the plan and finally evaluating the implementation efforts. According to the standards of practice, I can state that an accurate and comprehensive conduction of systematic assessments is essential for RNs. This helps them to analyse data and information and communicate the outcomes (Nursingmidwiferyboard.gov.au, 2017). This forms the basis for our practice. In order to implement such practices theoretically, it is necessary that we should use a wide range of evaluation techniques that will help us to systematically collect accurate and relevant data and assess the resources that are available for our planning (Stokke et al., 2014). We should work in collaboration with other healthcare professionals to determine the factors that might affect the wellbeing and health of our patients (Friesen?Storms et al., 2015). This will help us to identify the patient priorities for future referral. Development of the evidence-based plans agreed upon, I partnership will further help in their implementation. According to the standards of practice, nurses are responsible for constructing nursing practice plans until the goals, priorities and contingencies are met (Nursingmidwiferyboard.gov.au, 2017). We should be involved in effective formulation of the practices until the intended outcomes and actions are agreed upon by all healthcare staff who is involved in the setting. The role of RN also entitles us to assess the time frame of engagement and coordinate the planned actions effectively before implementing the practices. We should work towards providing comprehensive and safe practice to the patients to achieve the desired goals. Moreover, effective implementation of the EBP is achieved when we follow the relevant guideline, policies, regulations and standards to provide safe patient services. Implementing EBP without training Despite the favourable findings, that support the role of registered nurses in applying EBP to improve health outcomes of the patients, nurses often remain inconsistent in the implementation process. My clinical experience helped me realize that there are some nurses, whose inadequate education and training makes it difficult for them to follow EBP that has been incorporated in their nursing curriculum (Gray et al., 2013). RNs often lack basic internet and computer skills, necessary for implementation of these practices. As a result, various misconceptions arise about EBP. These lead to the development of theories that EBP is difficult and time-consuming (Torrey et al., 2012). One of the barriers is the availability of huge amount of healthcare literature that is published in different sources. This makes it difficult for untrained nurses to keep up to date with the new practices that are being discovered (Gerrish et al., 2012). I also identified that lack of access to adequate resource and difficulty in assessing statistical analysis often created barriers for RNs while implementing EBP. Untrained RNs are most often unable to interpret the jargon present in the research findings due lack of information searching abilities and limited IT skills (Dalheim et al., 2012). Therefore, as a nursing student I can conclude that RNs should not be entitled with the complete responsibility of implementing evidence-based practices unless, they show adequate skills and are well trained to search for the best evidence and integrate them with their practice. Conclusion Evidence-based practices empower nurses and enhance their nursing capabilities. However, effective implementation of those practices in hospital setting requires presence of adequate clinical information, skill and judgement abilities. Competencies are necessary to continuously improve the safety and quality of healthcare system with the aim of utilising EBP to provide patient-centred care. As a nursing student, my knowledge helped me understand that several research studies have been carried out, which demonstrated the positive influence of EBP in creating good patient outcomes and reducing hospitalisation costs. However, a thorough research of the barriers that arise in this context helped me conclude that it is not feasible to expect RNs to carry out EBP unless they are well trained and educated in this context. References Aarons, G. A., Sommerfeld, D. H. (2012). Leadership, innovation climate, and attitudes toward evidence-based practice during a statewide implementation.Journal of the American Academy of Child Adolescent Psychiatry,51(4), 423-431. 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