More handpicked essays just for you.
Evidence based practice in a clinical setting
Evidence based practice in a clinical setting
Evidence based practice in a clinical setting
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Evidence based practice in a clinical setting
Changing to bedside reports involves many key stakeholders including staff nurses, nurse managers, administration, patients, families, and other staff members at medical facilities. Keeping them up to date with the importance of change to bedside report using evidenced based practice research articles will help show them the benefits of switching to this practice. Researchers have reported many times and using many tools and conclusions that this is truly beneficial to all involved. Everyone involved in a process change needs to “buy into” the change to have a positive affect on the change. Negative behaviors or attitude can have an impact on change of any type. If there is resistance to change, the change will not be as beneficial as it
K. Lynn Wieck, RN, PhD, FAAN, is the Jacqueline M. Braithwaite Professor, College of Nursing, The University of Texas at Tyler, Tyler, TX, and CEO, Management Solutions for Healthcare, Houston, TX; Jean Dois, RN, PhD, NEA-BC, FACHE, is the System Director for Quality and Nursing, CHRISTUS Health System, Houston, TX; and Peggy Landrum, RN, PhD, is Clinical Professor, College of Nursing, Texas Woman 's University, Houston,
Cronenwett et al emphasises the key competencies for nursing are not only providing patient centred care, ensuring safety, team work but also quality improvement, suggesting all nurses must embrace change. However embracing change can be difficult due to many barriers. Brown et al and Gerrish identify some of these barriers such as time constraints, communication issues and differences professional issues.
Emory University Hospital is a teaching facility that embodies an “organizational culture that encourages critical thinking and acknowledges the inevitability of change” (Rubenfeld & Scheffer, 2015). By embracing a culture of change, Emory strives to fulfill its mission of “serving humanity by improving health.” This mission is being fostered, on my unit in particular, by the implementation of the evidence-based practice of an Accountable Care Unit (ACU). This transformational care model empowers nurses as leaders by giving them a voice and platform to advocate on their patient’s behalf. On my unit, these nurse leaders implement an ACU by offering and collecting information through their interaction with an interdisciplinary team, the patient,
As nurses we need to continually expand our skill levels, gain new knowledge and expand our technological and scientific practice potentials. Nurses need to be willing to commit time to research, seeking out evidence based practices and become change agents within their communities, organizations, local, state and federal governments. I believe it is a nurse’s responsibility to inform and educate patients. In my opinion, this is an example of translating research into practice, which I believe to be an important nursing role, in healthcare
The health care system and nursing practices are undergoing rapid changes, which are as well becoming complex. Preparing nurses balance these changes is a significant challenge. The Institute of Medicine (IOM) report explored how nursing profession has to change to bring out a more solid health care system. As a result of these changes, the Institute of Medicine (IOM) decided to examine “Future of Nursing, Leading change and Advancing Health” (Creasia & Fribery, 2011). This paper will discuss the impact of the 2010 IOM report on nursing Education, nursing Practice with emphasis on primary care, its effects on present nursing practice, and the nurse’s role as a leader.
Over the last 10 years evidence-based practice (EBP) has grown substantially and is changing the nursing care delivered to patients along with the nursing work environment. Nurses are more involved in the decision making process, and are making clinical decisions with better patient outcomes (Good, Fink, Krugman, Oman, & Traditi, 2011). With technology growing at such a fast pace, new and more effective medicines, medical devices, and procedures are developed daily. Digestible sensors that monitor your bodily systems and 3D printing of embryonic stem cells, blood vessels, and sheets of cardiac tissue that actually beat like a real heart, are significantly impacting the future of healthcare (Honigman,
Some aspects of the nurse’s job have been made easy and facilitated with the aid of other well trained professionals within their working environments. According to the American Nurses Association (ANA) (2012), registered nurse’s performance has greatly improved over the years as a result of their coordination and partnership with the health care system with other health care providers. As a result, registered nurses are today seen to occupy important leadership positions in the healthcare system and they participate when they are making decisions for patients as well as for other
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
Objective: Implement that nurses use the same handoff report at change of shift with patient at bedside by May 2018.
Dougherty, L. & Lister, s. (2006) ‘The Royal Marsden Hospital manual of Clinical Nursing Procedures: Communication 6th Edition Oxford: Blackwell Publishing Ltd
Also, these studies question those who are effected; in this case, those who are most effected, is everyone. Doctors and nurses spend the most time working within these systems, but the information that is put into these systems effects every individual in America, because it is their information. Because nurses are often considered “both coordinators and providers of patient care” and they “attend to the whole patient,” their opinion is highly regarded (Otieno, Toyama, Asonuma, Kanai-Pak, & Naitoh, 2007, p. 210). It is clear that the use of these new systems is much debated, and many people have their own, individualized opinion. This information suggests that when there is a problem in the medical field, those who address it attempt to gather opinions from everyone who is involved before proceeding. It has been proven by multiple studies that this system of record keeping does in fact have potential to significantly improve patient health through efficiency, and it is because of this that the majority of hospitals have already completed, or begun the transfer from paperless to electronic (Otieno, Toyama, Asonuma, Kanai-Pak, & Naitoh,
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
Healthcare is constantly changing in advancements and regulations. As healthcare changes facilities and practices need to monitor these changes to decide if, how, and when the advancements and regulations will impact their practices and protocol. Practices are continually having to revise their systems, techniques, protocols, rules and regulations to keep up with and meet the demands of the changing healthcare industry. Evidence-based management is a great way to do this in an effective and knowledgeable manner. Using evidence-based management allows the practice to assess the current procedure/protocol, gain information from reliable and credible sources on the new methodology, appraise the newly gathered information to decide what and how to integrate it into their system, and finally assess the
Nurses are well aware of the time constraints that often impact not only the time they have to spend with individual patients, but also the quality of their documentation (Hemsley et al., 2012). Nurses often choose time with patients over proper documentation. When this occurs, there is a high risk that crucial information will not be relayed to staff on other shifts (Casey & Wallis, 2011). There needs to be understanding between nurses and managers about how information is relayed and recorded between all members of the health care
A study showed an increase in a hospital 's Press Ganey scores after the implementation of bedside reporting. The areas that showed improvements includes nurse attitude toward requests, more attention to personal needs, nurses kept patients informed regarding their treatments, and better pain control. (Ferris, 2013)