Evidence-Based Practice in Nursing
Evifence-based Practice In Nursing
Purpose of the appraisal
The article chosen is Hauck, Winsett, and Kuric (2013) Leadership facilitation strategies to establish evidence-based practice in an acute care hospital, because it addresses a vital aspect of nursing practice. Evidence-based practice is critical for nursing in order to ensure that preventable complications are avoided. Improving patient care is one of the burdens that is placed upon hospitals, and this would only be achievable if they implement evidence-based practice. This is a research article focusing on the effects of leadership towards establishing evidence-based practice strategies within a hospital. The researchers intended to analyze the beliefs of nurses on the importance of using evidence-based practice to improve patient care (Hauck et al., 2013). The researchers also investigated the readiness of the organizational in using evidence in the daily nursing practice. The research article focuses on an area that has been neglected by many researchers (Hauck et al., 2013), which makes this article quite effective for improving and increasing knowledge in the field of nursing. The researchers chose an area that is vital for maintaining nursing knowledge, which is vital for improving patient care. By increasing the usage of evidence practice, a nurse would have vital information on what to do when faced with a specific situation. Evidence-based practice gives a nurse the opportunity to use research studies when making practical decisions, which would support and ensure that they make informed decisions. The researchers were attempting to solve the clinical problem of failing to use evidence-based practice in the performance of their duties. Hauck et al. (2013) were able to proof that implementing evidence-based practice within the hospital needs to receive backing from all stakeholders and not just the direct nurses. Using evidence-based practice, a nurse would have to increase their knowledge, as they would be reading and analyzing different studies. Incorporating evidence with their expertise, the nurses can make better decisions and improve patient care.
There is a challenge in changing the mindsets of people, which has made it hard to implement evidence-based practice successfully within a hospital. The nursing leaders were assumed to be supporting the usage of evidence-based practice, but they are mostly at fault when it comes to the strategy implementation (Hauck et al., 2013). Nursing leaders should be at the forefront of implementing evidence-based practice within the hospital. The researchers were attempting to establish how effective the three distinct groups of nurses were when it came to evidence-based practice. The researchers wanted to demonstrate that the use of EBP within a facility would improve patient care and increase nurse satisfaction with their decision. In order for the researchers to do this, they needed to gauge who were the champions of implementing this practice. Using the article one can clearly see that there is room for improvement if EVB is to be fully implemented within the hospital. There is a clear indication that leaders should be more encouraging and supportive of EBP.
The problem been addressed in the article is affected by the lack of support from leaders and indirect care RNs (Hauck et al., 2013). There has been limited training on how to best implement an EBP culture within an organization. The support afforded by the leaders is not demonstrated physically. This makes it difficult to create such a culture within the hospital. According to Hauck et al. (2013) the failure to rely on evidence-based practice forces nurses to rely on their clinical experience when making decisions. Decision-making that is supported by evidence will not raise many questions, and it is likely to lead to favorable results than decisions based on experience. The reliance on experience is preferred by most nurse's because they like handling the situations in the same way. Using evidence-based practice would mean that a nurse had to try something they have not done, and they might fear the outcomes.
Appraisal of the article
The level of evidence presented by the research article is 2c. This is because the research uses a prospective descriptive comparative design, which attempts to analyze the nurses' beliefs on the importance of EBP, the frequency of EBP use in their daily practice, and the organizations readiness for EBP after implementing a strategic plan for EBP (Hauck et al., 2013). The study only describes what is happening and does not try to examine the effects of the various independent and dependent variables. The study been prospective means that the data to be used...
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