Discussion reply
Evidence-based practice
is “a paradigm, and lifelong problem-solving approach to clinical decision
making that involves the conscientious use of the best available evidence
(including a systematic search for and critical appraisal of the most relevant
evidence to answer a clinical question) with one’s own clinical expertise and
patient values and preferences to improve outcomes for individuals, groups,
communities, and systems (Melnyk & Fineout-Overholt, 2019).” It is not based on “ that’s the way we have
always done it.” When speaking to a patient about their plan of care, using the
term “Evidence-Based Practice” gives them the sense that we are using the
latest and most significant resources to care for them. Therefore
evidence-based practice also helps create a rapport with the patient and the
family. For example, evidence-based practice has taught us that laying babies
on their backs rather than their stomach to sleep reduces Sudden Infant Death
Syndrome. As before, it was recommended to lay them on their stomach
Evidence-based practice states otherwise. As a result, the number of SIDS
decreased significantly. On the other hand, Quality improvement follows a
different process known as the plan, do, study act model. Most of the time, it
is used in hospitals to improve processes and outcomes. Like Evidence-Based
practice, quality improvement is an ongoing process. For example, most
hospitals have a quality improvement team. Such as at my hospital, one
complaint given by multiple patients was that there were no televisions in the
intensive care unit. The quality improvement team that I am on provided the
statistics of unsatisfied patients. Based on the findings, televisions were put
in each room. The results were an improvement in patient morale and improved
survey scores. Comparatively speaking, “according to the National Institutes of
Nursing Research (NINR) (2017), nursing research develops knowledge to “build a
scientific foundation for clinical practice prevent disease and disability;
manage and eliminate symptoms caused by illness; and enhance end-of-life and
palliative care (Hain, 2017).” “Nursing research is formal inquiry through
quantitative, qualitative, outcomes, or mixed-method research that validates
and refines existing knowledge and generates new knowledge that directly and
indirectly influences the delivery of evidence-based practice in nursing
What are the similarities and/or the
differences between EBP and research?
Both concepts have a synergistic relationship when used
together. Evidence-based practice and research are both processes that can
better healthcare. Evidence-based practice “involves rigorous critical
appraisal, including synthesis and recommendations for practice, of a body of
evidence comprised of multiple studies and combines it with the clinician’s
expertise and the patient/family preferences values to make the best decisions
about the patient (Melnyk & Fineout-Overholt, 2019).” In contrast,
“research uses a scientific process to generate new knowledge/external evidence
and research utilization, which has been frequently operationalized as the use
of knowledge typically based on a single study (Melnyk & Fineout-Overholt,
2019).” Research is typically based on a single study and not multiple studies
as in evidence-based practice.
Explain the role of
research as it will pertain to the EBP project you will complete while in EBP I
and EBP II.
The
role of research in my evidence-based practice project is vital. Even though
people tend to use research and evidence based practice interchangeably, they
are different. Research, I feel, utilizes all the critical aspects of patient
care into one. It helps mold health care in providing the most up-to-date
practices, just as my EBP project will in EBP I and EBP II. Research will be
the foundation on my EBP I and EPB II project.
Just like a house with a strong foundation, my EBP I and EBP II project will be
able to stand the test of time due to the research backing it.
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