Evidence-Based Practice (EBP)
Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?
Evidence-Based Practice (EBP)
Evidence-Based Practice (EBP) involves the application of translated research findings in daily nursing practices and clinical decision-making processes for quality patient care. Nurses applying evidence-based practices abandon outdated care delivery practices by selecting the most effective and scientifically validated methods in meeting the patient’s needs (Mthiyane & Habedi, 2018). In the nursing field, EBP plays a vital role in reducing errors in patient care, which is a crucial measure of safety and quality of care. Evidence-based practices guide the nurses in applying the quality and safe methods as established through research and experience and thus reduce errors in improving patient safety and quality of care. EBP enhances the effectiveness of nursing procedures in improving the quality of healthcare. EBP generates new knowledge on how some practices can be enhanced for quality healthcare. Thus in applying the knowledge, a nurse improves efficacy, cost-effectiveness, and quality of patient care (Storey et al., 2019).
There are two ways to integrate EBP in the nursing practice, especially in long-term care facilities. One of the ways is to lead by example in soliciting data and resourceful materials in supporting solutions proposed in solving a particular problem. Practicing a servant leadership style in incorporating EBP practices influences the rest of the team in the department to follow copy the style of problem solving based on the available evidence. I would thus rely on quality evidence sources in encouraging the team to use develop solutions based on the available scientific evidence. Another strategy is encouraging a collaborative style of decision-making whereby decisions supported by evidence are solicited from the key stakeholders. Identifying organizational problems and issues that cut across the stakeholders and involving the concerned parties in the decision-making process may encourage the use of evidence based practices for decision making. I would thus encourage collaboration among the team members.
The main challenges to the implementation process of the EBP plan are lack of enough resources, lack of education to the key stakeholders, and resistance to the change. Tucker & Melnyk (2019) supports training and education to the key stakeholders as a key strategy to reducing failures in implementing EBP plans. Collaborative decision-making and adequate education effectively reduce resistance from the key stakeholders. Leveraging the social networks and mentors would create an inclusive environment with rich sources of evidence in supporting quality decisions, thus reducing resistance to proposed changes. I would thus provide adequate education and training, and encourage collaborative decision-making in countering resistance to change.
Mthiyane, G. N., & Habedi, D. S. (2018). The experiences of nurse educators in implementing evidence-based practice in teaching and learning. Health SA gesondheid, 23(1), 1-9. https://journals.co.za/doi/abs/10.4102/hsag.v23i0.1177
Storey, S., Wagnes, L., LaMothe, J., Pittman, J., Cohee, A., & Newhouse, R. (2019). Building evidence-based nursing practice capacity in a large statewide health system: A multimodal approach. JONA: The Journal of Nursing Administration, 49(4), 208-214. https://journals.lww.com/jonajournal/Fulltext/2019/04000/Building_Evidence_Based_Nursing_Practice_Capacity.8.aspx
Tucker, S., & Melnyk, B. (2019). A leader’s guide to implementing evidence-based practice. American Nurse Today, 14(6), 6-9. https://www.myamericannurse.com/wp-content/uploads/2019/06/ant6-Evidence-based-practice-515.pdf