Evidence-Based Practice Nursing Paper

EVIDENCE-BASED PRACTICE NURSING PAPER

An Evidence-Based Practice nursing paper, also known as an EBP paper, comes in various ways that include EBP coursework, EBP capstone projects, EBP case reports, or EBP thesis. Nursing students are usually required to write evidence-based practice papers, and therefore they need to clearly understand what evidence-based practice entails. Evidence-based practice papers help nursing students develop critical thinking, confidence, research interests, creativity, and decision-making skills.
The most common evidence-based practice papers come in the form of change management papers. We understand that EBP papers require much more research and understanding than other nursing papers. To avoid making any mistakes when writing an EBP paper, you need to understand the entire EBP writing process. Additionally, writing a great evidence-based practice paper requires time, effort, and commitment. Therefore, we have compiled a whole article explaining what EBP means and the guidelines for writing the perfect EBP paper. If you go through the entire article and still don’t feel like writing your EBP paper, we have a team of expert nursing writers who can help you out.

What is Evidence-Based Practice (EBP)

Evidence-based practice is a healthcare method that uses the most current research available to improve the health and safety of patients while reducing the overall costs and variations in health in health outcomes. Evidence-based practice (EBP) offers healthcare practitioners a method to use appraised and scientifically proven evidence for delivering quality health care to a specific population.

The History of Evidence-Based Practice

Evidence-based practice was first introduced to clinical practice in 1992. It started in medicine, and then with time, it progressed to other disciplines such as psychology, nursing, and education. Some researchers trace the origins of EBP back to Florence Nightingale. Nightingale’s efforts to improve patient outcomes when faced with unsanitary conditions using accurate observation and analysis in the 1800s are usually considered the first example of EBP. She also used critical thinking skills and statistics better to understand the morbidity and mortality in her patients. In 1972 Archie Cochrane introduced the concept of applying randomized controlled trials (RTC) into nursing practice, and it was also very significant in the development of EBP. Prior to the introduction of RTC, medical research was based on faulty assumptions that did not take into account the unique needs of each patient. Because medical systems have limited resources, Cochrane argued that they should only focus on therapies that have been demonstrated to be beneficial. The RTCs were the most reliable form of evidence, and Cochrane’s claim laid the groundwork for the EBP movement.

David Sackett coined the term “evidence-based medicine” in 1996, as well as the meaning that is currently in use. Sackett believes that EBP should integrate clinical experience, evidence, and patient values in addition to research. After a large number of healthcare professionals adopted Sackett’s approach, it was dubbed evidence-based practice.
What are the 3 Components of Evidence-Based Practice?
Here are the three components nurses need to use when making decisions based on evidence-based practice;
1. Best evidence: Nurses must evaluate and put into practice the most up-to-date, clinically relevant, and scientifically sound research available. Data and observations from your specific patient (Internal evidence) can be combined with evidence from the scientific literature (external evidence). The accuracy and application of the evidence should be assessed.
2. Clinicians’ Knowledge and Skills: The healthcare practitioners and their assistant’s knowledge and skills are key in the evidence-based process. The clinician’s current and clinical training that form their unique body of knowledge should be present and applied in EBP. The expertise also encompasses the professional experiences also acquired in the course of practice.
3. Patient Values: The values, needs, and wishes of an individual patient need to be addressed in evidence-based practice. The patient’s values include aspects such as age, gender, cultural, psychological, socioeconomic, religious, and spiritual factors. The clinician needs to understand that each patient is unique and focus on what is best for each specific patient. The needs and wants of the patient in EBP come first.

Types of Research Used in Evidence-Based Practice

Both qualitative and quantitative research are used in EBP research. They can be used each on their own or a combination of both.

Quantitative Research

Quantitative research includes data expressed as numbers, variables, and percentages. Its goal is to prove that all problems and hypotheses have definite, concrete, and objective solutions that may be represented numerically. This type of research focuses on specific, narrow questions in a double-blind study, usually with a huge random group and variables.
Quantitative research is usually made up of the following elements; a hypothesis, a random or specific study group with some similarities, variables, and outcomes. This research can be conducted in a controlled environment such as a healthcare unit or a lab. It can be classified as correlational research, quasi-experimental research, and descriptive research.
Correlational research: This is a systematic examination of interactions or correlations between two or more variables without defining the variables’ cause-and-effect relationship. Studying the compatibility of two chemotherapy drugs without taking into account the medication’s interactions with food is an example.
Quasi-experimental research: This research examines the cause-and-effect relationship between factors in a quasi-experimental setting. It also seeks to investigate the root cause of an issue and investigate the effects of variables in order to assess their impact on the situation.
Descriptive research: This gives an accurate depiction of the characteristics of a particular unit, situation, or group. The goal of this study is to find new meaning, determine the frequency of something happening, mathematically describe something, and categorize data.

Qualitative Research

Qualitative research is used to get new insights or to confirm what is already known. The majority of qualitative research data is based on a person’s thoughts, perceptions, feelings, and experiences. The focus of this form of study is usually on procedures, steps, systems, observations, best practices, or personal experiences, and it may or may not yield a result. Qualitative research aids in the explanation of sensitive, distinctive, and difficult-to-understand data that cannot be described numerically.
There are five types of qualitative nursing research as follows;
Ethnography: This entails observing or analyzing a culture or social group’s rituals, customs, and behaviors and their understanding of the disease within that culture. It involves the systematic collection, detailed descriptions, and analysis of the information collected so as to develop cultural theories. Ethnography allows you to understand a group’s way of life and what shapes their behaviors, rituals, thoughts, or feelings.
Grounded theory: This theory is designed to determine what issues or problems exist in a specific social environment and how they can be resolved. It entails developing a theory, testing it, and refining it until the problem is resolved. This research entails personal or professional first-hand experiences. The main question that should be addressed in grounded theory is “What is the basic problem, and how will it be resolved.” An example is a nurse describing the systematic steps that have improved a patient’s health or experience.
Symbolic interactionism: This focuses on communication patterns, interpretations of those patterns, and understanding how communication causes individuals to adjust to their interpretations of their world or social group. People react or respond to what they perceive is correct or factual, according to this study. Teens who are well knowledgeable about the health consequences of smoking, but who continue to smoke to fit in with their classmates, are an example.
Historical research: This involves getting to know and gathering information on the history of a group, topic, or culture. This sort of research allows the researcher to assess historical data methodically through a detailed review of prior events, guiding them to what has previously been shown to be beneficial or unsuccessful in specific scenarios. Healthcare providers can use this data to create a plan to enhance patient outcomes and their clinical practice. Florence Nightingale’s discovery that filthy wound care and infrequent hand washing led to poor patient outcomes is an example of this research. Patient outcomes, on the other hand, were enhanced by hygienic wound care and frequent hand washing.
Phenomenology: This makes use of personal experiences to get insight, empathy, or knowledge about a specific topic or situation. The researcher’s goal in this study is to learn about a person’s or a group’s viewpoint, perspective, and knowledge of a situation. The basic concept is that if nurses can comprehend their patients’ perspectives or how they experience things, they may develop new treatment plans that will improve the healthcare experience. It is possible to generalize what something feels like from a patient’s perspective by evaluating numerous dimensions of the same circumstance. This research technique focuses on specific issues including healthcare procedures, patients’ reactions to illness, physical handicap, and healthcare work settings.

Why Evidence-Based Practice is Important?
Evidence-based practice has had a significant impact on nursing practice, science, and education. The nursing profession has been a pioneer in promoting EBP adoption and using it as a quality indicator. EBP is now widely acknowledged as a crucial to bettering healthcare quality and patient outcomes. EBP has given healthcare providers the scientific evidence they need to make well-informed decisions. Patients can now receive the most effective care available based on the best available data thanks to EBP. EBP fosters an inquisitive mindset in healthcare providers, encouraging them to consider why things happen the way they do and whether there is a better approach. Regardless of the facility or context, EBP implementation leads to improved patient outcomes and cost savings. EBP knowledge can be utilized to simply update a policy that has been in effect for decades. EBP is also essential for bridging the theory-to-practice divide. Providers can now give innovative patient treatment based on the most recent healthcare results thanks to EBP.

How to Write an Evidence-Based Practice Paper?

1. Select a Good Topic:
The first step in writing an evidence-based practice paper is selecting a good topic. The topic will guide you on what you are to write, and it creates the basis for your hypothesis. You can use various methods when choosing your EBP nursing topics, such as deriving the topic from your coursework, peer-reviewed sources, and class assignments. You need to go through the various options and choose a topic that is in line with your passion and interest in nursing practice. Your title should be brief and clearly show what your evaluation will be on. The title can be a simple statement, can be a question, or an opposing fact. The title should be a pacesetter that sets the direction of the paper so that reader knows what to expect at the end of it.

2. Consult with Your Professor or Instructor
Collaboration and getting feedback are part of nursing school education. Therefore, once you come up with an evidence-based practice topic, it is essential to book an appointment with your professor or instructor for confirmation. Some professors/instructors will ask for a proposal for evidence-based practice. You’ll need to include the nursing issue you’re trying to solve, the change management approach, and the rationale for change in your EBP proposal. Your proposal must be well-thought-out; else, you may be forced to redo it.
Some of the health indicators that you can use for your EBP paper include environment, education, gender, genetic endowment, employment, child development, culture, healthcare services access, cost of care, quality, social support, among others. The population health model, change model, nursing theory, and nursing treatments can all be included in the paper, as long as they are supported by credible research.

3. Research
Gather Supporting Evidence: Research is key to writing an excellent evidence-based paper. It would be best if you researched using both online and print sources to get evidence to support your EBP paper thesis statement. The quality of your EBP paper will be determined by the amount of research you carry out. Use the university library to gather evidence and primary source materials that are related to your topic. Evidence-based practice papers rely heavily on patient-centered clinical research, including diagnostic tests and the efficacy of therapies. Your research should consist of all strong recommendations that are backed up by factual evidence from trusted sources. You are not limited to the number of contexts you can research from, and the wide the scope, the more credible your paper will be.
When it comes to selecting your sources, you can group them into primary and secondary sources. Some of the reliable sources can be found in databases such as OVID, TRIP Database, PubMed, CINAHL, EBSCO, and The Cochrane Collaboration, among others. Reliable sources are usually essential because they take the doubt out of your paper and are the surest indication of research. Even though you’re just proving your hypothesis, you can make an original paper from other people’s work. However, when you borrow ideas from other sources, make sure that you give them the credit they deserve.

4. Outline of an Evidence

Based Practice paper: An excellent evidence-based paper must have several sections, and they should all be complete with accuracy, care, and intelligence. The four main parts of an EBP paper are; Introduction, Methodology, Findings, and Discussion.

i. Introduction: The introduction of your evidence-based practice paper should focus on specific elements. You need to start your paper with a background of the research problem or the nursing issue you intend to solve. The problem statement can be used to paint a clear picture of your research problem. The specific elements in your introduction can be organized and planned based on the acronym PICO;
• Patient/Problem – What are the issues that the patient group is facing? What issues must be resolved?
• Intervention – What kind of intervention is being considered, and how is it being evaluated? Cite any relevant sources.
• Comparison – What additional options are there for intervention? Cite the relevant literature.
• Outcome – What is the research question’s expected outcome?
The introduction should include a clear statement of the research problem either at the beginning or end. The research problem can also be utilized to develop the research question or hypothesis that will be used to carry out the study.

ii. Methodology: It’s vital to remember that an evidence-based practice paper isn’t about research; rather, it’s about evidence. As a result, when producing an EBP article, you must collect data from relevant literature. Selecting evidence can be difficult at times, especially when making changes to established processes. You must assess the reliability of the sources because untrustworthy sources will only serve to invalidate your thoughts. Depending on the level of evidence you want to use when researching, you can choose from peer-reviewed journals, RCTs, white papers, systematic reviews, case-controlled studies, cohort studies, opinion papers, and critically appraised topics.
Your methodology should discuss the following;
1. What databases did you search? How many articles on the subject did you find? What search terms did you use?
2. What criteria led you to include or exclude sources? The criteria can either be presented in the form of lists or tables.
You should aim to use similar studies as much as possible. Qualitative and quantitative studies measure different things; therefore, integrating and synthesizing the two will be difficult.

iii. Findings: Your findings will be an analysis, and you can include a chart or table. You will explore the connection of the evidence you have collected to your topic. In this section, you will need to compare and contrast your sources in a critical way that develops your evidence-based practice paper in the best way. In your findings, make sure you compare the following aspects of each study as pools, demographics, samples, methods of discovery and analysis, results, and limitations. These studies are supposed to be the most reliable and valid studies to answer the problem you found or the practice you wish to change. Findings from the groundwork for you to make those arguments in your discussion section.

iv. Discussion: The discussion part should include information about the new practice, how it was implemented, and how it was evaluated. You have two options because this cannot be done in a classroom context. First, you can argue that the findings result in the precise shift in practice that you mentioned in your introduction. Second, you can propose an implementation approach. Will the changes that you and the studies suggest be effective in your situation? If not, explain why and what adjustments you think might be required.

v. Conclusion: When concluding your paper, make sure you summarize the findings of the evidence-based practice paper and leave your readers contented. You should also include your thesis statement without adding any new information. A good conclusion should be clear, precise and at least 10% of your total word count.
Finally, an evidence-based practice paper should have references to show the genuine of your research. References help you not only prove your hypothesis but also make your EBP paper original and authentic.

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