Significant voice in your healthcare setting to advocate for evidence-based nursing practice
As a DNP, you will have a significant voice in your healthcare setting to advocate for evidence-based nursing practice. Understanding how evidence can inform better nursing care and patient outcomes is fundamental to successful advocacy, as are examples of where, why, and how evidence-based practice is needed.
For this activity, you will essentially observe for evidence to support evidence-based practice. You will write and post a blog in which you identify examples of evidence-based practice in your healthcare organization and/or examples of the need for the application of evidence-based practice. Although the blog functions like a Discussion Board, the aim is to be somewhat more informal in sharing your perspectives. Colleagues will respond to your blog, as you will respond to theirs.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
• McEwen, M., & Wills, E. M. (2019). Theoretical basis for nursing (5th ed.). Wolters Kluwer.
o Chapter 12, “Evidence-Based Practice and Nursing Theory Download Evidence-Based Practice and Nursing Theory” (pp. 253–272 [PDF]
Theoretical Basis for Nursing, 5th Edition by McEwen, M.; Wills, E. Copyright 2019 by Wolters Kluwer. Reprinted by permission of Wolters Kluwer via the Copyright Clearance Center. Licensed in 2020.
• White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare (3rd ed.). Springer.
o Chapter 1, “Evidence-Based Practice” (pp. 3–25); for reading about the PET model, focus on pp.14–16
o Chapter 2, “The Science of Translation and Major Frameworks” (pp. 27–58)
o Chapter 8, “Methods for Translation” (pp. 185–187 Quality Improvement and RCPI)
o Chapter 9, “Project Management for Translation” (pp. 199–228)
• Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Walen, M. (Eds.). (2021). Johns Hopkins nursing evidence-based practice: Model and guidelines (4th ed.). Sigma Theta Tau International.
o Chapter 5, “Searching for Evidence” (pp. 99–128)
• Boehm, L. M., Stolldorf, D. P., & Jeffery, A. D. (2020). Implementation science training and resources for nurses and nurse scientistsLinks to an external site.. Journal of Nursing Scholarship, 52(1), 47–54. https://doi.org/10.1111/jnu.12510
• Dunagan, P. B. (2017). The quality improvement attitude survey: Development and preliminary psychometric characteristicsLinks to an external site.. Journal of Clinical Nursing, 26(23–24), 5113–5120. https://doi.org/10.1111/jocn.14054
• Note: The survey findings can be used to explore relationships between nursing attitudes concerning QI and other organizational characteristics such as QI environment.
• Hammersla, M., Belcher, A., Ruccio, L. R., Martin, J., & Bingham, D. (2021). Practice and quality improvement leaders survey of expectations of DNP graduates’ quality improvement expertiseLinks to an external site.. Nurse Educator [Epub ahead of print]. https://doi.org/10.1097/NNE.0000000000001009
• Jones-Schenk, J., & Bleich, M. R. (2019). Implementation science as a leadership and doctor of nursing practice competencyLinks to an external site.. The Journal of Continuing Education in Nursing, 50(11), 491–492. https://doi.org/10.3928/00220124-20191015-03
• Powell, B. J., Waltz, T. J., Chinman, M. J., Damschroder, L. J., Smith, J. L., Matthieu, M. M., Proctor, E. K., &Kirchner, J. E. (2015). A refined compilation of implementation strategies: Results from the Expert Recommendations for Implementing Change (ERIC) projectLinks to an external site.. Implementation Science, 10:21. https://doi.org/10.1186/s13012-015-0209-1
• Rew, L., Cauvin, S., Cengiz, A., Pretorius, K., & Johnson, K. (2020). Application of project management tools and techniques to support nursing intervention researchLinks to an external site.. Nursing Outlook, 68(4), 396–405. https://doi.org/10.1016/j.outlook.2020.01.007
• Shea, C. M., Jacobs, S. R., Esserman, D. A., Bruce, K., & Weiner, B. J. (2014). Organizational readiness for implementing change: A psychometric assessment of a new measureLinks to an external site.. Implementation Science, 9(7), 1–15.
• Walden University. (2021). DNP capstone resources NURS 8702 and NURS 8703Links to an external site.. Office of Research and Doctoral Services. https://academicguides.waldenu.edu/research-center/program-documents/dnp-8702-8703
• Document: Handout: Preparing for an EBP QI Presentation to Stakeholders at a Practice Site Download Handout: Preparing for an EBP QI Presentation to Stakeholders at a Practice Site(Word document)
TO PREPARE:
• Review the Learning Resources, particularly the chapter on evidence-based practice from McEwen and Wills, and readings in the White, Dudley-Brown, and Terhaar text.
• With your understanding of evidence-based practice in mind, observe for examples of evidence-based practice (EBP) in the health care organization where you practice, and/or examples of nursing practices that are tradition-bound and lack an evidence base.
• Consider conditions that support EBP within healthcare organizations and recommendations for the application of EBP.
With these thoughts in mind …
Post a blog on the topic of evidence-based practice in the healthcare organization where you practice. Drawing on your understanding of EBP and your firsthand observations within your organization, include the following content in your blog:
• Briefly describe one specific example of evidence-based practice that produced/is producing significant patient outcomes. Or, if you are lacking examples, describe a recent patient experience that might have been improved through the application of evidence-based practice. Explain your reasoning.
• Note: To maintain confidentiality, do not refer to individuals by name or with identifying details.
• Evaluate the overall application of evidence-based practice within your healthcare organization, including conditions that support it or roadblocks to overcome. Explain your reasoning, including how you have arrived at your conclusions.
• Describe how you can advocate for the application of evidence-based practice within your healthcare organization.
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