Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organizations standard procedures.

Discussion: Nursing Research and Evidence-Based Practice
In your practice as a nurse you may use procedures and methods that did not necessarily originate in evidence but instead were derived from informal and unwritten conventions traditions and observations. While these techniques may have merit practices are constantly being updated and contradicted by information from scholarly research studies and professional guidelines. This new information serves as evidence for revising practices to improve outcomes across health care.
Based on this evidence you can formulate a question. In this Discussion you consider the use of evidence-based practice in your own organization and formulate a question that you will need to answer for your portfolio project. This is called a PICOT question. You will also investigate strategies for overcoming barriers to implementing evidence-based practice (EBP).
To prepare:
Consider a recent clinical experience in which you were providing care for a patient.
Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organizations standard procedures. How do you know if the tasks were based on research?
What questions have you thought about in a particular area of care such as a procedure or policy?
Review Chapter 2 pages 3134 on Asking Well worded Clinical Questions in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this weeks Learning Resources). Formulate your background questions and PICOT question.
Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.
Review the article Adopting Evidence-Based Practice in Clinical Decision Making in this weeks Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.
Post an evaluation of the use or lack thereof of EBP in a recent clinical experience. Identify which aspects of the care delivered if any were based on evidence and provide your rationale. List your background questions and PICOT question about this nursing topic. Critique how the policies procedures and culture in your organization may hinder or support the adoption of evidence-based practices. Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization.
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
Ask a probing question substantiated with additional background information and evidence.
Share an insight from having read your colleagues postings synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional sources.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues postings by providing additional strategies for addressing barriers to EBP based on readings and evidence.
Required Readings
Polit D. F. & Beck C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia PA: Wolters Kluwer.
Chapter 1 Introduction to Nursing Research in an Evidence-Based Practice Environment
This chapter provides an introduction to nursing research its history and the evolution of evidence-based practice. It includes an overview of credible sources of evidences and a description of the different paradigms used in nursing research.
Chapter 2 Evidence-Based Nursing: Translating Research Evidence into Practice
The focus of this chapter includes an overview of the key aspects of evidence-based practice a review of how to identify credible research and appraise its value and finally a discussion on how to take the identified evidence and convert it into a practice.
Chapter 3 Key Concepts and Steps in Qualitative and Quantitative Research
In this chapter quantitative and qualitative research models are compared and the major steps in each approach are described. Information is also presented on the different sections of a research journal article and how you can identify the research model that was utilized.
Adams J. S. (2010). Utilizing evidence-based research and practice to support the infusion alliance. Journal of Infusion Nursing 33(5) 273277.
Retrieved from the Walden Library databases.
This article examines how evidence-based research and practice supports infusion alliances. The text also specifies the increasing challenges that infusion nurses face.
Mallory G. A. (2010). Professional nursing societies and evidence-based practice: Strategies to cross the quality chasm. Nursing Outlook 58(6) 279286.
Retrieved from the Walden Library databases.
This article describes strategies for reducing the gap between research knowledge and practice. The article also details how nursing societies could use these strategies to improve the quality of care.
Newhouse R. P. & Spring B. (2010). Interdisciplinary evidence-based practice: Moving from silos to synergy. Nursing Outlook 58(6) 309317.
Retrieved from the Walden Library databases.
In this article the authors examine the state of interdisciplinary evidence-based practice (EBP). The authors detail efforts to promote interdisciplinary EBP academic and clinical training regarding interdisciplinary EBP and strategies that may facilitate EBP translation across disciplines.
Shaheen M. Foo S. Luyt B. Zhang X. Theng Y-L. Chang Y-K. & Mokhtar I. A. (2011). Adopting evidence-based practice in clinical decision making: Nurses perceptions knowledge and barriers. Journal of the Medical Library Association 99(3) 229236.
Retrieved from the Walden Library databases.
This article reviews a study that sought to determine nurses awareness of knowledge of and attitude toward EBP. The article also describes factors likely to promote barriers to EBP adoption.
Shivnan J. C. (2011). How do you support your staff? Promote EBP. Nursing Management 42(2) 1214.
Retrieved from the Walden Library databases.
This article explores the role of the nurse manager in supporting evidence-based practice. The article also explains barriers and strategies to promote EBP for a nurse manager.
Walden Student Center for Success. (2012). Clinical Question Anatomy. Retrieved July 9 2014 from
Laureate Education (Producer). (2012). Timeline of nursing research. Baltimore MD: Author.
This multimedia piece features a timeline of major events in nursing research. The timeline highlights how historical events and seminal research have contributed to nursing practice.


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