STU Principles of Research and Evidence Based Practice Discussion

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Reply to this with APA format and references: The most rudimentary definition of evidence-based practice (EPB) is the assimilation and application of systematically reviewed research into practice.  The scientific critique of research before it automatically gets folded into practice is critical to EBP.  As the nursing profession has refined the appraisal of research studies, the correct application of the findings has advanced the understanding of nursing theory, methodology, and interventions.  EBP can be integrated individually or across an organization.

   As the Advanced Practice Nurse (APN) critically appraises research, the APN must decide if the quantity of research is of the caliber to warrant a change to their individual practice.  This ability requires a thorough understanding of the research process and the ability to identify the weaknesses, strengths, credibility, trustworthiness, usefulness, transferability into practice, and the contribution of the research to the practice of nursing (Gray & Grove, 2021).   

   There are several models that can guide the APN to the implementation of EBP.  Each model takes a slightly different approach but each includes systematic steps to the implementation of EBP and includes critical decision points along the continuum of implementation (Gray & Grove, 2021).  Once the APN has accepted the research (quantity and quality) and subsequently determined the findings merit a practice change, then a conscious integration of the research findings into practice can begin to proceed.  It should be noted, it is the critique of research where the bulk of the work transpires. 

   The implementation of new EBP can have challenges.  In an article by Kerr and Rainey (2021), the authors note barriers such as the lack of authority to make changes to care procedures, or the lack of organizational support in the form of a complacency culture, lack of time, money, or resources to evaluate or implement EBP changes are all noted barriers.  There can also be a deficiency in knowledge transfer or slow-to-adopt challenges that can be frustrating hurdles for the APN to overcome. Lastly, the creativity and deductive reasoning that is required to apply the research findings can be an obstacle.  Research doesn’t always effortlessly guide the practitioner step-by-step on how to make the changes to their practice.  This lack of implementation confidence can be one of the greatest hindrances to overcome when attempting to apply new EBP (Paler & Arganza Cachaper, 2021).

   Being aware of the challenges to implementing EBP can aid the APN in their ability to effectively influence the adoption of EBP both organizationally and individually.  To be an effective change agent, the APN should take the lead in disseminating knowledge by being a member of committees that author policies or procedures; spearheading in-service training; challenging unsupportive cultures; presenting the economic business case for the endorsement of EBP to healthcare administration; taking opportunities to do one-on-one knowledge transfer with colleagues; encouraging others with peer coaching; assisting colleagues in synthesizing the research findings; to being the first to bring forth the issue and the related research that warrants a change in practice. 

   There are many situations where the APN does have the autonomy to implement EBP changes to their individual practice of nursing, regardless of the organization’s philosophy.  In these situations, the APN should approach their practice change with the mindset of a researcher.  They should always evaluate the change and did the new intervention achieve the desired outcome.  The APN is empowered to suggest and enforce the application of EBP and it is their responsibility to see such to fruition, both individually and organizationally.   

Reply to this: As a future NP, there will be times when you will lead your facility into EBP. However, implementing change is not easy. Many steps must be taken to implement a change successfully. An essential component to change is having data….internal and external. Gathering data is necessary to prove why a change is needed. The next most powerful component for change is seeking buy-in and support from key stakeholders. 

Have you ever been a part of an organization when a practice change occurred? What were your thoughts? What was your role? What was the outcome of the practice change? 

Reply to this:  Incorporating research and evidence-based practice (EBP) is pivotal in the field of nursing, especially for advanced practice nurses (APNs). These concepts are not merely theoretical ideals but serve as the cornerstone of high-quality healthcare, ensuring patient care is anchored in the most current and robust scientific knowledge. Nursing research spans a wide array of systematic investigations, both quantitative and qualitative, targeting the expansion of nursing’s knowledge base (Martin-Misener, 2021). In contrast, EBP is the synergistic blend of this research, clinical expertise, and patient preferences, culminating in optimal healthcare delivery.