Sample Answer for NUR 501 Module 5 Discussion Principles of Research and Evidence-Based Practice STU
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Research and evidence-based practice are essential components of delivering patient-centered quality care in various healthcare settings. Research principles like confidentiality, respect for intellectual property, informed consent and research design, research integrity, and protecting anonymity are critical to ensuring that advanced education nurses and advanced practice registered nurses enhance the credibility and validity of evidence (Dewing et al., 2021). Conducting research safely and upholding the four biomedical principles of beneficence, non-maleficence, autonomy, and justice enhances the credibility of research findings and their application in clinical practice as evidence. The protection of human subjects ensures that research does not harm the participants but aims to offer positive outcomes or interventions to improve their health status (Dagne et al., 2020). Beneficence as a research principle means that the results confer positive outcomes to the participants and the general public while informed consent implies that participants can volunteer to be part of the study without undue influence or coercion. Informed consent requires that participants get sufficient information from researchers to make decisions and exercise their independence in making decisions to be part of the study. Conducting research safely means considering all aspects to reduce possible harm based on the principle of non-maleficence (Kawar et al., 2023). As such, these principles are critical to attaining better research results when dealing with diverse populations.
Evidence-based practice entails using the best available evidence in liaison with the patient to decide upon the most appropriate interventions to meet their needs and health concerns. Evidence-based practice (EBP) is considered the gold standard for the delivery of safe and effective patient-centric care. EBP implores nurses and other providers to integrate their expertise, seek the opinion and perspectives of the patient, get the most current evidence from research, and combine these aspects to deliver quality care (Abu-Baker et al., 2021). In their study, Duff et al. (2020) assert that providers can implement EBP after determining the available factors in practice settings like expertise, resources, patient preferences, and existing evidence based on a critical appraisal of the literature. As such, nurses and other providers implement EBP in their practice setting by following existing frameworks like the Iowa EBP model or John Hopkins model among others.
Studies show that the integration of EBP into daily practice has the potential to improve the practice environment and patient outcomes (Abu-Baker et al., 2021; Duff et al. (2020). Research principles guide nursing researchers and even practitioners on the procedures of implementing their studies. For instance, nurses can implement these principles in EBP by ensuring that the articles they appraise meet ethical standards and can lead to better care delivery. Nurses require research principles like informed consent and the institutional review board’s authorization to integrate research evidence into EBP situations (Bitter et al., 2020). As such, the credibility of any proposed EBP intervention requires sufficient research evidence based on the established principles to ascertain credibility and validity.
Nurses also implement research when they develop interventions based on the findings and combine them with practice-setting requirements within such facilities (Abu-Baker et al., 2021). The implication is that implementing evidence-based practice is premised on effective research where the researchers comply with the set regulations and ethics. These include compliance with research principles and clinical practice knowledge and experience. Therefore, both research principles and EBP are intertwined meaning that providers can only implement an EBP intervention if it is based on research findings from a study that complied with the research principles.
References
Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based
practice beliefs and implementations: a cross-sectional study among undergraduate nursing students. BMC nursing, 20, 1-8. DOI: https://doi.org/10.1186/s12912-020-00522-x
Bitter, C. C., Ngabirano, A. A., Simon, E. L., & Taylor, D. M. (2020). Principles of research
ethics: A research primer for low-and middle-income countries. African journal of emergency medicine, 10, S125-S129. DOI: 10.1016/j.afjem.2020.07.006
Dagne, A. H., & Beshah, M. H. (2021). Implementation of evidence-based practice: The
experience of nurses and midwives. Plos one, 16(8), e0256600. https://doi.org/10.1371/journal.pone.0256600
Dewing, J., McCormack, B., & McCance, T. (2021). Principles for person-Centred nursing
research. In Person-centred nursing research: Methodology, methods and outcomes (pp. 1-12). Cham: Springer International Publishing.
Duff, J., Cullen, L., Hanrahan, K., & Steelman, V. (2020). Determinants of an evidence-based
practice environment: an interpretive description. Implementation science communications, 1, 1-9. DOI: https://doi.org/10.1186/s43058-020-00070-0
Kawar, L. N., Aquino-Maneja, E. M., Failla, K. R., Flores, S. L., & Squier, V. R. (2023).
Research, evidence-based practice, and quality improvement simplified. The journal of continuing education in nursing, 54(1), 40-48.
Sample Answer 2 for NUR 501 Module 5 Discussion Principles of Research and Evidence-Based Practice STU
Research and evidence-based practice (EBP) are fundamental principles in advancing the quality of care in healthcare settings, including for advanced practice nurses (APNs). Firstly, research involves systematic investigation and analysis to generate new knowledge or validate existing theories. APNs must understand research methodologies, including quantitative, qualitative, and mixed methods approaches, to critically appraise evidence (Gerrish et al., 2022). They should be able to discern the strengths, limitations, and applicability of various research studies to inform their clinical practice.
Secondly, evidence-based practice involves integrating the best available evidence from research with clinical expertise and patient preferences to make informed decisions about patient care. APNs play a crucial role in bridging the gap between research findings and clinical practice by translating evidence into action (McNett et al., 2021). This process requires APNs to continuously update their knowledge base, critically evaluate evidence, and apply findings to individual patient scenarios while considering contextual factors such as socioeconomic status, cultural beliefs, and healthcare resources.
Effective implementation of research and EBP in advanced practice nursing requires a multifaceted approach. Firstly, APNs should cultivate a culture of inquiry within their practice settings by encouraging curiosity, critical thinking, and continuous learning among their colleagues. This involves promoting open dialogue, sharing research findings, and fostering collaboration between interdisciplinary team members to integrate evidence into practice.
In addition, APNs must actively seek out and critically appraise relevant research literature to stay abreast of the latest evidence in their specialty areas. This involves accessing reputable databases, such as PubMed, CINAHL, and Cochrane Library, to identify high-quality studies, systematic reviews, and clinical practice guidelines. APNs should also engage in lifelong learning activities, such as attending conferences, workshops, and continuing education programs, to enhance their research literacy and clinical decision-making skills.
Furthermore, APNs should champion the use of standardized EBP frameworks, such as the Iowa Model of Evidence-Based Practice or the ACE Star Model of Knowledge Transformation, to guide the systematic implementation of evidence into practice (McNett et al., 2021). These frameworks provide a structured approach to identifying clinical questions, searching for evidence, critically appraising research, integrating findings into practice, and evaluating outcomes to promote quality improvement and patient safety.
Moreover, APNs should actively involve patients and their families in the decision-making process by providing them with evidence-based information, discussing treatment options, and eliciting their preferences and values. This patient-centered approach fosters shared decision-making, enhances treatment adherence, and improves patient outcomes by aligning care with individual needs and preferences (Gerrish et al., 2022).
Finally, APNs should advocate for organizational support and resources to facilitate the integration of research and EBP into clinical practice. This may involve collaborating with nursing leadership, quality improvement teams, and clinical educators to develop policies, protocols, and clinical pathways based on best available evidence. Additionally, APNs can serve as mentors and role models for novice nurses, guiding them in the use of research and EBP to deliver high-quality, patient-centered care. By embracing research and EBP principles, APNs can contribute to advancing the science and art of nursing practice while improving patient outcomes and promoting healthcare quality and safety.
References
Gerrish, K., Nolan, M., McDonnell, A., Tod, A., Kirshbaum, M., & Guillaume, L. (2022). Factors influencing advanced practice nurses’ ability to promote evidence‐based practice among frontline nurses. Worldviews on Evidence‐Based Nursing, 9(1), 30-39. https://doi.org/10.1111/j.1741-6787.2011.00230.x
McNett, M., Masciola, R., Sievert, D., & Tucker, S. (2021). Advancing evidence‐based practice through implementation science: Critical contributions of doctor of nursing practice and doctor of philosophy‐prepared nurses. Worldviews on Evidence‐Based Nursing, 18(2), 93-101. https://doi.org/10.1111/wvn.12496
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