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NU708 Sustaining EBP Perspectives Paper
Assignment Rubric
Besides making policy and practice recommendations and changes within your organization or facility, how else can "best practice" recommendations be conveyed to others? Explore some literature on your own using the JSU Library databases; reflect on your future role as a DNP and a leader in healthcare organizations. Share YOUR IDEAS based on an informed perspective you acquire from examining the literature in a short scholarly paper maximum of 4 pages (including title page (1 page), body (2 pages), references (1 page). NOTE: 5 points will be deducted for all pages exceeding the 4-page limit. Follow APA composition guidelines. Investigate some literature on your own using the JSU Library databases; consider your future role as a DNP and healthcare leader. Share YOUR IDEAS in a short scholarly paper of no more than four pages (including a title page (1 page), body (2 pages), and references) based on an informed perspective gained from reviewing the literature (1 page). NOTE: All pages that exceed the 4-page limit will be deducted 5 points. Follow the APA formatting guidelines.
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Sections of your paper should include:
1. A title page (page 1)
2. The body of the paper should include the following headers (NOTE body should only be 2 pages
MAXIMUM):
A. Introduction paragraph (include the in the introduction the following content)
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• Introduce your perspective.
• State purpose of your perspectives paper; include what points you will cover.
______ 10 Points
B. Discussion of YOUR INFORMED IDEAS regarding what you could do to translate evidence
into practice and contribute to the sustainability of EBP. (3 to 5 paragraphs)
______ 70 Points
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C. Conclusion paragraph
______ 5 Points
3. Support your ideas with citations/references from the literature or current websites (include a
minimum of 5 references). (1 Page limit)
A. Include citations and references in APA format
B. Utilize scholarly writing, correct grammar and punctuation, and logical flow of content.
______ 15 Points
______ 100 Points Possible
Sample paper:
Sustaining Evidence-Based Practice
Add Student’s Full Name
College of Health Professions and Wellness
NU708: Evidence-Based Practice and Quality Improvement
Add faculty name here
November XX, XXXX
Sustaining Evidence-Based Practice
Introduction
Evidence-based practice (EBP) is known to improve the quality of healthcare and patient outcomes while decreasing healthcare costs. Still, the understanding of care based on evidence is sometimes far removed from clinical practice. Developing research has emerged related to moving beyond the barriers and toward implementation strategies in clinical practice (Melnyk & Fineout-Overholt, 2015). Nursing research increases emphasis on health promotion, technological healthcare interventions, and addressing contemporary healthcare issues. Today, EBP is a core competency for advanced practice nursing (APN). The purpose of this document is to explore methods that translate evidence into practice and contribute to the sustainability of EBP in the clinical setting.
Discussion
Magnet hospitals must encourage quality and communicate best practices throughout nursing, which are achievable only through the pursuit of an evidence-based practice environment. The measurement of outcomes paired with rigorous research results is the best organizational policies to guide the highest quality of care (Melnyk, Overholt, & Ford, 2011). Melnyk (2015) outlines the strategies used to transform the clinical environment. This student will use this outline as a practice guide. A written summary will be created describing desired accomplishments. Then, creatively capture the attention of staff and stakeholders by using real clinical scenarios to stress the need for practice change. To generate long-term change, the APN needs to focus on two or three attainable goals at a time. Administrative support is a necessity for sustainable change, so a presentation outlining the need for changing the culture into EBP is essential. Creating short-term change is not the challenge, but sustaining the change long-term is difficult. To maintain an evidence-based environment, establish a leadership team that is passionate about EBP. This team must include clinical experts as well as evidence-based practice mentors. The APN must assess and eliminate barriers to EBP implementation. Common barriers include inadequate knowledge and skills, weak belief about the value of EBP, poor attitudes towards EBP, lack of EBP mentors, social and organizational influences, and economic restrictions such as limited resources to support change (Melnyk & Fineout-Overholt, 2015). One study noted the tendency to underestimate the complexity involved in collaboration among stakeholders. Potential barriers to successful collaboration include lack of trust and deference, inequitable allotment of power, conflicting priorities and beliefs, conflicts over funding, and time utilization (Green et al., 2015).
This student believes that education is the catalyst for moving evidence into clinical practice. The APN needs to engage staff and stakeholders at all levels. Educational sessions are rotated by days and times to reach as many people as possible. A database will track attendees of educational offerings, and a volunteer may educate clinicians who missed the original in-service. Posters and buttons designed by staff will offer visual triggers to remind them to implement new policies (Melnyk et al., 2011).
Studies indicate training programs such as EBP journal clubs is a strategy to sustain EBP in the clinical setting (Farokhzadian & Poorchangizi, 2017). The session objectives are that learners will be able to (a) appraise research based on the level of evidence, (b) summarize findings based on levels of evidence, and (c) translate evidence-based findings into practice. Participants are required to complete journal article readings and attend a one and half hour session and evaluate the activity. Participants receive two contact hours for involvement. A library liaison is available during educational offerings as well (Gardner, Jr. et al., 2016).
Facilities need to be encouraged to adopt a model to guide and reinforce the creation of culture to sustain EBP. One model designed for EBP is The Advancing Research and Clinical Practice Through Close Collaboration (ARCC) model. It serves as a practical guide for institutions striving to promote EBP in the clinical setting. There are four underlying assumptions of this model.
Conclusion
In conclusion, the APN is the primary gatekeeper of EBP for the profession. They need to focus on what happens in clinical practice and look for common barriers that interfere with EBP (Bianchi et al., 2018). Leaders who have had success in EBP have a responsibility to share their wisdom by mentoring others.
References
Bianchi, M., Bagnasco, A., Bressan, V., Barisone, M., Timmins, F., Rossi, S., & Sasso, L. (2018, September 10). A review of the role of nurse leadership in promoting and sustaining evidence-based practice. Journal of Nursing Management, 26(8), 918-932. http://dx.doi.org/10.1111/jonm.12638
Land, L. G. (2014). Implementing and sustaining evidence-based practice in real world healthcare settings: A leader's role in creating a strong context for evidence-based practice. Worldviews on Evidence-Based Nursing, 11, 72-74. http://dx.doi.org/10.1111/(ISSN)1741-6787
Gardner, Jr., K., Kanaskie, M. L., Knehans, A. C., Salisbury, S., Doheny, K. K., & Schirm, V. (2016). Implementing and sustaining evidence-based practice through a nursing journal club. Applied Nursing Research, 31, 139-145. http://dx.doi.org/10.1016/j.apnr.2016.02.001
Green, A. E., Trott, E., Willging, C. E., Finn, N. K., Ehrhart, M. G., & Aarons, G. A. (2015). The role of collaborations in sustaining an evidence-based intervention to reduce child neglect. Child Abuse & Neglect, 4-16. http://dx.doi.org/10.1016/j.chiabu.2015.11.013
Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.). Wolters Kluwer.
Melnyk, B. M., Overholt, E. F., & Ford, L. G. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111, 57-60. http://dx.doi.org/10.1097/01.NAJ.0000405063.97774.0e
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