Creating a Search Strategy
An important component of evidence-based nursing, is the professional nurse’s ability to create a search strategy that will assist professionals in finding relevant research articles that address an important clinical problem in need of a timely solution. As the Institute of Medicine’s core competencies for health care professionals have called upon nurses to advocate person-centered care, evidence-based practice, quality improvement, and informatics, United Health Group’s complex medical conditions case managers are advocating person-centered care while creating quality outcomes (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, 2010). This assignment will explain five
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Also, the use of truncation, the astrick, “*”, placed after the word allowed the capture of multiple endings. Furthermore, the utilization of the date range limiter of no greater than five years narrowed the search results for relevant yet current research articles.
The process for selecting the articles for further investigation included a review of the authors, title, year of publication, research method, major variables studied, measurement, data analysis, and the findings. Moreover, this process for article selection, led to an appraisal, identification, selection, and refining of research topics (Brown, 2014). In summary, the search strategy and the different approaches with the ability to save the various search formulations was effective and efficient.
Systematizing the Research Approach and Design
Research reviewers can vary in their approach and design to systematizing their review. For example, reviewers can decide to include studies with only certain design characteristics or those using a full range of designs (Brown, 2014). Furthermore, the qualitative, quantitative, and mixed method approaches can be distinguished by a systematic analysis of the research method (Boswell & Cannon, 2017).
Knowing the differences between a thoughtful research approach, design, and their characteristics inform the research
As a provider of care, professional nurses depend on research, theories, and evidence based practice to guide the care they provide to patients. Nurses deliver care to their patients based on information they have learned through many years of school and training. Training for nurses and other providers of care is founded on theories, research, and evidence based practice in the healthcare field. Theories, research, and evidence based practice are all important for providing care to patients and each can be used in a different manner depending on the situation. Clinicians often use research based evidence to design and implement care that is high-quality and cost effective for patients. Evidence based practice can be used to provide care to patients in a steadily changing clinical environment. (PDF page 8-9). Nursing theories are frequently used as frameworks for establishing nursing care interventions and assessing
Evidence based practice is an integral part of nursing care. According to the Academy of Medical-Surgical Nurses, evidence based practice is defined as, “the conscientious use of current best evidence in making decisions about patient care.” (AMSN) The use of evidence based practice has drastically improved patient outcomes, increased quality and safety of healthcare, and reduced costs for facilities. (Melnyk, 2016) In this paper I will provide the history of evidence based practice, how it has already been incorporated and impacted healthcare, and why it is important to nursing and healthcare as a whole.
Technological advances and genetic discoveries have increased the average individual’s life span. Today’s nurses regularly care for an aging population with a higher incidence of chronic illnesses. People are now living longer and the population is becoming more diverse creating a host of new challenges for nurses. The American Association of Colleges of Nursing has created nine essentials that may be incorporated into any university curriculum to prepare nurses to provide high quality patient care. The third essential discusses the importance of scholarship for evidence-based practice. The term scholarship differs from evidence-based practice. Scholarship involves asking thought provoking questions that may have the potential to better patient outcomes, researching these questions or the topic of interest, collaborating with the healthcare team to successfully incorporate interventions, and continually performing evaluations. Evidence-based practice is vital to quality patient outcomes, may take as long as seventeen years or more to integrate into the hospital setting, is based on numerous scientific research studies, and is best fostered through scholarship. Scholarship
A research design can be understood as the planning of any scientific research from the first to the last step. In this sense it is a program to guide the researcher in collecting, analyzing, and interpreting facts (Bless and Higson-Smith, 1995:63).
Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).
Nurses are responsible in providing holistic, quality care to their clients. In order to effectively provide such care Boswell and Cannon (2009, p. 2 & 7) states that nurses must base their provision of care on the most current, up-to-date health information available and sound nursing knowledge. This is where evidence-based practice (EBP) comes in. Polit and Beck (2010, p. 4) defined EBP as "the use of the best clinical evidence in making patient care desicions". This usually comes from research conducted by nurses and other healthcare professionals. Thus it is pertinent that research reports are critically analyzed.
Evidence Based Practice Nursing is the utilization by nurses of Evidence Based Research findings that, according to Houser (2012), steer the nurse toward integration of clinical expert opinion and experience with an unbiased exhaustive review of the best scientific evidence professional nursing care literature can provide while incorporating patient values and preferences. Evidence Based Practice Nursing entails adopting a systematic critical thinking decision making process guided by a deliberate and defined chosen Evidence Based Nursing model path that involves searching,
This paper will discuss how evidence based practice effects nursing practice and how nurses can apply what they learn to their practice. Evidence based practice is a great way to improve the quality of care we provide. “Evidence based practice means using the best available research findings to make clinical decisions that are most effective and beneficial for patients” (Chitty & Black, 2011, p.258). By allowing nurses to participate in research and development, we are able to see firsthand how effective our intervention can be. Nurses run into all kinds of problems on a daily basis and they are able to share their experience and expertise to help develop a better way to solve a problem.
This paper will review different styles of research design along with how different variables within research can be measured.
Evidence based practice, “involves integrating the best available research evidence with professional expertise while also taking account of patient preferences the patients state setting and circumstance and health care resources” (Gerrish, K. Lathlean, J, 2015). As the health care profession constantly changes, then it is vital that all evidence based practice is kept up to date with current information and research, relating to nursing practice. Always assuring that the patients need are taken into consideration (Sackett et al, 1996).
Showing knowledge of up-to-date health practices is simply not enough. A nurse must have an adequate ability to research and discover current trends and best practices in his or her specific clinical setting (QSEN Institute, 2014). So, while creating this clinical practice project, a proficient knowledge of how to research for evidence-based
Evidence Based Practice is a principle that is centered on the improvement of patient care and outcomes, by introducing and researching current based evidence when making decisions for that patient. According to Johnston (2016), “Health-care practitioners are increasingly being encouraged to implement research evidence into practice in order to ensure optimal patient outcomes and provide safe, high-quality care”. Throughout the course of this class, whether it be from researching about Evidence Based Practice, or the implementation of nursing care delivery models, patient care and the way we treat our patients is at the forefront of change. We know that change is necessary, now it is just a matter of how to implement that change into the healthcare
Houser, J. (2012). Nursing research: reading, using, and creating evidence. (2nd ed.). Boston: Jones & Bartlett.
Quantitative and Qualitative are said to be systematic in different design. Both design have to follow a process system that involved defining a principle of research.
When selecting a research approach, Creswell (2014) outlines criteria that affect the choice of one approach over another. I have already discussed how my worldview, personal experiences, and identified problem of practice and the questions affect my research. The design, methods, and audience of my emerging research will also be considered in terms of choosing a research approach.