Select an article from a peer-reviewed nursing journal regarding an EBP process or implementation.
Write a summary of 750-1,000 words that includes the following criteria:
- An introduction that explains the focus of the article.
- A summary of key points of the article.
- A list of the steps taken by nursing to develop and implement an EBP.
- Application of the learned information to a practice setting where the student either identifies an EBP that has been applied to your setting or a practice problem that would benefit from the implementation of an EBP.
- A clear and concise conclusion.
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EBP: Pain Management for Cancer Patients
In the article, “Evidence-based practice for pain management for cancer patients in an acute care setting”, by Choi, Kim, Chung, Ahn, Yoo, Park, Woo, and Kim, the authors engage in a feedback and audit approach towards facilitating the implementation of Evidence-based practice by nurses in the management of pain among cancer patients. The researchers implemented their intervention in the oncology nursing unit at Yonsei University Severance Hospital (Choi, et al., 2014). The research involved a three phase audit, in which the researchers were able to set up a team including nurses from the unit, which was able to identify areas that needed improvement in terms of evidence-based practice among the nurses and properly addressed such areas.
Summary of the article
The main aim of the article was to facilitate implementation of evidence-based practice. The researchers thus took a holistic approach to the subject, setting up a team that first identified the level of EBP utilization among nurses in the oncology nursing unit and the various barriers that contribute to their failure to use EBP. One of the barriers identified by the team was that most of the nurses did not have the education and awareness of EBP, making it difficult for them to embrace it (Choi, et al., 2014). On the other hand, as most of the staff nurses were not aware of the guidelines to pain management. In addition, the nurses deemed the available Electronic Medical Records (EMR) technology inconvenient for them in documenting the assessment and management of pain. The team also noted that there were no educational materials on pain management for caregivers and patients that were visually friendly, an aspect that made it difficult for the nurses to educate the patients (Choi, et al., 2014).
After establishing the various barriers that are faced by nurses in implementation of EBP during pain management among cancer patients, the team then established strategies that would ensure that the nurses are well equipped with the necessary knowledge and skills for the application of EBP in their practice. Some of the strategies included educating of the nurses in best EBP approaches and the general guidelines for management of pain in cancer patients (Choi, et al., 2014). Another strategy involved modification of the EMR to facilitate proper documentation of patient information by the nurse. A follow-up audit was performed to determine the application of the gained knowledge among the nurses and their compliance to pain management guidelines. Nurses were given feedback throughout the intervention process, an aspect that allowed them to identify their own flaws and to work towards changing them (Choi, et al., 2014).
Steps taken by nursing to develop and implement EBP
There are various steps involved in the development and implementation of evidence-based practice by nursing. These steps have been significant in transforming nursing practice as they have facilitated establishment of models through which nurses can be able to apply theoretical evidence in responding to the various challenges that they face in their practice. The first step involves discovery of knowledge. Nursing has promoted the discovery of new knowledge that is to be applied in practice via traditional empirical research approaches, including qualitative and quantitative approaches (Stevens, 2012; Melnyk, Fineout-Overholt, Gallagher-Ford, & Kaplan, 2012). The next step involves summarizing the obtained evidence. This approach involves synthesizing over a given problem or issue addressed by the research. This involves understanding not only the findings of the studies carried out towards a given subject, but also their meta-analyses and systematic reviews (Melnyk, Fineout-Overholt, Gallagher-Ford, & Kaplan, 2012).
It is after the evidence has been synthesized and verified that the next step, which involves translation of the findings into practice recommendations, is initiated. At this point, nursing combines a summary of the research evidence with other evidence sources including clinical expertise (Williamson, Almaskari, Lester, & Maguire, 2015). The established holistic evidence is then translated to suit the specific setting and population. The established evidence is then integrated into practice by using formal and informal approaches to implement change within the practice, while considering the organizational and individual factors that influence integration and adoption into the system. Lastly, nursing evaluates the impact of the changes in practice on the health outcomes of the patient, as well as the client and provider satisfaction (Williamson, Almaskari, Lester, & Maguire, 2015).
Application of the learned information
One of the applications of EBP in nursing practice involves the use of nursing theory to inform nursing practice. Case in point, Imogene King’s Theory of Goal Attainment is highly effective in proving nurses with the direction of care. For instance, this theory has been used in managing post-surgery pain in a patient that has undergone herniorraphy. The theory provides a framework through which the nurse and the patient contribute towards the general understanding of the situation and establish goals together, towards which they work (Bezerra & da Silva, 2010). It is important to note that application of this theory in such a case facilitates patient-based practice, where the nurse creates room for understanding the patient and involves the patient in their care process.
It is evident that
evidence-based practice is important in ensuring that the nursing process is
informed and that medical errors are minimized within practice. Form the review
of the article, it is clear that nurses face various challenges in the
implementation of evidence-based practice, most important of which being lack
of awareness. As such it is important for both educational institutions and
health organizations to ensure that their nursing staff are well equipped with
the necessary skills and knowledge to embrace EBP, through proper training and
providing of learning materials.
Bezerra, S. T., & da Silva, L. d. (2010). Nursing care in the conceptual model and theory of goal attainment. Journal of Nursing, 4(3), 214-220.
Choi, M., Kim, H. S., Chung, S. K., Ahn, M. J., Yoo, J. Y., Park, O. S., . . . Kim, S. S. (2014). Evidence-based practice for pain management for cancer patients in an acute care setting. International Journal of Nursing Practice, 20, 60–69.
Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Kaplan, L. (2012). The State of Evidence-Based Practice in US Nurses: Critical Implications for Nurse Leaders and Educators. Journal of Nursing Administration, 42(9), 410–417.
Stevens, K. R. (2012). The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas. The Online Journal of Issues in Nursing, 18(2). Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice.html
Williamson, K. M., Almaskari, M., Lester, Z., & Maguire, D. (2015). Utilization of Evidence-Based Practice Knowledge, Attitude, and Skill of Clinical Nurses in the Planning of Professional Development Programming. Journal for Nurses in Professional Development, 31(2), 73–80.