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Assessment 3: Evidence-based Practice in Nursing

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Capella University

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NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology

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MAR 24, 2024
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Evidence-Based Practice in Nursing

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Nurses dedicate a substantial portion of their time to critically evaluate and assess the
quality of patient care within the dynamic healthcare environment. Continually adapting
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to evolving patient circumstances and staying abreast of medical advancements,
treatments, and literature is crucial. Evidence-Based Practice (EBP) serves as the
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framework for assessing and evaluating recent innovations, best practices, and
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emerging literature to establish state-of-the-art inpatient care (Alatawi et al., 2020).

EBP integrates external evidence, clinical expertise, patient values, and critical
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evaluation. New approaches to nursing practice are appraised based on external

evidence, personal experience, and patient feedback. External evidence comprises
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clinically substantiated and contemporary literature, while personal experience reflects

clinical proficiency gained through patient care (Alatawi et al., 2020).
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Analysis of Criteria and Process for Implementing EBP

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Nurses encounter recurring problems that their prior experiences can resolve in their
daily responsibilities. However, novel issues demand further investigation. To address
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such challenges, EBP follows a four-step process:

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 1. Assessment of the patient’s clinical problem.
2. Thorough exploration of related and reliable literature.
3. Appraisal of pertinent articles.
4. Execution and dissemination of gathered information.

Nurses compile information based on initial assessments to formulate a clinical problem

statement, serving as a foundation for database searches. Rigorous scrutiny is applied
to assess the credibility and relevance of sources. Based on this comprehensive
literature review, nurses proceed to implement identified treatment protocols (Alatawi et
al., 2020).

NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing

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According to Alatawi et al. (2020), barriers to adopting EBP are both individual and
organizational. Individual barriers relate to the professional competence of healthcare

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providers, including experience and attitudes. Organizational barriers pertain to
resources and budgets, influencing the extent to which organizations prioritize optimal
patient care.

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Importance of Scholarship for EBP Research

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Solving complex healthcare problems requires significant investments of time and
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resources. Programs such as Magnet® support evidence-based nursing practice and
research (Wentland & Hinderer, 2020). Clinical nurses play a distinct role in driving
problem-focused research, contributing to staff development, and enhancing healthcare
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capabilities (Whalen et al., 2020).

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Inclusion and exclusion criteria for evidence-based nursing practice, outlined by

Saunders et al. (2019), consider biases, methodological quality, and multiple outcomes.
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Clinical Questions Related to Evidence-Based Practice

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Speroni et al. (2020) revealed that over 90% of Magnet-recognized hospitals in the
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United States utilize the EBP model. The Iowa Model of Evidence-Based Practice is
most commonly employed, demonstrating its ability to enhance patient care.
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Clinical Question: “Which Interventions, Along with Patient Care Technologies,

Control Fever Based on EBP in the ICU?”
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Chiwaula et al. (2021) introduced the Iowa Model of Evidence-Based Practice in the
ICU of Kamuzu Central Hospital (KCH). Fever management in the ICU is a significant
concern, and temperature monitoring devices with connected sensors empower
frontline nurses to systematically manage the ICU.

A significant knowledge gap in the study pertains to patient consent due to the
unconscious state of many ICU patients. Patient circumstances and symptoms vary,
requiring careful consideration to align EBP guidelines with individual patient needs
(Chiwaula et al., 2021).

Evaluation of Ethical and Regulatory Concerns for EBP

Ethical concerns related to patient-doctor confidentiality and ethical codes necessitate

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full disclosure to patients regarding the study’s objectives and potential health
implications. Informed consent must be obtained when conducting investigations

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involving patients (Chiwaula et al., 2021). Ethical considerations emphasize adherence
to the Belmont principles, encompassing respect for autonomy, beneficence, and justice
(Tu & Gao, 2021). Regulatory considerations mandate compliance with all FDA

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recommendations for evidence-based technology.

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Patient safety and privacy are paramount concerns, particularly when implementing
interventions such as fever management in the ICU (Chiwaula et al., 2021). EBP may
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necessitate structural changes, technological upgrades, and financial considerations,
posing policy challenges (Chipps et al., 2020).
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Conclusion
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Evidence-Based Practice has the potential to address emerging challenges in

healthcare, provided nurses are afforded opportunities and support for scholarly
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research efforts. Upholding rigorous standards when evaluating literature, ensuring

methodological quality, and maintaining patient confidentiality and anonymity are
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imperative in EBP studies.

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References

Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S., & Banakhar, M.
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(2020). Barriers of implementing evidence-based practice in nursing profession: A

literature review. American Journal of Nursing Science, 9(1), 35.
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https://doi.org/10.11648/j.ajns.20200901.16
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Chipps, E., Tucker, S., Labardee, R., Thomas, B., Weber, M., Gallagher-Ford, L., &
Melnyk, B. M. (2020). The impact of the electronic health record on moving new
evidence-based nursing practices forward. Worldviews on Evidence-Based Nursing,
17(2). https://doi.org/10.1111/wvn.12435

Chiwaula, C. H., Kanjakaya, P., Chipeta, D., Chikatipwa, A., Kalimbuka, T., Zyambo, L.,
Nkata, S., & Jere, D. L. (2021). Introducing evidence-based practice in nursing care
delivery, utilizing the Iowa model in the intensive care unit at Kamuzu Central Hospital,
Malawi. International Journal of Africa Nursing Sciences, 14, 100272.
https://doi.org/10.1016/j.ijans.2020.100272

Liu, Y., Liu, C., Gao, M., Wang, Y., Bai, Y., Xu, R., & Gong, R. (2020). Evaluation of a

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wearable wireless device with artificial intelligence, iThermonitor WT705, for continuous
temperature monitoring for patients in surgical wards: A prospective comparative study.
BMJ Open, 10(11), e039474. https://doi.org/10.1136/bmjopen-2020-039474

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Saunders, H., Gallagher‐Ford, L., Kvist, T., & Vehviläinen‐Julkunen, K. (2019).
Practicing healthcare professionals’ evidence‐based practice competencies: An

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overview of systematic reviews. Worldviews on Evidence-Based Nursing, 16(3),
176–185. https://doi.org/10.1111/wvn.12363

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Speroni, K. G., McLaughlin, M. K., & Friesen, M. A. (2020). Use of evidence‐based
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practice models and research findings in magnet‐designated hospitals across the
united states: National survey results. Worldviews on Evidence-Based Nursing, 17(2),
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98–107. https://doi.org/10.1111/wvn.12428
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Tu, J., & Gao, W. (2021). Ethical considerations of wearable technologies in human
research. Advanced Healthcare Materials, 10(17), 2100127. https://doi.org
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/10.1002/adhm.202100127
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Wentland, B. A., & Hinderer, K. A. (2020). A nursing research and evidence-based

practice fellowship program in a magnet®-designated pediatric medical center. Applied
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Nursing Research, 151287. https://doi.org/10.1016/j.apnr.2020.151287

Whalen, M., Baptiste, D.-L., & Maliszewski, B. (2020). Increasing Nursing Scholarship
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Through Dedicated Human Resources. JONA: The Journal of Nursing Administration,

50(2), 90–94. https://doi.org/10.1097/nna.0000000000000847
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