NUR 590 Topic 1 DQ 2 Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization
NUR 590 Topic 1 DQ 2 Explain the importance of a spirit of inquiry in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization
NUR 590 Topic 1 DQ 2
Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization. In response to your peers, compare the role and implementation of EBP in your specialty area with another advanced registered nurse specialty.
Science teaches us to investigate and inquire. It’s the same in medicine. In medicine, there is always something to investigate, whether it is to improve interventions or to learn about complex diseases.
Throughout my career as a nurse and nursing student, I was always told that in order to be a successful nurse, I would need to participate in continuing education for the rest of my life. In order to achieve personal development and growth, we should always strive for ongoing education. Nursing’s future will require nurses to question, investigate, and take the initiative when making decisions about patient care, interventions, leadership, and public health.
“Explain the significance of an inquiry-based culture in an evidence-based culture and what you can do as an advanced registered nurse to foster this in your practice or organization.”
Compare the role and implementation of EBP in your specialty area to another advanced registered nurse specialty in response to your peers” (National League of Nursing, 2014, para. 1). The COVID-19 pandemic served as a wake-up call that we, as a nation, must focus on improving nursing practice. Nurses will need to be encouraged and pushed into positions of leadership, executive management, and research and development.
As the pandemic ravaged hospitals across the country, many nurses took the lead in saving their patients and hospitals. There was also an increase in people looking into how to get into medicine (particularly in nursing and nursing research).
People and nurses became interested in epidemiology, public health, and medical research as they learned about vaccine development and how disease and virus outbreaks occur. As an advanced registered nurse, I would promote an evidence-based culture by serving as an example of someone who uses EBP and working with other staff members to implement EBP research in the real world. During the pandemic’s peak, EBP research was used to assist patients after other interventions and methods failed.
EBP Implementation
In the field of advanced nursing practice, there are various ways advanced nurses implement EBPs. Nurse practitioners implement and EBP “when she/he prescribes a treatment for a patient that is substantiated by scientific research; Often, nurse practitioners look for an experimental study that compares the efficacy of a treatment with an untreated control group” (Nurse Practitioner Schools, 2021).
Also Read: NR 305 Week 6 Discussion Providing Culturally Competent Nursing Care
Certified mid-wifery
For nursing midwives, EBP is are used to enhance the lives of the mother, child and community. Mothers are the backbone of communities and the health and safety of woman determines the health and safety of their respective communities. Areas of challenges are identified and EBP are used to improve the lives of women in order to safely carry, deliver and raise children.
References:
National League of Nursing. (2014). Practical/Vocational Nursing Program Outcome: Spirit of Inquiry. https://www.nln.org/docs/default-source/default-document-library/spirit-of-inquiry-final.pdf?sfvrsn=0
Nurse Practitioner Schools. (2021). Guide to Evidence-Based Nursing Practice for NPs. Retrieved from https://www.nursepractitionerschools.com/resources/guide-to-evidence-based-nursing-practice/
The spirit of inquiry is defined as a never-ending sense of wonder that guides both learning and practice. Nurses can be greatly influenced in a positive way by spirit of inquiry practices. The spirit of inquiry in nursing will raise questions, challenge established and existing practices, and seek new solutions to problems.
When addressing a clinical problem using evidence-based practice (EBP), it is necessary to ask the right questions in the right way, obtain the best available evidence, and determine what practice changes are required (National League for Nursing, 2021). A critical component of the EBP journey is developing nurses with an inquiry mindset within a culture that promotes a systematic approach to asking clinical questions. Using the spirit of inquiry when conducting an evidence-based study or question supports the ongoing curiosity of evidence that would dictate a clinical decision.
As a nurse, you must determine whether an intervention is necessary, beneficial to the client, and supported by evidence-based practice. Nurses and members of collaborative teams use clinical reasoning or judgment to solve clinical problems. The spirit of increased exit will be established, and the first step of the evidence-based process will be initiated. In predictable patient care settings, nurses will use evidence, tradition, and patient preferences in collaboration with other members of the health care team to promote optimal health status.
The influence and motivation to seek more information that would support interventions and practice drive evidence-based nursing practice. This motivation is referred to as the spirit of inquiry, as nurses continue to question current practices and knowledge in order to practice evidence-based medicine. Without it, research would become stagnant and would fail to produce any significant improvements in health care or practice.
Evidence-based practice is dependent on nurses who seek to explore new possibilities in practice, patient care, and health knowledge so that health care is not only constantly improving but also evolving to meet changing health demands and technologies. Advanced registered nurses can encourage inquiry in areas of practice where they believe that, while there are good outcomes, they can be improved with a change in evidence-based practice. This would necessitate extensive research, which advanced nurses must be motivated to thoroughly investigate through the evidence-based research process.
Giving nurses the opportunity to change how they practice and how it affects patients will result in professional and personal rewards, which is why nudging and leading other nurses to participate in change can greatly improve patient outcomes from interventions (Arzouman, 2015).
Nurse informaticists use evidence-based communication and technology integration techniques to benefit all parties involved in patient care and information systems. Utilizing nursing experience to improve communication or health records can help to streamline patient care and maximize efficiency.
When implementing evidence-based practice interventions, leadership is also important in nursing informatics and communication. Knowing about communication barriers and using creativity to overcome them is a valuable resource for patient care and health (Farokhzadian, Jouparineiad, Fatehi & Falahati-Marvast, 2021).
References:
Arzouman, J. (2015). Evidence-Based Practice: Share the Spirit of Inquiry. MEDSURG Nursing, 24(4), 209–211.
Farokhzadian, J., Jouparinejad, S., Fatehi, F., & Falahati-Marvast, F. (2021). Improving nurses’ readiness for evidence-based practice in critical care units: results of an information literacy training program. BMC Nursing, 20(1). https://doi-org.lopes.idm.oclc.org/10.1186/s12912-021-00599-y
Having an evidence-based culture is important in nursing and having one that possesses a spirit of inquiry is even more important. Having a spirit of inquiry within an evidence-based culture helps to support a systematic process for asking clinical questions related to a clinical problem (Wyant, 2018). Spirit of inquiry is the beginning step in the evidence-based practice (EBP) process. This is where one has the curiosity of what the best evidence is to help guide one in clinical decision making for a problem that they are trying to address (Wyant, 2018).
You know when a spirit of inquiry exists within a work culture when you have nurses collaborating on ways to improve clinical problems through using clinical reasoning and judgement (Wyant, 2018). To encourage a spirit of inquiry as an advanced registered nurse within my practice or organization is to model it. By leading and supporting this culture, will help to encourage others to trust each other and encourage the change process. By doing this, it will help get rid of the “it’s the way we have always done it mentality” and move towards the thinking of what does the evidence show when looking at clinical problems.
This will help create a collaborative culture among a team and when the team starts seeing the benefits from it, it will be the go-to process when looking into changing clinical processes. It is important that leadership supports implementation research and practice so that it fosters a culture of collaboration and organizational climate for implementation science (Nelson-Brantley & Chipps, 2021).
References:
Nelson-Brantley, H. V., &. Chipps, E. (2021). Implementation science and nursing leadership: Improving the adoption and sustainability of evidence-based practice. The Journal of Nursing Administration, 51(5), 237-239. doi:10.1097/NNA.0000000000001006
Wyant, T. (2018, January 18).
A spirit of inquiry leads to evidence-based answers to practice questions. ONS Voice. https://voice.ons.org/news-and-views/a-spirit-of-inquiry-leads-to-evidence-based-answers-to-practice-questions
Once a search is carried out to find relevant articles within a chosen topic, a literature review helps bring together what is already known about a topic, facilitating new learning opportunities (Watts, 2020). Gaps in current knowledge can be identified, or theories and academic opinions may raise new research areas during critical analyses.
The initial question asked may evolve or change altogether when researching a posed question. Other themes or questions that may surface during the research journey, adding curiosity to what should be researched next. This “spirit of inquiry” is essential to our knowledge base and our peers well.
Nurse leaders have considerable influence on implementing evidence-based practice (EBP) in their departments, units, and organizations; however, resistance to change can stall innovations (Tucker & Mazurek Melnyk, 2019). Effective leadership requires an understanding of change theory, how change is facilitated and blocked, successful change steps, and strategies to promote each step. Implementation for promoting EPB falls into seven categories: leadership, coaching, communication, reinforcements, recognition, measurement, and reporting.
Different strategies may be needed at each stage of change to promote and sustain the change. Nurse leaders can successfully implement EBP changes by being knowledgeable about a proposed change, partner with staff, engage the help of mentors or change agents, work with senior leaders, thank and celebrate all staff in the process, and disseminate findings.