NURS 8201 Discussion: Introduction and Experience With Research
When I think of the word “research” in the field of nursing, what initially comes to mind is determining what some of the best nursing practices available are and if they are effective in providing quality patient care. Since I graduated from my master’s of nursing program, research in nursing has been a vital part of that journey and has introduced me to many different nursing evidenced based practices that I did not know existed. Also, research has served as an important aspect in determining my final research project for my MSN course. According to American Association of College of Nursing (2020), nursing research can be defined as a rigorous scientific study that provides a significant body of knowledge to advance nursing practice, shape health policy, and impact the health of people in all countries. Overall, it provides the scientific bases for the practice of nursing profession, using multiple philosophical and theory based as well as diverse methodology to understand the ease of acute and chronic care illnesses; prevent or delay onset of disease or disability, finding approaches to achieve and sustain optimal health and improvement of clinical setting. Working as a critical care nurse in the intensive care unit and acquiring my masters in nursing the last two years, our unit is subjected to many unit changes accompanied by policies and procedures that require research and translation of EBP into clinical expertise. The last DNP class that I finished as well as the MSN courses that I previously took has provided me with the fundamentals of exploring evidenced based practice research and has helped me research and evaluate EBP interventions that would help in our healthcare facility. Also, it has assisted me in conducting research to generate new knowledge (towards my project practice problem) and validate existing knowledge based off theories.
Research is the start of promoting evidenced based practices and is now widely recognized as the key to improving healthcare quality and patient outcomes. Nursing science comes from all manners of research from discovery to translation, from bench to bedside, from mechanistic to holistic (Chien, 2019). Like many other healthcare hospitals, our hospital is open to educational processes that would help enhance learning and effective approaches to technology and leadership. Because of this, I am familiar with evidenced based practices and our educational processes are often tied with quality improvement performance improvement assessments. According to Chrisman, Jordan, Davis & Williams (2014), EBP is the collecting, processing, and implementing research findings to improve clinical practices, work environment, and patient outcomes. EBP measures are meant to help provide high quality patient care and most efficient patient care (p.9). In my current experience with EBP measures in my healthcare facility, one of the examples of how our current organization supports EBP includes the research of new healthcare practices that are being implemented in our battle with the healthcare management of Covid-19 and its core care measures. The current research that comes with tackling new practice problems with the Covid-19 and the sepsis management; understanding EBP assists in translating evidence apply them to the constant change in clinical decision making. EBP goes beyond research and takes into the consideration that sometimes the best evidence comes from leaders, experts, and knowledge where it exists (Conner, 2014). Therefore, everything we do in clinical practice should be guided by clinical by best research evidence, rather than just opinions alone. Being the a critical care nurse in a hospital that lacks many resources, our interdisciplinary team are in the position for an opportunity to be involved in the multiple stages of EBP continuum by being actively involved in continuing education updated on expected competencies for our specialty areas.
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Reference(s):
American Association of Colleges of Nursing (2020). Nursing research. AACN Nursing News
Organization. Retrieved from https://www.aacnnursing.org/News-Information/Position-Statements-White-Papers/Nursing-Research
Chien, L. (2019). Evidenced based practice and nursing research. Journal of Nursing Research.
27(4). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6641093/
Chrisman, J., Jordan, R., Davis, C. &Williams, W. (2014). Exploring evidenced based practice
research. Wolters Klewer Lippincott Nursing. 12(4). 8-12. Retrieved from https://www.aacnnursing.org/News-Information/Position-Statements-White-Papers/Nursing-Research
Conner, B. (2014). Differentiating research evidenced based practice, and quality improvement.
American Nurse Journal. Retrieved from https://www.myamericannurse.com/differentiating-research-evidence-based-practice-and-quality-improvement/
I am very excited to introduce myself to you all, my classmates, and my instructor. My name is Addisalem Techane; before I moved to the USA, I worked in the financial sector, and nursing is my second carrier path. In 2016, I graduated with my Bachelor of Science in Nursing (BSN) from Tennessee State University (TSU) was working as a medical-surgical floor registered nurse (RN) and floating to ICU, ER, PCU, Ortho, and rehab units. In addition to these, I worked as a preceptor (orienting new nurses hired to our floor and student nurses doing their internship in our hospital). After graduated my Masters Science in Nursing (MSN) leadership management, I worked as an adjunct clinical instructor in a local community college for a year. Currently, I am working as a unit manager in a rehabilitation Center.
According to Gray and Grove (2020), nursing research is defined as a scientific process that validates and refines existing knowledge and generates new knowledge that directly and indirectly influences the delivery of evidence-based nursing. So, I believe that in our current environment, all nurses participate in nursing researches. Some conduct the nursing research; on the other hand, some are using the researches. My experience with nursing research was that I gathered data for a study in 2017 for a nurse who did nursing research on the effectiveness of using a female external urinary catheter (pure wick) in a confused patient. Also, I try my best to read nursing researches to up-to-date my nursing knowledge on findings that might affect our practice.
My previous experience using evidence-based practice (EBP) was working at HCA Tri-Star Southern Hills Medical Center (SHMC). The hospital’s objective is to deliver the highest quality patient care, compassion, and respect to their patients. They are dedicated above all to the care and enhancement of human lives (Tri-Star Southern Hills Medical Center, 2019). To do so, the hospital continuously improves the system and implements new evidence-based practices. The new service implemented in the hospital is Evidence-Based Clinical Documentation (EBCD). Evidence-based Clinical Documentation enables registered nurses (RN) to document pertinent information using standard terminology, reduce RN time spent on documentation, and reduce RN dissatisfaction with documentation burden. Moreover, give RN time to caregiving, improve patient outcomes, and create a patient-centric record that guides and informs the interdisciplinary team’s provision of safe, effective, and efficient care and produces data to evaluate the care of individuals and populations of patients (Englebright, 2018). Also, my current organization support evidence-based practices; even three months ago, we strictly enforced nurses’ use of SBAR (Situation, Background, Assessment, and Recommendation) communication method to enhance Interprofessional and intra-professional communication.
References
Englebright Jane. Evidence-based Clinical Documentation HCA Healthcare (2018). National Academy of Sciences [US]. https://nam.edu/wp-content/uploads/2018/05/1_Englebright_Evidence-based-Clinical-Documentation.pdf
Gray, J. R., & Grove, S.K. (2020). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (9th ed.). Elsevier.
Tri-Star Southern Hills Medical Center (SHMC). (July 14, 2019). https://tristarsouthernhills.com/quality-safety/mission-and-values.dot
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My name is Solomon Soroibe Okwueze. I was born and raised in Aba, Abia State, Nigeria, where I started my nursing education. My educational journey includes a Psychiatric Mental Health Nurse Practitioner (PMHNP) degree from Walden University, complemented by a Bachelor of Science in Nursing from Grand Canyon University and earlier qualifications as a Registered Psychiatric Nurse and Registered Nurse from the School of Psychiatric Nursing Aba and School of Nursing Aba, respectively. Currently employed as a Psychiatric Mental Health Nurse Practitioner at New Season Richmond Treatment Center, I am actively involved in conducting assessments, formulating diagnoses, and implementing personalized care plans, including the prescription and monitoring of medications. Additionally, my diverse professional background encompasses roles as a Registered Nurse, where I have collaborated on interdisciplinary teams for discharge planning, provided mental health education, and demonstrated proficiency in diverse clinical settings, including psychiatric hospitals and different nursing homes.
In terms of nursing research, my journey began during my tenure at Central State Hospital, where I collaborated on a pioneering study exploring the impact of integrated mental health services in psychiatric hospitals. This project aimed to improve patient outcomes by blending traditional psychiatric care with innovative therapeutic approaches. My role involved collecting and analyzing patient data, assessing the effectiveness of various treatment modalities, and contributing to the development of new care protocols. This experience honed my research skills and deepened my understanding of the complexities of mental health treatment, shaping my approach to patient care. The study’s findings were instrumental in revolutionizing patient care at the hospital, leading to more holistic and effective treatment plans for individuals with complex psychiatric needs.
My experience with Evidence-Based Practice (EBP) has been a cornerstone of my professional development as a Psychiatric Mental Health Nurse Practitioner. EBP recognizes that the healthcare provider’s expertise, derived from clinical experience and education, is crucial in making effective healthcare decisions (Sackett et al., 2020). During my time at Central State Hospital, I spearheaded a project focused on integrating EBP into our treatment protocols for patients with severe mood disorders. This involved meticulously reviewing current research and clinical guidelines to develop a comprehensive approach that combined medication management, psychotherapy, and lifestyle modifications. Research indicates that lifestyle interventions can significantly impact mental health outcomes (Jacka et al., 2017). I collaborated with a team of clinicians to adapt these evidence-based strategies to our patient population, ensuring that each aspect of care was grounded in the most current and effective practices. This initiative not only improved patient outcomes but also enhanced the overall efficiency of our treatment programs. The success of this project was a testament to the power of EBP in transforming patient care and highlighted its critical role in advancing mental health treatment.
At my current organization, New Season Richmond Treatment Center, EBP is a fundamental component of our care delivery system. The organization actively supports EBP through ongoing staff training, access to the latest research, and a culture that encourages innovation and continuous improvement. For instance, we recently implemented a new protocol for opioid addiction treatment based on the latest findings in addiction medicine. This protocol emphasizes a more holistic approach, incorporating pharmacological and behavioral therapies, resulting in improved patient engagement and recovery rates. Additionally, the center regularly organizes seminars and workshops led by experts in various fields of mental health to keep the staff updated on emerging practices and research findings. EBP helps standardize practices based on the best available evidence, reduce variations in care, and ensure that treatments are both effective and efficient (Greenhalgh, 2018). This commitment to EBP ensures the highest standard of care for our patients and fosters a learning environment that empowers practitioners to continually enhance their expertise and adapt to the evolving landscape of mental health care.
References
Greenhalgh, T. (2018). How to read a paper: The basics of evidence-based medicine. John
Wiley & Sons.
Jacka, F. N., O’Neil, A., Opie, R., Itsiopoulos, C., Cotton, S., Mohebbi, M., Castle, D., Dash, S.,
Mihalopoulos, C., Chatterton, M. L., Brazionis, L., & Dean, O. M. (2017). A randomised controlled trial of dietary improvement for adults with major depression (the ‘SMILES’ trial). BMC Medicine, pp. 15, 23.
Sackett, D. L., Rosenberg, W. M., Gray, J. A., Haynes, R. B., & Richardson, W. S. (2020).
Evidence based medicine: what it is and what it isn’t. BMJ, 312(7023), 71-72.