Evidence-Based Practice




Thecurrent models, theories, frameworks of management and administrationplay a central role in shaping nursing practices. To be effective indelivering quality services, an employed nurse has to adapt andrecognize the characteristics that shape the organization where he orshe works. Additionally, the nursingpractice also involves the understanding of analyticalprocedures asappliedto practice. To facilitate the effectiveness of theory, a variety ofevidence-basedpractices exist (Brooke &amp Mallion, 2016). Each organizationadopts a different form of practice basedonthe group’ssalient characteristics. Therefore, this paper aims at outlining thedifferent evidence-basedpractice models. Moreover, it seeksto draw out the contrast between these models and clinical research.

of the Practice problem

Inmy practice problem for application #5, the traumatic brain injury(TBI) patients encounter lots of physiological and related issues,and the healthcare providers are in a better state to monitor thestressors hence improved the qualityof life. The traumatic brain injury results in physical, cognitive,and behavioral impairments. TBI in patients’ results from vehicleaccidents, falls, acts of violence, and sports injuries. The pulseoximetry, blood pressure monitoring techniques, physical therapy, andcognitive therapy should get administered to patients to improvetheir functionality and cognitive outcomes.

Rationalefor Model Selection

Theauthor selected the Iowa model as the evidence-practice modelsuitable for catering to the needs of TBI patients. The Iowa Modelof got developed by Marita G Titler,and it entails the incorporation of conduct and research, theories,expert opinions, and case reports in designing a program that putsemphasis on improving patient outcomes(McEwen &amp Wills, 2011). TheIowa model program employs an EBP protocol for the TBI patientmanagement whereby from the accumulated literature, the early andintensive cognitive and therapeutic interventions get administered intime. The Iowa model ensures reduced number of patient sitters,improved functional outcomes for TBI patients, and reduced states ofagitation and confusion for TBI patients.

Evidence-BasedPractice versus Clinical Research

Qualityimprovement, clinical research,and evidence-basedpractice play a central role in ensuring attaining of quality in anursing firm. Theconductingresearch aims at sourcing out new knowledge tovalidate the theoretically based knowledge. The study entailssystematic and scientific approaches to answering questions relatedto nursing practice. It is more of exploration, investigation,and discovery but also it requires an understanding of scientificphilosophies (McEwen &amp Wills, 2011). On the contrary,evidence-basedresearch does not develop new or validate existing knowledge. Itentails understanding the existing theoretical knowledge, translatingthe given evidence andusing it in making clinical decisions in the nursing practice. Forboth methodsto be effective,a doctor of nursing practice must come in and help in linking upclinical research and evidence-basedpractice.

Roleof the DNP Nurse

Clinicalresearch and evidence-based practice should works alongside a DNProles to setting improve care of patients. Tymkow (2016) posits thatits ideal to incorporate questions in evidence based study to definethe roles of DNP. The questions help in the elaboration of the DNProles in real medical field.

Doctorof Nursing Program (DNP) has vast information attained throughplaying different roles in the formulation and interpretation ofnursing practices (Burns, Grove, &amp Gray, 2011). Since allorganizations that practice nursing aim at quality, presence of a DNPensures that this goal getsattained.Effectiveness comesfrom acollaborative environment whereby nurses, the administration,and DNP work together. The DNP should get emphasis to improve theresearch in the communityfor patients with Traumatic brain injuries. Improved research on TBIpatients through case reports and evidence practices ensures that thewell-being of patients gets guaranteed on the occurrenceof a problem.

Differentevidence-basedmodels exist with each of them playing a different role in clinicalpractice. Case reports and series document information on aparticularpatient and have limited statistical data. The evidence isreferredto in cases where another patient is depicting similar symptoms.Case-controlstudies entail comparison between patients with a given condition toone’s without. Looking back in the historyof the patient is crucialin this scenario. All these evidenceare critical in ensuring good clinical practice that aims atdelivering quality health care to patients.


Insummary, evidence-basedmodels play vital roles in a firm. Companies that incorporateevidence-basedpractices end up providingquality services to their clients. Aboutthe clinical research, EBM study goes hand in hand with the latter inensuring effectiveness in an organization’s settings. However,evidence-basedresearch does not develop new or validate existing knowledge. Itentails understanding the existing theoretical knowledge, translatingthe given evidence andusing it in making clinical decisions in the nursing practice. Insuch a case,a doctor of nursing practice must come in and help in linking upclinical research and evidence-basedpractice.


Brooke,J. &amp Mallion, J. (2016). Implementation of the evidence-basedpractice by the nurses working in community settings, and theirstrategies to mentor studentnursesto develop evidence-based practice: A qualitative study.InternationalJournal of Nursing Practice,&nbsp22(4),339-347. Retrieved from http://dx.doi.org/10.1111/ijn.12470

Burns,N., Grove, S., &amp Gray, J. (2011).&nbspUnderstandingNursing Research.St. Louis, MO: Saunders/Elsevier.

Fitzpatrick,J. (2010). Connecting or disconnecting the dots between research andevidence-based practice.&nbspAppliedNursing Research,&nbsp23(1),1. Retrieved from http://dx.doi.org/10.1016/j.apnr.2009.10.001

Tymkow,C., (2016). Clinical Scholarship and Evidence Based Practice. ChapterThree. NY: New York. Jones and Bartlett Learning.

McEwen,M. &amp Wills, E. (2011).&nbspThetheoretical basis for nursing.Philadelphia: Wolters Kluwer/Lippincott Williams &ampWilkins.

Evidence-Based Practice



Thetype of research done will determine the various study design thatwill assist in the process of coming up with the best outcome ofinterest. There is the need for relation between research and designput in place to be able to prove the different hypothesis true orfalse. Qualitative research designs are considered helpful in gainingunderstanding, opinions, and motivations as to why some events takeplace. Quantitative on the other hand refers to the variousstatistical information gathered through polls, questionnaires andsurveys. I,therefore, believeevidencebased research will involve the process of scientific researchtherefore gathering information through the use if cohort study’s,case control studies, systematic reviews and most of allmeta-analysis.(Houser2015).

Throughthe integration of evidence-based practices goals which includegathering external scientific pieces of evidence, provision ofhigh-quality services and having some clinical opinions will assistwhen determining the research design used. Different factors willdetermine the type of study designs used when carrying out yourparticular research. The factor of consideration will involve levelsof evidence that can be collected in the research carried forward. The best suit study will include some quantitative research used inboth natural and social science as well as gathering pieces ofevidence to prove the goals expected from evidence-based practices.The evidence-based practice goals that involve meeting externalscientific pieces of evidence, as well as the provision ofhigh-quality service, go hand in hand with the achievements ofquantitative designs which include having statistical figures thatwill prove some theory.

Sincethere is focus on clinical expertise, proper research evidence andthe different patient involved the best study l will use under theseprocess will include the meta-analysis study. The process includes athorough examination of some valid studies on various topics throughtheir process of mathematical combination of results through the useof accepted methodology. All these processes are with the effort ofensuring the results are reported as though there was a large study.Some study designs that will also prove beneficial in that theprocess may include cross-sectional control studies, and cohortstudies. Randomized Controlled clinical trials will help in theprocess of differentiation and therefore elimination of bias.Systematic reviews will also prove beneficial in a way or the otherwhen used in this process. However, all these study designs seem tohave a shortcoming in ensuring the evidence-based practices are wellrepresented. That leaves meta-analysis as the best option in thedetermination of information required at very state (Groveet al. 2014).

Whenconsidering these research process, there will be the involvement ofall factors related to evidence-based practices in the overallresults met. The main idea will reside from the fact that there inthe involvement of the goals of evidence-based practices just asexpressed by the research method and design used. The maximumutilization of resources at hand and therefore coming up with thebest results attained from the best study design is the greatestissue of concern. Just as expressed from the passage meta-analysiswill help in the process of ensuring there is an expert opinion,external scientific pieces of evidence and individual’s values thatwill assist in the generation of high-quality services. Theinvolvement of needs, values, and choices made by individuals are themain issue if concern for this research process.

Inconclusion to this research processes and designs, we can see thatevidence-based practices information is well brought out from cohortstudies, case-control studies, systematic studies and meta-analysisstudies.


Grove,S. K., Burns, N., &amp Gray, J. R. (2014).&nbspUnderstandingnursing research: Building an evidence-based practice.Elsevier Health Sciences.

Houser,J. (2015). Nursing research: Reading, using, and creating evidence(3rd ed.). Sudbury, MA: Jones &amp Bartlett.