EVIDENCE-BASED PRACTICE 5
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 & 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 & 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 & 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, & 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. & 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, 22(4),339-347. Retrieved from http://dx.doi.org/10.1111/ijn.12470
Burns,N., Grove, S., & Gray, J. (2011). UnderstandingNursing Research.St. Louis, MO: Saunders/Elsevier.
Fitzpatrick,J. (2010). Connecting or disconnecting the dots between research andevidence-based practice. AppliedNursing Research, 23(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. & Wills, E. (2011). Thetheoretical basis for nursing.Philadelphia: Wolters Kluwer/Lippincott Williams &Wilkins.