nr 439 week 1 discussion question introduction to evidence based practicenr 439 week 1 discussion question introduction to evidence based practicenr 439 week 1 discussion question introduction to evi
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We begin our journey into discovering the new world of research and evidence-based
practice (EBP) by exploring our past. After completing the required readings and lesson,
answer the following:
Explain how research has evolved since the Florence Nightingale era.
Discuss how research and EBP are different; include how you believe research
supports EBP for nursing.
Describe one past/historical unethical breach of research conduct; then, share
how you would ensure care of a study participant using one ethical or legal research
consideration (guideline/principle).
The nursing field has seen drastic changes to help the efficiency of medical care. Florence
Nightingale was a pioneer in the nursing profession. Her “work focused on collecting
information about factors that affected soldier mortality and morbidity during the Crimean War
(Houser, 2018).” A big step for research in the nursing field came when the National Institutes of
Health was created (Houser, 2018). This development was big for the profession because it put
nursing on the same level as the other health sciences, provided an audience and increased
funding for the profession (Houser, 2018). Their goal is “to improve the health of individuals,
families, communities, and populations through evidence-based nursing practices (Houser,
2018).” Furthermore, in the early 2000s nursing shifted to an emphasis on research as a basis for
the practice due to the demand for efficiency, effectiveness, and accountability in the nursing
profession (Houser, 2018).
Evidence based practice involves the method of practices which can be used in the healthcare
where is research is focused on the developing new ideas, solutions and reasons. It involves
asking a clinical questions, answering the question using evidence, implementing the evidence to
practice, and evaluating the outcome. Evidence based practice makes it easier for healthcare
professionals to provide better care facilities and treatment to the patient. Also, it minimizes the
medical error and increases patient outcome. According to Flaugher (2010), “Evidence-based
practice challenges nurses to look at the "why" behind existing methods and processes in the
search for improvement.” Research involves investigating, conducting studies, and evaluating
the information obtained from the studies (Ginex, 2017).
In 1932 the Public Health Service combined with the Tuskegee Institute began a study on
syphilis in order to justify treatment for the disease for African Americans. The study became
unethical in the 1940s when penicillin became the recommended drug for treatment of syphilis
and researchers did not offer it to the subjects. The Tuskegee Study “raised a host of ethical
issues such as informed consent, racism, paternalism, unfair subject selection in research,
maleficence, truth-telling and justice, among others [ CITATION Ade11 \l 1033 ].” Thus, I would
consider three primary ethical principles: autonomy, beneficence, and justice.
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