NR 505 Week 1 Reflection on Learning NR 505 Week 1: Reflection on Learning In week 1, I learned that evidence-based practice (EBP) is a scientific inquiry through which healthcare profession als gather scientific evidence that they can use to promote patient preferences, manage disease symptoms, en...
In week 1, I learned that evidence-based practice (EBP) is a scientific inquiry through which
healthcare professionals gather scientific evidence that they can use to promote patient
preferences, manage disease symptoms, enhance end-of-life and palliative care, and influence
healthcare policies (Hain, 2017). I have a practical experience regarding EBP as I recently
practiced nursing in a particular healthcare facility in New York City. Specifically, nurses in this
practiced EBP by reviewing the research published in some nursing journals to evaluate the
significance of some infection control techniques like wearing protective clothing, strict
handwashing policies, and sanitizing the healthcare environment. Indeed, the nursing department
had formulated a policy directing all nurses to always apply EBP as the basis for quality
improvement.
Essentially, the successful implementation of EBP depends on both individual-level and
organizational-level factors. Individual-level factors that support EBP embody nurse's beliefs and
confidence in applying its procedures, educational level, and experience in healthcare. At the
organizational level, facilities succeed in implementing EBP if they have supportive leadership,
resources for supporting the scientific inquiry, and the existence of a culture of continuous
improvement. Unfortunately, I observed specific barriers that hindered the implementation of
EBP in this facility's nursing department, such as nurse shortage and heavy workload. The heavy
workload particularly limits the time that nurses spend in searching and analyzing relevant
literature (Greenhalgh, 2019).
As a nurse practitioner, I will be responsible for initiating research on a particular nursing
specialty area. The primary role of nursing practitioners involves maintaining clinical
competency in their areas of practice (Gray et al., 2017). For example, nurse practitioners may
specialize in pediatrics, oncology, orthopedic and neonatal care. Therefore, a nurse practitioner
initiates, synthesizes, and appraises research to ensure that junior staffs investigate issues
according to quality standards (Gray et al., 2017).
References
Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove's the practice of nursing
research: appraisal, synthesis, and generation of evidence (8th ed.). Elsevier.
Greenhalgh, T. (2019). How to read a paper: the basics of evidence-based medicine and
healthcare (6th Edition). Wiley-Blackwell.
Hain, D. J. (2017). Focusing on the fundamentals: comparing and contrasting nursing research
and quality improvement. Nephrology Nursing Journal, 44(6), 541-545.
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