Problem Statement
The overall problem of obtaining a definite process for nursing practices evaluation, integration, appraisal and query processing has led to increased vices in the world. This has led to the increased challenge of items like lawsuits and increased misconception and misinterpretation of issues in the business world. The increasing challenges for the non implementation of the EBP have led to the study of the likely fruitful approaches that could be used in the implementation of the nursing practices. Symptoms
The symptoms for the challenges are expressed in empirical evidence, clinical expertise and patient’s preference. The presence that there is no definite empirical evidence that is implemented in the presentation of the evidence based practices has led to the increased challenges in implementation of the practice to the organization. The clinical expertise of the nurses is a challenge due to the lack of acknowledgement of the different implementations of the EBP. The patient’s preference over the healthcare facility with regard to service provision brings up the challenge over EBP.
Literature Review
The journals that were chosen from the research were searched from the CINAHL and OVID. The search was based on the analysis of quantitative and qualitative research. The search looked at the challenges that the healthcare facility had in the implementation of EBP. The key words that were used in the search for the journal articles were the following. Utilization of services, nursing practices, nurses, nursing attitudes, EBP barriers, EBP implementation and EBP definition were the key words for the literature search. The key words were manipulated with regard to search for the solutions of the challenges in EBP implementation. This search was successful in the identification of the solutions for the emerging challenges. The search for the keywords yielded the most fruitful searches were the one that included the search for implementation solutions for EBP. The key word that yielded the best approach was seen to be the CARS checklist. This required the search for the research credibility, reasonableness, accuracy and support. This allowed the fast evaluation of all the literature articles that were found.
Adams M. (2011): Inspiration Point: The Development of Nurse Executive Leadership: An Interview with Marjorie Beyer’s. Journal of Nursing Administration, 41(5), 194-196
The research is focused at improving the nursing governance model in the improvement of the clinical practice quality. The research source is useful; since it helps in provision of numerous quality improvement approaches that could be implemented in the facilitation of the patients care and staff conducts. The source is useful since it provides useful information on requirements implementation, benefits and changes analysis for the research. The shortening of the length of orientation, direction, skills enforcement for staffs and increased employment variety of hospital settings will allow the facilitation of the activities that affect the running of the hospitals. The limitation of the source is that it does not indicate the challenges that are encompassed in the implementation of the EBP. The audiences that are intended by the research are the nurses and the health care facility management or staff. The author concludes that evidence based nursing improves the quality of patient care and increases the awareness for the individuals for the purpose of cross training and provision of the ongoing educational programs.
Barrera, P. (2006): Implementing Evidence-Based Nursing Practice in a Pediatric Hospital. Pediatric Nursing, 32(4), 371-377
The research provides the different perspectives on the barriers that affect the effective evidence based practice implementation in pediatric hospital in the US. The research is useful since it offers the summary of the evidence based practice reviews for USA health facilities. The limitation of the source is that it focuses on the pediatric aspect of patient care. The intended audiences for the research are nurses, healthcare facilities and the management of healthcare institution. The author concludes that the inputs for the improvement of hr patient care and suggestions for improvement in the workplace environment are not appreciated or solicited. The research provides valuable insight for the implementation of the EBP challenges and procedures in pediatric care. This makes it helpful in analysis of different activities.
Isenberg, M. (2011): Implementation of evidence-based nursing practice: nurses’ personal and professional factors? Journal of Advanced Nursing, 67(1), 33-42
The cross sectional survey research explores the relationship that is between the nurse’s professional factors and personal factors with EBP nursing. The source is useful in the presentation of credible observatory analysis. The limitation of the study is the presence that the research relied on self reported behavior. This could lead to biased views or analysis. The audiences for the research are nurses, clinic staff and the management of any healthcare institution that nurses work. The author concludes that the management should look at the available ways that they could use in the analysis of the EBP. The analysis will be useful in the analysis of the need for learning and organizational support for evidence based practices.
Kaila, M. (2009): Nurses’ experiences of guideline implementation: a focus group study. Journal of Clinical Nursing, 18(18), 2613-2621
The qualitative interview research focused on primary care nurses and adoption of the guidelines for the nurse’s adoption of guidelines. The usefulness of the source is evident in the presence that the research focuses on ECCE study group. The limitation that has been evident in the research is seen to be the increased dependence of the clinical guidelines for the multiple context specific factors. The audiences of the research are the nurses and health care facilities management. The author concludes that clinical guidelines will be effective in the implementation of EBP in the patient care adoption. The author indicates that the adoption requires the support of the physicians and management. The analysis response is that the research should have increased its analysis of the different ways of implementation of EBP.
Kenny, D. and Richard, M. (2010): Collaborating across services to advance evidence-based nursing practice. Nursing Research, 59(1 Supple), S11-S21
The focus of the descriptive research is to training of nurses in facilities like military to conduct evidence based practices. The military analysis helps in the identification of how the flocked hospitals can implement the EBP in times of disaster or increased number of casualties. The research is useful since it offers an opportunity for the enhancement of the quality care through the use of an opportunity for the enhancement of the quality care through the use and adaptation of the research findings. The limitations of the research are the increased focus on culture instead of the required resources that will be needed for the implementation of the activities in the research. The audiences of the research are seen to be the nurses and the health care facilities trainers or teachers. The research concludes that EBP in the military is affected by the high level of attrition and turnover due to war missions. The research will help in analysis of the practicability of EBP in highly populated institutions.
Newhouse, R. (2007): Creating infrastructure supportive of evidence-based nursing practice: leadership strategies. Worldviews on Evidence-Based Nursing / Sigma Theta Tau International, Honor Society of Nursing, 4(1), 21-29
The focus of the research was the conceptual model that could be implemented in order to allow the evidence based practice for the leader’s analysis. The conceptual model helps in the identification of the different areas that the management is required to provide support for the purpose of service provision for the patients. The usefulness of the source is seen to be on the basis of fostering the multiple strategies in cultivation of a culture of inquiry for nurses. The limitation of the research is the increased focus on personal growth of the staff in requiring the production of a professional environment for quality and staff improvement. The audiences for the research are the nurses and health care facility institutions. The research concludes that organization that enables culture and builds on the infrastructure will be able to efficiently affect the Evidence based approach. The research will be of benefit for the analysis of the different strategies that will be applied during the analysis of the different activities of the organization.
Pipe, T. and Hansen, C. (2005): Implementing Evidence-Based Nursing Practice. Urologic Nursing, 25(5), 365-370
The descriptive qualitative research establishes the administrative and qualitative scenarios for the systematic appraisal of the relevant literature for clinical practice. The source is useful in the analysis of the clinical administrative barriers that have been seen to affect research. The case study that was used in the analysis of EBP conceptual framework was not comprehensively explained. The findings were simply outlined. The audiences for the research are nurses, clinic staff and the management of any healthcare institution. The research concluded that the mentoring process for the nurses in EBP will facilitate EBP implementation. The response for the research is useful in the outlining of the implementation solutions for the EBP.
Tai T (2008). Evidence Practice Based Nursing: The Impact of leadership and management practices on implementation. North Tec Nursing Journal Psychological Services, 12(1), 6-12
The research focuses on EBP as the standards for the patient’s quality of care in New Zealand. The source is useful in the search for the international healthcare systems that that have evolved in the response to the movement to the evidence based medicines. The research limitation is that it does not entertain the analysis of evidence based research on the aspect of human experience but focuses on the management and leadership implementation with a scientific perspective. The audiences for the research are nurses, clinic staff and the management of any healthcare institution. The author concludes that EBP makes a difference in the provision of patient care. The analysis of the research provides valuable information for the impact of implementing and utilizing EBP.
Sorel, D. (2008). Evidence-based nursing practice: what US nurse executives really think? Nurse Researcher, 15(4), 51-67
The research focus is to find the different ways of teaching and appraising the executives in the promotion of EBP in nursing. The source is useful due to the presentation of the evidence based practice with regard to the levels of the nursing executives. The limitation of the research is the lack of analysis on the attitude and following of the researchers on evidence based nursing. The limitation of the research is seen to be the nurse’s executive’s viewpoint analysis while forgetting the other factors. The audiences of the research are the nurses and health care facilities management. The research concludes that the presentation of the nursing structure will reduce the job attrition rate and increase the nurse’s job satisfaction in the implementation of the evidence based nursing practices. The research is valid due to the overall presentation of numerous theoretical analyses of other research findings.
Tess M. (2010). Evidence based Nursing for Practice: To infinity and beyond: the CNOR as evidence for Magnet excellence. AORN Journal, 91(5), 618-622
The research focuses on the analysis of the historical background for the evidence based practice and methods for assimilation from research to practice. The increased use of the relevant articles for EBP makes the research to be useful for crosschecking and analyzing other researcher’s remarks. The limitation of the research is the lack of numerous case study analyses for the evidence based approach in nursing. The audiences of the research are scholars, nurses and the health care facilities management. The research concludes that the research requires the implementation of the scientific approach in evidence based practices implementation. The research will be beneficial to the research due to the presentation of the required tasks for the purpose of analysis.
