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Tuesday, 14 July 2009
Learning Objective 1: describe evidence-based practice, research, and quality improvemet
Learning Objective 2: apply evidence-based practice, research and quality improvement in nursing practice
Purpose: As sand is sifted at the beach for closer inspection, an imperative for nurses globally is to conceptually and practically differentiate among evidenced-based practice, research and quality improvement. International nurses are increasingly seeking Magnet Recognition for nursing excellence by American Nurses Credentialing Center which has now extended into Australia and New Zealand. Magnet Recognition appraisers examine all three distinct processes for their presence in health care organizations. Many times, nurses confuse these three distinct processes and use one example to explain all three processes in ineffective manner. Although the three processes can overlap, all have three distinct purposes.
Methods: Evidence-based practice uses of collective research evidence to shape general approaches to patient care, specific courses of action, and recommendations made to individual patients. Research is a systematic investigation designed to develop or contribute to generalizable knowledge. Evidence-based practice is initiated based on the strength of collective evidence, not on one research study or a collection of quality improvement initiatives. In contrast, research generates new knowledge and tests knowledge for a discipline. Research has more scientific rigor in methodology than quality improvement. Institutional Review Board approval is needed prior to beginning research for the protection of research subjects. Quality improvement resides within one organization or health care system and targets specific patient issues to improve outcomes. Results: Without conceptual clarity of these three processes, many problems can occur. Evidenced-based practice can be implemented without adequate strength of collective research. Research can be implemented without rigor. Patient rights can be breached in quality improvement initiatives. Conclusion: In this presentation, a practical model is presented for conceptual differentiation and closer inspection that can be applied globally with specific nursing examples such as using patient falls in a research study, a quality improvement initiative, and an evidenced-based project.
Methods: Evidence-based practice uses of collective research evidence to shape general approaches to patient care, specific courses of action, and recommendations made to individual patients. Research is a systematic investigation designed to develop or contribute to generalizable knowledge. Evidence-based practice is initiated based on the strength of collective evidence, not on one research study or a collection of quality improvement initiatives. In contrast, research generates new knowledge and tests knowledge for a discipline. Research has more scientific rigor in methodology than quality improvement. Institutional Review Board approval is needed prior to beginning research for the protection of research subjects. Quality improvement resides within one organization or health care system and targets specific patient issues to improve outcomes. Results: Without conceptual clarity of these three processes, many problems can occur. Evidenced-based practice can be implemented without adequate strength of collective research. Research can be implemented without rigor. Patient rights can be breached in quality improvement initiatives. Conclusion: In this presentation, a practical model is presented for conceptual differentiation and closer inspection that can be applied globally with specific nursing examples such as using patient falls in a research study, a quality improvement initiative, and an evidenced-based project.
See more of: Accepted EBP Posters
See more of: Evidence-Based Practice Sessions – Oral Paper & Posters
See more of: Evidence-Based Practice Sessions – Oral Paper & Posters