- Summary of Key Points
- Steps Taken by Nursing to Develop and Implement an EBP
- Application of the Learned Information to a Practice Setting
Translating an Evidence-Based Protocol for Nurse-to-Nurse Shift Handovers is the article that focuses on the application of research in a practice situation. The authors focus on the implementation of an evidence-based protocol for nurse-to-nurse handovers. This paper describes the steps for the evidence-based practice suggested by the protocol to adapt evidence and apply in practice.
Summary of Key Points
In the article, Dufault et al. (2010) mainly focus on how the literature gathered by nurses was used to generate evidence and thus translated into practice. The article emphasized that in some cases, it takes long, up to ten years before a research-based approach can be integrated into the practice standards within the field of nursing. As such, the authors state that more often than not, a nurse has to go out of their way to search for these researches and formulate a system for integrating them into their practice.
In this case, the assessment of theoretical evidence focused on the theoretical underpinnings of the research where it was noted that the practice would be based on a number of nursing theories including Orlandos nursing theory and Rogers adoption of innovations theory (Dufault et al., 2010). These theories agree on the significance of adopting a research-based approach for use as needed within nursing contexts for the benefit of patients.
The main steps as highlighted in the article include identifying the clinical problem, evaluating the theoretical evidence, evaluating the empirical evidence and finally, designing the applicable research-based approach to the problem at hand. Each step is considered critical to the process of translating evidence-based protocols into practice since they help to define the parameters within which the stated protocol can solve existing problems.
Steps Taken by Nursing to Develop and Implement an EBP
The first step as mentioned in the article was to define the existing problem. In the article, the authors focused on the identification of the problem as well as the assessment of the evidence with respect to the problem at hand (Dufault et al., 2010). As such, it is important to evaluate the evidence from the perspective of the problem that one is seeking to solve.
The second step involved evaluating the empirical evidence for its relevance to the problem, its values in terms of agency, its costs and benefits as well as related standards and policies.
After this, the third step is about designing the policy of protocol that would solve the problem at hand. In this step, the focus is not only on the evidence but also on the problem since nurses have to ensure that the policy that they design is going to solve the problem at hand.
In the fourth step, nurses were expected to construct the policy or protocol and evaluate it with relevance to the problem at hand. This implies considering the specifics of the evidence and the problem in order to formulate a working approach that is practical.
The fifth step then focuses on making the decision on whether or not to adopt the policy or protocol for the specified problem that it was meant to solve. This often requires considerable evaluation based on how practical the solution is and whether or not it meets the set standards for patient care. In the last step, nurses had to come up with a method to sustain, disseminate and even expand the protocol. In this step, the main focus is beyond the problem, finding a way to communicate with other nurses about the evidence-based protocol that they could also integrate in their practice and adopt as a standardized approach to the problem in question.
Application of the Learned Information to a Practice Setting
A common problem for most health facilities is the incident of hospital infections that prolong the stay of patients or even in some cases cause death. VAP infections are considered amongst hospital infections because they are acquired while a patient is under mechanical ventilation. Ordinarily, nurses within the health care facility could propose the use of chlorohexidine as an effective practice in oral care for mechanically ventilated patients (Polit & Beck, 2012). This may reduce the incident of VAP and possibly lower the mortality rates associated with the problem at hand.
A more effective approach would be, however, to establish evidence for the use of effective mechanical ventilation protocols for all patients under mechanical ventilation within the facility. Determining a standard protocol for the problem is the best way to deal with the concerns at hand, but, in some cases, there is a need to go above and beyond in considering a more thorough and thus, more effective solution to the problem. For VAP, oral care with chlorohexidine may have reduced the incidences of the VAP, but there are other approaches that could offer better results. It is within such a context that nurses would benefit from a comprehensive application of evidence-based protocol to the problem.
To apply evidence-based protocols to nursing practice, a number of factors must be considered by nurses. First of all, a nurse must precisely define the problem at hand. Each problem has a solution, but the most effective solution can only be determined if one has a clear understanding of the essence of the problem. Once the problem is defined, there is a need to evaluate the evidence in terms of its theoretical and empirical tenets to establish validity and reliability as well as relevance to the problem at hand.
Then, there is the task of designing a protocol that is specifically meant to resolve the problem at hand. The designed protocol has to be evaluated and approved for adoption. Usually, this is the most critical stage of the process, as it involves seeking strong support for the protocol in relation to the nursing field.