Week 1 discussion Nursing Research and Evidence-Based Practice
In your practice as a nurse, you may use procedures and
methods that did not necessarily originate in evidence, but instead were
derived from informal and unwritten conventions, traditions, and observations.
While these techniques may have merit, practices are constantly being updated
and contradicted by information from scholarly research studies and
professional guidelines. This new information serves as “evidence” for revising
practices to improve outcomes across health care.
Based on this evidence, you can formulate a question. In
this Discussion, you consider the use of evidence-based practice in your own
organization and formulate a question that you will need to answer for your
portfolio project. This is called a PICOT question. You will also investigate
strategies for overcoming barriers to implementing evidence-based practice
Consider a recent clinical experience in which you were
providing care for a patient.
Determine the extent to which the care that you provided was
based on evidence and research findings or supported only by your
organization’s standard procedures. How do you know if the tasks were based on
What questions have you thought about in a particular area
of care such as a procedure or policy?
Review Chapter 2, pages 36—39 on “Asking Well worded
Clinical Questions” in Polit & Beck and consult the resource from the
Walden Student Center for Success: Clinical Question Anatomy & examples of
PICOT questions (found in this week’s Learning Resources). Formulate your
background questions and PICOT question.
Reflect on the barriers that might inhibit the
implementation of evidence-based practice in your clinical environment.
Review the article “Adopting Evidence-Based Practice in
Clinical Decision Making” in this week’s Learning Resources. Select one of the
barriers described that is evident in your organization and formulate a plan
for overcoming this barrier.
By Day 3
Post an evaluation of the use, or lack thereof, of EBP in a
recent clinical experience. Identify which aspects of the care delivered, if
any, were based on evidence and provide your rationale. List your background
questions and PICOT question about this nursing topic. Critique how the
policies, procedures, and culture in your organization may hinder or support
the adoption of evidence-based practices. Identify the barrier you selected
from the article and explain how this barrier could be overcome within your
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on two different
days using one or more of the following approaches:
Ask a probing question, substantiated with additional
background information, and evidence.
Share an insight from having read your colleagues’ postings,
synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional
Make a suggestion based on additional evidence drawn from
readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional
strategies for addressing barriers to EBP based on readings and evidence.