Textbook
Schmidt, N. A., & Brown, J. M. (2019). Evidence-based practice for nurses: Appraisal and application of research (4th ed.). Jones & Bartlett.
1. The use of EBP models offers frameworks for translating evidence into practice.
When nurses use EBP models, the process of changing practice is an organized and systematic approach. Systematic, timely movement of best evidence into practice optimizes patient outcomes and leads to quality nursing care.
Your textbook describes three models to serve as a foundation for EBP: CURN (Conduct and Utilization of Research in Nursing), Stetler Model of Evidence-Based Practice, and Iowa Model of Evidence-Based Practice to Promote Quality Care.
As you review the steps and components of the various models, you will want to look for elements that are consistent with the focus of your EBP project.
Which model fits your group’s project best? Why? Review the literature and share how the chosen model was used for other EBP questions.
2. Changing organizational culture is a complex challenge. Effective communication is essential to transmit the vision, clarify misperceptions, and remove barriers.
Mutual goals, shared ownership of the process, and shared responsibility for the outcome are collaboration characteristics.
The textbook includes the elements of Kotter‘s Model of Change.
What other models and strategies can facilitate and sustain an organizational behavior change (hint: synthesize information learned in your Leadership & Management course)? Share how you can use one of these models to facilitate change in your practice environment.
You may use your EBP topic/project as the basis of your post or chose another problem based upon your assessment of the practice environment. Discuss dilemmas that can be encountered during change.
3. After identifying a topic of interest, the next step in the EBP process is formulating the clinical question into a searchable question. A searchable question is actually the PICOT question. It is easy to be confused by the different question types between QI, EBP, and research.
A research question is often directional, using such words as increase or decrease, and looks at what the problem is- usually by asking Why? questions. EPB questions are not directional (avoiding words like increase or decrease), and they are specific to the population first.
We’re asking how does something compare to another thing to affect an outcome. So, it’s important to distinguish the PICOT question when you are starting.
The essential elements in a PICOT question include the population (P), the intervention or area of interest (), a comparison (C), outcomes (O), and sometimes (T).
Writing PICOT questions takes practice, and for some, it might be the most challenging step in the EBP process. Based on the following scenario, list the PICOT elements, and then once you have them listed, see if you can come up with the PICOT question.
Nurses are caring for patients in an ambulatory surgical center. They’re concerned with sending patients home without having them void before discharge. The nurses wonder if this practice is safe.
