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Evidence-Based Practice and Applied Nursing Research

Evidence Based Practice (EBP) is an interdisciplinary approach to nursing practice that has continually gained popularity since it was formally introduced in 1992. It has found application a wide range of clinical practice where it has been meaningful, meeting its goal of integration of expertise opinion, external scientific evidence and client perspective in order to provide quality services characterized by values, choices, interests and needs of individuals served. One of its applications where EBP has found a great use is providing services to patients suffering from mental illness or schizophrenia.

Problem statement

Issues requiring medical attention have been on the rise in the recent past. The response by health care practice has made great efforts to make strategic improvements to ensure all these issues are given the care they deserve, Evidence Based care is one of the latest interventions hatched to ensure each of the existing health issues have received proper nursing care. This paper will partly critique the article “Adopting evidence-based practice in clinical decision making: nurses’ perceptions, knowledge, and barriers”. The article discusses about Evidence-Based Practice (EBP) and its adoption in clinical decision making.  It will also show how various researchers have conducted their search both to implement EBP and to compare it with other interventions (Majid et al, 2011).

Part A

According to Majid et al (2011) EBP enables nurses to get scientifically and critically appraised evidence which they need to provide quality healthcare to a target population. The objective of this article is to investigate the awareness, knowledge and attitude of nurses toward EBP as well as other factors that can potentially create or encourage barriers to adoption.

Design a visual representation    of Evidence-Based Practice research.

Areas of Research Report    How the area was addressed

Background or Introduction    Comprises of an abstract. The abstract also comprises of objective, method, result, conclusion, highlights and implications of the research. The main introduction gives a brief discussion of Evidence-Based Practise can find application in medical and health care, the challenge on inadequate knowledge about EBP as well as barriers of its application.

Review of the Literature    the nurses’ experience and attitude towards EBP is impressive. The challenges and barriers to adopting evidence-based practice (EBP) can be overcome through training, education and finding time to make use of the library (Majid et al, 2011). The enormous amount of literature published for health care literature is identified as one of the barriers to implementation of EBP. Besides lack of training, skills and time to about implementing this strategy of effective intervention against a health program hinders may frighten the nurses’ to adopt EBP (Wallis & Laura, 2012).

Discussion of Methodology    The study uses quantitative research. 2,100 questionnaires total of 2,100 copies of the questionnaire were given out to registered nurses working in two public hospitals in Singapore. 1,486 questionnaires were completed and were returned. The response rate was 70.8%.

Data Analysis    This method is affordable compared to quantitative analysis. It explains how the questionnaire was developed. The survey instruments used for both the previous and present research are highlighted. About 64% were found to have a positive attitude toward EBP.

Researcher’s Conclusion     The researcher developed an elaborate conclusion which notes that health care sector, just like other disciplines experiences major challenges. Evidence-Based Practice can be one of the solutions for these challenges if the nurses are well trained and educated enough to implement it.

Connecting evidence with conclusion

From this research it was discovered that nurses indicated a positive attitude toward EBP. However, they showed some barriers which hindered the smooth adoption of the evidence. One of the barriers is their heavy workload hence they expressed the impossibility of managing to keep up to date with the evidence. This evidence led to the conclusion that for EBP to be adopted in Southeast Asian countries such as Singapore, a comprehensive strategy needed to be developed which will help to build EBP competences as a result of providing proper training to nurses.

Evidence that remarkably featured in conclusion is the inadequate skills possessed by the nurses concerning self-efficacy of EBP-related abilities. This result led to the conclusion that hospital libraries needed to be utilized by the nurses to learn and equip themselves with sufficient information literally skills. The nurses’ suggestion to undergo EBP training, creation of time and training by other nurses who have experience in EBP would motivate them to adopt EBP. This is because it is impossible to adopt a program which one has no idea about. Therefore, before presenting EBP to the nurses for implementation, it is paramount that their skills in literature searching be improved to enable them to access, retrieve up to date, relevant and accurate evidence. For instance, it was found out that a good number of nurses had negligible knowledge on how Boolean and proximity operators, truncation, limits or indexing is used. This evidence provides a really picture of the great need to improve nursing Practise through provision of relevant training that is recommended in such Evidence-Based practice (Wallis & Laura, 2012).

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