THREAD DISCUSSIONS 5
Q#1.Evidence-based Practice… What Does It Mean?
Evidence-basedPractice (EBP) is the use of explicit, conscientious and judiciousbest evidence in making clinical decision about patient’s care. EBPmeans integrating individual clinical skills and expertise with thebest existing evidence from external systematic research (Finkelman,2012). Evidence based practice also refers to the application ofresearch-proven assessment and treatment methods in the day to dayclient care and service delivery. This means that the cliniciancommits to use research literature when making clinical decisions.EBP also means evaluating the effectiveness of research evidencegiven with relevant clinical data and the client decisions(Finkelman, 2012).
Insimple words, EBP means knowing what research says and sharing thisinformation in an unprejudiced way with patients, and the patientsmake informed decisions about the care in evaluation (Finkelman,2012). To this end, EBP requires accountability in clinical decisionsthrough evidence based research practice. As such, clinicians arecalled upon to collect all important data that relates to theclient’s condition for effective. However, there are vast data thatneed to be evaluated and this requires a systematic approach toassess and collect research evidence required.
(b)How would you lead the charge to overcome this barrier and integrateEBP into the daily practice of your staff?
Ideally,evidence based practice requires that all healthcare professionalsposses certain competences and skills to enhance patient care qualityand safety (Finkelman, 2012). However, in the absence of a healthexpert in evidence based practice for small health organization,there are important guild lines that can be adopted to overcome thisbarrier and integrate EBP into the daily practice of your staff.In such a case, leading change and implementing EBP in the dailypractice of staffs requires the leading nurse to educate, train andexplain to other nurses what is as well as the main tenets of EBP(Finkelman, 2012).
Thefirst thing would be explaining the main characteristics andcomponents of EBP in the health organization. Secondly, the leadingnurse would describe and explain the nurse role in EBP in theclinical practice while attending to patients. Thirdly, the leadingnurse needs to describe and practically show the steps required inEBP process. A healthcare organization that does not have an expertnurse in EBP may have a significant research-practice gap. In orderto bridge this gap and integrate EBP process, the first step involvesdissemination of knowledge to the nurses assisting nurses synthesisfindings, engage the nurses in critiquing research studies and theapplication of findings (Finkelman, 2012).
Thepurpose of assisting nurses adopt the EBP is to bridge the researchpractice gap by Strengthening the clinicians knowledge on what worksand what does not when providing health care to patients.Furthermore, nurses get acquainted with practical knowledge on how toconduct EBP process in healthcare provision (Finkelman, 2012). Inparticular, in order to integrate EBP in the health organization, asa nurse leader I would guide the nurses in implementing the fiveprocess of EBP during health care provisions.
Thefirst step would be assisting the nurse assesses the practice ofnursing on what is working and what is not working according tocurrent evidence (Finkelman, 2012). Secondly, nurses would beassisted in deciding the best way to improvise healthcare practicebased on the provided evidence. The third step involves planning forintervention change on care based on applicable and relevantinformation. The fourth step involves engaging the nurses inintervention action through clinical practice (Finkelman, 2012).
Thelast step entails assisting nurses evaluate the intervention methodused on the basis of its effectiveness and making further decision onwhether to improve, change or modify the intervention method used(Finkelman, 2012). In this way, nurses would be integrated in the EBPeven when a clinical expert in EBP is absent.
Q#2)whatis Nurse Executive?
Anurse executive is tasked with the responsibility of carrying themission of healthcare organization through effective communicationamong the team members, encouraging creativity and enhancingfinancial responsibility. Nurse executives also provide continuingeducation opportunities to clinical staffs. Nurse executive helps inshaping healthcare policies in the health organization facilities aswell as guiding the nursing staffs in providing best patient care(Finkelman, 2012).
b.Appendix A, Sections IV in Finkelman (2012, pp. 510-515)
Accordingto the Appendix A, Section IV in Finkekman (2012), the keycompetences for nurse executives in the healthcare are leadership,business skills, communication and relationship management,professionalism and having adequate knowledge of the healthcareenvironment. In my healthcare organization, the chief executive nursedemonstrates leadership competence in various ways. The chief nurseexecutive designs safe clinical process, policies, systems andprocedures that guide staff nurses in their daily healthcareprovision (Finkelman, 2012).
Secondly,the chief executive nurse demonstrates leadership competence bymonitoring all clinical activities to assess both expected andunexpected risks (Finkelman, 2012). The chief nurse has beeneffective in facilitating a nonpunitive reporting environment thatinvolves reward systems to encourage reporting of unsafe practices byjunior staffs. Furthermore, the chief nurse demonstrates leadershipcompetence in our health organization by supporting and responding tosurveys reports and recommendations (Finkelman, 2012).
Inother cases, the chief nurse ensures that the staffs are clinicallycompetent and well trained in their tasks of providing quality careto all patients. The chief nurse achieves this by organizing regulartraining sessions to update nursing staffs on emerging issues such asthe need to apply evidence based practice in all clinical setting. Inaddition to these aspects, the chief nurse communicates and fosters aculture of proactive patient safety (Finkelman, 2012).
Byexercising system mindfulness, promoting a culture of interaction andpositive behavioral norms the chief nurse demonstrates goodleadership competences required in healthcare organizations. Overall,the chief nurse helps in the formation of a generative culture ofsystemic professional accountability and mindfulness that ensuresthat all levels of the system are effective (Finkelman, 2012).
Finkelman,A. (2012). Leadershipand management for nurses: Core competencies for quality care(2nd Ed.) Upper Saddle River, New Jersey: Pearson