NURS 8201 WEEK 1 DISCUSSIONL INTRODUCTION AND EXPERIENCE WITH RESEARCH

BY DAY 3 OF WEEK 1

Post a brief introduction, including your current or previous role in nursing practice. Describe any previous experience with nursing research. Be specific. Then, explain any previous experience or familiarity with EBP and explain whether your current organization supports EBP. Be specific and provide examples.

BY DAY 6 OF WEEK 1

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or suggesting an additional alternative perspective on EBP.

As a Psychiatric RN in both inpatient and outpatient settings, I have journeyed through a professional terrain minutely made of nursing research and Evidence-Based Practice (EBP). As I started my undergraduate studies, I became devoted to strengthening patient care with evidence-founded strategies. I have been engaged in various research projects, from exploratory studies to wide-ranging trials, granting me a honed perception of the research process (Gray & Grove, 2020). From inquiring pertinent questions to the subtleties of data accumulation, examination, and comprehension, I have experienced up close the revolutionizing impact of research in forming nursing methodology and improving patient outcomes in the long run.

 Incorporating research discoveries into usable information has underscored my conviction in the mutualistic connection between nursing research and superior patient service. Throughout this research process, principles of ethics have been at the foundation.. Upholding ethical standards in the development and carriage of research ascertains the legitimacy and trustworthiness of the obtained results. Adhering to ethical research principles has not only been an expert requirement but a moral demand, reinforcing the responsibility of nurses to add to the knowledge base while ensuring the wellbeing and self-respect of patients (McLaughlin, 2018). This progress has provided the foundation for evidence-based practice (EBP) to become a director in my professional pursuit. Actively looking for, evaluating rigorously, and incorporating research results into my work have become innate for me, certifying that the care I dispense is founded on the most current and applicable data, customized to the individual requirements of each person under my guardianship.

            Within my current capacity at an esteemed scholarly medical center, the organization’s dedication to nurturing excellence in patient care through evidence-based practice (EBP) is palpable. Programs like periodic EBP sessions, seminars, and symposia function as conduits for ongoing learning, authorizing nurses to stay informed of novelties in research aspects and EBP theories. Conversations at the nuts and bolts level spearheaded by evidence-based practice groups within each nursing area are extraordinarily important in examining and spreading research discoveries; thus continually bridging the gap between research and practice.

A noteworthy enterprise within the company is the EBP coaching program, which puts experienced nurses with rookies to help the effortless inclusion of evidence-based practice in their work. This coaching approach not only transfers information but also fosters a culture where evidence-based methods are deeply ingrained in the element of nursing care. The synchronization of my association’s efforts with the concepts stated in nursing investigations and EBP textbook sections underlines the company’s promise to excellence (Renjith et al., 2021). These chapters have acted as guides, steering my perception of the complex collaboration between investigation, data, and action. They have highlighted the meticulous nature of the research process and accentuated the operational application of EBP within a variety of nursing contexts.

            To conclude, my career progression has been profoundly shaped by the interconnection between nursing research, evidence-based practice, and the affirming atmosphere my organization has created. The harmony of these distinct forces furthers my understanding of nursing and allows me to reinforce the evidence-based treatment of patients effectively. I stay devoted to providing consideration and caring treatment that is firmly centered on the best available evidence as I explore the research and practice balance.

 References

Gray, J. R., & Grove, S. K. (2020). Burns and Grove’s The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence (9th ed.). Elsevier.

McLaughlin, R. A. (2018). Nursing research and evidence-based practice. Contemporary Nursing E-Book: Issues, Trends, & Management, 88.

Renjith, V., Yesodharan, R., Noronha, J. A., Ladd, E., & George, A. (2021). Qualitative methods in health care research. International journal of preventive medicine12.

Thank you for sharing your remarkable career journey. It is admirable that you are dedicated to offering individualized treatment, which includes prescribing and monitoring medications. Your participation in this groundbreaking study is incredibly motivating. The creation of new care protocols and the integration of mental health services highlight the revolutionary potential of nursing research in creating more comprehensive and successful treatment regimens (Mohr et al., 2018). The project’s effectiveness in transforming patient care is indicative of the real advantages of evidence-based practice (EBP) in the treatment of mental illness.

It is impressive how well you led a project to incorporate EBP into treatment plans for severe mood disorders. The all-encompassing strategy that combines psychotherapy, pharmaceutical management, and lifestyle adjustments is in line with recent study findings. It’s clear how your dedication to EBP has raised treatment programs’ general effectiveness while also improving patient outcomes. The organization’s commitment to delivering the best possible care is demonstrated by the adoption of a new protocol for treating opioid addiction that is based on the most recent research in addiction medicine.

Your foundation of ideas is further strengthened by your references to important research, including Greenhalgh (2018) and Jacka et al. (2017)’s ‘SMILES’ experiment. I have gained important insight into the real-world implementation of nursing research and evidence-based practice in mental health care thanks to your insightful post.

References

Mohr, D. C. (2018). A solution-focused research approach to achieve an implementable revolution in digital mental health. JAMA psychiatry,, 75(2), 113-114. .

Varcarolis, E. M., & Fosbre, C. D. (2020). Essentials of psychiatric mental health nursing: A communication approach to evidence-based care. Elsevier Health Sciences.

Introduction

My current role in nursing practice is a CRNP-PMH for an inpatient drug and alcohol rehabilitation treatment center and an outpatient family clinic. I divide my time throughout the week so that I can gain experience with both inpatient and outpatient settings simultaneously. Previously, I was a critical care RN in various specialties including ICU, Telemetry, Medical Surgical, and Cardiac Cath Lab. 

Experience 

My experience with nursing research is limited to the academic programs I have completed. I was not actively involved in research projects with the organizations where I worked. I was introduced to nursing research in my Associate’s program and it progressed through my bachelor’s and master’s programs. I have grown exponentially through these programs in regard to my efficiency, productivity, and accuracy in various research methodologies. I recall being indirectly involved with multiple efforts by nursing leadership through the years. These experiences gave me some exposure and insight into how research was conducted and how the information was used to benefit the organization. Although I have yet to be directly involved in a research project or group, I was able to see how those specific scholars acquired information through data compiling, interviews, and experiments. 

Evidence-Based Practice 

My experience with Evidence-Based Practice is also primarily in academic programs; however, it is becoming more understood and utilized by the leaders of the organizations where I am employed. I have been fortunate to work for supportive organizations. According to Mlambo et al. (2021), prerequisites for nurses to want to continue to progress professionally were primarily organizational culture, an environment that supports learning, and nurses’ perception of barriers to continued education. My experience with EBP has been in writing research papers for my academic programs. I have yet to work for an organization implementing current research as a system-wide approach. However, It is possible that I am not working with the individuals who are utilizing these methods. I hope to inquire more as I begin working my clinical hours for the DNP program.

I have yet to observe or recognize the terminology indicating the EBP in either the inpatient or outpatient setting where I am currently employed. A call to action is considered to remedy confusion between implementation science, evidence based practice, and quality improvement (Conner et al., 2023). There is a responsibility in the DNP role to continue to advocate for the use of this nomenclature in order to normalize the most effective strategies there are to improve healthcare. Mainous et al. (2023) argues that faculty of school programs are not consistent in their terminology or methods of EBP or QI and that this needs to be rectified for better collaboration and ultimately improved health care outcomes. 

References

Connor, L., Dean, J., McNett, M., Tydings, D. M., Shrout, A., Gorsuch, P. F., Hole, A., Moore, L., Brown, R., Melnyk, B. M., & Gallagher‐Ford, L. (2023). Evidence‐Based Practice Improves Patient Outcomes and Healthcare System Return on Investment: Findings from a Scoping Review. Worldviews on Evidence-Based Nursing20(1), 6–15. https://doi.org/10.1111/wvn.12621

Mainous, R. O., Dunlap, J. J., & Brewer, T. L. (2023). Realizing the DNP as envisioned: Moving toward consistent nomenclature, curricula, and outcomes. Nursing Outlook71(3), 101969. https://doi.org/10.1016/j.outlook.2023.101969

Mlambo, M., Silén, C., & McGrath, C. (2021). Lifelong learning and nurses’ continuing professional development, a metasynthesis of the literature. BMC Nursing20(62), 1–13. https://doi.org/10.1186/s12912-021-00579-2

That was an excellent post, Laura. I enjoyed reading it. Thank you for sharing your experience with us. Your significant experience with research and evidence-based practice will help you enhance your ability to provide safe and quality patient care and create a research-based environment wherever you are practicing. It is a challenging process for everyone to accept change. In healthcare organizations, we will notice various groups of people with different perspectives on embracing change. Some advocate it, whereas many are hesitant and unsure whether change aligns with quality improvement. As suggested in Lewis’s change theory, we need to focus on a few essential concepts while implementing change into practice. The most critical concepts that facilitate and support change are driving forces, restraining forces, and equilibrium (Nursing Theories, 2023). Driving forces help direct people toward the direction of change and help to set the equilibrium between change and no change.

On the other hand, restraining forces oppose the driving forces and try to keep change from. Finally, equilibrium represents a balanced state, where driving forces are equal to restraining forces, leaving no room for change. Raihan and Cogburn (2022) have emphasized the significance of analyzing change behavior while implementing change through their transtheoretical (TTM) framework. The framework involves easy-to-follow steps to understand human behaviors toward change and is primarily applied in mental health settings to solve a broad spectrum of mental health problems. The framework’s five primary stages, pre-contemplation contemplation, preparation, action, and maintenance, can help healthcare leaders support change and ensure its successful implementation.  

References

Nursing Theories. Lewin’s change theory. Retrieved November 28, 2023, from

         https://nursing-theory.org/theories-and-models/lewin-change-theory.php

Links to an external site.
Raihan, N., & Cogburn, M. (2022). Stages of Change Theory. Stat Pearls. Publishing. They were retrieved from an external site

          on November 28, 2023, from https://www.ncbi.nlm.nih.gov/books/NBK556005/Links.