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Implementation of Evidence-Based Practice

Instructor: Bethany Lieberman

Bethany is a certified OB/GYN nurse who has a master's degree in Nursing Education.

In this lesson, you will learn about evidence-based practice and how it is used to solve problems and improve quality in nursing care through implementation by putting new techniques into daily practice.

Up A Creek!

'Oh rats,' exclaimed Shelia. She had just opened an email stating that the quality improvement team was coming to her unit this Friday to investigate a rash of urinary catheter-acquired infections that have plagued her ward. They've had 12 infections in the past two weeks, and to be in line with her hospital's specific goals, the ward needs to register fewer than two catheter-acquired infections a month! Yikes! Twelve is a terrible trend, and now the quality inspection team is coming to do an independent investigation. Quality health care is essential, since quality is a measurement of how safe and timely care was provided using the latest research and skilled professional staff. Sheila will be up a creek without a paddle and may even lose her job if she doesn't have an improvement plan to reduce the occurrence of these infections.

What Is Evidence-Based Research

Sheila cancels all of her appointments and heads straight to the hospital's library. Her first stop is the library's electronic database. She needs the most up-to-date research, and the library has access to peer-reviewed articles published by other nurses. 'Peer-reviewed' means that the article was reviewed and scrutinized by professionals in the same field for validity before being published. In order to determine which research would be helpful, Sheila needs to first identify her problem and needs to investigate by making a problem statement: 'What nursing actions prevent urinary catheter-acquired infections in post-surgical patients.' She will enter key words into her search box to pull relevant articles that answer her question. She is looking for research that she can find to answer her question. Research is a type of investigation that yields results that can be used to perform patient care. Evidence-based practice is the implementation of the latest research and clinical expertise to optimize safe and quality care while respecting the individual needs of patients. Evidence-based practice takes into account that decisions need to be made on the most current and relevant research to produce a change in current nursing practices.

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