Nr 451 Week 1 Discussion 1, Types Of Nursing Models And Frameworks Of Ebp

NR 451 WEEK 1 DISCUSSION 1, TYPES OF NURSING MODELS AND FRAMEWORKS OF EBP What are some of the models and frameworks of EBP currently in use? How does the strength of the evidence determine translation into practice? Why is it important to integrate both evidence-based practice and patient and family preferences? What is the nurse’s responsibility when EBP and patient and family practice do not match? What are some of the models and frameworks of EBP currently in use? How does the strength of the evidence determine translation into practice? Why is it important to integrate both evidence-based practice and patient and family preferences? What is the nurse's responsibility when EBP and patient and family practice do not match? Professor and classmates, Based on our lecture this week, some of the models and frameworks of EBP currently in use are; The John Hopkins Nursing Evidence-Based Practice Model (JHNEBP), The Stetler Model, Advancing Research and Clinical Practice Through Close Collaboration (ARCC), EBP Iowa Model, and Promoting Action on Research Implementation in Health Services Framework (PARIHS) (CCN, 2018). One of the things that stuck out the most from the evidence-based practice course was the importance of reality and validity within studies. Without strong and relevant measured evidence, translation into practice could be cumbersome to non existent. The strength of the evidence is crucial in determining the translation into practice as it helps guide the practices. Titler (2008) describes 3 stages needed for the successful adoption of EBP and its translation into practice. Stage one is knowledge creation and distillation (conducting research), Stage two diffusion and dissemination (partnering with organization to discuss and proposed change), and stage three, organizational adoption and implementation (sharing new acquired knowledge through organization and end users). Only strong evidence allows these stages to be successful and are imperative within the nursing process and EBP models (Titler, 2008). From patient to patient, their beliefs, culture, ethnicity, preferences, and values differ from one another. Integrating both EBP and patient/family preferences together, we are truly able to achieve patient- centered care. Collaboration is key within nursing, collaboration between the healthcare team and the patient (and family) allows for the best plan for that particular patient, increasing the patient’s positive care outcomes. Assessing, planning, compromising, and delivering puts the patient first. Disregarding EBP or the patients preferences from the equation would only leave to poor patient outcomes, and it is why integrating both in the care is a necessity and so important (ANA, 2015. p. 16). Evidence-Based practice helps dictate and guide our care, but it can not be an absolute for every situation. Data gathered through research comes from a representation of the population, and not everybody will fit that model. This is why it is so important to collaborate, and listen to our patients. So through evidence-based practice the agreeable and desired plan can be developed. I believe that when the EBP and the patient family practice dose not match, it is the nurses responsibility to help bridge that gap and develope a positive change in our patients help. Also another factor is the lack of knowledge from patients, and is where education plays an important role. Resources: Chamberlain College of Nursing (2018). NR-451 Week 1: Establishing Differences in Research, Evidenced-Based Practice, and Quality Improvement Projects [Online lesson]. Downers Grove, IL. DeVry Educational Group. Retrieved from American Nurses Association. (2015). Nursing: Scope and Standards of Practice (3rd ed.). Silver Springs, MD: American Nurses Association. Titler, M. G. (2008, April). The Evidence for Evidence-Based Practice Implementation. Retrieved February 30, 2018, from