5.Nur 513 Topic 7 Discussion Question 1

NUR 513 Topic 7 DQ 1 Describe the steps of the evidence-based research process and the importance of using them. In the initial stages of an EBP project, where do nurses in your specialty go to locate sources of information that help them to determine whether or not a practice problem is appropriate for an evidence-based practice change proposal. Include two specific sources on information in your discussion. Evidence-based practice (EBP) is a problem-solving approach that involves using the best available evidence to answer clinical questions. It involves a systematic approach of identifying the most relevant evidence to implement a change to standard practice to improve patient outcomes or health care processes (Melynyk & Fineholt-Overholt, 2011). Such research involves: • Having a sense of inquiry; • Asking a clinical question that needs addressing in PICOT format – (P) patient or population, (I) intervention or area of interest, (C) comparison group, (O) outcome, and (T) time; • the search for information and critical appraisal of that information as it relates to the clinical question; • critical appraisal of research, is this study valid and are the results helpful to patients; • integration of the question’s basic concepts/components with existing clinical expertise; • evaluate outcomes based on the evidence, understanding the projected impacts any change can have on patients; and • disseminate the results, review and integration of the results of more than one study into the critical appraisal, so that the reliability and generalizability of the studies’ results are stronger than any one study can be (Melnyk, Fineout-Overholt, Stillwell, and Williamson, 2010). Nurses in the OR could use access they may have, as an alumnus, to the college library where they obtained their degree. For myself, that would be GCU. Two GCU library databases I found that will be helpful for my EBP proposal research are the Joanna Briggs Institute (JBI) EBP Database and CINAHL Complete. JBI EBP Database provides access to over 3000 pieces from Evidence-Based Recommended Practices to Systematic Review Protocols (Grand Canyon University, n.d.). The CINAHL Complete database is the world’s largest source of full text nursing and allied health journals that is used by nursing researchers and students (CINAHL, 2019). Also available is the ECRI Institute Guidelines Trust that has taken the place of the Guidelines Clearinghouse. The ECRI Trust is available to the public that provides objective, evidence-based clinical practice guideline content. Its purpose is to provide healthcare providers with up-to-date clinical practices to advance safe and effective patient care. This centralized repository includes evidence-based guidance developed by nationally and internationally recognized medical organizations and medical specialty societies (Grand Canyon University, n.d.). Information retrieved from databases are evaluated for accuracy and authority unlike Google Scholar or general Internet searches which can return inaccurate information that is not relevant to my research. By utilizing scholarly databases I can ensure that I am getting the most up to date and accurate information for my EBP proposal. Hospitals with Magnet designation have partnered with medical librarians to assist nurses and other medical personnel with courses to teach evidenced-based practice research. In these courses, healthcare workers are instructed on how to search for and identify high-reliable, relevant peer- reviewed evidenced-based articles (Dhakal, 2018). Reference CINAHL. (2019). CINAHL Complete. Retrieved from Dhakal K. (2018). Librarians collaborating to teach evidence-based practice: exploring partnerships with professional organizations. Journal of the Medical Library Association : JMLA, 106(3), 311–319. doi:10.5195/jmla.2018.341 Grand Canyon University, (n.d.). Journal Databases. Retrieved from Grand Canyon University, (n.d.). What is evidenced-based practice? Nursing and Health Sciences. Retrieved from: Joanna Briggs Institute [JBI]. (n.d.). Who are we?. Retrieved from Melynyk, B., Fineout-Overholt, E. (2011). Evidenced-based practice in nursing & healthcare: A guide to best practice (2nd ed.) Philadelphia, PA: Wolters Kluwer. Melnyk, B, Fineout-Overholt, E, Stillwell, S, Williamson, K. (2010). Evidence-Based Practice: Step by Step: The Seven Steps of Evidence-Based Practice, AJN The American Journal of Nursing, 110, ( 1), 51-53. Retrieved from: doi: 10.1097/01.NAJ.6.06605.d2