Wednesday, December 4, 2019

Nursing Research Management

Question: Write an essay focusing on the role of nursing in the implementation of the steps of the model in translating evidence into practice. Answer: The effect of Evidence based Practice Models has resonated in the nursing practice, education and science. Such practices include education, practice adoption and curricular realignment; scientific engagement in the field of research and development of a national research network to stud improvement (Stevens, K., 2013).These are ways to provide a nurses care which is guided by the addition of the best reliable scientific knowledge with the expertise of a nurse. The study requires scientific data and research evidence and to apply top quality intervention for their nursing models practices (B, 2015) The various types of evidence based practice models include The IOWA model, The John Hopkins evidence based practice model, The Stetler Model, the Caledonian development Model, The ACE Star model and the Evidence based practice model for staff nurses. The Stetlar Model is a practitioner- oriented model for Evidence based Nursing Practices today. Marram and Stetlar first developed the Stetlar model in 1976 and then refined in 1994 with a set of assumptions and conceptual underpinnings. The model was further modified based on a related utilization concentrated integrative review methodology, targeted proof concepts , and continuing experience through application of the model with clinical professional nurse. The revised model continues to focus on a series of judgemental activities about the desirability, appropriateness, practicability and manner of using research findings in an individuals or group operation (CB, 2015). The model provides a relationship between research use and evidence informed practice which is not the same. Conjugating both of them enhances the overall application of the research. Research use occurs in three forms: Instrumental use: This derives to the concreted directly applied knowledge. Conceptual use: This occurs when the used research alters the understanding or the way an individual thinks about an issue. Symbolic Use or Political/ strategic use: This occurs when information is made use to explain a policy or a decision, or impact behaviour and thinking of others. These diff. kinds of can happen together and can be affected by more than one element at the independent level. The model observed takes on the motive that the users domestic characteristics and outer environmental factors, effective use of knowledge The Stetlar Model is formed on the assumptions lying underneath: The traditional community may not be or maybe involved in a singular use of research or other verification. Applications may be conceptual and /or symbolic/strategic, instrumental. Internal and external factors can affect a person or groups review and use of proof. Investigation and assessment does not provide absolutes but possible results. The Model is comprised of five phases (Stetler, 2010) Phase I: Preparation: The relevant related sources and the purpose of consulting evidence should be indentified and the important factors should be recognized. Phase II Validation: The resources found should be correctly assessed; even a methodically weak resource can be useful if it is properly assessed. Phase II Comparative Evaluation/ Decision Making: The cumulative findings should be synthesized which can used to make a decision. Here if the finding cannot be used the nurse can conduct her own research. Phase IV Translation:A proposal for practice change can be made and strategies can be created a planned change and conventional dissemination. Phase V Evaluation: This can either be formal or informal and both formative and summative evaluations should be included. The model uses prescriptive approach but is complicated and may be difficult for some nurses for interpretation. It uses its five phases considering the know factors of the study and a final evaluation of actual use in practice. Some weaknesses although remain, for example nurses have reported of a negative impact due to the absence of knowledge about research on their own utilization operations. To resolve this knowledge of basic research should be known and also the knowledge regarding the subject and concepts of the model being used in the study should be clear including knowledge about the usage of raw data/ statistical analysis results for individual application. To conclude the model makes use of findings in research to clinical nursing practices, a recommendation change practice on the basis of research which can both be organizational and clinical by nature and for nurses who are more experienced, they have an important role in the traditional research process (Ncbi.nlm.nih.gov, 2015). Advanced practice nurses who are suited as leaders are required because they can handle multiple task at the same time . It is advantageous for them to apply a traditional research utility model in their operation.. References B, H. (2015).Advanced practice nurses' application of the Stetler model for research utilization: improving bereavement care. - PubMed - NCBI.Ncbi.nlm.nih.gov. Retrieved 24 June 2015, from https://www.ncbi.nlm.nih.gov/pubmed/8047471 CB, S. (2015).Updating the Stetler Model of research utilization to facilitate evidence-based practice. - PubMed - NCBI.https://www.americannursetoday.com/assets/0/434/436/440/5120/5122/5136/5142/73b32c8a-b00a-42ee-8ac5-638619fe8752.pdf. Retrieved 24 June 2015, from https://www.ncbi.nlm.nih.gov/pubmed/11753294 Implementing Evidence-Based Nursing Practice : An Overview. (2015). Retrieved 24 June 2015, from https://samples.jbpub.com/9780763780586/80586_CH05_Keele.pdf Libguides.hsl.washington.edu,. (2015).Home - Basic Introduction to Evidence-Based Practice Resources - HSL Guides at University of Washington Health Sciences Library. Retrieved 24 June 2015, from https://libguides.hsl.washington.edu/ebpintro Ncbi.nlm.nih.gov,. (2015).National Center for Biotechnology Information. Retrieved 24 June 2015, from https://Ncbi.nlm.nih.gov Nursingworld.org,. (2015).The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas. Retrieved 24 June 2015, from https://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice.html

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