How would a nurse practitioner and a nurse manager differ with regard to how they use and incorporate EBP in their areas of practice?
Ans) An evidence-based practice (EBP) is any practice that relies on scientific evidence for guidance and decision-making. Practices that are not evidence-based may rely on tradition, intuition, or other unproven methods.
- Nurse managers play a major role in establishing a unit-based culture in which nursing practice is guided by evidence. To do this, we must establish expectations supported by departmental policy that encourage clinical nurses to actively incorporate evidence into daily decision making. This can produce challenges for the often overburdened manager who must overcome the frequently sited barriers to EBP implementation: lack of time, inadequate knowledge and skills, lack of EBP mentors, and resistance to change.
- Utilizing a participative leadership style in which decisions are made with the most feasible amount of participation from those who are affected by the decisions, in addition to support at the organizational level (top down) and the unit level (bottom up), the nurse manager can have significant influence in overcoming these barriers and role model opportunities for seamless incorporation of new practice behaviors. The nurse managers at the National Institutes of Health (NIH) Clinical Center have formalized the role of the manager in designing a unit culture to facilitate EBP for clinical staff.
- Ensuring Use of EBP
My role is to bring evidence to them, bring data, and help make
process improvements to correct or improve upon our (patients')
outcomes.” Nurse managers held nurses accountable to use EBP in
their clinical practice and encouraged them to engage their peers
to do so.
How would a nurse practitioner and a nurse manager differ with regard to how they use...
How would a nurse practitioner and a nurse manager differ with regard to how they use and incorporate EBP in their areas of practice?
How would a nurse practitioner and a nurse manager differ with regard to how they use and incorporate EBP in their areas of practice?
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Katie is a nurse practitioner in otolaryngology head & neck surgery at a Midwest tertiary care facility. Her pt. population often requires an altered airway, including tracheostomy. Tracheostomy care is a frequently challenging nursing intervention with conflicting practice information. Tracheostomy care policies & procedures are often based on experience & expert opinion. Most recent research evidence is specific to pt populations that are intubated & differ from pts undergoing tracheostomy for head & neck surgery. One controversial example of practice...
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