Question

What is the role of doctoral prepared researchers and leaders in advancing evidences-based prctice and what are some of the obstacles they might encounters?

Answer 1

Evidence based practice plays the significant role in the field of nursing practice as it would provide the best generalisation in providing the best comprehensive care to the patient.

The doctoral researchers play a vital role in enhancing, uplifting and developing the evidence based practices to the higher cognizant altitude. Although the concept of the doctorate in nursing is not a new one, infact it takes a lot of risks and hurdles to be a compassionate research scholar they will achieve the best evidence based practice results by discerning themselves to practice oriented programmes and research focused programs. They have a extended and a very significant expanded role in evidence based practice like:

# they mostly focus less on the content research methodology and focus more on the evaluation and the usage of research rather than the implementation of research process.

# they emphasise their clinical practice improvements to identify needs and problems of the client and identify various intervention, they perform the testing of the health care delivery models to bring about a change.

# they evaluate the health care outcomes and the best expertise in promoting the clinical excellence through integration of theory and practice.

# the researchers develop the practice focused written document that would be subjected to peer scrutiniy.

# they make the solution to their ther best capability for the existing problems of health care delivery system.

# they identify and utilise the best of both technology and information for the improvement and transformation of of health care.

# they also stride to develop, implement and evaluate the health policy which in turn elicits the evidence based practice for the policies to the greater population.

# analysis of cost effectiveness of practice initiatives to improve health care outcomes by researching on the risk involved in both overall system and the patient population.

# work on the ethical dilemmas that occur in the health care delivery to foster with effective strategies in the actual clinical set up.

# conducting the research by comprehensive, systematic assessment of health and illness parameters in complex situations as these may involve individual, family and community to the best ever care provided holistically with even culture sensitive issues.

# they also integrate research evidence with clinical expertise and patient values, which means that the best available evidence will be combined for the better clinical judgement.

# involve themselves in various pilot studies and case studies for critical thinking

# they also focus on translating the evidence into the clinical practice by the following:

*assessing the need of a improvement or change

*relating the issue with nursing intervention and patient care

*synthesis of best evidence

*designing the practice change

*integrating and maintaining the changes that occurred in practice.

THE OBSTACLES FACED BY THEM ARE AS FOLLOWS :

# Lack of resources

# lack of proper platform to support their findings

# ethical issues in nursing practice

# lack of competeness to put evidence based principles into practice.

# evidence may hav the limit in making the decisions.

# lack of guidance and motivation

# the gap between theory and the practice.

# lack of analysing needs and problems and come to a clinical judgment

# varying in various health policies

# changes and update on the technology and health care system.