Question

or EBP project of substance abuse . Discuss which theory you plan on using to guide your work.

Answer 1

ANSWER : EBP(Evidence Based Practice) in nursing is an integration of research evidence, clinical expertise and a patient's preferences. This problem-solving approach to clinical practice encourages nurses to provide individualized patient care.

Theory in planning to implement evidence-based practices into clinical care or work firstly it should be that theory should be tightly linked to strategic planning through careful choice or creation of an implementation framework. Strategies should be linked to specific interventions or components to be implemented, and the choice of tools should match the interventions and overall strategy which will be linking back to the original theory and framework such as for example of linking theory to intervention design is presented from a Mental Health Quality Enhancement Research Initiative effort to increase appropriate use of antipsychotic medication among patients with schizophrenia in the Veterans Health Administration.

1. I believe that explicitly outlining and understanding some form of theory that explains the reason for why an intervention may work to induce planned change is a critical step in planning interventions to change provider or patient behavior, particularly in order to promote evidence-based care.
2. A prominent recent example is the administrative data feedback for effective cardiac treatment (AFFECT) study report of a negative trial of administrative data feedback in attempting to improve hospital performance on key indicators of cardiac care. The principles guiding the design of the study were empirical, applying insights and findings from prior studies. No explicit theories of individual or organizational behavior change were applied in planning the design and conducting the study.
   Select theory/theories of planned behavior change Identify potential strategies for achieving change Select interventions that fit with the strategies planned using theory Assess fit with initial theory Evaluate effectiveness of intervention and specific tools & strategies Launch intervention using identified tools and strategies Identify tools for the intervention that fit both strategy and theory
   
3. A approach to using theory for implementation work.