NR 451 Week 1 Discussion Types of Nursing Models and Frameworks of EBP Latest

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Types of Nursing Models and Frameworks of EBP

What are some of the models and frameworks of EBP currently in use? How does the strength of the evidence determine translation into practice? Why is it important to integrate both evidence-based practice and patient and family preferences? What is the nurse’s responsibility when EBP and patient and family practice do not match?

A Sample Answer For the Assignment: NR 451 Week 1 Discussion Types of Nursing Models and Frameworks of EBP Latest

Title: NR 451 Week 1 Discussion Types of Nursing Models and Frameworks of EBP Latest

There are many different models and frameworks that are currently used for evidence based practice. One includes the ACE Star Model of Knowledge. This nursing model of EBP is a good starting for place for nurses as it incorporates five points to help the nurse integrate new practice. “The model of evidence translation that will prove most useful depends on the type of practice, the setting, and the practitioner’s needs(Houser,2018, p.468). The stronger the research the more informative a nurse can be about translating it into their practice. While implementing the evidence nurse have to take the patient into consideration as they may not agree with the new practices. As nurses, we are taught to respect the patient and the family preferences to make sure the patient receives the best care possible. If the patient and family does not agree with EBP the nurse can try to educate the patient and family. If at the end of the education they still do not agree respect the wishes of the patient and family, and take care of the patient with other methods that they wish to be taken care of. As nurses, we are taught to critically think, and adjust our practices to individualize for each patient that we meet. “EBP is aimed at hardwiring current knowledge into common care decision to improve care processes and patient outcomes”(Steven, 2013, p.2)

Lesson Week 1

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.).Sudbury, MA: Jones and Bartlett.

Stevens, K. R. (2013). The impact of evidence-based practice in nursing and the next big ideas. Online Journal of Issues in Nursing, 18(2), manuscript 4.doi:10.3912/OJIN.Vol18No02Man04.

This week’s lesson listed five different EBP models (CCN, 2017):

The John’s Hopkins Nursing Evidence-Based Practice Model (JHNNEBP)
The Stetler Model
The Advancing Research and Clinical Practice through Close Collaboration Model (ARCC)
The Iowa EBP Model
The Promoting Action on Research Implementation in Health Service Framework (PARIHS)

These models provide the direction or roadmap to guide new strategies for care when new research has been identified. When a problem has been identified, you must first collect internal data to support the problems exists. The next step is find data to determine the magnitude of the problem, along with its causes. The final step is to analyze your findings. Not all nursing models of EBP will fit all organizations (CCN, 2017). Prior to the last class, EBP NR439, I really wasn’t too familiar with the term EBP. As I reflect and have more knowledge, I know see the Iowa EBP Model was and is used in my current practice to most of our daily care. This all took place several years back, never labeled as EBP. I now know the painstaking time and energy that went into all of these algorithm changes. It did create an uproar and we were wondering, “Why can’t we just do what we have always done”? Many of the changes came with the care of pregnant hypertensive patients and hyperemetic patients. It all made sense after our organization provided us with an in-service and support. But, today we still have some who just can’t see past the old ways. The introduction of EBP has made caring for the patient much more efficient

NR 451 Week 1 Discussion Types of Nursing Models and Frameworks of EBP Latest

and prevents unnecessary interventions and reduces costs.

As stated by Houser (2018, p. 25), “Based on the strength of the evidence and the preponderance of benefit or harm, recommendations are generated that are classified as strongly recommended, optional, or recommended. Evidence collected by research studies are graded based on the strength. Vigilant evaluation of specific characteristics matched with an assessment of the credibility and validity of the studies is essential before carrying out changes. Evidence that supports better patient outcomes, efficient, effective care and reduction in errors is what gets translated to practice.

When we integrate EBP with patient and family preferences, it allows us to design and develop appropriate and acceptable interventions tailored to that patient/family unit. By doing so we are implementing PFCC and allowing the patient/family to be active participants. As nurses, we provide the knowledge, resources, and support each patient needs to be involved in informed decision making processes and assume important aspects of self-care (Hood, 2014, p. 408). The patient is not exclusive in PFCC as most people are part of a family. Personal preferences, values, family dynamics, religious and cultural traditions must all be taken into consideration.

A Sample Answer For the Assignment: NR 451 Week 1 Discussion Types of Nursing Models and Frameworks of EBP Latest

Title: NR 451 Week 1 Discussion Types of Nursing Models and Frameworks of EBP Latest

Healthcare providers and patients approach clinical care and treatment differently. First and foremost, it is my obligation and duty to uphold the patient and or family’s preferences. We have a duty to care according to the patient’s wishes. So it is inevitable that there will be a time when EBP and the patient and family practice are at odds and don’t agree. There will always be these dilemmas. According to Siminoff (2013), PFCC increases treatment adherence and better outcomes. The family influence has a significant impact on health care decisions. Working with the patient and family and understanding their approach and decisions is important. Understanding that illness is not just a biological process but also a social process. Open commination and actively listening to the patient/family to make sure there is no misunderstandings about the EBP practice chosen is important. The decision to be an active participant is the patient’s to make, not ours. Increased patient involvement is an important part of quality improvement because it is associated with improved health outcomes (Say & Thompson, 2003). With that being said, we must abide by our patients wishes. Several years back I can remember taking care a very sick hyperemesis patient who was Orthodox Jew. She was to be started on a sq Ondansetron pump, but because it was religious fast day, Yom Kippur, we could not start her until the fast was completed. I was so upset as this woman was already very sick and not eating or starting her therapy meant even more insult to her already depleted condition. After talking with her and listening, I understood the importance of this religious day and nothing I could say would change her mind. I did more research myself and came to realize the significance of this day for her. Cleary, compromise and allowing the patient to be the driver in her care was the best approach to take.

NR 451 Week 1 Discussion Types of Nursing Models and Frameworks of EBP Latest References,

Chamberlain College of Nursing. (2107) NR451 Week online lesson. Collaborative Healthcare: Chamberlain College of Nursing. Downers Grove Il

Siminoff L. Incorporating patient and family preferences into evidence-based medicine. BMC Medical Informatics And Decision Making [serial online]. 2013;13 Suppl 3:S6. Available from: MEDLINE Complete, Ipswich, MA. Accessed August 23, 2017.

Say, R. E., & Thomson, R. (2003). The importance of patient preferences in treatment decisions-challenges for doctors. BMJ: British Medical Journal, 327(7414),542. doi:http://dx.doi.org.proxy.chamberlain.edu:8080/10.1136/bmj.327.7414.542

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Important information on Writing a Discussion Question

Your response needs to be a minimum of 150 words (not including your list of references)
There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
Include in-text citations in your response
Do not include quotes—instead summarize and paraphrase the information
Follow APA-7th edition
Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

A minimum of 6 responses per week, on at least 3 days of the week.
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Each response needs to be at least 75 words in length (does not include your list of references)
Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
Follow APA 7th edition
Points will be deducted if the above is not followed
Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
Here are some helpful links
Student paper example
Citing Sources
The Writing Center is a great resource