NURS 6052 Week 11 Essay Discussion: Creating a Culture of Evidence-Based Practice

Though rewarding, implementing Evidence-based nursing practice (EBNP) is not easy. It requires a top down approach, and resources.

First, you need to break down some personal barriers

The main barriers to implementing EBNP are the perception that it takes up valuable time, problems with access to information resources, skepticism and reluctance from practitioners who believe they are already practicing best practice despite their training being some time ago.

You can counter negative views by demonstrating the positive impact of EBNP using your own patient population or evidence from other services that have already implemented it. Partnering with an academic institution can improve your access to researchers and research methods.

Simple training sessions – face-to-face, webinars or other methods – can provide assurance and skills to nurses who may need to improve their evidence-based and accessing information resources. It’s important that this training is provided at all levels of the chain of command.

Your institution needs to change too

The culture of “nurses eat their young” – insensitive treatment of new nurses by their more experienced colleagues – needs to evolve. New nurses’ evidence-based training must be combined with seasoned practitioners’ experience:

• EBNP can be included in new staff inductions to create a generation of, “This is how we do it” coming up through the ranks
• Seasoned care-givers – who didn’t encounter EBNP in their nursing training – can be invited to apply their practical knowledge to evidence sourced by newer nurses, to allow both nurses to bring something to the team and reduce resistance to evidence-based practice

Mentoring plays a strong role in a solid EBNP implementation and practitioners from other services with successful EBNP implementations may be able to play a role here.

Your organization must encourage curiosity and inquiry, supporting experimentation and innovation and replacing “this is how we’ve always done it” with “evidence shows this is the best way to do it”.

EBNP is top-down, so leadership is important

Commitment starts at the top, with clinical leaders and managers.

Planning for EBNP must include clear goals and measurement criteria, and a strategic plan that shows how EBNP will be integrated into the organization.

Leaders need to commit their budgets and influence to provide resources, tools and skills to support EBNP. Guidelines must be clear and well communicated so that practitioners can successfully request resources as repeated knock backs will kill enthusiasm. This includes encouraging staff to attend conferences and bring back learning to share with the organization through posters, information sessions and training. Your implementation plans should include this.

A multi-level approach to implementing EBNP has been shown to be effective, and it is convenient to use the existing hierarchy of your organization to support it.

The plan must include clear goals, with a shared commitment to achieving them across the hierarchy of the hospital. And, of course, the clearest of all goals must be to integrate evidence into practice which results in a measurable improvement in care of patients, families, communities and the population.

Finally, evidence shows that the more people who participate in the change the greater the change will be – so include everyone for everyone to benefit.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. NURS 6052 Week 11 Discussion

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score. NURS 6052 Week 11 Discussion

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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