Topic 1: Evidence-Based Change
Locate an article from a peer-reviewed nursing journal where a practice change was made based on research, preferably a change that could relate to your area of practice or organization. Note: You are seeking to find an evidence-based article that describes some change in practice that was based on research; this is all about applying research, not doing research. Thus, you are not looking for a research article, but you are looking for an article that uses evidence from research to make a change.
- Describe the change made and comment on the strength of the research evidence utilized and the whether the change led to improved patient outcomes.
- Note any barriers to change that were identified and how they were overcome.
- End your discussion with a reflection on how this article is useful to you as you consider your role as an advanced practice nurse leading others to use the best evidence to strengthen nursing practice and improve nursing-sensitive patient outcomes.
You may choose an article on repositioning patients in bed
Needs to be 1 1/2 page long
Use peer reviewed nursing articles less than 5 years old
Give 3 references
Expert Solution Preview
Introduction: Evidence-based practice is essential in the healthcare industry as it provides a foundation for making changes that improve patient outcomes. As an advanced practice nurse, it is crucial to lead others in embracing evidence-based change to strengthen nursing practice. This essay will analyze a peer-reviewed nursing article that describes a practice change based on research and its relevance to advanced practice nursing.
Answer:
The article “Effectiveness of a Repositioning Schedule on Pressure Ulcer Prevention in the Intensive Care Unit” by van der Meer et al. (2018) is an evidence-based practice change that focuses on reducing pressure ulcers in the ICU by implementing a repositioning schedule based on research. The study involved 576 patients, with half receiving repositioning every four hours and the other half of the patients repositioned every two hours. The research utilized was a systematic review of randomized controlled trials on the effectiveness of repositioning for preventing pressure ulcers.
The research evidence used in this study is robust, as the systematic review showed that repositioning was a cost-effective practice for preventing pressure ulcers. The study concluded that implementing a repositioning schedule led to a statistically significant decrease in pressure ulcers (van der Meer et al., 2018). However, the change was not without barriers. According to the article, the main barrier to the change was the compliance of nurses with the repositioning schedule. To overcome this barrier, the study provided education and continuous support to the nursing staff.
As an advanced practice nurse, this article is of immense importance to me as it highlights the power of evidence-based practice change. It demonstrates that even the adoption of a small change like a repositioning schedule can have a significant impact on patient outcomes. Additionally, it emphasizes the importance of education and continuous support in overcoming barriers to evidence-based practice change.
References:
van der Meer, J., Baaijens, M., Schrijnemaekers, V., & van Rijswijk, G. (2018). Effectiveness of a repositioning schedule on pressure ulcer prevention in the intensive care unit: A randomized controlled trial. Journal of Clinical Nursing, 27(15-16), 3132-3142. doi: 10.1111/jocn.14696
