EBP 1

Course Description & Objectives

This course explores the philosophical and theoretical underpinnings that inform nursing knowledge relevant to the role of the baccalaureate-prepared nurse. Emphasis is placed on use of the best available evidence, clinical expertise, and patient preferences to improve healthcare quality.

At the completion of this course, the student will be able to:

  1. Apply knowledge from the art and science of nursing, the natural/behavioral sciences and humanities tonursing education, practice and research.
  2. Utilize theoretical frameworks as a basis for nursing and interprofessional practice, research, andeducation.
  3. Examine the assumptions and conceptual frameworks inherent in nursing’s core values that influencethe quality of health care for individuals and families.
  4. Demonstrate knowledge and skill in utilizing research evidence for nursing practice.
  5. Recognize the important leadership contributions that each nurse can make to implement EBP topromote quality and safety.
  6. Explore the use of theory and evidence based knowledge to guide a systematic approach to nursing care.
  7. Analyze and evaluate selected nursing theories for translation into practice, research and nursingeducation.

Final EBP 1 Reflection

For my first experience completing an Evidence-Based nursing research project, I have learned a lot. As compared to previous research based classes I have been in, having a specific nursing lens on has allowed me to see how gaining knowledge on a specific area of research is very valuable to have and to educate my future patients on. It has been very helpful learning how to better navigate sites such as EBSCO and also learn about nursing research specific websites to utilize. I have enjoyed learning how nurses can play a key role in the research environment and help further investigate ways to improve current practices for the benefit of both the nurse and patient. To a potential employer, I would like them to know that I am still a beginner in the EBP research field, however, I am looking forward to further defining my skills and improving in EBP II next semester. I see how greatly practices can always be updated and followed in order to maintain safety and maximize health. I also enjoyed working in a team setting as I believe that our combined interest in the topic made it enjoyable to complete as well as we completed our project with no conflict and supported each other throughout. During this project, I learned that in my role as a team member I wanted to maximize my effort for the benefit of the group. I wanted to ensure that my work was completed to the best of my ability since it wasn’t just myself relying on a grade for the portion of the work that I completed. I also appreciated how timely we completed our assignments, often having them submitted at least a day prior to the due date.

Ethical Considerations for EBP

Prior to completing the ethics assignments, I wasn’t sure about much about the nurse’s role in ethics. I assume that nurses would want to be their patient’s best advocate in the entire process, so I’m curious if they would be more cautious with informed consent and weighing possible risks and benefits for them because of that. Since the nurse has arguably the most time at the bedside with the patient, they most likely would gather the most evidence if a project was implementing something in that setting. Prior to this class and watching videos from other chapters, I didn’t know that nurses were a part of the research role and could even come up with possible PICOT and ideas to better their facility and patient-care. I believe nurses will always keep their patient as their top priority and depending on the style of the study will need to be aware of maintaining confidentiality and respecting the research study and only providing what information the patient is allowed to know to them. Nurses could also answer any questions that the patients have throughout the process.

Completing these ethics assignments has broaden my view on how much of an impact nurse’s have to the ethical side of research. The most eye-opening was the movie Miss Evers’ Boys since that went into detail to the story of the Tuskegee experiment and the impact it had. The role of the nurse portrayed by the character Eunice rides the fine line between wanting to protect the nature of the study but yet provide accurate information on treatment to the patients some of whom are her friends. She was forced to withhold information from the patients about how this was still a worthwhile study to be a participant in even though Penicillin had already been found to be a valid treatment for Syphilis. This example shows how it may be difficult to treat certain patients, especially in this case when the morals of the study weren’t strong to begin with. Nurses should be aware of the history of ethics in order to self-reflect and analyze our own morals prior to possibly participating in a research study. With the many checkpoints now that research studies have to go through now there is a much slimmer chance for anything unethical like this to occur again. This course has introduced me to the basis of what nursing research is and what is possible to attain in my career. I will continue to gain knowledge in the next EBP course and get more confident in my research skills. I have enjoyed broadening my skills of using research engines through this course and learning how to make searches more specific.

Appraisal and Synthesis Reflection

Completing the first draft of our synthesis paper and final assignments leading up to this has been a very smooth process working with Harrison. Both of us agreed that it wasn’t as time-consuming as we initially thought it would be to put together this draft. I can attribute this thought to the well-placed assignments that led up to this point, where I can see now all work together like puzzle pieces to give us the paper. When completing the evidence appraisal table, this allowed us to clearly lay out the major facts and pieces of information that we wanted to include in our synthesis. One thing that really stood out to me was that there was no clear answer in answering our PICOT question the way it was worded. This was based off of research that showed how infants that had a diet mostly of breast milk had lower fat mass only during a portion of the first year as compared to a diet mostly of cow’s milk formula having lower fat mass during the opposite time period in the twelve months. This makes me think that more research should done to have a mixture of diets and utilizing each during different months to have an overall low fat mass rather than the alternating lead in fat free mass. Also, another finding was that in one study that also included data about Soy Formula, that was the leader in fat-free mass as compared to the other two diets, this surprised me as I didn’t know this was an option for nutrition and more data should be completed among other alternatives. These findings will impact my future nursing practice as a hopeful labor and delivery nurse in supporting mother and parent’s decision for the diet of their child. I would advocate for breastfeeding for the beginning to aid in the mother-baby bond and then transition to using cow’s milk or soy formula. Yes, we both came to the same conclusions and I look forward to hearing his opinions on our findings.

From inquiry to discovery

Since my team chose a topic, we had to slightly alter our wording to further clarify details we indicated in our question. Our PICOT asks the question if infants that were fed a diet majorly of breastmilk as compared to a diet majorly of formula had differences in their growth and development. We had to clarify about a diet that mostly consisted of either breastmilk or formula milk, the wording could have wrongfully included babies who had a mixture of both types of milk when our goal was to compare the two diets and the effects of that. The research articles that were available to us in databases was slightly limited due to the time constriction of being from the past 7 years, there was a high amount of research that had this theme 8 or 9 years ago which had to be excluded. Also, making the searches specific to growth and development or body composition of infants with one diet versus another was limited, but we are confident that with the three articles chosen that they adequately cover our topic and provide information to support our PICOT question. One challenge that we had was the time constriction like previously mentioned, but once we found one meta-analysis it was used to go through the list of references to provide another good article to use. A success that our team has experienced is good teamwork and communication, after we were notified that one of our articles was not a research article we quickly worked together to run searches to fix that issue. This step has gone relatively smooth and I am looking forward to continuing the process.

Planning the Journey

The team project that is about to start for the course, I am excited to start because of the nature of the project researching a topic that I have a lot of interest in as well as I believe that I will work well with my partner. I will be working with Harrison on my project and we have decided to explore the route of the difference of effect of an infant receiving breast milk versus formula. We are still unsure at the moment whether we will be exploring the nutritional or immune route, but I believe it is a good and relevant topic to be discussing since both of us are interested in either pediatrics or labor & delivery. As for our communication plan for the project, we are open with each other and will text, video call, meet in person, really whatever we feel is needed for the task that is to be completed we will make it happen. So far throughout the planning process we have utilized texting and video call to use, but I foresee us using in-person formats as the project gets underway. For conflict management, we are both very upfront individuals and will let each other know if something isn’t done yet or up to one of our standards. Reminding each other is just a friendly text to send and with the right wording it won’t come off as bossy or demanding. I believe working in a team for this project is a huge benefit for splitting the work of a research project because during undergrad in my Research Methods course we each had to do our separate research papers on the same subject to only then come together at the end and mesh all of our findings into a research poster. Therefore, I believe that having multiple people involved in the same process and able to discuss points and topics with is a huge benefit to carry on through. This is a useful method to carry on throughout my nursing career to start developing my inter professional dialogue and research with others. It will be a good way to get used to bouncing ideas off of another colleague and to use each other as a resource in the research process.

css.php