7 Powerful Benefits of Evidence-Based Nursing Practice That Inspire Better Care | studycreek.com

Introduction: Why Tradition is not Enough in Modern Nursing.

Knowledge on Evidence-Based Nursing Practice.

• Use up-to-date research evidence.
• Improve clinical judgment
• Reduce variations in care
• Increase patient safety and satisfaction.

The Affliction Effect of Evidence-Based Nursing Practice on Patient Care.

• Research makes patients feel safe knowing their care is research-driven.
• Families become more confident in the treatment choices.
• Recovery outcomes improve
• Fear and apprehension are minimized.

Evidence-Based Nursing Practice in Driving Better Patient Results.

Increased Clinical Decision-Making Confidence.

• The decisions become more secure in clinical situations.
• Uncertainty stress is reduced.
• Accountability improves
• Credibility of the professionals enhances.

Magnet Recognition and Healthcare Excellence Support.

• Conformity to Magnet standards.
• Encourages quality in the ongoing improvement.
• Punishes anti-nursing research.
• Improves the reputation of the organization.

Empowering Nursing Education and Professional Development.

• Be abreast with new research.
• Acquire a lifetime learning habit.
• Improve the ability to think critically.
• Enhance school performance.

Advocating Patient-Centered Care Evidence-Based Nursing Practice.

• Design interventions to suit the needs of the individuals.
• Enhance trust and communication.
• Improve cultural competence.
• Foster a mutual decision-making.

How to save Healthcare Costs and not to reduce the quality.

• There is a decrease in hospital readmissions.
• Length of stay is reduced
• There is efficiency in the use of resources.
• Avoidable complications are reduced.

Powering Nurses as Leaders and Change Agents.

• They have an implication on policy formulation.
• Quality improvement programs in leaders.
• Make contributions in research and innovation.
• Enhance professional autonomy.

Breaking the Evidence-Based Nursing Practice Barriers.

• Continuous education and training.
• Leadership support
• Availability of academic materials.
• Organizational belief in EBP.

SAMPLE QUESTION

Competency

Identify the major concepts of selected nursing theories.

Scenario

You are working as a Registered Nurse at a local hospital that has recently changed ownership. The new owners of the hospital are committed to a culture that embraces evidence-based practice (EBP) and utilizes EBP as a guide for their policies and procedures. The focus on evidence-based practice can be seen as part of the hospital’s mission statement and local advertising campaign which states, “Evidence-based practice: The key to advancing quality and safety in healthcare.” While the hospital mission includes the statement: “…to be the healthcare center of choice, through superior clinical outcomes, evidence-based practice-driven protocols, and the advancement of practice utilizing formal and continuing education.”

The hospital leadership team has shared that they are beginning the process of applying for Magnet status as a healthcare facility. They have asked for volunteers to serve on a sub-committee to select a nursing theorist as a framework that will be used to guide nursing practice. You have been asked to research the various nursing theorists and select two to present to the leadership team.

Instructions

From the list

• provided, select two nursing theorists. Prepare a presentation that compares and contrasts the two theories and make a recommendation for which theory would be a better fit for the facility. Please include the following in your presentation: Identify the two selected theorists and briefly summarize each theory.
• Compare and contrast the two selected theories.
• Formulate a recommendation for the theorist that best aligns to the facility.

ANSWER

Comparison of Nursing Theories as a Guide to Evidence-Based Practice.
Introduction
The assimilation of nursing theory with clinical practice offers a platform to the provision of quality, evidence-based care. With the rise in the focus on the evidence-based practice (EBP) in healthcare organizations, nursing theories offer a set of guidelines according to which clinical decisions are made, patients are treated, and professional nursing practice is organized.

The mission of the hospital to promote quality and safety by EBP and the Magnet designation seek mean it should choose a nursing theory to support their mission. This paper will compare the Self-Care Deficit Nursing Theory formulated by Dorothea Orem and overlay the Jean Watson Theory of Human Caring with the two theories and give recommendations on the theory that will be most beneficial to the mission and vision of the organization.

Summary of Chosen Nursing Theories.
Self-Care Deficit Nursing Theory by Dorothea Orem.
Self-Care Deficit Nursing Theory by Dorothea Orem is premised on the assumption that people are capable of taking care of themselves and living in a healthy and well-being state. Patients in a situation where they cannot take care of themselves should receive nursing intervention (Orem, 2001). The theory is divided into three components that are interrelated: self-care, self-care deficit, and nursing systems. Nursing systems are categorised as wholly compensatory, partially compensatory and supportive-educative based on the ability of the patient to take care of themselves.

The theory developed by Orem pays emphasis on patient education, autonomy, and evidence to evaluate the needs of patients and identify the necessary nursing interventions. It is broadly used in acute care, chronic disease management, rehabilitation and discharge planning and is therefore very relevant in contemporary healthcare facilities where quantifiable results and patient safety are key components.

Theory of Human Caring as developed by Jean Watson.
The Theory of Human Caring established by Jean Watson is concerned with the humanistic and relational components of nursing. The theory puts caring at the center of the nursing practice and the significance of providing holistic care to meet the physical, emotional, and spiritual needs of the patients (Watson, 2008). The caritas processes, which direct nurses to establish meaningful transpersonal relationships in caring with patients, are central in the theory.

The theory by Watson facilitates healing settings, empathy, and care towards human dignity. It is consistent with the models of patient-centered care and it facilitates positive experiences of patients, satisfaction among nurses, and ethical nursing practice. This theory is also typical in the environments where patient care is based on emotional support, end-of-life care, and mental health.

Comparison of the Theories
Despite the fact that both theories give us useful guidelines on how to practice nursing, they are different in their focus and application. The theory of Orem is mainly outcome-focused and it gives importance to patient independence and functional capability. However, the theory developed by Watson is based more on caring relationships and holistic well-being.

The Self-Care Deficit Nursing Theory developed by Orem is very much attuned to the evidence-based practice because of its systematic nature and focus on the quantifiable patient outcome. The qualitative outcomes supported by Theory of Human Caring by Watson include patient satisfaction and emotional well-being. Both of the theories fit the principles of Magnet, but the theory of Orem is especially suitable to be used in standardized protocols, quality improvement projects, policy-making in acute care facilities.

Recommendation
The Self-Care Deficit Nursing Theory presented by Dorothea Orem is suggested as the nursing theory that should guide the nursing practice in the facility. This theory is very close to the mission statement of the hospital to promote quality and safety by implementing evidence-based practice. Its systematic delivery of care assists in derivation of EBP-based protocols, quantifiable results, and patient educational programs. The theory by Orem also enables interdisciplinary practice and encourages the autonomy of the patient, as these are critical in obtaining and maintaining Magnet status.

Although the Jean Watson Theory of Human Caring suggests a very strong culture of compassion and professional nursing excellence, the theory proposed by Orem is more practical and evidence-based to be applicable in various contexts of clinical work on a regular basis.

Conclusion
Choosing a nursing theory upon which practice may be based is a crucial move towards the promotion of evidence-based care and professional nursing excellence. The Self-Care Deficit Nursing Theory developed by Dorothea Orem and the Theory of Human Caring by Jean Watson can also bring some valuable insights into nursing practice. Nevertheless, the theory presented by Orem is a well-structured, detailed, and quantifiable theory that can be best used to justify the hospital adherence to evidence-based practice and its Magnet recognition.

References

Orem, D. E. (2001). Nursing: Concepts of practice (6th ed.). Mosby.

Watson, J. (2008). Nursing: The philosophy and science of caring (rev. ed.). University Press of Colorado.