How does your facility incorporate EBP in a clinical setting to promote patient outcomes? Do you have recommendations on how your facility can improve its use of EBP? My facility incorporates evidence-based practice in the clinical setting in a resourceful manner in order to promote patient outcomes. The institution integrates clinical expertise, the best research evidence and patient values in the decision making process to foster the implementation of evidence based practice. In this endeavor, the facility also encourages patients to bring their personal preferences, unique concerns, values and expectations in order to ensure that the clinicians have a heighted understanding of their pertinent medical issues and provide patient-centered care that meets the distinct needs of the patients. According to Polit & Beck (2011), through the practice of EBP, the healthcare facility can be in a better position to ascertain the effects of therapy, the prognosis of diseases, the utility of diagnostic tests as well as the etiology of disorders. It is worth mentioning that my facility follows various steps in implementing the EBP practices. These steps include assessing the patient, asking clinical questions derived from the patient’s case, acquiring the evidence through searching appropriate resources and then appraising the evidence for its applicability and validity. The other steps usually include integrating the evidence with patient preferences, clinical expertise and applying it to practice. The institution also encourages all practitioners to evaluate their performance with the patient as a yardstick for determining the effectiveness of the EBP process. Although the facility has registered notable success in its EBP initiatives, various recommendations can help it to improve on these processes. One of such proposals is to aim at creating and sustaining strong nurse-client relationships (Majid, Foo, & Luyt, 2011) . This can enable the practitioners to have a better understanding of the patient’s unique values and preferences, all of which are fundamental components of EBP practice. The leaders of the facility should also serve as positive role models through advocating, embracing and communicating the benefits of EBP to other employees in the organization. Ultimately, this will help to create a culture that supports the adoption and implementation of evidence-based practice across the entire healthcare establishment (Polit & Beck, 2011) . References Majid, S., Foo, S., & Luyt, B. (2011). Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge, and barriers. Journal of the Medical Library Association, 99 (3), 229–236. Retrieved June 10, 2015, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133901/ Polit, D., & Beck, C. (2011). Nursing Research: Generating and Assessing Evidence for Nursing Practice (9 ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. Discussion Question 2 Ho.

1. How does your facility incorporate EBP in a clinical setting to
promote patient outcomes? Do you have recommendations on
how your facility can improve its use of EBP?
My facility incorporates evidence-based practice in the clinical
setting in a resourceful manner in order to promote patient
outcomes. The institution integrates clinical expertise, the best
research evidence and patient values in the decision making
process to foster the implementation of evidence based practice.
In this endeavor, the facility also encourages patients to bring
their personal preferences, unique concerns, values and
expectations in order to ensure that the clinicians have a
heighted understanding of their pertinent medical issues and
provide patient-centered care that meets the distinct needs of
the patients.
According to
Polit & Beck (2011),
through the practice of EBP, the healthcare facility can be in a
better position to ascertain the effects of therapy, the prognosis
of diseases, the utility of diagnostic tests as well as the etiology
of disorders. It is worth mentioning that my facility follows
various steps in implementing the EBP practices. These steps
include assessing the patient, asking clinical questions derived
from the patient’s case, acquiring the evidence through
searching appropriate resources and then appraising the
evidence for its applicability and validity. The other steps
usually include integrating the evidence with patient
preferences, clinical expertise and applying it to practice. The
institution also encourages all practitioners to evaluate their
performance with the patient as a yardstick for determining the
effectiveness of the EBP process.
Although the facility has registered notable success in its EBP
initiatives, various recommendations can help it to improve on
these processes. One of such proposals is to aim at creating and
sustaining strong nurse-client relationships
(Majid, Foo, & Luyt, 2011)

2. . This can enable the practitioners to have a better
understanding of the patient’s unique values and preferences, all
of which are fundamental components of EBP practice. The
leaders of the facility should also serve as positive role models
through advocating, embracing and communicating the benefits
of EBP to other employees in the organization. Ultimately, this
will help to create a culture that supports the adoption and
implementation of evidence-based practice across the entire
healthcare establishment
(Polit & Beck, 2011)
.
References
Majid, S., Foo, S., & Luyt, B. (2011). Adopting evidence-based
practice in clinical decision making: nurses' perceptions,
knowledge, and barriers.
Journal of the Medical Library Association, 99
(3), 229–236. Retrieved June 10, 2015, from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133901/
Polit, D., & Beck, C. (2011).
Nursing Research: Generating and Assessing Evidence for
Nursing Practice
(9 ed.). Philadelphia: Wolters Kluwer Health/Lippincott
Williams & Wilkins.
Discussion Question 2
How can you use EBP in your practice? Discuss some
impediments to creating a program of nursing research in your
clinical environment.
Identify and discuss strategies for promoting EBP in your
practice.
In my practice, I can find innovative ways of using EBP to
improve the treatment outcomes of patients and ensure that I
promote my professional growth. As a first step of using the
EBP, I will strive to ensure that I fully utilize and evaluate
published research in the various aspects of operational and

3. clinical processes. I will also conduct research projects related
to the field of healthcare and share the knowledge from these
projects with other nurses in the facility as well as nurses in
other external organizations. Apart from looking at quality
improvement data, research findings and other types of
evaluation data, I will also strive to rely on expert opinion for
identifying methods of improvement. The expert opinions can
come from colleagues in the facility, particularly those with a
wealth of experience in clinical issues
(Atkinson, Turkel , & Cashy, 2008)
.
Nonetheless, I must admit that there are various impediments to
creating a program of nursing research in my clinical
environment. One of these impediments stems from the heavy
workload subjected to employees in the facility. This workload,
which is a result of high turnover rates in the organization,
denies practitioners the valuable time that they can use to
engage in research and evaluate the effectiveness of their
findings. Another major impediment to creating a program of
nursing research at my clinical environment comes from the
lack of financial resources.
Levin, Marren, & Lauder (2010) contend that
these resources are necessary for sustaining a long-term
research project and guaranteeing its success. Furthermore,
inability to comprehend statistical terms coupled with lack of
time and inadequate understanding of jargons used in most
research articles can pose some barriers to creating a program
of nursing research in healthcare establishments
(Majid et al., 2011)
.
Various strategies can aid to promote EBP in my practice. As
Majid et al. (2011)
vividly point out, in order to ensure that the nursing research
program becomes a success and fosters appropriate EBP
practices, there will be need for conducting periodic EBP
training and encouraging mentorship especially by those nurses

4. who have vast experience in the evidence-based practices. Other
viable alternatives include encouraging enculturation of
research infrastructure, expanding journal clubs to the various
nursing units and establishing nursing research councils that can
foster the implementation of EBP in the healthcare
establishment
(Levin, Marren, & Lauder, 2010)
.
References
Atkinson, M., Turkel , M., & Cashy, J. (2008). Overcoming
Barriers to Research in a Magnet Community Hospital.
Journal of Nursing Care Quality, 23
(4), 362 - 368. Retrieved June 10, 2015, from
http://www.nursingcenter.com/journalarticle?Article_ID=81574
6
Levin, R., Marren, J., & Lauder, B. (2010). Evidence-Based
Practice Improvement Merging 2 Paradigms.
J Nurs Care Qual, 25
(2), 117–126. Retrieved June 10, 2015, from
http://ohiohospitals.org/OHA/media/Images/Patient%20Safety%
20and%20Quality/Documents/39Weeks/Evidence-Based-
Practice-Improvement-Model-1.pdf
Majid, S., Foo, S., & Luyt, B. (2011). Adopting evidence-based
practice in clinical decision making: nurses' perceptions,
knowledge, and barriers.
Journal of the Medical Library Association, 99
(3), 229–236. Retrieved June 10, 2015, from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133901/
second peer
Clinical research is not the same as evidenced based practice.
Clinical research is "any kind of research that involves patients
and ranges from case reports and case series" where the
reviewer, uses a retrospective study of their own outcomes.

5. (Neumayer, 2006). The obstacles include time constraints, lack
of support staff, reward or recognition, potential impact on the
patient-doctor relationship, loss of professional autonomy,
incompatibility of protocol with daily practice and problems
with the consent procedure (Hebert, 2005). Clinical trials also
are expensive and take several years to complete (Neumayer,
2006). Evidence based research is a process that includes
"collecting, processing and implementing research findings to
improve clinical practice, the work environment or patient
outcomes (Chrisman, 2014). Another great concern is protecting
the vulnerable, which are "populations who are at risk of
being misused in the course of medical research, either by
coercion or a lack of knowledge or understanding" (Park,
2008).
How does your facility incorporate EBP in a clinical setting to
promote patient outcomes? Do you have recommendations on
how your facility can improve its use of EBP?
The facility for which I work has begun to use encourage and
promote the use of evidence based research. We have nurses
that participate in different associations that return with
information from other facilities that have made changes for the
benefit of patient outcomes and have proof that it has worked.
Because journals and articles are researched with the evidence
that supports better patient outcomes, my facility has continued
to use this method. As recent as yesterday, I was participating
in a hospital wide meeting where we are discussing what each
department is implementing to promote patient outcomes. In
my specific department, we have started the task of safety for
the patients and for the staff, This is due the fact that there
have been some incidences where police have been involved and
reports were filed on behalf of patients and the staff. In this
meeting, while there are employees, we also have upper
management who encourage us to work on the project and have
offered us use of libraries and studies where we can continue to
research. Management specifically stated that evidence based
research is more likely to be received and implemented over any

6. other type of research. This is encouraging to many staff,
because it allows us to learn, research and make a better
environment for our patients and our fellow coworkers.
Thankfully, my department not only has support from
management but was offered additional evidence from one
manager who had implemented safety measures at a previous
facility.
How can you use EBP in your practice?
Our facility is working on becoming obtaining a magnet status
and projects that are implemented must be evidence based.
Discuss some impediments to creating a program of nursing
research in your clinical environment.
Patient selection would be an impediment in nursing research in
our clinical environment, because we are in the ER and our
population is continues to be open ended and rotating. We also
have the problem with our population of being inconsistent,
with care, medications and follow up. Another problem would
be obtaining consent. Many people are concerned about the
integrity of confidentiality and may not desire to participate.
Timing is another issue, it takes time to gather and collect
information, time and money and finance to complete and
process the statistics and we need staff. As we currently are,
we work shifts that lack an appropriate amount of nurses and
therefore must close sections, losing nurses to help in research
would further create a deficit in patient care.
Identify and discuss strategies for promoting EBP in your
practice.
Our shared governance committee meets at regularly scheduled
intervals and we report to corporate managers regarding our
progress. This is being used now, as a way to provide upper
management with options that we suggest that can be
implemented such as safety measures. This also unites us as a
department and a company with a common goal, improving
patient outcomes. Management gets to hear us provide them
with proof of suggestions that we believe will work and we are
dedicated to trying in order to solve solutions and provide better

7. care.
References
Chrisman, J., Jordan, R., Davis, C., & Williams, W. (2014)
Exploring evidence-based practice research. Nursing made
Incredibly Easy, 12(4), 8-12.
doi:10.1097/01.NME.0000450295.93626.e7
Hebert-Croteau, N., Brisson, J., Lemaire, J., & Latreille, J.
(2005). The benefit of participating to clinical research.
Breast Cancer Research and Treatment, 91
(3), 279-81. doi:http://dx.doi.org/10.1007/s10549-005-0320-0
Neumayer, L. (2006). Clinical Research.
The American Journal of Surgery, 192
(2), 264. doi:http://dx.doi.org/10.1016/j.amjsung.2006.05.005
Park, S.S., & Grayson, M.H. (2008). Clinical research:
Protection of the "vulnerable"?
Journal of Allergy and Clinical Immunology, 121
(5), 1103-1107. doi:http://dx.doi.org/10.1016/j.jaci.2008.01.014