This document discusses evidence-based practice (EBP) in nursing. It notes that many nursing practices are based on tradition rather than evidence, and evaluates the use of EBP in clinical settings. The document provides learning objectives on evaluating EBP use, formulating strategies to overcome barriers to EBP, and forming background questions and a PICOT question. Required readings are listed to help students examine the role of EBP in nursing and consider how to promote its use.

1. Walden University Evidence-Based Practice in nursing
Walden University Evidence-Based Practice in nursingWalden University Evidence-Based
Practice in nursingMany people have ways of doing things that they follow for no other
reason than “this is how it has always been done.” Have you ever encountered this in your
experiences as a nurse? Do you follow certain processes because they have been shown to
contribute to better health outcomes? Or, is the reasoning behind many of your practices
simply based on how you were trained or how you have observed others in your practice
setting? Consider, for example, the taking of post-operative vital signs in the general
surgical setting. According to Zeitz and McCutcheon (2003), specific regimens of collecting
vitals at certain set intervals are based on tradition only, with no evidence that they are
relevant or even useful. But diligent nurses worldwide still faithfully monitor these vital
signs at specific time-intervals within in the post-operative setting.CLICK HERE TO ORDER
YOUR ASSIGNMENTThis week, you examine the role that evidence-based practice (EBP)
plays in nursing. You consider how EBP is demonstrated within clinical settings and
healthcare organizations, and why it is important to base health care practices on evidence.
You will formulate background questions and a PICOT question. Finally, you explore
barriers that may prevent EBP from being used more consistently.Reference:Zeitz, K., &
McCutcheon, H. (2003). Evidence-based practice: To be or not to be, this is the
question! International Journal of Nursing Practice, 9(5), 272–279.Learning
ObjectivesStudents will:Evaluate the use of evidence-based practice in clinical
settingsFormulate strategies for overcoming barriers to evidence-based practiceFormulate
background questions and a PICOT questionLearning ResourcesNote: To access this week’s
required library resources, please click on the link to the Course Readings List, found in
the Course Materials section of your Syllabus.Required ReadingsPolit, D. F., & Beck, C. T.
(2017). Nursing research: Generating and assessing evidence for nursing practice (10th
ed.). Philadelphia, PA: Wolters Kluwer.Chapter 1, “Introduction to Nursing Research in an
Evidence-Based Practice Environment”This chapter provides an introduction to nursing
research, its history, and the evolution of evidence-based practice. It includes an overview
of credible sources of evidences and a description of the different paradigms used in
nursing research.Chapter 2, “Evidence-Based Nursing: Translating Research Evidence into
Practice”The focus of this chapter includes an overview of the key aspects of evidence-based
practice, a review of how to identify credible research and appraise its value, and, finally, a
discussion on how to take the identified evidence and convert it into a practice.Chapter 3,
“Key Concepts and Steps in Qualitative and Quantitative Research”In this chapter,

2. quantitative and qualitative research models are compared and the major steps in each
approach are described. Information is also presented on the different sections of a
research journal article and how you can identify the research model that was utilized.
Walden University Evidence-Based Practice in nursingAdams, J. S. (2010). Utilizing
evidence-based research and practice to the infusion alliance. Journal of Infusion Nursing,
33(5), 273–277.Retrieved from the Walden Library databases.This article examines how
evidence-based research and practice s infusion alliances. The text also specifies the
increasing challenges that infusion nurses face.Mallory, G. A. (2010). Professional nursing
societies and evidence-based practice: Strategies to cross the quality chasm. Nursing
Outlook, 58(6), 279–286.Retrieved from the Walden Library databases.This article
describes strategies for reducing the gap between research knowledge and practice. The
article also details how nursing societies could use these strategies to improve the quality of
care.Newhouse, R. P., & Spring, B. (2010). Interdisciplinary evidence-based practice: Moving
from silos to synergy. Nursing Outlook, 58(6), 309–317.Retrieved from the Walden Library
databases.In this article, the authors examine the state of interdisciplinary evidence-based
practice (EBP). The authors detail efforts to promote interdisciplinary EBP, academic and
clinical training regarding interdisciplinary EBP, and strategies that may facilitate EBP
translation across disciplines.Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y-L., Chang, Y-K., &
Mokhtar, I. A. (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 from the Walden Library databases.This article reviews a study that
sought to determine nurses’ awareness of, knowledge of, and attitude toward EBP. The
article also describes factors likely to promote barriers to EBP adoption.Shivnan, J. C.
(2011). How do you your staff? Promote EBP. Nursing Management, 42(2), 12–
14.Retrieved from the Walden Library databases.This article explores the role of the nurse
manager in ing evidence-based practice. The article also explains barriers and strategies to
promote EBP for a nurse manager.Walden Student Center for Success. (2012). Clinical
Question Anatomy. Retrieved July 9, 2014, from
http://academicguides.waldenu.edu/content.php?pid=183871&sid=2950360MediaLaureat
e Education (Producer). (2012). Timeline of nursing research. Baltimore, MD: Author. This
multimedia piece features a timeline of major events in nursing research. The timeline
highlights how historical events and seminal research have contributed to nursing
practice.Discussion: Nursing Research and Evidence-Based PracticeIn your practice as a
nurse, you may use procedures and methods that did not necessarily originate in evidence,
but instead were derived from informal and unwritten conventions, traditions, and
observations. While these techniques may have merit, practices are constantly being
updated and contradicted by information from scholarly research studies and professional
guidelines. This new information serves as “evidence” for revising practices to improve
outcomes across health care.Based on this evidence, you can formulate a question. In this
Discussion, you consider the use of evidence-based practice in your own organization and
formulate a question that you will need to answer for your portfolio project. This is called a
PICOT question. You will also investigate strategies for overcoming barriers to
implementing evidence-based practice (EBP).To prepare:Consider a recent clinical

3. experience in which you were providing care for a patient. Determine the extent to which
the care that you provided was based on evidence and research findings or ed only by your
organization’s standard procedures. How do you know if the tasks were based on
research?What questions have you thought about in a particular area of care such as a
procedure or policy?Review Chapter 2, pages 31–34 on “Asking Well worded Clinical
Questions” in Polit & Beck and consult the resource from the Walden Student Center for
Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s
Learning Resources). Formulate your background questions and PICOT question.Reflect on
the barriers that might inhibit the implementation of evidence-based practice in your
clinical environment.Review the article “Adopting Evidence-Based Practice in Clinical
Decision Making” in this week’s Learning Resources. Select one of the barriers described
that is evident in your organization and formulate a plan for overcoming this
barrier.Write an evaluation of the use, or lack thereof, of EBP in a recent clinical experience.
Identify which aspects of the care delivered, if any, were based on evidence and provide
your rationale. List your background questions and PICOT question about this nursing topic.
Critique how the policies, procedures, and culture in your organization may hinder or the
adoption of evidence-based practices. Identify the barrier you selected from the article and
explain how this barrier could be overcome within your organization.