Case Study Theory Guided Practice Evidence Based Practice Nursing Essay

Case Study system Guided Practice Evidence Based Practice Nursing screenThis paper is a incloseation of the board of the infirmary which pull up stakes present the arguments from two commissionings an evidence-based committee and scheme-based committee. A summarized report of each committees debut is included on why the hospital should implement integrated evidenced-based custom (EBP) or hypothesis-based coif into their clinical setting. After analysing the arguments and supporting points of or so(prenominal) sides, merits and drawbacks of the implementation of each lend oneself were taken into account and throw off forward. Finally, the rationale and recommendation for a hypothesis-guided, evidence-based nurse approach volition be asserted.The evidence-guided committee states that by implementing an evidence-based approach into the hospital, nurses will be capable to make clinical decisions using current best inquiry evidence. This is then blended with authorise policies and clinical guidelines, clinical expertise and judgment, and patient preferences (). They argue that EBP will mitigate clients present and future wellness outcomes. The committee brought into example a culture done in a hospital setting using question-based do for intervention. The study found that 72% of the clients had 28% better outcomes physically, behaviourally, intellectually, and socio-psychologically when evidence-based shape (1988). They tonic the importance of integrating the best sound evidence of client anguish in the nursing profession with an aim to improve that cargon.The committee alike recollects that EBP will help to infinitesimal the existing gap amid inquiry and shape. When EBP is utilized, nurses will be able to use research marking to corroborate or guide their actions in clinical settings. They will no monthlong rely on fads or the advice of colleagues that may not be reasoned or reliable (). In addition, EBP will increase the a vailability and utilization of quality research that is based on randomised controlled trail designs (). This will in phone number help nurses to keep up with the large amounts of unceasingly yield research findings and will allow them to utilize rigorous research rather than methodologically weak and unreliable research ().The surmise-guided committee argued that implementing a conceptual approach in clinical class period would facilitate processes that signifi fecal mattertly benefit clients, nurses, the health upkeep system and the broader environment (). Theory would erect nurses with a purpose in their clinical entrust while giving them a perspective with which to view clients situations. By implementing scheme-based pattern nurses, we would be able to systematize, analyse and interpret the daily experiences and information gained from providing care to clients. This in fleck would help nurses better manipulate outcomes of the care provided, better communicate with cli ents and other(a) health care professionals and make their go for to a greater extent efficient overall.Theory-guided nursing practice will make nursing a unique profession with its own boundaries and will help guide the direction the profession to hap in the future.The theory-based committee withal provided examples of applying major human race acquirement theories into practice and strongly urged us to designate a specific theory to guide the nursing practice within the hospital. Some examples include Parses theory of human becoming and the formation of meaning to health and quality of life, and Newmans theory of expanding consciousness and pattern recognition through the collaboration with clients. They described a hospice setting and how such theories squirt be utilize to dying clients and their families. For example, if the practice is guided by Parses theory, the nurse is able to provide an individualized care to clients, viewing each client as a unique human being and an expert of his or her own life. Another example assumption was towards clients with disabilities. When the practice is guided by Newmans theory, nurses are able to form relationships with their clients and find an unfolding pattern in their lives. In this way both are able to expand their consciousness nurses and clients are able to grow, find impertinently meanings in life, and form natural and deeper relationships. Many nurses reported that when such theories were implemented in clinical settings, their job was more rewarding and professional, in turn improving both client and nurse satisfaction (). The committee argues that implementing theory based practice will help nurses understand clients better and in turn improve clients health and well-being, as well as provide the nurses with a unique body of cognition.After closely listening to both committees it is clear that both EBP and theory-based practice rent both advantages and disadvantages. Firstly, when EBP is used, so me nurses might find it difficult to incorporate it into the clinical setting as they might simply not understand how to do so, or they may lack the knowledge and acquirement of interpreting research finding and applying them to practice. Whereas, when theory-guided practice is used to guide nurses thinking and actions, nurses can better comprehend and put meaning to what they are doing and why. Furthermore, time constrains can impede nurses from utilizing EBP (Canadian Nurses Association, 2004). Nurses often have heavy workloads and so can be too busy to sop up in such practices. In addition, nurses may not have the purloin access to current information and resources to support the search for new knowledge. For example, hospital libraries may not have current research journals.Nurses may also find it difficult to implement theory-based practice into clinical settings. Nurses may have hard time to decide how and in what situations to apply theory as they may not have a clear int ellectual of or may not recognize the principles and concepts related to client care and needs. In fact, there is very little material in the lit relating to the finish of theory to modern practice. All of the later contributes further to the already existing theory-practice gap. Moreover, nursing theory in the literature often is subjective and focussinges on restricted, ideal situations. Nursing theory often describes how nursing practice should be rather than how it really is in real life situations. In fact, the knowledge of theory does not always produce good practice. As observed by Allmark (1995), practice development and feelerion many generation lacks theoretical base. Therefore, we must be vigilant in the conscientious application of nursing theory to relevant situations.If used effectively, both EBP and theory-based practice can greatly contribute to nursing practice. EBP is a universally relevant phenomenon which uses up-to-date top research evidences and facilitat es sound judgment in clinical settings and cost-effective care. It can also promote nurses and students alike to question greens clinical practice actions. Nursing theory can create new ideas and help put forward solutions to the many problems that are encountered in the existential world of the clinical setting. Whereas nursing theory puts greater emphasis on client centered care, EBP also considers client preferences and so together they can ensure a more client centered approach. This way, clients and nurses will be able to engage in a therapeutic relationship, where trust, acceptance and mutualness are co-created by nursing and client, improving quality of care.I believe that theory guided practice in a way allows EBP to progress by generating conceptual problems. I think that integrating both EBP and theory based practice would yield the best results for both clients and nurses alike. It would lead to change professional autonomy and give nurses a unique identity that guides our practice by what we know rather than by delegating nursing responsibilities. Also, nurses will be able to care for clients in a way that improves their health and well being within their own environments. Nursing theory can be used to provide guidance in creating and implementing evidence-based practice.In guild to make a theory-guided, evidence-based practice possible and narrow the gap between research, theory and practice, a number of factors must be considered and addressed. Firstly, to help narrow the theory-practice gap, theory development should be targeted towards nurse educators as well as nurse practitioners. Institutions must make efforts to promote theory and practice as a whole unit rather than separate nursing actions. This in turn will help nurses apply relevance to academic knowledge in clinical practice. Students and nurses should also be exposed to theoretical principles more often. As well, effective guidelines for the application of theory in nursing practic e should be demonstrable and encouraged to be utilized. Furthermore, EBP can also be incorporated in educational faculties such as universities and within practice settings themselves.Hospitals should incorporate programs, seminars, orientation sessions, workshops and offer nurses continuing education courses that will focus on theoretical concepts and principles as well as skills such as searching and critiquing research and applying it to practice. Other programs can also be developed that will train nurses and focus on improving their knowledge and skill to critically evaluate research findings and its effect of their practice. Moreover, hospitals should have libraries near or within the clinical setting that will include current research journals in the libraries. Hospitals should also provide internet access in the clinical setting with good databases containing theory-based and evidence-based research articles. Hospitals should also implement policies, procedures and practice guidelines that are based on current evidence.It is also important for the theorists and researchers to straight off participate in clinical settings. This will allow them to base their theories or research on real life experiences and use a phrase that could be easily understood by nurses. Moreover, it is essential to support information-seeking behaviours that discuss the use of present evidence- based and theory based practices. By promoting the benefits of EBP and theory-based practice, nurses can be the change champions who implement the best of both practices.Raudonis, B., Acton, G. (1997). theoretic nursing practice. Journal of Advanced Nursing, 26(1), 138-145.Canadian Nurses Association (2004). Making exceed Practice Guidelines a Reality from Nursing Now Issues and Trends in Canadian Nursing, No 17, 1-4.