NUR 590 Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization

NUR 590 Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization

NUR 590 Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization

The “spirit of inquiry” is maintaining an open mindset where we strive for better clinical learning and practice through ongoing research. It involves challenging traditional methods and problem-solving based on efficacy. It ensures finding the best evidence to guide clinical practices for optimal treatment outcomes (Melynk & Fineout-Overholt, 2019). As advanced nurse practitioners, our practice must optimize patient outcomes based on EBP. A spirit of inquiry also prompts us to conduct our own research without relevant research. APRNs can conduct new research through grant funding, employer petitions, or professional organization peer-reviewed research.

This mindset is always necessary, not just in the future as APRNs. We can be involved in educational development, membership in professional organizations, or subscribing to professional literature informing us of new clinical findings. We should be open to embracing new policies by management in our current practice if the evidence supports new implementations. This purposeful desire to explore new knowledge is imperative to maintaining the spirit of inquiry.

Reference

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Wolters Kluwer.

Evidence-based practice is a culture and must be cultivated and created as such. On a nursing unit or in a department there must be passion and drive trickling down from leadership to the bedside to create an EBP culture. For EBP to be successfully adopted and sustained in healthcare settings it must be adopted by individual care providers who have the skill and knowledge to incorporate research into practice or EBP (Ydrogo et al., 2021). Having a spirit of inquiry or a passion for EBP and higher quality patient care stems from the organization. As an advanced registered nurse, you can help to foster that spirit of inquiry for EBP. This can be done through workshops, modules, mentors, and programs to educate nurses about EBP and how to research and develop EBP. By showing you support a culture of EBP and expect nothing less than the best in your department you will spark a spirit of inquiry within your unit/department. Currently, the greatest barrier to implementing EBP is a lack of skills and knowledge, this is especially true in the ambulatory setting (Ydrogo, et al., 2021).

Reference:

Ydrogo, C., Magnan, M., Fedoronko, K. (2021, January 2). Reinvigorating evidence based pratice. Journal for Nurses in Professional Development 37(1), 28-34. Reinvigorating Evidence-Based Practice : Journal for Nurses in Professional Development (lww.com)

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS NUR 590 Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization:

I agree with your post regarding the role of an advanced practice nurse in EBP’s and the need to build and support the culture. Research is challenging, Nurs-550 helped me understand a little more, but it’s still intimidating. I greatly appreciate the nurses who have a passion for this area as they are great resources for those of us who are less experienced. Wyant, 2018 explains the “spirit of inquiry” as an ongoing curiosity about the best evidence to guide clinical decision-making. 

Wyant, T. (2018, January 18). A spirit of inquiry leads to evidence-based answers to practice questions. ONS Voice. https://voice.ons.org/news-and-views/a-spirit-of-inquiry-leads-to-evidence-based-answers-to-practice-questions 

The spirit of inquiry is essential to an evidence-based culture for promoting continuous learning, driving innovation, and improving patient outcomes. Addressing a clinical problem with evidence-based practice (EBP) entails asking the relevant questions correctly, locating the best available evidence, and determining what practice changes may be required. Developing nurses with an inquiry spirit within a culture that promotes a systematic approach to asking clinical questions is critical to the EBP journey (Melnyk & Fineout-Overholt, 2019).

As an advanced nurse, there are different ways to encourage EBP within the practice or organization. Educating colleagues and staff members about the value of evidence-based practice in delivering high-quality patient care. Explain how it leads to better outcomes, increased patient safety, and improved resource utilization. Encourage a learning environment that supports questioning, open discussions, and intellectual curiosity. Promote opportunities for continuing education, workshops, and conferences to enhance knowledge and skills among healthcare professionals. Encourage nurses and other healthcare professionals to engage in research activities by participating in studies or conducting their own research projects. Ensure the organization provides easy access to relevant and current evidence-based resources. Create an environment where individuals feel comfortable challenging traditional norms and proposing innovative solutions based on the available evidence(Melnyk & Fineout-Overholt, 2019).

In my organization, I am a Unit based practice committee member, where we constantly attempt to enhance our practices by searching the new EBPs and methods related to our unit and implementing and monitoring evidence-based practice for high-quality patient care.

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Wolters Kluwer. ISBN-13: 9781496384539

Great discussion response, I liked your succinct explanation of the spirit of inquiry and how you tied it into the process of integrating evidence-based practice (EBP) into healthcare change and development. I especially appreciated your discussion of the different ways advanced practice registered nurses can get involved in the process of integrating the spirit of inquiry into the culture of their organizations. It was very interesting to hear about your experience as a unit based practice committee member and how you use that position to enhance practice at your organization!

Though I am not yet an advanced practice nurse, I work with a few nurse practitioners and nurse educators in my current job. It is inspiring to work in an environment that not only allows but encourages aspects of nursing development such as transformational leadership, continuous improvement, and clinical research – my hospital is also a magnet hospital, which adds yet another layer of leadership support and resources for nursing staff to access in further developing our practice. In their day-to-day practice, the advanced practice nurses in my organization promote the use of EBP in clinical practice by spearheading clinical research at our facility, discussing new practice standards with bedside staff, educating staff on new technology or information, and by allowing for the open discussion of clinical practice throughout the interdisciplinary teams present at our workplace.

The “spirit of inquiry” is continuing to strive for better clinical practice through research. (Wyant, 2018) It is not being complacent in the profession of nursing, but using research to improve the care we provide for our patients and moving the p[profession forward as a science. As future advanced practice nurses we have many opportunities to improve care delivery. For example, if we notice issues that are negatively affecting patient care, we can investigate through data collection, research/review evidence-based practice and put methods in place to improve patient outcomes. If there is no evidence-based practice that exists for PICOT, we can always research but applying for grants, petition our employers or coming together in our professional groups to conduct the research. Through professional organizations we can also publish our findings and have the evidence reviewed by our peers. For example, as a home health nurse, my team recognized that transiting from acute care to home care without health maintenance education was a huge challenge. So, prior to the patient’s discharge, we would go to the hospital and educate the patient and their families on how to use the ambulatory pumps. This introduction of the teaching in the hospital made the transition to home much easier. We were able to get this practice to be s standard because of the data collected by the nurses that were doing the work. We presented evidence to the administration, and we were successful in making hospital/home education part of our policy.

Wyant, T. (2018, January 18). A spirit of inquiry leads to evidence-based answers to practice questions. Retrieved from ONS Voice: https://voice.ons.org/news-and-views/a-spirit-of-inquiry-leads-to-evidence-based-answers-to-practice-questions

 I understand the value of a safe transition to the community. One of the responsibilities of a clinical nurse coordinator is to ensure a safe discharge. Working with homecare agency liaisons has significantly reduced my institution’s readmission rate with our orthopedic population in recent years. Before discharge, assessments allow home care nurses to acquire detailed information about the patient’s health status, including medical history, current prescriptions, and ongoing care needs. This information helps develop personalized care plans and the continuity of care during the transition to the home environment. To complete the assignment, I will compare the role and implementation of evidence-based practice (EBP) in home health care nursing and orthopedic nursing.

Vandivier et al. (2018) noted that EBP is critical in home health care nursing for providing evidence-based treatment to patients in their homes. Wound care, medication administration, disease management, and rehabilitation are all services provided by home health care nurses. EBP assists them in making informed decisions on the most effective interventions to increase patient safety, improve recovery, and assist patients in living independently at home. The authors also highlighted that home health care nurses use evidence-based guidelines, care plans, and protocols customized for the individual requirements of home care patients.

EBP is critical in orthopedic nursing for evidence-based care to patients with musculoskeletal disorders and those undergoing orthopedic surgery. Orthopedic nurses use EBP to assess and manage pain, increase mobility and functional recovery, avoid complications, and educate patients on self-care and rehabilitation techniques. The nurses rely on evidence-based guidelines, protocols, and best practices for preoperative, intraoperative, and postoperative care. They also utilize evidence to guide decisions regarding pain management, wound care, early mobilization, and fall prevention in orthopedic patients.

Reference

Vandiver, T., Anderson, T. M., Boston, B., Bowers, C. L., & Hall, N. (2018). Community-Based Home Health Programs and Chronic Disease. Professional Case Management23(1), 25–31. https://doi.org/10.1097/ncm.0000000000000242

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