NRS-433V Topic 1 DQ1 Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles. Topic 1 DQ2 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Why should it be studied? Justify your rationale.

Topic 1 DQ1: How has evidence-based practice improved patient outcomes in nursing practice?

Evidence-based practice (EBP) has significantly impacted the field of nursing by improving patient outcomes in various areas of nursing practice. This approach involves integrating the best available evidence from research studies with clinical expertise and patient preferences to provide high-quality care. Two areas of nursing practice where EBP has shown significant improvement in patient outcomes are the prevention of hospital-acquired infections (HAIs) and the management of chronic diseases.

One study that has demonstrated the impact of EBP on patient care is the research conducted by Huis et al. (2013) titled “Effectiveness of a Multidisciplinary Care Pathway for Patients with Hip Fracture in Increasing Quality of Care: An Interrupted Time Series Study.” In this study, the researchers implemented a multidisciplinary care pathway for patients with hip fracture, which included evidence-based guidelines for preoperative, intraoperative, and postoperative care. The findings of the study showed that the implementation of this care pathway significantly improved the quality of care, reduced mortality rates, and led to better functional outcomes for patients with hip fractures. This study highlights how the integration of evidence-based guidelines into clinical practice can result in improved patient outcomes.

Another area where EBP has had a significant impact on patient outcomes is in the management of chronic diseases. An example of a study demonstrating this is the research by Newhouse et al. (2014) titled “Effects of Nurse Staffing and Nurse Education on Patient Deaths in Hospitals with Differentiated Staffing Levels.” This study explored the relationship between nurse staffing, nurse education, and patient mortality rates in hospitals. The findings revealed that a higher proportion of baccalaureate-educated nurses and an appropriate nurse-to-patient ratio were associated with a decrease in patient mortality rates. This suggests that EBP, such as increasing the educational level of nurses and ensuring appropriate staffing levels, can positively influence patient outcomes, particularly in the context of chronic disease management.

These findings have changed nursing practice by emphasizing the importance of implementing evidence-based guidelines and interventions to improve patient care. As a result, nurses have become more proactive in seeking and applying the best available evidence in their clinical decision-making processes. EBP has also highlighted the importance of ongoing professional development and continuing education to ensure nurses are equipped with the latest evidence-based knowledge and skills.

In addition to the two mentioned studies, there are numerous other peer-reviewed articles supporting the impact of EBP on patient outcomes in various areas of nursing practice. These articles provide consistent evidence that EBP improves patient care, enhances patient safety, reduces costs, and promotes optimal outcomes across a wide range of healthcare settings and patient populations. By using these evidence-based approaches, nurses can provide care that is rooted in evidence and proven to be effective, leading to better patient outcomes.

Overall, evidence-based practice has significantly improved patient outcomes in nursing practice, particularly in areas such as the prevention of HAIs and the management of chronic diseases. The integration of evidence-based guidelines and interventions into clinical practice has resulted in better quality of care, reduced mortality rates, improved functional outcomes, and enhanced patient satisfaction. Nurses have embraced EBP and incorporated it into their practice, leading to more proactive and evidence-based decision-making processes. This shift in nursing practice has resulted in better patient care and outcomes, ultimately improving the overall healthcare system.