Discussion: Nursing Research and Evidence-Based Practice In 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 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 supported 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. Post 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 support 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. Respond to at least two of your colleagues on two different days using one or more of the following approaches: Ask a probing question, substantiated with additional background information, and evidence. Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. Validate an idea with your own experience and additional sources. Make a suggestion based on additional evidence drawn from readings or after.

1. Discussion: Nursing Research and Evidence-Based Practice
In 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 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 supported 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.

2. 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.
Post 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 support 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.
Respond to at least two of your colleagues on two different days
using one or more of the following approaches:
Ask a probing question, substantiated with additional
background information, and evidence.
Share an insight from having read your colleagues’ postings,
synthesizing the information to provide new perspectives.
Validate an idea with your own experience and additional
sources.
Make a suggestion based on additional evidence drawn from
readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional
strategies for addressing barriers to EBP based on readings and
evidence.
Required Readings
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating
and assessing evidence for nursing practice (10th ed.).

3. 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, 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.
Adams, J. S. (2010). Utilizing evidence-based research and
practice to support 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
supports 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.

4. 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.
Shaheen, M., 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 support 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 supporting
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&si
d=2950360

5. Media
Laureate 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.
USE THIS LINK TOO
http://mym.cdn.laureate-
media.com/2dett4d/Walden/NURS/6052/1/mm/timeline_of_nurs
ing_research/index.html