EBP means evidence-based practice, it plays a significant role in healthcare settings promoting patient care through proven data and information from research and investigational studies. This strategy is the use of research provided about the strategies applied to help foster favorable patient outcomes and improve them along with expounding on expert practice and patient preferences to raise the bar as to what constitutes acceptable practice (Meng et al., 2022). To strengthen the need and the reasons for integrating EBP into patient management and quality of care this paper postulates that it is equally crucial to gain a clear understanding of certain clinical matters and patient management tools. Procedurally, our purpose is to demonstrate the relevance of EBP in improving patients’ status, as well as healthcare systems by reflecting on this process.

Analyzing Criteria and Process for Evidence-Based Nursing Practice

Evidence-based nursing practice (EBP) is the integration and application of the best available research evidence based on patient, clinical, or contextualized decisions supported by evidence from research, derived from scientific evidence such as research studies (Kumah et al., 2022). This would normally culminate in formulating a structured clinical question with regards to some aspects or components like (PICO(T)) i.e. Patient/Population, Intervention, Comparison, Outcome, and Time with a formulation of an Evidence-Based Clinical Question. They are useful to shape the research question so that you know what to ask and it is bound to only that parameter.

Searching for the Best Available Evidence

After diagnosis of the clinical question, it is now time to look for the best evidence that is available. To do this, one must have access to resources that include peer-reviewed research papers, systematic reviews, and or clinical guidelines which are available in national databases like PubMed, CINAHL, and the Cochrane Library (Kumah et al., 2022). According to present guidelines, it is mandatory to obtain the most pertinent research through the means of an ideal and sequential search method.

While using correct keywords and limiting the results which can be achieved after putting efficient limitations. To assess how stable and accurate the evidence that will emerge from this approach Strength of recommendation takes factors like, the method of the study, symmetry of acquired points, focal area of evidence, and possibilities of undue influence.

Synthesizing and applying the evidence

The next step which is beneficial after assessing data would be to implement this data This data then has to be integrated into practice. This means that while enhancing the findings with evidence-based knowledge, patient preferences or choices have to be included (Tucker et al., 2021). The staff is sometimes separated into the healthcare team, this means that to make appropriate changes in light of the evidence, members of the team are forced to work together in a multidisciplinary fashion. Some of the interventions that may be designed in this step may comprise standard operating procedures affecting treatment plans that are realistic in a clinical context and others that are grounded on the current literature.

Difficulties in Developing EBPs

However, several limitations could make it difficult for EBPs to be developed and implemented though the benefits are quite evident. The first one is the absence of enough high-quality evidence on which the guidelines can be based and developed well (Tucker et al., 2021). This is because sometimes it becomes challenging to research to arrive at definitive and tangible findings on many areas of interest to nursing, let alone where studies are lacking or controversial on certain diseases or conditions. Secondly, another issue that appears to be of much concern for the nurse is the lack of time to search, evaluate, and incorporate research findings into practice.

Lack of access to resources

Another is a lack of resources particularly where there are few subscriptions to databases or scholarly publications. This could be a challenge in practice for nurses because when they do not have the current research, they are unable to know what is current evidence (Nguyen et al., 2020). Further, the conception of EBPs might be difficult due to the lack of assimilation of change by the practitioners. Most of the time its new practice impacts the old habit which can be an issue since there will be new practices without having a comparison of the benefits of the new practice over the old one especially when it is changing the habit that a person is used to.

Ethical considerations

Therefore, an important concern that is likely to act as a barrier to integration as well as dissemination of the EBPs is ethics. Concerns may include at times patient preferences may not align with the evidence or given the cultural or patient factors, the evidence cannot be fully applied (Couture et al., 2021). In these cases, nurses are caught in the middle of the role that they have to offer care based on research findings and the rights and status of the patient. Therefore, nurses can make sure that the treatment of patients is based on the findings of literature, and by coping with these issues, and contributing to the advancement of EBP, they will be ready to do it using the most current and accurate evidence.

Importance of Effective Scholarship and Information for Evidence-Based Nursing Practice

Unlike the traditional approach to practice, the use of research and accuracy when collecting data are vital determinants of EBP in the nursing practice. In the field of nursing, scholarship refers to the intentional and purposeful, as well as methodical, acquisition, appraisal, and utilization of data obtained from research (Schoberer, Hupcey, & Houser, 2022). Evidence-based practice research means the assurance of credibility and relevance of identifying information used in the clinical decision support system to improve the outcome of patients treated.

Scholarship enhances the pragmatic value of acquired knowledge since it may ensure that the theory learned correlates with practice (Rugs et al., 2020). The scholarship allows nurses to implement good practices and enhance knowledge and development of the health sector. It also has a responsibility to come up with improved policies to champion the course of enhancing patient care. Thus, research practice also liberates the thinking of the nurse; it gives them the chance and authority to question certain standardized procedures and to voice concern about carrying on with those routines when they are no longer efficient for the patient; it offers a chance to creativity concerning client care, and to make decision-making use of research.

Criteria to Evaluate Scholarship and Information

The reliability of sources is a major aspect; data has to be collected from scholarly articles, books, and/or official policymaker sites like CDC, WHO, etc., (Rugs et al., 2020). RS is to consider the experience of the authors or researchers mentioned in the source to make the concluding decision whether this source is reliable or not. Other limitations include relevance; the data gathered must be relevant to the area of law under consideration or the type of clinical issue for practicing on a patient, appropriate to the treatments and outcomes conceived for the particular population.

Moreover, the actuality of information is critically crucial in rapidly developing branches like medicine, for example, nonstrict submission may lead to erroneous or even fatal decisions (Schoberer et al., 2022). There is also a need to be neutral; a researcher cannot be researching while having some other interests in the research project at the same time, the researcher needs to declare such interests. Good research does not merely enrich the agenda of the study but also brings differences in the lives of patients and the practices in clinical care.

Describing a Clinical Question Addressed by Evidence-Based Patient Care Technology

Telemonitoring of heart failure patients for follow-up care as against face-to-face follow-up visits to reduce readmissions is a worthy, clinical-based question within which; patient care technologies-based solutions may be found. This is a fundamental question because, as highlighted in the earlier parts of this paper, heart failure is a chronic disease that leads to recurrent hospitalization, hence causing higher costs among patients and healthcare facilities (Nguyen et al., 2020). By using telehealth technology the health status, symptoms, and patient compliance with medication can be quickly determined by the clinician. This helps in the early intervention and may even help in decreasing hospital readmission rates.

Identifying Knowledge, Gaps, Missing Information, or Areas of Uncertainty

However, there are some questions and research issues regarding the telehealth technology that was identified during the study. Nurses need to have a clear idea about different forms of telehealth solutions including how they gather information like weight, blood pressure, or pulse, as well as how this information is incorporated into the patient’s electronic health record, if any (Valizadeh et al., 2022). However, many nurses may not have sufficient technological information to assist in solving various problems encountered in the use of telehealth call systems. However, despite the benefits in the case of chronic diseases such as heart failure, further questions seem to arise about the durability of the encounters amidst numerous patients and the impact on the diverse population. To enhance patient-centered outcomes such as readmission and quality of life, nurses should practice under evidence derived from systematic reviews and meta-analyses for telehealth, (Rhudy et al., 2019).

There seems to be an area of confusion on two aspects, namely the patients’ usage of the equipment as well as their engagement in the whole therapeutic process. Engagement and involvement of patients in telehealth depend on the nature of their interactions thus strategies to involve patients in telehealth must be effective. In addition, there is a lack of paramount research concerning cultural and ethical issues in telehealth, including issues concerning equal opportunity and voluntary participation concerning cultural diversity.

Evaluating Ethical and Regulatory Implications in Implementing Telehealth for Heart Failure Patients

According to Heffner, telehealth has issues of privacy and confidentiality, social justice including fair distribution of care, and the ability of patients to govern themselves. Telehealth encounters, for instance, use computing devices to disseminate delicate health information as opposed to private health consultations and hence are more vulnerable to aggression through hacking and unauthorized use of shared health information.GDPR compliance in communication means the strategy must integrate data encryption in the process to protect patient information, as well as ensure that patients are taught about storage and data security before signing up for telehealth programs (VerStrate et al., 2023). Moreover, focal issues have been raised to questions of equitable access: patients residing in rural and other low-density areas may have limited and unreliable internet access or appropriate equipment, whereas some elderly or technologically inexperienced patients may experience difficulties in the use of such services. For this purpose, a clinician should focus on delivering devices, considering other forms of service delivery, or seeking training to provide equal opportunities for all patients (Couture et al., 2021). Finally, telehealth can obscure patient self-governance, especially where regular supervision is required. Patient autonomy and telehealth consent means that the patient should understand how telehealth will affect his/her typical practice rights to refuse monitoring at any time.

Regulatory Implications

Several issues related to licensing, security, payment, and possibilities of development of new technologies are considered to be rather questionable from the regulatory and ethical point of view in the context of telehealth. A key barrier is the licensing of providers, where dynamics of telehealth are cross-state or cross-border in nature and hence challenging for providers geographically located in the same region as patients (Inayat et al., 2023). To cater to this, various licensing organizations ought to set up standard healthcare practice agreements across the various areas with the least quality terms. Another key factor of concern is data privacy; while for instance as part of the HIPAA in the USA there exist legal provisions regarding how patient information can be managed and since in telehealth information has to be conveyed through a platform, then that platform must meet those requirements or else they end up paying a price in form of fines or loss of clients. Rate and methods of payment for telehealth continue to differ from one insurance company or government program to another, posing difficulties to providers. There are also applied attempts to synchronize the procedures of reimbursement (Inayat et al., 2023). Similar to the present, prospects including the application of AI in telehealth imply the bias present in the algorithm, lack of clarity regarding who is responsible for the decision making, and the AI Vs clinical wisdom debate. There is a need for these challenges to be adequately handled as technology advances for proper handling of ethical use as considered by regulations. In addition, as the rates of telehealth usage increase the patient may rely on this as their sole means of interacting with a clinician and they may develop a weak empathy-based bond depending on the case.

NURS FPX 5005 Assessment 3 Conclusion

The purpose of this particular review is to demonstrate how different approaches to enhancing the evidence-based practice (EBP) process in patient care contribute to the increase in the overall quality and positive outcomes of treatment. Integrating EBP in patient care technologies helps healthcare practitioners practice what assists in clinician-patient interoperability to meet the patients’ requirements ( Mayra et al., 2021). Even trying to use less-than-perfect evidence it is possible to make best practices ever better, which leads to improved health and the culture of growing clinical excellence in healthcare. As we progress from tolerance to proficiency in EBP, it is vital to build forward education and workforce preparedness while ensuring that patient care pertains to the scientific and clinical flux.

NURS FPX 5005 Assessment 2 References

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Evidence-Based Practice Application