Evidence based practice | nursing
- The ACE Star Model is what I consider to be the most effective model for supporting an evidence-based initiative. The ACE Star Model provides a systematic and clear approach for implementing evidence-based practices by breaking the process down into five simple steps: ask, acquire, appraise, apply, and assess. The model is easy to use and emphasizes that all parties should be involved in the implementation process. The ACE Star Model also provides a framework to evaluate the implementation of evidence-based practices through the Assess Step.
This perspective is supported by the following sources:
- Melnyk, B. M., Gallagher-Ford, L., Zellefrow, C., Tucker, S., & Thomas, B. (2018). The first U.S. study on nurses’ evidence-based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. Worldviews on Evidence-Based Nursing, 15(1): 16-25.
- Titler, M. G., Kleiber, C., Steelman, V., Goode, C., Rakel, B., Barry-Walker, J., … & Buckwalter, K. C. (2001). The Iowa model for evidence-based care to improve quality of health care. Critical care nursing Clinics of North America. 13(4). 497-509.
- Fineout-Overholt, E., Melnyk, B. M., Schultz, A., & Scott, K. M. (2005). Assessment and measurement of evidence based practice Journal of Nurses in Staff Development, 21(6): 271-278.
- Stetler, C. B., Ritchie, J. A., Rycroft-Malone, J., & Schultz, A. A. (2014). Improving the quality of patient care by implementing evidence-based practices at the bedside in a routine and successful manner: A case study using the Pettigrew & Whipp model for strategic change. Implementation Science 9(1): 121.
- Because it stresses the importance of seeking out truth and pursuing perfection, the biblical view is in line with the need for nurses who are engaged in evidence-based initiatives. Evidence-based practices are a way to achieve this goal, as Christians we have a responsibility to care and love others. In addition, Scripture encourages us be wise in our actions and decisions, and the evidence-based approach helps us take informed, evidence-based, decisions which are in the patient’s best interests.
The accountability/responsibility of the Christian nurse to pursue excellence through evidence-based practice involves staying up-to-date with the latest research and applying it in practice to ensure the best possible outcomes for patients. Christian nurses must also integrate their faith and their skills into their work and serve others in a compassionate and humble manner.
- Holding a Doctor of Nursing Practice degree influences my perspective on the “case for evidence-based practice” by emphasizing the importance of using evidence to guide clinical decision-making and improve patient outcomes. My DNP will give me the ability to apply and critically evaluate research in practice, and I can lead initiatives for evidence-based care in my organization. By collaborating with inter-disciplinary teams, using data as a decision-maker, and implementing tailored evidence-based interventions to meet the needs of patients and my organization, I hope to transform practice. As a DNP I can also contribute to nursing science advancement by doing research and sharing findings in order to improve patient care and outcomes.