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I work in the Magnet recognized hospital. I am very proud to say that nursing care we provide is based on the evidence and centered around patient outcomes. I have been with this organization for many years before we earned Magnet recognition, went through application and recognition process, and I can attest that process of changing culture from the work the way it was always done to the evidence based practice process was not easy. I believe that the hardest part of this process was changing culture and the mindset of the nurses that have been practicing for a long time, and mainly had ADN education level. Processes that improved safety such as computer charting and order entry, medication scanning, and increased accountability that came with changing practices, caused many older nurses to retire early or trade acute bedside care for smaller clinic or office settings. The strategies we used to bridge to evidence based practice consisted of trainings, education sessions, implementation and evaluation of new practices on pilot units before going house wide, constant re-evaluation and auditing of new practices, safety event reporting and swift follow up on fall-outs, empowerment of staff members to hold each-other accountable for implementation and outcomes, and providing education assistance for nurses to advance their education from AND to BSN and further.
Houser (2017), describes several models for translating research into evidence based practice. Our education and training process resembled Johns Hopkins Nursing Evidence-Based Practice Model which consist of internal and external evidence search, summarizing, critique and rating of evidence for strength, and finally determining the appropriateness and feasibility of translating evidence into the clinical setting.
Moving forward and reflecting on this class I believe that I have become more rounded nurse in my thinking and the practice. I often question what I do, if current evidence supports my practice, or if there is a better way to do it. I have become more receptive towards the changes, not only during this class, but through my AND-BSN journey. This class has definitely taught me about the stages of research process, how to read research article, and how to effectively sort thorough overwhelming amount of information available on the web.
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Burlington, MA: Jones & Bartlett Learning.