E-Folio Essential III The purpose of this paper is to depict on Essential III-Scholarship for Evidence Based Practice and how it relates to my learning experience in Nursing Research and Evidence- Based Practice course. The main focus of Essential III is for baccalaureate prepared nurses to understand the critical element of scholarly practice and apply evidence based practice into their patient care delivering. Evidence-based practice models provide systematic process for the evaluation and application of scientific evidence surround practice issues (IOM, 2003b). Baccalaureate nurses integrate reliable evidence from multiple ways of knowing to informed practice and make clinical judgments. In collaboration with other healthcare team members, graduates participate in documenting and interpreting evidence for improving patient outcomes (AACN, 2006b). Exemplar During my Nursing Research and Evidence-Based Practice course, we were asked to conduct evidence based research on any topic of our choosing. I chose to conduct my research on the effects of eight hour vs. twelve hour shifts. Needless to say this was my first research article. For starters, I was unfamiliar with most of the terminologies needed to conduct a research; such as: Problem statement, purpose statement, hypothesis, Patient, problem or population, intervention, comparison/ control or comparator, outcomes (PICO) and so on. I did not let this deter me from completing the assignment. One of the requirements for this assignment was to find a research article that was done on my selected topic and critique the credibility of this article. I had a lot of question about critiquing other peoples work, because Im with the assumption that these individual are far more educated than I am and even if a mistake was made I will not be E-FOLIO- ESSENTIAL III 3
able to grasp it because my knowledge is not at the same level as theirs. Well, I quickly learned that I was wrong about my assumption of not being able to detect mistakes made by these other researchers and the credibility of their sources. The research comparing the differences between 8-hour and 12-hour shifts was not conclusive. Further studies on staff scheduling practices that look more closely at the relationship between extended work hours and safe care of patients needs to be done to help make these studies more conclusive. A research focus should branch out to other healthcare facilities that use nurses not just in the hospitals settings. A comprehensive overview should be taken into consideration of male nurses, nurses with young children, older nurses etc. to get a full understanding of the effects of 12-hour shifts on nurses. Reflection As professional nurses, its expected for us to safeguard patients right, dignity and to identify potential harm and prevent it before it actually occurs. Some of the focal points of Essential III is for the professional nurse to demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice; to advocate for the protection of human subjects in the conduct of research and evaluate the credibility of sources of information, including but not limited to databases and Internet resources (AACN, 2008). During the research of compare the effects of eight hours versus twelve hour shift, I was able to implement majority of the requirements by Essential III as stated above.
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References: American Association of Colleges of Nursing. (2008). The essentials of baccalaureate education for professional nursing practice. Retrieved from: http://www.aacn.nche.edu/education/pdf/BaccEssentials08.pdf American Association of Colleges of Nursing. (2006b). Position statement on nursing research. Retrieved from http://www.aacn.nche.edu/Publications/pdf/NsgResearch.pdf Institute of Medicine (2003b). Health professions education: A bridge to quality. Washington, DC: National Academies Press.
(Gender and Sexuality in Information Studies) Patrick Keilty and Rebecca Dean (Eds.) - Feminist and Queer Information Studies Reader (2013, Litwin Books)