Applying Research in Practice

APPLYING RESEARCH IN PRACTICE 4

ApplyingResearch in Practice

InstitutionalAffiliations

ApplyingResearch in Practice

Nurseswill servethepatientsby addressingtheir individual’sneedin thehealthcare. Thenurserecognizesthehealthproblem,andthenconsidersthebestoptionto managetheproblem.Indeed,thenursemust interprettheavailableevidenceabout theoutcomeof everyoptionandeventuallyascertainthepatientpreferencesforeveryoutcome.In addition,thenursesmust alsoconsiderthefinancialimplicationof their desireddecisions.

ClinicalGuidelines

Theclinical guidelines in nursingare appropriatebecausetheyaddresstheclinical practiceissues.In thestudyof UTI, theclinical practiceguidelines havesystematicallydevelopedstatementsthat will assistthepatientandme whenever I am makinga decisionforthetreatmentof UTI. Theguidelines gatherall themedicalknowledgeinto readilyusableandconvenientformatas wellas evidencesto guideclinical decisions(McCormack &amp Loewen, 2007). Theguidelines offerexplicitrecommendationson behalfof thehealthorganization,with a clearintentto persuadewhatthenursesdo.Theguidelinesgobeholdmererepresentationof costs,decisionmodels,andevidences.Therefore,theguidelines are requiredto authorizeuniquetestsbased on thematteropinion,which supplementthemattersof science(Verkerk, Veenendaal, Severens, Hendriks &amp Burgers, 2006).

TheLevel of Evidence

Thelevelof evidencerefersto thesimilarityof theclinical questionandtheextentthefindingsfrom theresearchcan be practicedin otherclinical aspectsofotherpatients.Thelevel of evidenceis addressedby theclinical practiceguideline becauseitpresentstheoutcomeof scientificexperimentsthat could be repeatedandconsequently providethesameresults.Theguideline developers usedappropriatemethodsandofferedevidencethatalwayssupporttherecommendationspresented(Schünemann, Fretheim &amp Oxman, 2006).

PracticeDiscrepancies

Ifdiscrepanciesexistbetween thepracticeandtheidentifiedstandard,thenanegativepatientoutcomemay be experienced.Therefore,itis theroleof thenurseto resolvethosediscrepanciesthrough othermechanisms.In fact,thenursecan implementa case-controlled casestudyto ascertainwhethertheidentifiedstandardsare in thelinewith thepractice.Itis worthnotingthatifthedevelopers of clinical guidelines donot indicatethecriterionusedto chooseoutcomes,options,selectedevidence,andvalues,thenitis evidentthatthestepswerenot systematicallydone(Krahn &amp Naglie, 2008).Therefore,suchkindof guideline should not be usedas a recommendationduring decision-making.

PatientorFamily Needs andPreferences

Theguidelines areperceivedas toolsthat informthenurseson thestatusof thepatientratherthan fostertheinvolvementof thepatientin thedecision-making. However,thepractitioners should nowadapttheguidelines sothattheneedandpreferencesof thepatientandthefamilyareconsidered.Theprocesswill enableboth thepatientpreferencesandprofessionalperspectiveto beweighedwith equalmeasuresduring decision-making (McCormack &amp Loewen, 2007). Theinitiativewill havea positiveimpactduring theimplementation of changesince theadoptionwill facilitatetheintegrationof the patient’spreferences.Eventually,thepatientswill haveconfidenceduring treatmentbecausetheyfeelas partof researchpractice.

References

KrahnM, &amp Naglie G. (2008). Thenext step in guideline development: incorporating patientpreferences.JAMA&nbsp2008,&nbsp300:436-8.

McCormackJP, Loewen P. (2007). Adding`value` to clinical practice guidelines.Can Fam Physician,53:1326-7.

SchünemannHJ, Fretheim A, Oxman AD. (2006). Improvingthe use of research evidence in guideline development: 10.Integrating values and consumer involvement.Health Res Policy Syst,4:22.

VerkerkK, Van Veenendaal H, Severens JL, Hendriks EJM, Burgers JS:&nbsp(2006).Consideredjudgement in evidence based guideline development.Int J Qual Healthcare,18:365-9.