Advanced Nursing Inquiry And Evidence Based Practice
Define your Question using PICO
P Who is the Patient or Population (Ex., age, sex, race, past medical history, etc.) or what is the Problem (Ex., disease process) you are interested in knowing more about?
Advanced nursing procedures for patients aged 20 to 65, in low economic statuses experiencing hypertension.
I Are you considering an Intervention? (Ex., treatment, diagnostic test, etc.) Is there a specific issue you’d like to investigate? Dietary approach, meditation, and exercise Advanced Nursing Inquiry And Evidence Based Practice
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M e t h o d o l o g y
If experimental, what research design should be used to compare the intervention group with the comparison (or control) group?
o randomized controlled trial o cohort study o case controlled studies o case reports o systematic reviews o meta analysis o editorials/expert opinions
Qualitative study of case controlled studies related to study of hypertension.
C Are you trying to Compare or decide between two options (Ex., drugs, a drug and no medication or placebo, or two diagnostic tests?) (Note: Your clinical question does not always need a specific comparison.) Advanced Nursing Inquiry And Evidence Based Practice
ACE inhibitors
O What is the Outcome you’d like to achieve? What are you trying to do for the patient? (Ex., relieve or eliminate symptoms? reduce number of adverse events? improve function? improve test scores? To reduce cases of hypertension related issues like heart attack or stroke by ensuring patients receive appropriate and high-quality care.
State your Question resulting from PICO: How can advanced nursing procedures for patients aged 20 to 65, in low economic statuses experiencing hypertension get connected to health improvement regardless of limiting social conditions?
List keywords from your PICO question that can be used for your search. Nursing, hypertension, economic statuses, health improvement, social conditions
List other criteria –gender, age, year of publication, or language to be used to limit your search. Adults, 20-65, 2017-2021, articles written in English and containing data related to hypertension management
List the databases you plan to search: Ex., CINAHL. (Use the databases page from the Library website for suggestions.) NCBI, Science direct, NHS, CINAHL, Medline, PubMed
Choose one intervention; otherwise, interaction effect unless that is what you are interested in… Advanced Nursing Inquiry And Evidence Based Practice
For hypertensive patients aged 20-65 and of low SES, is diet (or meditation or exercise) more effective for reducing hypertension than an ace inhibitor?
No. Question must be consistent with PICO:
Rev. January 2021 MSN5300 KmR
Team Members : Luis Caceres Martha Cepero Jacquelin Louis Ismary Morlote Linney Palmero Diorgis Torres Alberto Oramas
Introduction: Implementation and sustainment of evidence-based practices (EBPs) are common challenges faced by healthcare organizations. The Clinical Research and Practice Collaborative, an evidence-based initiative implemented at a large Military Treatment Facility, addresses EBP implementation and sustainment by expanding the culture of nursing clinical inquiry and broadening nursing research efforts to include EBP. The evidence-based intervention of scheduled, intentional, intraprofessional collaboration between PhD nurse scientists and advanced practice registered nurses as compared to previous methods of spontaneous, consultative collaboration, focuses on developing support for nursing research and EBP initiatives.
Materials and methods: A 2-year pre- and 2-year post-implementation timeframe compared outcomes (proposals, publications, posters) from individual and collaborative nursing research and EBP initiatives.
Results: Although nursing research initiatives remained stable, research publications and posters were reduced by 63%, EBP initiatives grew 450%, EBP publications and collaborative nursing initiatives for both research and EBP increased. Additionally, EBP Council membership rose 300%, and an intraprofessional cadre was formed during the implementation.
Conclusions: Intentionally scheduled collaboration between PhD nurse scientists and advanced practice registered nurses is a promising model to promote an expanded culture of nursing clinical inquiry and should be considered for medical facilities seeking to enhance EBP and nursing research efforts.
Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2020. This work is written by (a) US Government employee(s) and is in the public domain in the US Advanced Nursing Inquiry And Evidence Based Practice.