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Types of Nursing Models and Frameworks of EBP Evidence-based practice (EBP) in nursing is the application of results of recent researches in making a...

  • Types of Nursing Models and Frameworks of EBP
  • Evidence-based practice (EBP) in nursing is the application of results of recent researches in making a clinical decision in the process of providing nursing care to patients. The aim of applying EPB in nursing practice is to offer quality services. Models are guidelines that aid nurses implement EBP (Taylor, Priefer, & Alt-White, 2016). The following essay is a discussion of the various nursing models and frameworks of EBP that are currently in use.
  • Nursing Models and Frameworks of EBP
  • The ACE Star Model of EPB is one of the most commonly used models currently in practice. The model is composed of five stages; discovery of evidence through research, summarization of the research findings, the translations of the findings into clinical practice guidelines, integration of the trip slated guidelines into the context of the nursing clinical practice and the evaluation of the impact of the application of the new practices on the quality of nursing care (Stevens, 2016).
  • The John Hopkins Nursing Evidence-Based Practice Model aims at collecting and harmonization of various best practices developed through clinical research. The model, in addition, integrates internal and external factors into clinical practice. The external factors include legal issues and concerns, licensing procedures and the trends in global clinical practice while the internal factors include; staffing, supplies and equipment and institutional standards (Ryan, Mamaril, Shope, Rodriguez, Garey, Obedoza, & Morse, 2017).
  • The Strength of Evidence and Translation into Practice
  • The more the strength of clinical evidence, the better the translation of evidence into practice. Detailed evidence provides enough basis for developing sufficient clinical guidelines for nursing practice. Sufficient evidence gained through research studies provides enough evidence to form a basis for several research practices and areas of health and medical practice (Peterson, Becker, Treasure, Shafran, & Bryant-Waugh, 2016).
  • Importance of Integrating EBP and Patient and Family Preferences
  • The aim of quality nursing practice is to satisfy the needs of the patient and their families. Therefore, to achieve the satisfaction of the patients and their families, the integration of the results of clinical research in accordance with the preferences of the patient and the family is critical (Grove, & Cipher, 2016).
  • Nurse's Responsibility When EBP and Patient and Family Practice Do Not Match
  • In some instances, the results of the EBP do not conform to the needs and preferences of the patient. The role of the nurse is to critically analyze the patient's needs and preferences. Thereafter, the nurse modifies the application of the guidelines developed from the clinical research so as to serve and fulfill the needs and preferences of the patient (Coyne, Comiskey, Lalor, Higgins, Elliott, & Begley, 2016).
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  • References
  • Coyne, I., Comiskey, C. M., Lalor, J. G., Higgins, A., Elliott, N., & Begley, C. (2016). An exploration of clinical practice in sites with and without clinical nurse or midwife specialists or advanced nurse practitioners, in Ireland. BMC health services research16(1), 151.
  • Grove, S. K., & Cipher, D. J. (2016). Statistics for Nursing Research-E-Book: A Workbook for Evidence-Based Practice. Elsevier Health Sciences.
  • Peterson, C. B., Becker, C. B., Treasure, J., Shafran, R., & Bryant-Waugh, R. (2016). The three-legged stool of evidence-based practice in eating disorder treatment: research, clinical, and patient perspectives. BMC medicine14(1), 69.
  • Ryan, P. L., Mamaril, M., Shope, B., Rodriguez, J., Garey, T., Obedoza, L., ... & Morse, E. (2017). The Johns Hopkins Evidence Based Practice (EBP) Model: Learning the Process and Appraising the Evidence. Journal of PeriAnesthesia Nursing32(4), e29-e30.
  • Stevens, K. R. (2016). Stevens Star Model of EBP: Knowledge Transformation. San Antonio Academic Center for Evidence-Based Practice (ACE), University of Texas Health Science Center, San Antonio, TX.
  • Taylor, M. V., Priefer, B. A., & Alt-White, A. C. (2016). Evidence-based practice: Embracing integration. Nursing outlook64(6), 575-582.
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Teressa Wexler 
  • Good reflection on the types of evidenced-based models as well as integrating an evidence-based approach in practice. As you have shared, the strength of the evidence dramatically impacts the translation into practice. In the upcoming change project for this course as well as one of the associated Milestones, you and your classmates will be sharing the strength of the evidence found in the literature of the systematic review article. For those novice to what determines evidence has having strength can you reflect more on this aspect?
  • Thank you,
  • Professor Wexler
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