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How can evidence-based practice be integrated into nursing education?

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Evidence-based practice (EBP) is the use of current and relevant research findings to inform clinical decisions and improve patient outcomes. EBP is essential for nurses to provide high-quality, safe, and effective care in a complex and dynamic health care system. However, many nurses face barriers to implementing EBP in their practice, such as lack of time, resources, skills, and support. Therefore, it is crucial to integrate EBP into nursing education, both at the undergraduate and graduate levels, to prepare nurses to be competent and confident in using EBP.

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Vanessa Morrone

Enfermeira I Inova??o I Empreendedorismo l Tecnologia I Palestrante I Educa??o em Saúde I Gest?o em Saúde I Mentora de…
Ugochi Pamela

@nurse ugochiyeremu, BNSc,RN,NA,first-Aid/CPR. certified COVID -19 Nurse
Megha Joshi

Freelance Instructional Designer | Clinical Instructor | E-Learning Developer

1 What is EBP and why is it important for nursing?

EBP is a process that involves five steps: asking a clinical question, searching for the best available evidence, appraising the quality and relevance of the evidence, applying the evidence to practice, and evaluating the outcomes. EBP helps nurses to solve problems, answer questions, and make decisions based on the best available evidence, rather than on tradition, intuition, or personal preference. EBP also promotes patient-centered care, quality improvement, and professional development for nurses.

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Vanessa Morrone

Enfermeira I Inova??o I Empreendedorismo l Tecnologia I Palestrante I Educa??o em Saúde I Gest?o em Saúde I Mentora de Carreira Especialista em Linkedin I Linkedin Creator I Social Selling I Conselheira Coren S?o Paulo I
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Fazendo uma breve reflex?o, PBE é uma abordagem que possibilita a melhoria da qualidade da assistência à saúde sem sombra de dúvidas! A utiliza??o de resultados de pesquisas na prática, consiste em um dos pilares dessa abordagem; entretanto, várias s?o as barreiras que dificultam esse processo na enfermagem, tais como: falta de preparo do enfermeiro, falta de tempo e suporte organizacionais (RH, materiais e financeiros). Para implementar a PBE na enfermagem, existem algumas estratégias que possibilitam vencer algumas barreiras relativas à utiliza??o de pesquisas na enfermagem. Algumas dessas estratégias incluem: a cria??o de grupos de discuss?o, a realiza??o de treinamentos e a utiliza??o de ferramentas de apoio à tomada de decis?o .

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2 How can EBP be integrated into nursing education?

One of the ways to integrate EBP into nursing education is to incorporate EBP competencies into the curriculum. EBP competencies are the knowledge, skills, and attitudes that nurses need to perform EBP effectively. Some examples of EBP competencies are: formulating clear and focused clinical questions, conducting efficient and comprehensive literature searches, critically appraising research articles, synthesizing and summarizing evidence, applying evidence to practice, and disseminating and sharing evidence. Nursing educators can design learning activities and assessments that align with these competencies and foster EBP skills among students.

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Vanessa Morrone

Enfermeira I Inova??o I Empreendedorismo l Tecnologia I Palestrante I Educa??o em Saúde I Gest?o em Saúde I Mentora de Carreira Especialista em Linkedin I Linkedin Creator I Social Selling I Conselheira Coren S?o Paulo I
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Como educadora e formadora de novos profissionais de enfermagem , têm sido cada vez mais utilizado a inser??o das práticas baseadas em evidências nas grades curriculares de ensino. Muitas s?o as estratégias para incentivar que o aluno tenha como cultura e rotina o pensamento crítico-reflexivo, que busque alternativas através de evidências no que realmente pode ser aplicado à prática assistencial.

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Megha Joshi

Freelance Instructional Designer | Clinical Instructor | E-Learning Developer
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In my view, a multifaceted approach in nursing education, integrating simulations, interactive learning, competency-based assessments, and role plays for Evidence-Based Practice (EBP), significantly improves patient care. This comprehensive strategy equips nurses with practical skills fostering informed decision-making and improving care outcomes.

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3 What are some examples of EBP learning activities and assessments?

Nursing educators have a variety of EBP learning activities and assessments at their disposal to help students enhance their EBP skills. For example, case studies can help students analyze real or simulated clinical scenarios and apply the EBP steps to find and use evidence to solve the problem or answer the question. Additionally, journal clubs allow students to review and discuss research articles related to a specific topic or clinical issue, while evidence-based projects enable them to identify a practice gap or problem in their clinical setting and conduct an EBP project. Furthermore, evidence-based portfolios provide students with the opportunity to collect and reflect on their EBP experiences and demonstrate their EBP competencies.

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Vanessa Morrone

Enfermeira I Inova??o I Empreendedorismo l Tecnologia I Palestrante I Educa??o em Saúde I Gest?o em Saúde I Mentora de Carreira Especialista em Linkedin I Linkedin Creator I Social Selling I Conselheira Coren S?o Paulo I
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Aqui podemos utilizar diversas a??es para a PBE como ex: - Identifica??o de problemas de saúde: Os alunos podem aprender a identificar problemas de saúde comuns e a avaliar as melhores práticas para lidar com esses problemas.(identificar os sintomas de uma ITU e a avaliar as melhores práticas para o tratamento dessa condi??o, - Avalia??o de interven??es de enfermagem: aprender a avaliar as interven??es de enfermagem e a determinar se elas s?o eficazes ou n?o. Ex: aprender a avaliar a eficácia de diferentes técnicas de curativo para feridas. - Desenvolvimento de protocolos de enfermagem: para lidar com problemas de saúde específicos. Ex: desenvolver um protocolo de enfermagem para prevenir úlceras de press?o em pacientes acamados.

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4 What are some challenges and strategies for integrating EBP into nursing education?

Integrating EBP into nursing education is not without challenges. Some of the common challenges are: lack of time and space in the curriculum, lack of faculty expertise and confidence in teaching EBP, lack of access and availability of research resources, and lack of student motivation and engagement in EBP. However, these challenges can be overcome with some strategies, such as: collaborating with other faculty and disciplines, using online and blended learning platforms, providing ongoing faculty development and support, engaging students in active and interactive learning, and creating a culture of inquiry and evidence in the learning environment.

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Vanessa Morrone

Enfermeira I Inova??o I Empreendedorismo l Tecnologia I Palestrante I Educa??o em Saúde I Gest?o em Saúde I Mentora de Carreira Especialista em Linkedin I Linkedin Creator I Social Selling I Conselheira Coren S?o Paulo I
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A PBE tem o poder de empoderar o enfermeiro na sua tomada de decis?o, trazendo maior credibilidade deste frente a equipe multiprofissional e a popula??o, além de resultar em melhores resultados das interven??es realizadas. Entretanto, a aplica??o da PBE na enfermagem enfrenta alguns desafios. A escassez de tempo, as lacunas na forma??o profissional e na capacita??o no desenvolvimento de pesquisas e a falta de hábito em acessar as evidências científicas representam os principais obstáculos associados ao desenvolvimento de pesquisas nos cenários de prática de enfermagem .

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Megha Joshi

Freelance Instructional Designer | Clinical Instructor | E-Learning Developer
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In my experience, the demanding nursing curriculum often limits the depth of EBP coverage. A solution is emphasizing the significance of EBP in clinical rotations. Personally, I've found success using interactive methods like simulations and case studies to actively involve students in applying EBP. Building partnerships with healthcare institutions provides real-world EBP exposure, while continuous faculty training and a shared community of practice enrich the overall EBP learning experience.

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5 What are the benefits and outcomes of integrating EBP into nursing education?

Integrating EBP into nursing education has many benefits and outcomes for students, faculty, and the nursing profession. Some of the benefits and outcomes are: enhancing students' critical thinking, problem-solving, and decision-making skills, increasing students' confidence and competence in using EBP, preparing students to be lifelong learners and leaders in EBP, improving faculty's EBP knowledge and skills, fostering faculty's scholarship and research productivity, advancing the nursing discipline and practice, and ultimately improving patient care and health outcomes.

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Vanessa Morrone

Enfermeira I Inova??o I Empreendedorismo l Tecnologia I Palestrante I Educa??o em Saúde I Gest?o em Saúde I Mentora de Carreira Especialista em Linkedin I Linkedin Creator I Social Selling I Conselheira Coren S?o Paulo I
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Muitos s?o os benefícios para a inser??o dessa nova prática na forma??o de discentes e docentes , para isso a cultura desse novo olhar precisa estar formalmente inserida em nossas práticas assistenciais seja qual for a área de atua??o, essa é mais uma das soft skills Que devemos incorporar em nossa carreira! Avante Enfermagem!

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Smitha Unnikrishnan

BSN RN NSW, NZ(Western Sydney University) Australia . PTE and Prometric tutor, Nclex, Nursing tutor
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EBP prepare students to be a life long learners, to have nursing discipline and practice in advance level. Which in turn bring critical thinking skills, empowerment, decision making skills and confidence ultimately improving patients health and health care system

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6 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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Ugochi Pamela

@nurse ugochiyeremu, BNSc,RN,NA,first-Aid/CPR. certified COVID -19 Nurse
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We also need to consider if the implementations for EBP will be supported by administration and institutional resources. For example, suppose there is a strong body of evidence showing reduced incidence of depression in pregnant women who receive cognitive therapy sessions when they are hospitalized for extended periods of time. While this might be a great idea, budget constraints may prevent hiring a therapist to offer this treatment.? In addition,Just like research, we must evaluate and monitor any changes in outcomes after implementing an EBP so that positive effects will be supported and negative effects will be remedied.

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How can evidence-based practice be integrated into nursing education?

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1 What is EBP and why is it important for nursing?

2 How can EBP be integrated into nursing education?

3 What are some examples of EBP learning activities and assessments?

4 What are some challenges and strategies for integrating EBP into nursing education?

5 What are the benefits and outcomes of integrating EBP into nursing education?

6 Here’s what else to consider

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