Evidence Based Health Care Noble Profession

Question: Discuss about theEvidence Based Health Carefor Noble Profession. Answer: Introduction: Nursing is a noble profession that has gained a widespread recognition in the healthcare sectors of different countries of which a very important country is the United States. The nursing profession has been assessed the largest profession in US and is taken by a lot of students having the urge to serve mankind (Polit Bake, 2013). In order to develop their different skills and practises and to gain more knowledge about the development of technologies in the nursing arena, the new developed systems of treatment evidence based practises are found to be an affordable way that can solve the gaps that the nurses have by following the age old traditional methods (Fridman Frederickson, 2014). However, different types of supports and also challenges have been reported often that makes the EBP practise applicable or inapplicable respectively in the professional world (Dicenso, Guyatt Ciliska, 2014). Thus a research part has been selected which has chosen phenomenology application for condu cting interviews that has helped to portray the feelings of different nurses who are experiencing the application of EBP practises in the hospitals that has marked the practise as a very important way to a better contribution to humanity. Back ground: From the very early times, different challenges are indeed faced by the nurse that has prevented them in forming a gap in knowledge and skills. Their use of traditional methods, skills, routines and scheduling does not seem to merge with the recent mode of systems in treatment and advanced technologies in the different systems and often moves in a parallel lines (Schneider Whitehead, 2013). Thus, evidence based practises were selected by the authorities so that the nurses can make them comfortable with the advancing systems implemented in nursing fields and can make themselves comfortable in certain disease based difficult and complicated treatments (Fridman Frederickson, 2014). The research that had been conducted mainly keeps a phenomenological approach in order to raise the difficulties faced by problems and as well as the different types of support toward the study in order to establish the application and its significance in modern day nursing. Method Designs: In designing the methodology of analysing the various pros and cons of the establishment of EBP into a developed infrastructure, researchers chose a qualitative approach that mainly was conducted taking help of phenomenology process in to consideration (Fridman Frederickson, 2014). This process selected by the researchers are indeed one of the best methods of conveying interviews because this system contains verbal face e to face interviews in details that is this is a subjective approach that specifies the various experiences of the nurses in details so that no information remains unheard and is noted properly (Schmidt Brown, 2014). Oncology nurses are hence interviewed getting details about their experiences in the establishment of EBP in an established well developed infrastructure. Setting: While analysing the sampling and setting criteria in the research paper minutely, it was seen that a renowned hospital was selected for carrying out the interview where the EBP practised was incorporated into the learning criteria. In addition, suitable alterations were done in the structure of the hospitals so that it excludes the option where the nurses could complain of the absence of Infrastructures for proper learning (Fridman Frederickson, 2014). Therefore, the correct choosing of the hospital was a very impressive act from the side of the researchers. Information was also obtained that a proper community was established by the nursing authority of the hospitals in order for the proper allocation of the nurses for correct identification and implementation of the EBP projects and fellowships as well as providing education and guidance to nurses. So the researchers were successful in their interviews. As they selected nurses who have already an assigned knowledge about EBP pract ises so this criteria had made the job of researchers fast and ready (Melnyk et al., 2012). Sampling: Sampling consisted of mailing particular nurses about the research project that was undertaken and researchers waited for their reply. It was a snowball process as well as the mailed nurses were told to inform other colleagues even if missed out (Fridman Frederickson, 2014). So, one can see here that mailing was a very gentle way of invitation because their consent was taken and were not imposed upon them. Twelve nurses were interviewed with 6 from advanced practise nurses and other 6 from staff nurses. This is a very good step because random nurses if selected would have given altogether different detailing thereby yielding insufficient result (LoBiondo -Wood et al., 2013). Although interviewing results were saturated after 10 interviews yet the entire 12 nurses were completely interviewed and given importance. The excessive care in selecting female nurses with (ages between 27 and 58 and having 5 to 39 years of experiences) participation in EBP process has made their research shor t and quick with exactly the right amount of effort required. Data Collection: A large number of ethical issues were dealt very professionally that prevented any sort of legal complications. Not only signed consents were taken but also recorded audio was prepared from the consent of the nurses ensuring double assurance to prevent any type of complicacies (Fridman Frederickson, 2014). Encrypted websites were used for transcription of the recordings as well as written consents were provided that their names would be completely anonymous, would only be reviewed and used by the researchers and his colleagues engaged in the study and even assured that the researcher was not associated with the place of their profession. This shows that a detailed planning was made by the researchers while conducting the ethical code of professionalism (Aveyard Sharp, 2013). Confidentiality was maintained in every way possible and freedom was given to them so that they can withdraw any time they feel insecure. Researchers also made strong efforts to keep away their personal bias sources so that the result may not get interrupted by biasness of the researchers. Detailed questioning to the nurses was made so that the complete phenomenological application was very well attempted providing a high number of detailed feelings of the nurses in this arena (Abbott et al., 2013). So these activities of the researchers are indeed praiseworthy for their planning and efforts. Data Analysis: Each of the interviews were analysed both as a whole and as single transcripts individually one by one. Understanding the meaning and tone of the statements made, they were categorised into separate segments. A thorough analysis was made which revealed that many statement said differently ultimately had the same meaning with the other and therefore carefully categorised (Fridman Frederickson, 2014). This requires an extensive knowledge about the subject and human mind and the researchers have performed a commendable job (Melnyk et al., 2013). Every aspect of a perfect phenomenological study was performed very carefully. Creditability was maintained by the researchers who reverted back to the nurses for reassuring the truth obtained from their statements and whether they had the correct meanings that the nurses wanted to convey. The feedback was taken whether the statement of the nurses was misinterpreted and was allowed to correct them. Since no negative feedbacks were found so this demarcated the completion of this step. Three doctors related qualitative nurse researchers were summoned to verify the interpretation and the coding and the subthemes as well as the meanings that they formed from the statements of the nurses. Examples provided showed Auditability was also maintained. Fittingness which is an extremely important criterion was also maintained (Fridman Frederickson, 2014). Presence of this criteria assures that the experiences of the nurses in the study can also help the others in this profession so that they can gain knowledge about how should they have reacted or would react in same situation (Bo et al., 2014). All the three criteria were fulfilled. This tells us that this paper would gain acceptance and would be very helpful to nursing students. There lies the success of the researchers. Results: The results obtained showed that the nurses indeed became well trained and skilled after participation in the EBP Projects (Fridman Frederickson, 2014). They found themselves confidant applying their skills in the professions and emerging as experts (Hamric et al., 2013). This helped them in not only national or local level but also internationally. Interpretation: This was further supported when individual nurses confirmed that EBP provided them with more chance of improving themselves thereby gaining confidence and allowing them to evolve. Librarians helped them a lot in different ways encouraging those (Fridman Frederickson, 2014). A nurse said at appoint they became so confident that the thought that she cannot leave a difficult job undone but has to perform it. Many others pointed to a group system that also helped them in developing their practises. Therefore, one can easily say that the researcher by their studies and interviews denoted a point that have EBP could be made more useful in the future generations with such an overwhelming response obtained from this research (Zaccagnini White., 2015).. However, this research also brought out some challenges faced by the nurses during conduction of the EBP projects. The challenges put forward by the researchers are the knowledge of some nurses who fails to understand the exact process of working out the EBP for a reason which might be the degree that she has (Ubbink, Guyatt Vermeulen, 2013). Time is the biggest challenge faced by the nurses because they fail to cope up with the pressure or they fail to schedule their activities. Some nurses are adamant and resistant to changes and do not prefer to include them in their knowledge (Fridman Frederickson, 2014). The researchers by providing a clear picture of the challenges tend to give a scenario of the activities that the authority needs to have so that they can make the project a success. So the work of the researchers is indeed very helpful to make the project a successful one (Dicenso, Guyatt Ciliska, 2014). The researchers provided yet another important outlook of EBP is that the nurses often find themselves to be more evolved in their skills and can learn modern new approaches that are further helpful than the traditional approaches. They find themselves more confident and can perform different practises with instrument and machine based approaches that had made their job far easier (Fridman Frederickson, 2014). Not only that, the nurses have found themselves evolving not only in the professional front but also in the personal front. Hence the researchers can make the readers see the positive aspects and thereby feel with enthusiasm. The fourth theme that the researchers developed from the nursing statements that EBP has helped them break the traditional bond and question themselves that what else they can do that would make their performance better. That is to say, that they have new empowerment that urged them to change the long age old practises even when prevented by different aged nurses who dislike the way of trying new approaches. This point shown by the researchers would help other nurses to gain more interest in EBP studies and they would like to employ this practise in their own practises The last point which cannot be exactly said a theme describes the entire summary of the above mentioned points which would provide a simple statement that can be understood by the nurses and implement in their practise that whether the EBP is good enough to bring an all over change in their regular practices and schedules. Limitations: As mentioned earlier there might be high chance of sampling bias although proper steps were taken. Many nurses might have not opened themselves entirely because the entire interview was communicated through the nursing department for the sake of negative reactions from the authorities (Fridman Frederickson, 2014). Since the nursing leaders guided the statement and quotes of the nurses it might be possible that their own meanings might have mingled with the interpreted information from the nurses which might have resulted in discrepancies in the result. These limitations are however very nominal from the eyes of the reader and even if they affect the result it would not lead to much difference and thereby the effect can be neglected (Jonsen et al., 2013). Conclusion: From analysing the entire research paper, one can easily come to a conclusion that the various types of themes interviewed by the researchers are apt in making proper analysis of the positive effects that EBP can have on a nursing professional. It shows how a nurse can develop herself both in personal and professional font challenging the status quo and can compare the effects of EBP and traditional practices. Researchers also referred to a quantitative study which showed that EBP has increased the job satisfaction by 50% and reduced turnovers. Although many nurses face challenges but most nurses are in strong support of the evolution of their empowerment, skill, knowledge gap and confidence and would always recommend them to a fellow nurse (Fihn et al., 2014). Therefore the work of the researchers is praiseworthy and would be recommended to any interested nurse who wants to evolve in her profession in all aspects (Dicenso, Guyatt Ciliska, 2014). References: Abbott, P., Mc Sherry, R., Simmons, M. (Eds.). (2013).Evidence-informed nursing: A guide for clinical nurses. Routledge. American College of Cardiology,64(18), Grove, S. K., Burns, N., Gray, J. R. (2014).Understanding nursing research: Building an evidence-based practice. Elsevier Health Sciences. Aveyard, H., Sharp, P. (2013).A Beginner's Guide to Evidence-based Practice in Health and Social Care. McGraw-Hill Education (UK). 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