Nursing Needs These Times Essay

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Nursing Leadership Priorities and Challenges



The priorities for nursing and nursing leadership are, on some levels, fundamentally simple. Nurses are simply tasked with providing the most effective care for their patient populations. This goal becomes much more nuanced when one begins thinking about how to properly achieve this goal. There is a considerable amount of research emerging in recent years surrounding this field which supports the notion that evidence-based practice is one of the efficient ways (Stevens, 2013) to improve patient outcomes. Therefore, in alignment with the chief priority of providing the best care to patients as possible, nurses must also prioritize how to do so utilizing evidence-based measures with a demonstrated efficacy in both clinical and outpatient settings.



However, justifying these two priorities creates an inherent challenge for nursing on a multiplicity of levels including those pertaining to organizations, roles, and individuals. Specifically, the difficulty lies in introducing new evidence-based measures into this profession in a comprehensive means which establishes precedents and warrants conformity on each of the foregoing levels. Without a systematic way of fulfilling this goal, nurses are liable to do their own independent research and implement evidence-based measures autonomously in a way which might not conform to organizational protocol. Worse, they might eschew evidence-based measures altogether (Mulhall, 1998), resulting in a situation in which different nurses are utilizing various measures to provide care in a disjointed, or possibly even dysfunctional, way.



Instead, what is needed is a top down approach in which there are organized means of discerning relevant evidence-based practices and facilitating them in a similarly structured manner. Doing so would improve nursing and patient objectives, while utilizing the most proven methods to accomplish those outcomes.

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Gaps or Conflicts Between Statements and Practices



The disparate implementation of evidence-based nursing practice to healthcare facilities creates some inherent gaps between organizational statements and practices. Most healthcare organizations have mission statements regarding how they are attempting to facilitate the best possible treatment to patients. Nurses are often the focal point of those treatment options, particularly since they are regularly called upon to administer it and work closely with patients to achieve desired outcomes. Without a holistic, systematic way of determining which evidence-based practices are incorporated into healthcare facilitates and how they are to be done so, there are pronounced points of departure between actuating those patient goals and providing a consistent means for doing so.



A basic cognizance of systems theory and systems thinking underscores the aforementioned point. Nurses must integrate a number of different systems to effect proper care concerning environmental factors (Neuman, 1996), individual, patient-centered ones, as well as sanitary and psychological concerns. The complexity of such integration becomes amplified when one considers the different nursing fields which these practitioners must consider these systems for as well. Thus, it is necessary to have a structured approach to incorporating evidence-based practice which is applicable to all of these systems and to the way they relate to nursing statements for specific organizations. Without such an orderly approach to identifying and implementing evidence-based practices, nurses and their organizations are largely unaware of which approaches produce the greatest utility for patients. Therefore, they will not be able to successfully reach organizational objectives for treating patients as well as they could were their some systemic method to utilizing evidence-based practices.

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References


Mushall, A. (1998). Nursing, research and the evidence. Evidence-Based Nursing. 1: 4-6. Retrieved from http://ebn.bmj.com/content/1/1/4.full

Neuman, B. (1996). "The Neuman systems model in research and practice." Nursing Science Quarterly. Retrieved from http://journals.sagepub.com/doi/pdf/10.1177/089431849600900207

Reed, P. (2007). Scholarly reflection on nursing practice: Undergraduate student discoveries from four case studies. http://www.juns.nursing.arizona.edu/ Retrieved from http://www.juns.nursing.arizona.edu/articles/Fall%202007/Scholarly%20Reflection%20on%20Nursing%20Practice.pdf

Stevens, K. (2013). The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas. OJIN: The Online Journal of Issues in Nursing. 18 (2), Manuscript 4. Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice.html

Stokke, K., Olsen, N.R., Espehaug, B., Nortvedt, M. (2014). Evidence-based practice beliefs and implementation among nurses; a cross-sectional study. BMC Nursing. 13: 8. Retrieved from http://bmcnurs.biomedcentral.com/articles/10.1186/1472-6955-13-8

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