Data Management in Research, Quality Improvement (QI) and Evidence-Based Practice (EBP)

Have you ever considered the importance of research in nursing? How might research shape the delivery of healthcare? Research in nursing began with Florence Nightingale in 1850 and has continued to transform in complexity and scope every year since (Gray & Grove, 2020). The field and practice of nursing are greatly influenced by the implementation of evidence-based practice (EBP) and quality improvement (QI) initiatives, and in this first Discussion, you will analyze research to identify gaps in knowledge and practice.
For this Discussion, you will analyze three different articles: a research study, a published quality improvement article, and a completed evidence-based DNP project to answer the prompts provided.

Full Answer Section

       
  • Evidence-Based Practice: Research provides the evidence base for EBP, which is the cornerstone of modern nursing. EBP ensures that clinical decisions are based on the best available scientific evidence, rather than tradition or personal opinion.
  • Cost-Effectiveness: Research can identify cost-effective interventions and strategies, helping to optimize resource allocation and reduce healthcare costs. For example, research comparing different wound care products can help hospitals choose the most effective and affordable options.
  • Enhanced Quality of Care: Research helps identify areas where care can be improved and provides a framework for implementing quality improvement initiatives. For example, research on medication administration errors can lead to the development of safer medication administration protocols.
  • Advancement of Nursing Profession: Research contributes to the growth and development of the nursing profession by expanding nursing knowledge and improving nursing practice. It also provides nurses with the skills and knowledge to critically evaluate research and advocate for evidence-based care.
  • Policy Development: Research informs the development of healthcare policies at local, state, and national levels. For example, research on the effectiveness of different healthcare delivery models can inform policy decisions about healthcare reform.

Framework for Analyzing Your Articles:

To effectively analyze your research study, QI article, and DNP project, consider the following questions for each article:

  1. What is the purpose of the study/project? (e.g., to investigate the effectiveness of an intervention, to evaluate a quality improvement initiative, to explore a specific phenomenon).
  2. What are the key findings? (e.g., what were the results of the intervention, what were the outcomes of the QI project, what were the main themes identified in the qualitative study).
  3. What are the strengths and limitations of the study/project? (e.g., sample size, study design, data collection methods).
  4. How does this study/project contribute to nursing knowledge and practice? (e.g., does it provide new evidence, does it support existing evidence, does it identify gaps in knowledge).
  5. How can the findings be applied to improve patient care? (e.g., what changes in practice are recommended based on the evidence).
  6. What are the implications for future research? (e.g., what further studies are needed to address remaining questions).
  7. What are the identified gaps in knowledge and/or practice? (This is crucial for your discussion). Are there inconsistencies between research findings and current practice? Are there areas where more research is needed? Are there barriers to implementing evidence-based practices?

Comparing the Articles:

After analyzing each article individually, compare and contrast them. Consider:

  • Similarities and differences in their findings.
  • How they address the same or related clinical issues.
  • The different perspectives they offer (research, QI, EBP project).
  • How they contribute to a comprehensive understanding of the topic.

By systematically analyzing your articles and comparing their findings, you'll be able to identify gaps in knowledge and practice and discuss how future research or QI initiatives can address these gaps to improve patient care.

Sample Answer

     

Here's a breakdown of how research shapes healthcare delivery, along with a framework for analyzing the three articles you'll be reviewing:

How Research Shapes Healthcare Delivery:

  • Improved Patient Outcomes: Research identifies effective interventions and treatments, leading to better patient outcomes, reduced complications, and improved quality of life. For example, research on pressure ulcer prevention has led to the development of effective protocols that significantly reduce their incidence.