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Nursing Progressive Discipline Changes In Society

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Nursing Progressive Discipline Changes In Society

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Discuss about the Nursing Progressive Discipline Changes In Society.

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Introduction
Nursing is a progressive discipline that changes with the changes in the society. The healthcare providers who are entrusted with the lives of the patients should, therefore, be dynamic and flexible as possible. That is the only way through which they can overcome the emerging challenges that do occur. One of the best strategies to adopt to deal with such a situation is the Evidence-Based Practice (EBP). As its name suggests, EBP is an approach in which the healthcare decisions are made in line with proven scientific evidence. Meaning, before acting on a particular issue, the practitioner should consider what the research says about it. That is the only way through which the quality of healthcare services can be enhanced.
“Exploring resilience and mindfulness as preventative factors for psychological distress burnout and secondary traumatic stress among human service professionals”Part A of this paper entails the appraisal of “Exploring resilience and mindfulness as preventative factors for psychological distress burnout and secondary traumatic stress among human service professionals.” it presents a critical analysis of the paper by focusing on its authorship, research questions, strengths and weaknesses. This is an article that was authored by Kings, S., Pidgeon, A., and Harker, R., and published in 2016. It gives a detailed study that these scholars carried out on the roles of resilience and mindfulness in tackling the problem of traumatic stress and burn out. The paper reports that human service is a challenging undertaking because it exposes the workers to burnout and traumatic stress (Harker, Pidgeon, Klaassen & King, 2016). All these happen because a typical work environment has several demands which create such psychological pressure on the employees. Based on their findings, the researchers concluded that mindfulness and resilience should be applied to help in addressing all the problems of burnout and distress that might be experienced in the workplace.When I read and re-read this article, I came to conclude that it is a good piece. I say that because of the strengths that I identified in it. It has strengths that make it suitable for use in studying and understanding the role of resilience in dealing with the cases of burn out. The first notable strength about it is that it was carried out by credible scholars who are reputable authorities in the matters to do with psychological distress and burnout. There is no conflict of interest identified in as far as the topic and writers’ specialization is concerned. Besides, everything to with the research question, aims, data collection, and analysis were above par. For example, the research question was comprehensive because it covered nearly everything that was to be studied. All the activities including the research design, data collection, and analysis were done in the right manner that suits the nature of study that was being conducted (Holloway, & Galvin, 2016). This notwithstanding, one of its strong areas is that the research involved the use of unbiased sample size that proportionately represented the entire target population which composed of the professionals working in the relevant fields of foster care workers, youth care workers, counseling, social work, and psychology. However, its only weakness is that in its methodology, the researchers chose to use a relatively small sample size whose data might not be generalized to understand the whole scenario (Jansson, Ala-Kokko, Ylipalosaari, Syrjälä & Kyngäs, 2013). This notwithstanding, the research is, therefore, appropriate for the case study because it generated findings that can be relied upon to improve an understanding on the role of resilience in dealing with burn outs. I recommend it as an invaluable reference material for anyone who wants to study about the contributions of resilience in addressing the problem of burn out.

Evidence-Based Practice
Evidence-Based Practice (EBP) refers to a healthcare practice that involves the use of scientific evidence. A nurse who is committed to EBP must not make any decision without referring to the available scientific evidence which has been studied and availed for use by the healthcare providers. EBP, hence, entails the carrying of research to gather new knowledge that is used to assist in healthcare decision making process (Prasad & Ioannidis, 2014). EBP is, therefore, an important activity because it can be relied upon to improve the understanding of the healthcare providers and empower them to make well-though and useful decisions that can help in improving the quality of healthcare services provided to the patients (Loveday, Wilson, Pratt, Golsorkhi, Tingle, Bak & Wilcox, 2014). A nurse whose decisions are based on scientific evidence ends up providing safe, harm-free and quality services to the patients. That is possible because through research, enough evidence can be gotten to help in addressing all the existing and emerging challenges in health care (Brownson, Deshpande & Gillespie, 2017). Nevertheless, the use of EBP has been hindered by several barriers.
The application of EBP by individual practitioners has been derailed by the culture of laziness and negligence. Although all nurse know that they should embrace EBP in their daily practice, most of them still choose not to bother doing so (Greenhalgh, Howick & Maskrey, 2014). A large number of nurses have been failing to engage in research because they do not care about it. Some of them fail to do so because they have chosen to be lazy to read and conduct research from which they can get the evidence they require (Hamer & Collinson, 2014). At the same time, there are some medics who do not bother doing research because they are too committed and do not have any time to spare for it. Lastly, there are some nurses who do not have the required education that can enable them to embrace the use of EBP. That happens because the new EBP skills cannot be applied without having a proper knowledge of often modern technologies such as Information Technology (IT).
Apart from the above individual barriers, there are some organizational barriers that often prevent effective application of EBP. The first barrier that makes it harder for organizations to implement EBP is resistance from the users (Weller Boyd, M. & Cumin, 2014). There are some practitioners who do not like to embrace EBP because they feel that it is unnecessary and does not make any positive contributions to healthcare provision in any way. Besides, some organizations do not have enough resources to use in the implementation of EBP (Brownson, Deshpande & Gillespie, 2017). That is why they do not engage in research or support their employees who are willing to carry out research to study the new trends in healthcare service-delivery (Sadeghi?Bazargani, Tabrizi & Azami?Aghdash, 2014).
Conclusion
EBP is the way to go because its continued application will benefit the healthcare provision in many ways. Apart from enhancing the delivery of safe care, it guarantees the provision of high-quality healthcare services to the patients who need it. Nonetheless, its adoption has been hindered by some barriers that have been faced. The barriers include, but not limited to the inadequacy of the required resources, resistance, lack of requisite education, and lack of support and commitment. Hence, to ensure that it is a success, EBP should be supported and fully embraced by all the healthcare practitioners and organizations. Research is significant because it is one of the best way through which the quality of healthcare services can be improved.

References
Brownson, R. C., Deshpande, A. D., & Gillespie, K. N. (2017). Evidence-based public health.
Oxford university press.
Greenhalgh, T., Howick, J., & Maskrey, N. (2014). Evidence based medicine: a movement in
crisis?. Bmj, 348, g3725.
Hamer, S., & Collinson, G. (2014). Achieving Evidence-Based Practice E-Book: A Handbook
for Practitioners. Elsevier Health Sciences.
Harker, R., Pidgeon, A. M., Klaassen, F., & King, S. (2016). Exploring resilience and
mindfulness as preventative factors for psychological distress burnout and secondary
traumatic stress among human service professionals. Work, 54(3), 631-637.
Holloway, I., & Galvin, K. (2016). Qualitative research in nursing and healthcare. John Wiley
& Sons.
Jansson, M., Ala-Kokko, T., Ylipalosaari, P., Syrjälä, H., & Kyngäs, H. (2013). Critical care
nurses’ knowledge of, adherence to and barriers towards evidence-based guidelines for
the prevention of ventilator-associated pneumonia–A survey study. Intensive and Critical
Care Nursing, 29(4), 216-227.
Loveday, H. P., Wilson, J., Pratt, R. J., Golsorkhi, M., Tingle, A., Bak, A., … & Wilcox, M.
(2014). epic3: national evidence-based guidelines for preventing healthcare-associated
infections in NHS hospitals in England. Journal of Hospital Infection, 86, S1-S70.
Prasad, V., & Ioannidis, J. P. (2014). Evidence-based de-implementation for contradicted,
unproven, and aspiring healthcare practices.
Sadeghi?Bazargani, H., Tabrizi, J. S., & Azami?Aghdash, S. (2014). Barriers to evidence?based
medicine: a systematic review. Journal of evaluation in clinical practice, 20(6), 793-802.
Weller, J., Boyd, M., & Cumin, D. (2014). Teams, tribes and patient safety: overcoming barriers
to effective teamwork in healthcare. Postgraduate medical journal, postgradmedj-2012.

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