Week 8- Evidence informed Practice & Nursing leadership, management & Collabrative practice

Nursing Leadership, Management, and Collaborative Practice

• Research ethics encompass rights of participants, informed consent, and ethical principles such as respect for human dignity, privacy, and justice.
• Research evidence is crucial for informed nursing practice decisions and competent care provision, necessitating nurses to have skills for research appraisal and utilization.
• Nursing leadership includes shared vision, values, organizational strategy, and management involves ensuring nursing care delivery according to standards.
• Collaborative practice involves working together toward common goals, valuing diverse perspectives, and sharing power and decision-making.
• Leadership theories include transformational, servant, appreciative inquiry, and quantum leadership, each focusing on different aspects of leadership and shared power.
• Continuity of care collaborative practice models emphasize seamless, continuous care implementation, relying on strong professional relationships and information continuity.
• Decision making in nursing involves decentralized or participatory management, autonomy, authority, and accountability, impacting innovation, productivity, and patient satisfaction.
• Clinical care coordination requires leadership, decision-making, priority setting, time management, evaluation, and delegation skills.
• Delegation in nursing involves understanding roles and scope of practice, provincial/territorial regulations, reserved acts, and institutional policies.
• Delegation is a formal process in which a regulated health professional delegates controlled acts to unregulated care providers, with the delegating nurse being responsible.
• Nurses must satisfy specific requirements for delegation, as outlined in the CNO practice guideline on Authorizing Mechanisms.
• Delegated acts may include tasks such as emptying catheters, administering insulin, and taking vital signs, with the delegating nurse bearing responsibility.

Evidence-Informed Decision Making in Nursing Practice

• Evidence-informed decision making in nursing involves utilizing the best available evidence to provide care, optimize outcomes, improve practice, and ensure accountability in health care decision-making.
• Continuous expansion of nursing knowledge is essential for improving nursing practice, with research findings being a major source of new knowledge.
• Nurses must have the ability to locate, understand, and critically evaluate evidence for application to practice to stay informed about current evidence.
• Sources of evidence in nursing practice include scientific evidence in journals, non-research evidence, quality improvement, risk management data, individual patient data, and patients' values and experiences.
• The Registered Nurses' Association of Ontario (RNAO) provides best practice guidelines for nurses to follow in their practice.
• The process of researching evidence involves asking clinical questions, collecting the best evidence, critiquing the evidence, integrating the evidence into practice, and evaluating the practice decision or change.
• The PICOT format for clinical questions involves considering the patient population, intervention, comparison, outcome, and time for a focused question.
• A research article typically includes an abstract, introduction, literature review, purpose statement, methods/design, results/conclusions, and clinical implications.
• Different research designs in nursing include quantitative research (experimental, quasi-experimental, and survey designs) and qualitative research (ethnography, phenomenology, grounded theory, and narrative inquiry).
• Examples of nursing research studies include a correlational research study exploring the relationship between resilience and grit among nursing students and a randomized controlled trial on factors affecting health-promoting behaviors in nursing students.
• Quality and performance improvement are essential goals of nursing research, with every health care organization gathering data on health outcome measures to gauge the quality of care provided.
• Performance management is a crucial aspect of quality care that should be studied in nursing.

Evidence-Informed Decision Making in Nursing Practice

• Evidence-informed decision making in nursing involves utilizing the best available evidence to provide care, optimize outcomes, improve practice, and ensure accountability in health care decision-making.
• Continuous expansion of nursing knowledge is essential for improving nursing practice, with research findings being a major source of new knowledge.
• Nurses must have the ability to locate, understand, and critically evaluate evidence for application to practice to stay informed about current evidence.
• Sources of evidence in nursing practice include scientific evidence in journals, non-research evidence, quality improvement, risk management data, individual patient data, and patients' values and experiences.
• The Registered Nurses' Association of Ontario (RNAO) provides best practice guidelines for nurses to follow in their practice.
• The process of researching evidence involves asking clinical questions, collecting the best evidence, critiquing the evidence, integrating the evidence into practice, and evaluating the practice decision or change.
• The PICOT format for clinical questions involves considering the patient population, intervention, comparison, outcome, and time for a focused question.
• A research article typically includes an abstract, introduction, literature review, purpose statement, methods/design, results/conclusions, and clinical implications.
• Different research designs in nursing include quantitative research (experimental, quasi-experimental, and survey designs) and qualitative research (ethnography, phenomenology, grounded theory, and narrative inquiry).
• Examples of nursing research studies include a correlational research study exploring the relationship between resilience and grit among nursing students and a randomized controlled trial on factors affecting health-promoting behaviors in nursing students.
• Quality and performance improvement are essential goals of nursing research, with every health care organization gathering data on health outcome measures to gauge the quality of care provided.
• Performance management is a crucial aspect of quality care that should be studied in nursing.