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The emergency department is a fairly active place because it requires quick execution of the team leader’s orders. In my nursing experience, the principles of EBP were used. A straightforward example is the delivery of oxygen at low saturation. Oxygen masks have been proven to help increase oxygen concentration and correct overall conditions. Improving the quality of care in the ICU can be accomplished by raising the rates at which manipulations are performed. When people need emergency care, time is of the essence, so the ward nurse’s task is to organize the work so as not to be distracted by external disturbances. EBP and quality improvement principles are essential in my department setting.
Factors in maintaining an EBP in my area are the resources available to staff as professionals and the opportunities for communication and team organization. Nurses with low qualifications are less likely to use EBP because physicians do not trust their knowledge (Kirk & Nilsen, 2016). It probably does not seem fair to them, but I think the training and knowledge baggage is necessary for my job. I paid attention to the team and the interaction of the nurses. The senior nurses interact with the physicians more often and efficiently, while the trainees are not fully confident in their abilities. The cohesiveness and organization of the medical team contribute significantly to the coherence and clarity of work.
The nurses’ role is to overcome the EBP’s barriers: critical appraisal, changing environments, and the absence of professional development programs. Critical appraisal is greatly facilitated when there is a lack of knowledge, and it is possible to replenish it without specific programs, which not all hospitals have (Kirk & Nilsen, 2016). The changing environment is because not everyone is willing to switch to EBP. As a nurse practitioner, I want to overcome the information barrier and the process of integrating new knowledge. The EBP should be in all branches of medicine, but in the emergency department, it is not easy to find the right solution.
Reference
Kirk, J. W. & Nilsen, P. (2016). Implementing evidence‐based practices in an emergency department: contradictions exposed when prioritising a flow culture. Journal of Clinical Nursing, 25, 555-565. Web.
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