1. Address Theoretical Framework to Support Evidence-based Practice
2. Describe Collaborative Model and explain its relevance to the Surgical Nurse Practitioner
3. Describe the concern regarding the introduction of a surgical nurse practitioner into the surgical care team and explain its impact on health care outcomes.
4. Explain how the collaborative model can be used as a framework to guide evidence-based practice to address the concern and discuss the unique insight or perspective offered through the application of this theory or model.
Theoretical Framework to Support Evidence-Based Practice
Course Code and Name
Theoretical Framework to Support Evidence-Based Practice
Evidence-based practice in nursing refers to the method by which nursing practitioners across the healthcare professions review and evaluate the most recent and quality research which guides them in care delivery among different nursing specialties. Evidence-based practice implementation is defined by theories in nursing that guide knowledge drive in clinical practices. Self-care deficit theory by Dorothea Orem is among clinical practice theories that have an evidence-based practice framework. The theory states that one’s care is a set of practices that allows an individual to initiate and act independently to nurture life, good health, and well-being (Hernández, Pacheco, & Larreynaga, 2017). The theory’s main focuses include self-care agency, universal and developmental, therapeutic, and health deviation of self-care requisites. SCDNT is used in nursing as a basis for evidence-based practice. EBP in nursing is the conscientious, straightforward, and sensible use of self-care deficit nursing theory-informed, research-based data in coming up with decisions about health care delivery.
The collaborative nursing care model is a model whose objective is to improve patient outcomes through inter-professional cooperation (Tang et al., 2018). Collaborative practice is an essential factor for ensuring quality and safe care delivery and in the promotion of learning and understanding among care providers from different specialties. Collaborative nursing involves coming together of various health and social care providers to address problems to facilitate quality care delivery through effective communication, competencies, and responsibilities. Collaboration is important in every health care setting. In a surgical setting, care professionals entail a common bond of concern for excellence in patient safety. The care professions in the surgical environment collaborate to ensure patient safety is achieved. The surgical nurse practitioners require high-level professionals to form a collaborative team as the needs of surgical patients are complex as well as the process itself. The effectiveness of surgical team collaboration requires understanding interactions between surgical nurse practitioners, surgeons, perioperative nurses, and anaesthesiologists (Vatn, & Dahl, 2022).
The introduction of surgical nurse practitioners in the surgical environment was introduced in 2014 and adopted internationally. The main concern of introducing surgical nurse practitioners was to reduce the workload of the surgical teams by helping in assistant and basic surgical roles (Kvarnström, Jangland, & Dahlgren, 2018). The introduction of surgical practitioners to the surgical team is essential as the practitioners work in this clinical practice as members of the surgical team to carry out surgical intervention, and pre and post-operative care. Surgical nurse practitioners are guided and supervised by a consultant surgeon. The impact of surgical care practitioners impose a positive impact on patient health outcomes which is facilitated by the practitioner’s surgical training, performance assessment, and continued professional development. Their impact is seen not independently but as a healthcare professional who brings experiences from distinct backgrounds to a role in the surgical team facilitating quality care, patient satisfaction, and patient outcomes.
Evidence-based practice is made a norm in clinical practices when there is cooperation and collaboration between researchers and the administrative leaders of health care organizations. There exist barriers that hinder evidence-based practice in nursing such as inadequate knowledge of research among nurse practitioners, inadequate nurses’ empowerment, lack of administrative support to conduct research, and inadequacy of research mentorship. The collaborative model by Tyler is an idealistic model based on a planned change that aims at establishing an evidence-based practice. According to this theory, nurses can improve nursing practice through the integration of research in their clinical practices. The research utilization requires the willingness, commitment, and collaboration of researchers, nurses, and administrators to implement evidence-based practice in the practice. The initial step taken is the evaluation of the previous models in the light of contemporary practice issues and health care reform, where the most significant components of several models are integrated to form an eventual research utilization process in an innovative model which is collaborative. The main perspective in this model is the need for cooperation between researchers, clinicians, and administrators for the improvement of research utilization in nursing practices.
Hernández, Y. N., Pacheco, J. A. C., & Larreynaga, M. R. (2017). The self-care deficit nursing theory: Dorothea Elizabeth Orem. Gaceta Médica Espirituana, 19(3).
Kvarnström, S., Jangland, E., & Dahlgren, M. A. (2018). Introducing the nurse practitioner into the surgical ward: an ethnographic study of interprofessional teamwork practice. Scandinavian Journal of Caring Sciences, 32(2), 765-771.
Tang, C. J., Zhou, W. T., Chan, S. W. C., & Liaw, S. Y. (2018). Interprofessional collaboration between junior doctors and nurses in the general ward setting: A qualitative exploratory study. Journal of Nursing Management, 26(1), 11-18.
Vatn, L., & Dahl, B. M. (2022). Interprofessional collaboration between nurses and doctors for treating patients in surgical wards. Journal of Interprofessional Care, 36(2), 186-194.