Health Systems And Policy Research Assignment

Theory Concept Analysis

Citation

Chiwaula, C. H., Chinkhata, M., Kamera, H., & Haruzivishe, C. (2018). Evidence-Based Practice: A Concept Analysis. Health Systems and Policy Research, 5(3:75), 1-7. http://dx.doi.org/10.21767/2254-9137.100094

Concepts analyzed in the article

Chiwaula et al. (2018) analyzes evidence-based practice (EBP) as a concept. In this case, EBP is presented as an abstract idea generalized from nursing practice in terms of its potential for improving quality of care, and producing desired benefits for patients, providers and health care system. In this case, the focus is on examining EBP for its structure, attributes and characteristics. For that matter, it helps in refining EBP for a common understanding, and refining its content for the nursing principles. The rationale for choosing the concept of EBP is to formulate a clear, precise operational and theoretical defining to be used in nursing studies, choosing measuring instruments that accurately define the characteristics of EBP when measured, and accurately identifying EBP in nursing practice and research. Towards this end, the authors implement Walker and Avant’s strategy method of concept analysis, a method that consists of eight steps (McEwen & Wills, 2022). Health Systems And Policy Research Assignment

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Data source

Chiwaule et al. (2018) explains that a literature review method was applied. This involves searching for literature from a variety of sources to include dictionaries, PubMed, Google, Google Scholar, and Hinary. The search was conducted using search terms: concept analysis, evidence based practice (EBP), evidence based decision making (EBDM), evidence informed decision making (EIDM), and methods of concept analysis. The search was restricted to materials published from 2005 to 2018, to include research articles, books, web pages and dictionaries. The search results initially identified and accessed 67 materials with 30 of them being discarded for not meeting the inclusion criteria thereby leaving 37 for meeting the inclusion criteria.

Data synthesis

The data synthesis process followed the Walker and Avant’s strategy method of concept analysis. In this case, the synthesis followed an eight-step process. First, selecting the concept. Second, determining the aims and purpose of the concept analysis. Third, identifying all uses of the concept. Fourth, determining the defining attributes of the concept. Fifth, constructing a model case for the concept. Sixth, constructing borderline, related and contrary cases for the concept. Seventh, identifying antecedents and consequences for the concept. Finally, defining empirical referents for the concept (Chiwaule et al., 2018; Paley, 2021). Health Systems And Policy Research Assignment

Result of concept analysis

The concept analysis generates new insight that contribute to theoretical development of EBP. It provides an operational definition of EBP. Applying the strategy method of concept analysis described by Walker and Avant, the study identifies the attributes and characteristics of EBP and its theoretical and practical application to nursing. The sample cases are well described to further illustrate the definition of the concept. In addition, the results reveal that EBP has the attributes of asking relevant clinical questions, using the best current evidence, integrating practitioners’ expertise and experience, incorporating patient preferences, values and concerns, and applying evidence in making decisions concerning nursing care. Besides that, the results reveal antecedents of EBP that creates conditions favorable for EBP to include supportive leaders, necessary EBP knowledge, skills and confidence, necessary resources and evidence, and gap in nursing care practice. In essence, the article provides a functional definition of EBP concept, identifying it as a problem solving approach that involves nurses asking clinically relevant questions, assessing evidence available to them from research and contextual factors, appraising and synthesizing the evidence to interpret it, combining the evidence with experience of nursing care stakeholders, and applying the lessons learned in making decisions that improve nursing care practice and outcomes (Chiwaule et al., 2018; Gray & Grove, 2020). Health Systems And Policy Research Assignment

The concept analysis examines EBP for its semantic structure with a focus on the defining attributes to enabling nursing have the same understanding of what EBP implies. It refines and clarifies EBP concept in research, practice and theory, thereby helping in arriving at a precise operational and theoretical definition for use. The outcome of the analysis is a set of defining characteristics that tell readers who EBP is and is not, thereby allowing for a clear, operational and precise definition to be used in nursing. This helps in setting instruments that accurately reflect the defining characteristics of EBP when being measured, and accurately identifying EBP when it arises in research data or clinical practice (Giddens, 2022).

Big take away

The big take away is that concept analysis serves an important function of developing a unified, common definition. The absence of the concept analysis results in many definitions and understandings of a concept, with the result being impeded ability to conduct research studies on the concept, improve clinical practice. With good concept analysis, practitioners are able to recognize, discuss and define EBP. This all contributes to facilitating progress in nursing science at the conceptual and theoretical levels thereby enabling systematic and cohesive developments in nursing discipline (Giddens, 2022). Health Systems And Policy Research Assignment

The step found interesting is defining attributes. This is an interesting step as it serves as the core of the concept analysis through presenting the critical characteristics that help in differentiating EBP concept from other similar concepts (Giddens, 2022).

Proposed concept of interest

A proposed concept of interest to advanced practice role is pain. That is because pain is a common and subjective experience. Efforts to address pain are accompanied by concerns about opioid use. A concept analysis of pain is necessary for comprehensive pain assessment as the first step in effective pain management. It is important to note that inadequately managed pain can lead to adverse psychological and physical outcomes. In addition, failing to understand pain could result in treatment being abused with far reaching consequences that include addiction and dependence. The advanced practice role places nurses in a unique position to improve pain management through developing pain assessment tools for determining the cause of pain, impact of pain on quality of life, best treatments, and effectiveness of current treatment. Concept analysis of pain helps with this regard (Murray, 2022). Health Systems And Policy Research Assignment

References

Chiwaula, C. H., Chinkhata, M., Kamera, H., & Haruzivishe, C. (2018). Evidence-Based Practice: A Concept Analysis. Health Systems and Policy Research, 5(3:75), 1-7. http://dx.doi.org/10.21767/2254-9137.100094

Giddens, J. F. (2022). Mastering Concept-Based Teaching and Competency. Elsevier Health Sciences.

Gray, J. R., & Grove, S. K. (2020). Burns and Grove’s the Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence (9^th ed.). Elsevier Health Sciences.

McEwen, M., & Wills, E. M. (2022). Theoretical Basis for Nursing (6^th ed.) Wolters Kluwer.

Murray, E. (2022). Nursing Leadership and Management for Patient Safety and Quality Care (2^nd ed.). F.A. Davis Company.

Paley, J. (2021). Concept Analysis in Nursing: A New Approach. Taylor & Francis Grou

Assignment Overview
Involves engagement in activities to build an understanding of skills in EBP concept appraisal and analysis related to advanced practice. Students will interact with the concepts analysis process and appreciate the value of appropriate theory evaluation for utilization in practice. Health Systems And Policy Research Assignment

Follow direction to engage in EBP concept evaluation and analysis process. Three selections of published concept analysis references are provided for you for this process.
Guidelines
EBP Concept Analysis Guideline/Direction:

Select one of the three articles provided to complete an EBP/Advanced practice concept analysis. Prepare your review using concept analysis table/guideline provided

Schaefer, J. D., & Welton, J. M. (2018). Evidence based practice readiness: A concept analysis. Journal of nursing management, 26(6), 621–629. https://doi.org/10.1111/jonm.12599Links to an external site. (https://onlinelibrary.wiley.com/doi/10.1111/jonm.12599Links to an external site.)
Chiwaula CH, Chinkhata M, Kamera H, Haruzivishe C (2018) Evidence-Based Practice: A Concept Analysis. Health Syst Policy Res Vol. 5 No.3: 75. https://www.hsprj.com/health-maintanance/evidence-based-practice-a-concept-analysis.php?aid=23847Links to an external site.)
Laibhen-Parkes N. (2014). Evidence-based practice competence: a concept analysis. International journal of nursing knowledge, 25(3), 173–182. https://doi.org/10.1111/2047-3095.12035Links to an external site. (https://onlinelibrary.wiley.com/doi/10.1111/2047-3095.12035Links to an external site.) Health Systems And Policy Research Assignment

NGR5110: Concept Analysis Report Table & Criteria

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After reading your selected article, use the table below to report your review information. Evaluator will score from zero to full value, the extent to which the response addressed each stated criterion: Exceptionally addressed; Mostly addressed; Partially addressed; Mostly not addressed; or Not addressed.

Requirements For Review

Response

Value

Citation of reviewed article in APA format:
2.5

Citation of the concept analysis process/method used in the article (Cite in APA format):
2.5

Identify concept/s analyzed in the article
5

Author’s rationale for choosing this concept for analysis.
Include the stated purpose.
5

What specific steps were implemented in the analysis process?
5

Data source: Describe process used in the literature search.
(2) Include description of search terms, database/s, article or research included in the analysis.
5

Data synthesis: Describe the data synthesis process used in the report.
10

Report the result of the concept analysis.
10

Describe clearly the operational definition derived or proposed for the concept.
Is the definition a meaningful and appropriate derivation from the analysis?
10 Health Systems And Policy Research Assignment

Explain how the information derived from the concept analysis will benefit nursing practice?
10

Describe your big take-away about evidence-based practice from reviewing the concept analysis report you selected.
Which specific step of the process do you find most interesting and why?
20

Propose a concept of your interest relevant to the advanced practice role for future analysis. Provide rationale.
15

100 % Health Systems And Policy Research Assignment