Fostering a Spirit of Inquiry: Inspiring Nurses to Advance Practice Based on Best Evidence.

IF 2.7 3区 医学 Q2 CRITICAL CARE MEDICINE
Mary Beth Flynn Makic
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Abstract

Early in my career as a critical care nurse, I noticed discrepancies between arterial blood gas values and noninvasive readings. My unit's clinical nurse specialist encouraged me to conduct a research study; the findings from that study drove a practice change for the unit, and I presented the results at a national conference. This experience inspired a spirit of inquiry and launched my career focused on research and adoption of best evidence to advance nursing practice affecting the patients we serve. Clinical inquiry, both on my part and on the part of the nurses I worked alongside, led me to critically examine evidence to either implement a body of science in practice or generate knowledge to improve practice, health care systems, and patient outcomes. My program of scholarship has focused on understanding ways in which nurses independently influence patient care. As a hospital-based research nurse scientist, I had the opportunity to explore nursing practice by asking questions and seeking answers associated with the impact of technology on practice, hospital-acquired conditions, and evidence translation. Nursing practice questions fostered robust explorations on a wide range of topics from exploring use of technology to inform interventions to understanding new graduate nurses' experiences during the COVID-19 pandemic. As I was recognized as an evidence-based practice expert, my spirit of inquiry led me to promote evidence-based practice as a foundational principle to reduce patient harm and advance nursing practice. Fostering a spirit of inquiry supports the generation of nursing science and translation of best evidence to inform our daily practice.

培养探究精神:激励护士基于最佳证据推进实践。
在我作为一名重症护理护士的早期职业生涯中,我注意到动脉血气值和非侵入性读数之间的差异。我所在单位的临床护理专家鼓励我进行一项研究;这项研究的发现推动了该单位的实践变革,我在一次全国会议上发表了研究结果。这段经历激发了我的探究精神,并开启了我的职业生涯,专注于研究和采用最佳证据,以推进影响我们服务的患者的护理实践。我本人和与我一起工作的护士的临床调查,使我能够批判性地检查证据,以便在实践中实施科学体系,或产生知识,以改善实践、卫生保健系统和患者的治疗结果。我的奖学金项目侧重于了解护士独立影响病人护理的方式。作为一名以医院为基础的研究护士科学家,我有机会通过提问和寻求与技术对实践、医院获得性条件和证据翻译的影响相关的答案来探索护理实践。护理实践问题促进了对广泛主题的积极探索,从探索利用技术为干预措施提供信息到了解新毕业护士在COVID-19大流行期间的经历。由于我被公认为循证实践专家,我的探究精神促使我推动循证实践作为减少患者伤害和推进护理实践的基本原则。培养探究精神支持护理科学的产生和最佳证据的翻译,以告知我们的日常实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.30
自引率
3.70%
发文量
103
审稿时长
6-12 weeks
期刊介绍: The editors of the American Journal of Critical Care (AJCC) invite authors to submit original manuscripts describing investigations, advances, or observations from all specialties related to the care of critically and acutely ill patients. Papers promoting collaborative practice and research are encouraged. Manuscripts will be considered on the understanding that they have not been published elsewhere and have been submitted solely to AJCC.
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