NRHL5503 Evidence-Based Nursing Practice Research And Process Improvement


Researches suggests that evidence based nursing is the key to excellence in nursing. It has been reported that only about 15% of nurses works on the basis of evidences. Evidence based nursing would help to bring about innovations in the nursing practice. It’s the duty of leader of the nurse to call for an action for introducing innovative ideas in nursing in order to give patient a better quality of care. Nowadays the planning for the nursing practice along with evaluation of the application of the new strategies directly affects the quality of service provided to the patient (Crozier, Moore & Kite, 2012).

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This report focuses on an innovative technique, the problem addressed by the innovation, and how one would introduce the innovation into the organization. The report will also discuss about the strategies for the sustainability of the problem in the organization (Middleton et al., 2014).


Researches have shown that a particular hospital introduced a system of alerts, pathways of care and standing orders for the patients suffering from Pneumonia, heart failure and acute myocardial infarctions. The care pathways have been created to avoid surgical complications, and prevention of infections (Wandersman, Chien & Katz, 2012).  The system is such designed that once when a patient was diagnosed with one if these clinical problems. The system generated automatic orders nursing protocols, medications. This kind of innovations are of tremendous use as it gives prompt instructions to the staffs and the nurses to provide the necessary medications, immunization at the right time. As a result it has been found that within a few years the performance of the hospital and the whole administration has improved drastically. In addition to this, it has also been reported that the said hospital also have introduced systems that can track surgical complications.

Problem Addressed

It was found that patients with acute myocardial infarction, pneumonia, and surgical complications are mostly prevented and most of the time the evidence based standards are followed.

The evidence based standards that can be followed are-

The patients with AMI should be prescribed with aspirin on arrival, daily and up to discharge. The patients with Pneumonia should be given the pneumococcal vaccine. Patients with heart failure should be having a left ventricular function assessment. These evidence based protocols definitely helps in providing a quality care to the patient.

Description Of The Innovations

Standing order for Pneumonia included a system generated print out, which included oxygenation assessment, blood cultures, selection of antibiotics. In case of AMI diagnosis a message will pop up for alerting he nurses to start the AMI care pathways. In case of the patients with heart failures the system automatically generates the patient history, and displays in the screen for the doctors and the nurses. The system gives information about the smoking status of the patient and also prompts the nurses to provide angiotensin converting enzymes.

In case of improvement in surgical care, the system gives information about the administration of the antibiotics in proper timing. It also provides information protocols to the anasthesists and the surgical nurses.

Strategies To Sustain An Innovation In An Organization

It is always not easy to sustain an innovation in a healthcare setting. It is the responsibility of the nurse’s leader to take hold of the action. This can be done by discussion with the stakeholders, by raising the topic of researches or innovations in online platforms. Internet sources are also useful in disseminating the innovations in evidence based practice (Stevens, 2013). Group discussions can also be done in order to facilitate this.


The world is changing constantly; simultaneously the nurses are also engaged in different innovative activities to improve patient care outcomes. This report had discussed about the innovation that had taken place in a hospital regarding the treatment of Pneumonia, myocardial infarction. These innovations had definitely increased the quality of care provided to the patients. It can be concluded that right innovations can decrease the risks and deliver the exact treatment to a patient.


Crozier, K., Moore, J., & Kite, K. (2012). Innovations and action research to develop research skills for nursing and midwifery practice: the Innovations in Nursing and Midwifery Practice Project study. Journal of clinical nursing, 21(11?12), 1716-1725.

Middleton, L., Howard, A. A., Dohrn, J., Von Zinkernagel, D., Hopson, D. P., Aranda-Naranjo, B., … & El-Sadr, W. M. (2014). The Nursing Education Partnership Initiative (NEPI): innovations in nursing and midwifery education. Academic Medicine, 89(8), S24-S28.

Stevens, K. R. (2013). The impact of evidence-based practice in nursing and the next big ideas. Online Journal of Issues in Nursing, 18(2), 4-4.

Wandersman, A., Chien, V. H., & Katz, J. (2012). Toward an Evidence?Based System for Innovation Support for Implementing Innovations with Quality: Tools, Training, Technical Assistance, and Quality Assurance/Quality Improvement. American journal of community psychology, 50(3-4), 445-459.