Introduction
Evidence-based practice (EBP) and nursing research are important in the provision of high-quality healthcare. EBP is essential in assuring more favorable health outcomes and higher quality care. This study will explore the significance or impact of the electronic ED I-PASS system using the Johns Hopkins Nursing Model of Evidence-Based Practice that improves the quality of care by improving communication during handoffs (Uslu & Stausberg, 2021). In other words, the study evaluates the use of the information management model in the Johns Hopkins Nursing Evidence-Based Practice Model through the transition from old methods (phone and face-to-face) handoffs to the electronic ED I-PASS system.
John Hopkins Nursing Evidence-Based Practice Model
The Johns Hopkins Nursing Evidence-Based Practice Model is helpful as nurses conduct clinical questions. The model of Evidence-based Practice developed by Johns Hopkins Nursing is a key factor in successfully deploying the Electronic ED I-PASS. Inquiry, Practice, and Integration characterize the model. This lever is instrumental for ED communication improvement, and quick handovers with evidence-based practice examples are on display, demonstrating a huge step forward in the evolutionary curve of emergency nursing care.
Components of the Model
Inquiry
Inquiry is the booster that propels a nurse’s curiosity about the existing nursing practice. The curiosity is based on risk reduction and the introduction of safer methods. Johns Hopkins Nursing Evidence-Based Practice Model begins with inquiry (nurses’ natural curiosity and active querying or interrogation of what is already being done in practice to improve this). This method involves a critical analysis of nursing interventions and the discovery of problems. Through repeated collection, these data were manually entered into spreadsheets for data analysis. Nurses endeavour to update their knowledge regularly from research articles, medical journals and evidence-based practices to enhance effective and safe patient care. Questioning forms the basis through which healthcare practitioners are urged to go beyond conventional care by learning at the practitioners’ and organizational levels. It prompts them to ask the right questions during care procedures, felicitating areas of misunderstanding and improvement. Nurses can be at the forefront of inquiry and research based on the results of current practice. They report on recent publications from pharmacy journals and research from government-focused databases, as well as on cost-effective solutions proven to improve patient care.
Practice
Nursing practice is about the nurse making use of knowledge and skills in real healthcare occasions. This phase scrutinizes the efficacy of nursing practices and eventually modifies them through the incorporation of research-based modifications. In this manner, what is studied in the research can be transferred into practical care. The Johns Hopkins School of Nursing established the Evidence-Based Practice Model, which nurses use to apply evidence daily (Jimmerson et al., 2021). The next phase is a very critical assessment of the existing nursing interventions with the aim of advancing the impact that they have on patients. Nurses make their judgements using evidence-based methods, and they are infused with professional competence and patient preferences. Nurses, along with other professional healthcare providers, tend to break new ground in their area and inspire innovative and evidence-based ideas during this stage. They test whether these interventions lead to better outcomes for the patients. Johns Hopkins Nursing Evidence-Based Practice Guidelines state that nursing practices should be distorted, changed, or upgraded based on the latest knowledge or newest trends. This means that patients will get the best care possible and also that there is a way of professional dedication.
Integration
Integration is the practice of merging evidence into practice. It requires using the most recent research in health to doctors’ work that takes place during the day. Integration is also one of the facets of the John Hopkins Nursing Evidence-Based Practice Model, whereby research-proven strategies are introduced into healthcare practice and are followed religiously (Jimmerson et al., 2021). This stage precisely ensures that the new knowledge will be transferred and used in order to improve not only the quality but also the outcome of patient care. Nurses have to collaborate with other health professionals as well as all the stakeholders in ensuring adherence to evidence-based practice into their line of work. As such, they should assess difficulties impeding new practices and ways of improvement. This section emphasizes continuation of education so that credible changes can be made constantly. Nurses aid their colleagues acquiring knowledge by sharing the processes, the achievements, and issues they encounter in their line of wor
Clinical/Practice Question
The PICOT format has been used since it aligns with the Johns Hopkins model:
Population: EDiPass Reports
Intervention: Educate ED Nurses on the correct EDiPass format/requirements
Comparison: How EDiPass is currently reported vs. improvements made after education
Outcome: Improved EDiPass communication system
Time: Six weeks
The clinical/practice question is:
Does teaching ED nurses how to appropriately employ the electronic ED I-PASS system to transfer patient information in treatment improve patient outcomes?
This question will guide the investigation into the benefits of implementing bedside reporting in the ED.
Implementing the Johns Hopkins Nursing Evidence-Based Practice Model
The Johns Hopkins Nursing Evidence-Based Practice Model propels the utilization and acceptance of the electronic ED I-PASS system in Emergency Department treatment. The Electronic ED I-PASS system facilitates effective communication across the board. Consequently, the model’s core principles of inquiry based on evidence form the basis of the PICO framework (Population: emergency department nurses, Intervention: education on the electronic I-PASS system, Comparison: present reporting procedures, and Outcome: enhanced communication and improved patient outcomes) are the guiding concept of the investigation. For instance, the model enables clinicians to define the question, get and evaluate beneficial information, and use these findings. In so doing, the method is the foundation for a science-based strategy that informs itself about using technology to elevate patient care standards of effective communication.
Applying the Model
Identification of the Clinical Question
To start, we answer the clinical question by setting up a project to improve communication within the Emergency Department through the electronic ED I-PASS system. Employment of the population, intervention, comparison, outcome, and time (PICO(T) )framework helps us concentrate our efforts on intervention, provide the defined population with improved care, and enable effective information transfer between different patients.
Literature Review
We will focus on the evidence-based practice based on the above model. This strategy which helps us to build valid evidence for the project. As such, we will do an exhaustive literature review of the current knowledgebase on electronic ED I-PASS system within the ED which Walia et al (2016) described in detail. This exploration will help us accumulate fundamental data in a cost effective way.
Evidence Integration
The path to taking the gathered evidence and transforming it into an action plan entails multiple evaluation points and ongoing adjustments of this assembled evidence. We will promptly examine the quality and the evidence significance, to ensure that it are fully in line with a practice change targets that we are aiming for. Now, these employed theories occur in this final stage where research paves the way for the concrete practice.
Translation into Practice
The step will involve transforming or changing the evidence into daily practice. This will involve applying the electronic ED I-PASS reporting within the ED. This is where the conceptual stage of a hypothesis and the actuality of clinical settings come together. The duration of the monitoring of any step of our process will be carried out with caution.
Evaluation
This model allows continuous assessment hence promoting continuous improvements. The assessment of the electronic ED I-PASS reporting will be constant and recurrent and it will be used to assess patients outcomes and work satisfaction among the ED nurses (Walia eb al., 2016). The continuous assessment ensures that it follows evidence-based practice standards.
Conclusion
In summary, the Johns Hopkins Nursing EBP Model is a great resource for nurses who need quality improvement through EBPs. This concept includes the integration of evidence, and research application. This model will help us do an electronic ED I-PASS system. The Hopkins Nursing Evidence-Based Practice Model, can enhance nursing practice through the appraisal of current research, critical evaluation of evidence, and application of the changes. This project has a great potential for solution refinement as well as improving patient care experience especially in healthcare settings. This Johns Hopkins Nursing Evidence-Based Practice Model will help assemble, and implement, this project following the principles of the most recent evidence-based-practice.
References
Jimmerson, J., Wright, P., Cowan, P. A., King‐Jones, T., Beverly, C. J., & Curran, G. (2021). Bedside shift report: Nurses’ opinions based on their experiences. Nursing Open, 8(3), 1393–1405.
Uslu, A., & Stausberg, J. (2021). Value of the Electronic Medical Record for Hospital Care: Update from the literature. Journal of Medical Internet Research, 23(12), e26323. https://doi.org/10.2196/26323
Walia, J., Qayumi, Z., Khawar, N., Dygulska, B., Бялик, І. М., Salafia, C. M., & Narula, P. (2016). Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. Academic Pediatrics, 16(6), 519–523. https://doi.org/10.1016/j.acap.2016.04.001
write