Answer 3 for NUR 590 Explain the importance of a “spirit of inquiry” in an evidence-based culture and what you can do as an advanced registered nurse to encourage this within your practice or organization

At the center of the evidence-based culture is the concept of a “spirit of inquiry” which is fundamental to nursing and patient care. A “spirit of inquiry” entails seeking knowledge, and learning more broadly while understanding more deeply through creative and critical thinking and seeking connections among ideas, disciplines, cultures, peoples, and different worldviews. Therefore, evidence-based practice focuses on using the best available evidence from research to address patient and health issues, and this implies that seeking knowledge through experiments forms the foundation of findings that nurses can use to improve patient care (Leamy et al., 2023). The spirit of inquiry helps promote continuous learning and professional development for nurses and improves patient care as nurses and other care providers question present practices and seek evidence-based approaches to offer more effective and efficient care (Melnyk et al., 2022). It also fosters innovation and collaboration among the different teams. Advanced registered nurses can encourage this spirit within their practice or organizations by leveraging its benefits, promoting an evidence-based culture, and developing a culture of inquiry on any challenging clinical and health issues affecting patients and populations (Brunt et al., 2023). Collaborations and investing in research can also improve and promote this spirit as nurses will work with other providers and scholars to identify better ways to offer care. The nurse can encourage this spirit by working with stakeholders, especially during public health emergencies. The role and implementation of EBP can significantly differ between various advanced nursing specialties. In critical care settings, EBP may focus on protocols to manage severe conditions and emergencies while in geriatrics and family nurse practice (FNP), EBP interventions are specific to the demographic under care (Melnyk et al., 2022). For instance, in geriatrics, conditions like falls are a health and safety concern that require EBP interventions, especially preventive measures like hourly rounding and structured education and awareness on falls and their management. Despite these variations, the underlying principles of EBP entail using the best available evidence combined with clinical expertise and patient preferences and values.

References

Brunt, B. A. & Morris, M. M. (2023 March 4). Nursing Professional Development Evidence- Based Practice. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK589676/ Leamy, M., Sims, S., Levenson, R., Davies, N., Brearley, S., Gourlay, S., … & Harris, R. (2023). Intentional rounding: a realist evaluation using case studies in acute and care of older people hospital wards. BMC Health Services Research, 23(1), 1341. DOI: https://doi.org/10.1186/s12913-023-10358-1 Melnyk, B. M., & Fineout-Overholt, E. (2022). Evidence-based practice in nursing &             healthcare: A guide to best practice. Lippincott Williams & Wilkins.