Reflection and Assimilation

Reflection and Evaluation
Reflect upon your new knowledge about nursing research and EBP. Explain how this new
knowledge will influence your daily practice? What was your most significant learning? What
assignment did you find the most and least meaningful to your understanding of research and
EBP? Did you meet the course outcomes?

Reflection and Assimilation

Considering all the knowledge gained over the course of the research project, I can
effectively utilize research to improve nursing practice. In essence, I am able to take the evidence
which I find in literature and then translate it into practice guidelines that nursing staff would be
willing to adopt. I have been able to achieve each of the course outcome. These are described
below.
I have gained ability and competence to evaluate quantitative research. As a result of the
research conducted, I am able to evaluate various quantitative research studies through
systematic examination of all aspects of a nursing research study. I am able to effectively assess
and critique various quantitative research approaches such as cross-sectional design. I am also
able to evaluate grounded theory type of quantitative research, whose purpose is theory
development. Moreover, I am able to evaluate ethnography research studies which describe the
characteristics of a culture (Beck, 2013). Equally important, I can properly evaluate quantitative
case studies, which describe in an in-depth manner the experience of an institution, a community,

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a group, a family or an individual. When evaluating quantitative research studies in nursing, I
have learned the importance of bearing in mind the sampling and data collection methods
utilized by the researcher, the variables of the study, the research questions formulated, validity
and reliability of data, as well as outcomes of the research.
I have gained the ability to apply research findings from quantitative studies. The
research has enabled me to use the findings of quantitative research as evidence in nursing
practice. The new evidence gained from quantitative studies could be utilized by managers and
decision makers in healthcare organizations to solve challenges they experience within their
healthcare facilities, and to improve patient care (Aveyard & Sharp, 2013). In essence, I am now
able to understand the utility and meaning of quantitative research results and how they can serve
as vital evidence for nursing practice changes. Before the findings of quantitative research can be
applied, it is imperative to determine if those findings are valid (Jacelon & O’Dell, 2005). In this
regard, thanks to this research, I am now able to determine the validity of quantitative research
findings before applying them.
I have also gained the ability and competence to evaluate qualitative research studies.
Qualitative research is basically understood as a method of inquiry where the investigator, acting
as an instrument for the collection of data, seeks to answer questions regarding why or how a
given phenomenon happens (Holloway & Wheeler, 2013). I can properly evaluate several
qualitative research designs in nursing research including ethnography, phenomenology,
grounded-theory, as well as qualitative description. To evaluate whether or not a particular
qualitative study in nursing research is useful, I have learned to critically appraise qualitative
research in terms of validity and thoroughness. The main areas to consider when evaluating the
qualitative research include: if the research question is clear and substantiated sufficiently; and if

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the design is apt for the research question. Others are if the sampling method was apt for the
research design and research question; if data was gathered and managed in a systematic way; if
data analysis was apt; and if the description of findings is thorough.
I have gained the ability to apply research findings from qualitative studies. The research
has allowed me to be able to properly understand how I can apply the qualitative research
findings by asking several questions, such as what relevance and meaning does the qualitative
study have for my practice? The question of what meaning could be made of the findings would
have to be examined (Smith & Firth, 2011). The study should produce usable knowledge. The
other questions are: does the qualitative research study assist me in understanding the context of
my practice? and, does the qualitative research study enhance my knowledge regarding my
particular practice? I have been able to understand the generalizability of qualitative findings,
considering that findings from qualitative findings are not always generalisable (Holloway,
Wheeler & Holloway, 2013).
The project has enhanced my skills of evaluating the body of evidence from nursing
research. This research has, to a great extent, helped me to improve on my capability to evaluate
the body of evidence from nursing research as regards the subject matter in order to support an
evidence-based change within nursing practice. This research project involved extensive review
of existing literature on the subject matter with the aim of finding evidence to use to support
evidence-based change. It is of note that evidence-based practice is a vital approach in providing
the best quality care to patients, as well as the patients’ families. Nursing practice which is based
on evidence improves patient outcomes and helps to reduce uncertainty usually experienced by
healthcare personnel and their patients alike (Boswell, Boswell & Cannon, 2014). Because of
this research project, I can clearly distinguish literature that is based on evidence from traditional

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literature not based on evidence. In essence, this project has enhanced my ability to
systematically search for the most relevant, pertinent and current evidence, and to critically
appraise this evidence in order to answer a clinical question. Conducting research helps in
providing the essential evidence on which to base nursing practice (Melnyk & Fineout-Overholt,
2011).
The plan for the application of evidence to the current nursing practice entails the
following: (i) disseminating the evidence. Evidence would be disseminated through various
mediums such as press releases in local newspapers, television and radio stations; publications in
recognized journals such as New England Journal of Medicine, Science Journal, and Nature
Journal; websites. Dissemination will also take place using posters and flyers; oral presentations;
as well as organization/hospital-based and professional committee meetings. The evidence will
be disseminated with the aim of reaching the wider nursing community who will apply the
evidence-based practice. (ii) Encouraging nurses and other healthcare professionals to adopt and
implement the evidence-based practice in their daily practice at their workplace in order improve
patient care and safety, and reduce injury or death from falls. (iii) Managing and overcoming any
barriers and resistance to adopting the evidence-based practice, for instance by providing training
(Giuliano & Polanowicz, 2008).
The learning which I have achieved in this course will support my success in the final
course when I will be required to develop a written evidence-based proposal for a change in
nursing strategy. This is primarily because I will be better positioned and adequately prepared to
develop the written evidence-based proposal for a change in nursing practice considering that I
would have already conducted the research project and gained the evidence necessary to write
the proposal for an evidence-based practice. This research project has given me the essential

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information, knowledge and necessary evidence on which to base nursing practice. The learning
I attained in this course has improved my knowledge and widened my understanding on the
evidence-based nursing practice. This will certainly support my success significantly in the final
course when in will develop a written evidence-based proposal for a change in nursing practice.

References

Aveyard, H., & Sharp, P. (2013). A Beginner’s Guide To Evidence-Based Practice In Health And
Social Care. Maidenhead: McGraw-Hill Education.
Beck, C. T. (2013). Routledge international handbook of qualitative nursing research.
Abingdon: Routledge.
Boswell, C., Boswell, C., & Cannon, S. (2014). Introduction to nursing research: Incorporating
evidence-based practice. Burlington, MA: Jones & Bartlett Learning
Giuliano, K., & Polanowicz, M. (2008). Interpretation and use of statistics in nursing research.
AACN Advanced Critical Care, 19(2), 211–222
Holloway, I., & Wheeler, S. (2013). Qualitative Research in Nursing and Healthcare. Chicester:
Wiley.
Holloway, I., Wheeler, S., & Holloway, I. (2010). Qualitative research in nursing and
healthcare. Chichester, West Sussex, U.K: Wiley-Blackwell.
Jacelon, C., & O’Dell, K. (2005). Demystifying nursing research. Analyzing qualitative data.
Urologic Nursing, 25(3), 217–220.

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Melnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing &
healthcare: A guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams
& Wilkins.
Smith, J., & Firth, J. (2011). Qualitative data analysis: the framework approach. Nurse
Researcher, 18(2), 52–62.

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