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Planning and Implementing an Evidence-Based Project

payers are increasingly demanding accountability for quality, cost-effective outcomes based on research findings. Reasons for the current focus on scientifically based practice are cost containment, improved patient outcomes, and efficiency. Evidencebased practice is based on research findings, quality improvement data, and/or clinical expertise. Evidencebased clinical applications can be incorporated into written policies, procedures, standards of care, care pathways, and quality-improvement plans. As healthcare and academic organizations expand their affiliations with one another to develop collaborative models for evidence-based nursing practice, students and practicing nurses are being held accountable for using research findings in their practices. Due to a variety of barriers, including educational preparation, most nurses do not, in fact, apply research findings in their practices. The majority of practicing nurses are graduates of diploma or associate degree programs with no education in, or experience with, research. They may not understand concepts of evidence-based practice and are generally unaware of the importance of scientifically based support for their actions. Baccalaureate education is designed to prepare registered nurses as consumers of research; to use research in their practices. Therefore, nursing programs preparing Bachelor of Science completion (BSN) students must incorporate scientifically based content into their courses, and nurse educators need to provide students with experience in accessing scientific literature to support decision making in clinical practice. Some authors even recommend that nursing programs develop courses designed exclusively to teach research utilization. Although most BSN programs include research courses, many do not deal with research utilization in any expanded or practical way. Nursing students can learn first-hand the practical use of research findings if they are given the opportunity to apply this knowledge in a real-world setting. Use of evidence-based practice applications by students may encourage them, as registered nurses, to incorporate research findings into their practices.