Adopting a research-based (or evidence-based) practice that incorporates research findings

by | Mar 11, 2025 | Economics

 

According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with patients. Analyze the role nurses play in improving health care quality and safety through the use of evidence-based practice (EBP). How do you see this role being applied in your workplace? What internal stakeholder perspectives would you need to consider, including stakeholder support, in order to successfully implement an EBP project in your workplace?

 

 

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.


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God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Nurses’ Role in Improving Healthcare Quality and Safety through EBP:

Nurses are uniquely positioned to champion EBP due to their:

  • Direct Patient Contact: Nurses spend significant time with patients, observing their responses to interventions and identifying areas for improvement.
  • Clinical Expertise: Nurses possess a wealth of clinical knowledge and experience, which allows them to critically evaluate research findings and apply them to practice.

Nurses’ Role in Improving Healthcare Quality and Safety through EBP:

Nurses are uniquely positioned to champion EBP due to their:

  • Direct Patient Contact: Nurses spend significant time with patients, observing their responses to interventions and identifying areas for improvement.
  • Clinical Expertise: Nurses possess a wealth of clinical knowledge and experience, which allows them to critically evaluate research findings and apply them to practice.
  • Advocacy: Nurses act as patient advocates, ensuring that care is safe, effective, and aligned with patient preferences.
  • Collaboration: Nurses work collaboratively with other healthcare professionals, facilitating the translation of research into interdisciplinary practice.
  • Data Collection and Analysis: Nurses often contribute to data collection for quality improvement initiatives and research studies, providing valuable insights into patient outcomes.
  • Change Agents: Nurses are often the ones who implement and drive change at the bedside. They are key to getting new practices into the everyday workflow.

Application of EBP in the Workplace (Hypothetical Example):

Let’s imagine a hospital setting where nurses are observing a high incidence of catheter-associated urinary tract infections (CAUTIs).

  • Identifying the Problem: Nurses recognize the high CAUTI rate and its impact on patient safety.
  • Searching for Evidence: Nurses collaborate with the hospital librarian or access online databases to find research articles on best practices for CAUTI prevention.
  • Appraising the Evidence: Nurses critically evaluate the research findings, considering the quality and applicability of the studies.
  • Implementing the Evidence: Nurses work with the interdisciplinary team to develop and implement a standardized protocol for catheter insertion and maintenance, based on the evidence.
  • Evaluating the Outcomes: Nurses track CAUTI rates and gather feedback from patients and staff to assess the effectiveness of the new protocol.
  • Disseminating Findings: Nurses share the results of the EBP project with colleagues and other stakeholders, promoting the adoption of best practices.

Internal Stakeholder Perspectives and Support:

To successfully implement an EBP project, nurses must consider the perspectives of various internal stakeholders:

  • Nursing Leadership:
    • Support is essential for providing resources, time, and encouragement.
    • Address concerns about feasibility and workload.
  • Physicians:
    • Collaboration is crucial for developing and implementing interdisciplinary protocols.
    • Address concerns about potential changes in practice.
  • Other Healthcare Professionals (e.g., pharmacists, therapists):
    • Involve them in the EBP process to ensure interdisciplinary alignment.
    • Address concerns about potential impacts on their roles.
  • Information Technology (IT) Department:
    • Support is needed for accessing and utilizing electronic health records and data.
    • Address concerns about data security and system compatibility.
  • Quality Improvement (QI) Department:
    • Collaboration is essential for data collection and analysis.
    • Address concerns about alignment with existing QI initiatives.
  • Administration/Finance:
    • Support is needed for funding of supplies, and training.
    • Address concerns about cost effectiveness.
  • Frontline Nurses:
    • They are the ones that will be implementing the changes.
    • Address concerns about increased workload, and provide adequate training.

Strategies for Gaining Stakeholder Support:

  • Communicate the Importance of EBP: Emphasize the benefits of EBP for patient safety, quality of care, and organizational outcomes.
  • Involve Stakeholders in the Process: Seek input from stakeholders at all stages of the EBP project.
  • Provide Education and Training: Offer training on EBP principles and methods to build capacity among staff.
  • Share Success Stories: Highlight successful EBP projects to demonstrate the value of this approach.
  • Address Concerns and Provide Support: Listen to stakeholder concerns and provide resources and support to overcome challenges.
  • Use Data to Drive Decisions: Present data and evidence to support the need for change.
  • Create a Culture of Inquiry: Encourage a culture where questions are asked, and evidence is sought.

By considering these stakeholder perspectives and employing effective communication and collaboration strategies, nurses can successfully implement EBP projects and drive meaningful improvements in healthcare quality and safety.

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