Is it an effective way of providing the best care to patients












Qualitative research critique

NRS 433- OL191: Introduction to Nursing Research Comment by Author: This information should be included on the title page of every assignment. Especially the student’s NAME.

Marilyn Muniz












Research topic Comment by Author: Incorrect page label

Use of evidence-based practice to avoid clinical practice interventions that are known to be unhelpful and probably injurious to patients with heart failure, asthma, and diabetes.


Evidence-based practice is available for various conditions such as heart failure, asthma, and diabetes. The practices are not always implemented during care delivery, and variation in practices abound. Research on patient safety has concentrated on data analysis to determine safety issues and show that a new practice will result to improve quality of care and patient safety. Little attention has been given to how to implement evidence-based practices (Titler, 2016). Learning how to implement evidence-based practice will make patient care safer. Implementing EBP safety practices are difficult and require strategies which address individual practitioners, the complexity of care systems, senior leadership and changing the cultures of healthcare to be evidence-based safety practice environments.

The field of nursing has a rich history of use of research in practice. Florence Nightingale pioneered this. Very few nurses participated and contributed to the foundation which was initiated by Nightingale in the early and mid-1900s. Evidence-based practice involves the judicious and conscientious use of current best evidence together with patient values and clinical expertise to guide healthcare decisions (Melnyk, 2011). Best evidence includes evidence from scientific methods like qualitative and descriptive research, evidence from randomized controlled trials as well as the use of information from expert opinion and scientific principles. When adequate research evidence is available, the practice should be directed by research evidence together with patient values and clinical expertise. Comment by Author: Missing an author in this citation.

This study is significant because of patients with heart failure, asthma and diabetes usually clinical practice interventions which may be injurious or may not be relevant when healthcare professionals try to look for best options for these patients (Grove, 2014). Evidence-based practice has significantly helped in reducing human suffering by ensuring that all irrelevant and injurious practices are no longer practiced. It has also reduced costs of treatment because nurses use best available making nursing practice easier (Melnyk, 2011). It has also reduced the number of people with heart failure, asthma and diabetes as they are receiving the best treatment. Below are the research questions: Comment by Author: What is the clinical problem of this study? What is the purpose of the study? Neither one of these criteria are clearly stated.

(i) Does evidence-based practice provide the solution for kind of practice given to the patient?

(ii) Is it an effective way of providing the best care to patients?

Method of study

Qualitative methods were appropriate to answer the research questions. This is because these questions are about meaning, experience, and perspective usually for the participant’s standpoint. These answers that qualitative research presented in this research were not amenable to measuring or counting. Qualitative research helped in revealing potential problems experienced when implementing evidence-based practice but also elaborated that there are some specific strategies that healthcare professionals can use to ensure they use it in nursing care. The author identified a particular perspective on the study (Reyes, 2011). He stated that nurses who use evidence-based practice in nursing care usually apply the current evidence of the patient’s condition to provide patient care. I agree with the author because through research, nurses and other healthcare professionals get the most up-to-date evidence about various conditions and illnesses (Melnyk, 2011). The author cited qualitative research in this study stating that it helped <him obtain facts, experiences, and perspectives on the effective use of evidence-based practice for heart failure, asthma, and diabetes. Comment by Author: This section is missing the literature search, the weaknesses of the study and the theoretical framework of the study.

Results of the study

The study found that evidence-based practice on heart failure, asthma and diabetes is effective. Most patients with heart failure, asthma, and diabetes have been subjected to injurious and irrelevant practices when healthcare professionals are trying to diagnose them or to look for the best treatments that match them. When evidence-based practice because popular, most healthcare professionals embraced and adopted it (Melnyk, 2011). This made it easier to diagnose patients depending on the symptoms of the patients. Nurses are also sure of the treatments options they have for various patients. This has improved the quality of care that patients are getting. It has also reduced the cost of healthcare due to reduced practices.

The implication of this research study to nursing is that use of evidence-based practice to replace the try and error nursing practices has had a great impact on nurses. The number of professional nurses in our healthcare organization is on the rise. Research has become a platform for nurses to improve their knowledge and skills making them experts in the nursing field. Patients have also benefited a lot from the use of evidence-based practices especially those with heart failure, asthma, and diabetes (Reyes, 2011). These findings contribute to nursing knowledge. This is because nurses who utilize research in getting the best and most updated evidence on various nursing and clinical problems are likely to become knowledgeable and gain more skills in the nursing field (Titler, 2016). This is likely to affect nursing practice, education, nursing administration and all nursing areas since most nurses are likely to become experts with the advancements in technology.


Ethical considerations

Institutional Review Board approved this study. The study maintained a high level of accuracy with no medical or nursing practice errors. The study is also maintaining high levels of privacy and confidentiality as it did not disclose any name of patients or nurses apart from research pioneer Florence Nightingale who was cited in good faith. Patient privacy was protected. The study addressed patients in general although research was done on specific patients (Grove, 2014). The study maintained ethical considerations regarding the diagnosis and treatment of patients with heart failure, asthma, and diabetes using evidence-based practices. There was a change in conditions of many patients with these illnesses. There were also reductions in these diseases due to improved treatments.


The research study strictly adhered to the format and norms of good qualitative research. The methods used for data collection were effective and transparent and was devoid to errors the research findings are essential to nursing practices. This is because nurses can learn more from it about the use of evidence-based practice for various clinical problems including heart failure, asthma, and diabetes among others. The research study is a good source of information for nurses and other healthcare professionals who need more knowledge on the importance of evidence-based practice. (word count-1043)






References Comment by Author: Page label should be centered on the page and it should NOT be in bold. Comment by Author: 1st Ref- City of publisher is missing. Comment by Author: 2nd Ref- The second author’s name is not written out. City of publisher is missing. Comment by Author: 3rd Ref- The nursing journal name and volume number should be in italics. The name of the study should NOT be in italics. The issue number is missing. Comment by Author: 4th Ref- This is an online handback. Comment by Author: There should be THREE studies used in this assignment. There is one study and three books. TWO studies are missing.

Grove, S. K. (2014). Understanding nursing research: Building an evidence-based practice. Elsevier Health Sciences. Melnyk, B. M.-O. (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins. Reyes, D. V. (2011). Prevention of central venous line-associated bloodstream infections in adult intensive care units: A systematic review. Intensive and Critical Care Nursing, 43 12-22. Titler, M. G. (2016). Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Retrieved from

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