Evidence-Based Practices in Nursing Management

EBP in Nursing Management o The primary purpose of nursing standards

to promote, guide, and direct professional
- EBM is the utilization of various types of research
nursing practice.
evidence by managerial leaders to support
decision making to improve processes and
outcomes. EBM provides managers with the Nursing practice Standard Domains
resources they need to create positive change
such as collective scientific evidence and
A. Value-Based Nursing Practice Standards
validated information. - Is a clinical decision-making process guided by
- According to Beyea and Slattery, the advantages empirical body of knowledge, ethico-moral values
of EBP include: and practice, rules and regulations, combined
o Better patient outcomes with appropriate competencies in client reflecting
o Contributions to the science of nursing personal; and professional values when engaging
o Keeping practice current and relevant with others of diverse cultures.
o Increasing confidence in decision-making
Ö STANDARD A1: Care of Clients
Ö STANDARD A2: Ethical, Moral, and Legal Practice
National Nursing Care Competency Standards Ö STANDARD A3: Personal and Professional Values
- The development of the NNCCS for nursing
practice started in 2001 through Professional
Regulation Commission
B. Knowledge-Driven Nursing Practice
- Board of Nursing (PRC-BON) which created a - Refers to the consistent application of a scientific
National Task Force for Core Competency body of knowledge and skills through the
Standards Development. The project was integration of the different patters of knowing
completed in 2005. (Carper, 1978) such as aesthetics, ethics, and
personal relationship as bases for safe and sound
Significance of the 2012 National Core Competency judgment to appropriate care of clients.
Standards (2012 NNCCS)
• Basic Nursing Education Program in the Ö STANDARD B1: Research
Philippines through the Commission on Higher Ö STANDARD B2: Evidence-Based Nursing Practice
Education (CHED). Ö STANDARD B3: Continuous Quality
• Competency-based Test Framework as the basis
for the development of course syllabi and test C. Outcome-Oriented Professional Relationship
questions for “entry level” nursing practice in the
- Refers to intra and inter-professional
Philippine Nurse Licensure Examination
relationships that lead to an enhancement of
• Standards of Professional Nursing Practice in
one’s role through communication, collaboration,
various settings in the Philippines
and understanding of cultural context to achieve
• National Career Progression Program (NCPP) for
mutually agreed upon outcomes for client care.
nursing practice in the Philippines
• Any or related evaluation tools in various practice Ö STANDARD C1: Communication
settings in the Philippines. Ö STANDARD C2: Collaboration and Teamwork
Ö STANDARD C3: Transcultural Nursing Care
2021 National Nursing Core Competency Standards (2012
NNCCS)
I. Beginning Nurse’s Role on Client Care D. Leadership and Governance
II. Beginning Nurse’s Role on Management and - Is influencing other people through the exercise of
Leadership authority, direction, control, and regulation in the
III. Beginning Nurse’s Role in Research practice of the nursing profession to achieve
desired goals.
Philippine Professional Nursing Practice Standards
Ö STANDARD D1: Personal and Professional
Legal Basis
Development
- Article 3 Sec. 9 © of R.A. 9173” Philippine Nursing
Ö STANDARD D2: Personal Responsibility and
Act of 2002”: Board shall monitor and enforce
Accountability
quality standards of nursing practice necessary to
Ö STANDARD D3: Positive Practice Environment
ensure the maintenance of efficient, ethical and
Ö STANDARD D4: Social Responsibility
technical, moral and professional standards in the
Ö STANDARD D5: Resource Management
practice of nursing taking into account the health
needs of the nation.
Practice Care Safety Standards
Standards of Professional Nursing Practice Patient safety is a healthcare discipline that
- Are authoritative statements of the duties that emerged with the evolving complexity in health care
all registered nurses, regardless of role, population systems and the resulting risk harm in health care
or specially are expected to perform competently facilities. It aims to prevent and reduce risks, errors and
harm that occur to patients during provisions of health.
Standards of Professional Nursing Practice
- Standards of care describe the competencies of Due to unsafe care, here are some of the patient safety
the nurse and the indications of performance situations causing most concern:
o The primary purpose of nursing standards
to
 Ö Medication Errors - The RN analyzes the assessment data to
Ö Healthcare Associated Infections (HAIs, determine actual or potential diagnoses,
Nosocomial Infections) problems, and issues.
Ö Unsafe Surgical Care Procedure
Ö Unsafe Injections Practices
Standard 3: Outcome Identification
Ö Diagnostic Error Occurs
- The RN identifies expected outcomes for a plan
Ö Unsafe Transfusion Practices
individualized to the healthcare consumer or the
Ö Radiation Errors
situation.
Ö Sepsis
Ö Venous Thromboembolism (Blood Clots)
Standard 4: Planning
7 Patient Safety Goals for 2021 From Joint Commission - The RN develops a plan that prescribes strategies
and alternative to attain expected outcomes.
1) Improve the Accuracy of Patient Identification –
using two patient identifiers, not including the
patient’s room or location Standard 5: Implementation
2) Improve Staff Communication – the complete - The RN implements the identifies plan.
verbal and telephone order to test results is
written down by the receiver of the order or test
result
Standard 6: Evaluation
3) Improve the Safety of Medication Administration - The RN evaluates progress towards attainment of
– policies and/or procedures are developed to outcomes.
address the identification, location, labeling, and
storage of high-alert medications. Standard 7: Ethics
4) Reduce Patient Harm Associated with Clinical
- The RN practices ethically.
Alarm Systems – implements a process for the
initial assessment of patients for fall risk and
reassessment of patients when indicated by a Standard 8: Culturally Congruent Practice
change in condition or medications, among - The RN practices in a manner that is congruent
others. with cultural diversity and inclusion principles.
5) Reduce the Risk of Healthcare-associated
Infections – policies and/or procedures are
developed that support continued reduction of
Standard 9: Communication
healthcare-associated infections. - The RN communicates effectively in all areas of
6) Better Identity of Patient Safety Risks in the practice.
Hospital – a number of research approaches can
be used at stage 1 to identify risks and hazards Standard 10: Collaboration
including the use of medical records and - The RN collaborates with healthcare consumer
administrative record review, even reporting, and other key stakeholders in the conduct of
direct observation, process mapping, focus groups, nursing practice.
probabilistic risk assessment, and safety culture
assessment.
7) Better Prevent Surgical Mistakes – policies and Standard 11: Leadership
procedures are developed that support uniform - The RN leads within the professional practice
process to ensure the correct site, correct setting and the profession.
procedure, and correct patient, including medical
and dental procedures done in settings other than
Standard 12: Education
the operating theatre.
- The RN attains knowledge and competency that
reflects current nursing practice.
Standards of Nursing practice
- Standards of nursing practice developed by the
Standard 13: Evidence-Base Practice and Research
American Nurses Association (ANA) provide
- The RN integrates evidence and research findings
guidelines for nursing performance
into practice.
- They are the rules or definition of what it means
to provide competence
- The registered professional nurse is required by Standard 14: Quality of Practice
law to carry out care in accordance with what - The RN systematically enhances the quality and
other reasonably prudent nurses would do in the effectiveness of nursing practice.
same or similar circumstances

Standard 15: Professional Practice Evaluation

ANA Standards of Nursing Practice Standards of Professional - The RN evaluates one’s own and others’ nursing
performance practice.

Standard 1: Assessment
Standard 16: Resource Utilization
- The RN collects pertinent data and information
- The RN utilizes appropriate resources to plan,
relative to the healthcare consumer’s health or
provide, and sustain evidence-based nursing
the situation.
services that are safe, effective, and fiscally
responsible.
Standard 2: Diagnosis
Standard 17: Environmental Health
- The RN practices in an environmentally safe and
healthy.