Evidence Based Practice in healthcare

Propose a research question about clinical practice in nursing and midwifery. Decide upon the best a) paradigm AND b) research design to answer the question and discuss why this was the most appropriate approach.

The research question may be in response to a clinical issue you have observed or queried while on clinical placement from your other subjects. It might be from the content in your other subjects that left you wondering ‘why do we do it like this’? It might also be something you have observed through your own firsthand experiences with the healthcare system.
Your question might be a very specific example of one of these general types of enquiry:

  • Why do we do it like that? (e.g., Does the routine removal of peripheral intravenous catheters (PIVC) 72 hours following insertion reduce infection rates?)
  • Why don’t we do it differently (e.g., Does patient education pre operatively impact on patient outcomes?)
  • What evidence supports providing care in a particular way (e.g., Does a 4 hourly repositioning regimen prevent patients developing pressure injuries?)
  • What evidence is there to support using certain assessment tools (e.g., Does the introduction of the national graphic observation chart increased nurses recognition and response to the deteriorating patient?)
  • Is there emerging evidence or a change to practice that could enhance outcomes? (e.g., Does “alarm fatigue” among nurses in critical care increase the risk of complications among patients?)
  • How effective is this approach to care? (e.g., Does wearing a face mask stop you from becoming infected with COVID-19?)