Chiwaula et al. (2021) introduced the Iowa Model of Evidence-Based Practice in the ICU at Kamuzu Central Hospital (KCH). Effective fever management in the ICU relies on temperature monitoring devices with integrated sensors, enabling systematic care by frontline nurses.
Considerable knowledge gaps persist, particularly regarding patient consent due to the unconscious state of many ICU patients. Tailoring EBP guidelines to individual patient needs requires careful consideration of diverse circumstances and symptoms (Chiwaula et al., 2021).
Ethical and Regulatory Considerations for EBP
Ethical considerations necessitate transparency and patient consent regarding study objectives and potential health impacts (Chiwaula et al., 2021). Upholding the Belmont principles—respect for autonomy, beneficence, and justice—is crucial in EBP (Tu & Gao, 2021). Regulatory compliance with FDA recommendations for evidence-based technology ensures patient safety and privacy, especially in interventions like ICU fever management (Chiwaula et al., 2021).
Policy challenges may arise from structural adjustments, technological upgrades, and financial considerations associated with EBP implementation (Chipps et al., 2020).
Conclusion
Evidence-Based Practice is pivotal in addressing evolving healthcare challenges, provided nurses receive support for scholarly research endeavors. Upholding rigorous standards in literature evaluation, ensuring methodological rigor, and respecting patient confidentiality are essential in advancing EBP.
References
Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S., & Banakhar, M. (2020). Barriers of implementing evidence-based practice in nursing profession: A literature review. American Journal of Nursing Science, 9(1), 35. https://doi.org/10.11648/j.ajns.20200901.16
Chipps, E., Tucker, S., Labardee, R., Thomas, B., Weber, M., Gallagher-Ford, L., & Melnyk, B. M. (2020). The impact of the electronic health record on moving new evidence-based nursing practices forward. Worldviews on Evidence-Based Nursing, 17(2). https://doi.org/10.1111/wvn.12435
Chiwaula, C. H., Kanjakaya, P., Chipeta, D., Chikatipwa, A., Kalimbuka, T., Zyambo, L., Nkata, S., & Jere, D. L. (2021). Introducing evidence-based practice in nursing care delivery, utilizing the Iowa model in the intensive care unit at Kamuzu Central Hospital, Malawi. International Journal of Africa Nursing Sciences, 14, 100272. https://doi.org/10.1016/j.ijans.2020.100272
NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing