In retrospection, evidence based practice seems to be shaping healthcare, including nursing practice. Increased evidence from research has increasingly been used in developing evidence based interventions which, in turn, have led to improved quality of healthcare (Katapodi & Northouse, 2011). This is evidenced by improved patient outcomes. According to Polit and Beck (2017), nursing research has generated valuable knowledge that informs evidence based practice. However, evidence in evidence based practice requires critical appraisal, in order to evaluate its strength and significance to practice (Stichler, 2010). Additionally, some nursing practices appear to underpin successful implementation of research evidence in the clinical settings. For instance, vaccination against human papillomavirus, an evidence based nursing practice, has been found to reduce the rates of infection (King et al., 2015).
The purpose of this paper is to discuss the significance of evidence based practice in improving patient outcomes. It is aimed at discussing the significance of adopting evidence based practice based on the PICOT question. In this case, the PICOT question states, “In patients diagnosed with HPV, what is the effect of human papillomavirus vaccination compared to no treatment on HPV rates?” This question has immense significance to nursing practice because it offers an opportunity for understanding how the adoption of this evidence based practice leads to better outcomes. Human papillomavirus vaccination exhibits effectiveness in reducing the rates of infection.
Summary of Findings
A summary of literature shows that human papillomavirus vaccination is effective in reducing HPV infection rates. On the one hand, there are numerous studies which have investigated the effectiveness of HPV vaccination compared to no treatment. In one case-control study, human papillomavirus vaccination has been found to reduce the prevalence of HPV-related abnormalities (Kim et al., 2016). These findings have been reaffirmed by a systematic review conducted by Garland et al. (2016) to evaluate the impact and effectiveness of quadrivalent human papillomavirus vaccine in reducing HPV infection. Another study by Cameron et al. (2016) investigated the prevalence of HPV infection among a vaccinated population and reported a significant reduction of infection rates of five HPV types.
On the other hand, there are numerous studies which have focused on the effectiveness of strategies that enhance HPV vaccination. For instance, Dixon et al. (2017) investigated the influence of clinical decision support reminders on perceptions of healthcare providers. In this randomized trial, it was reported that the use of clinical decision support reminders improves HPV vaccination rates. In another randomized trial, education, decisional and logistical strategies that enhance knowledge about the effect of HPV vaccination have positive influence on vaccination rate (Skinner et al., 2015). Finally, Vollrath, Thul, and Holcombe (2017) reaffirm that high support of HPV vaccination enhances patients’ attitudes towards HPV vaccination leading to lower HPV infection rates.
Relevant Evidence-based Nursing Practice
Based on the literature review, HPV vaccination emerges as one of the main nursing practices that improve patient outcomes, the principal objective of nursing. Evidence from the reviewed articles show that HPV vaccination is an effective evidence based nursing intervention for improving patients’ outcomes. For instance, the study by Kim et al. (2016) that investigated the effectiveness of HPV vaccination on HPV-related cervical abnormalities reported a significant reduction of cervical cancer. Similarly, Cameron et al. (2016) reported a decrease in HPV infection rates following HPV vaccination.
How HPV Vaccination Contributes To Better Outcomes
Overall, this evidence based practice contributes to better outcomes through several ways. Foremost, HPV vaccine confers immunity in individuals with or without the risk of infection (King et al., 2015). Second, HPV vaccination reduces the rates of complications associated with HPV infection such as cervical cancer. Therefore, it is apparent that this evidence based nursing intervention reduces the prevalence of HPV infection, enhances patient’s safety, and improves the patient’s quality of life.
Potential Negative Outcomes That Could Result From Failing to Use the Evidence-Based Practice
From a critical perspective, failure to use HPV vaccination as an evidence based practice has potential negative outcomes. For instance, lack of HPV vaccination contributes to high rates of HPV-related abnormalities such as cervical cancer. Additionally, it leads to reduced quality of life among patients diagnosed with HPV infection.
Strategy for Disseminating the Evidence-Based Practice
To disseminate the evidence based practice throughout the practice setting, an appropriate strategy is required. In this case, training of nurses and other healthcare providers through seminars can be used. A comprehensive seminar, designed as a CME, should create awareness on the significance of HPV vaccination and emphasize on the effectiveness of this intervention in reducing HPV infection and related abnormalities. On the other hand, one can communicate the importance of this practice to his colleagues through the use of posters.
Implementing the Evidence-Based Practice within the Organization
Implementation of this evidence based practice can be done through developing standard guidelines to inform HPV vaccination. As such, nurses, as well as other healthcare providers can be encouraged to adopt this practice as an integral approach for improving the quality of care.
Address Concerns and Opposition to the Change in Practice
In order to address concerns related to the implementation of the new practice, there is need to an establishment of an implementation committee. This organizational committee should be tasked with assessing the implantation process, its success, barriers, and benefits to all stakeholders. It should also design appropriate change management strategies to enhance organizational transformation towards the adoption of evidence based nursing practice.
Conclusively, it is apparent that evidence based practice improves the quality of care. It improves patient outcomes. For instance, HPV vaccination has been confirmed as evidence based intervention for reducing HPV infection. This discussion evaluated the importance of using HPV vaccination in reducing HPV rates and its significance to nursing practice. Overall, HPV vaccination is associated with better outcomes compared to no treatment. It reduces HPV rates, as well as HPV-related abnormalities such as cervical cancer.
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- Patrick Kimuyu (Author), 2018, The Value of Evidence Based Practice in Nursing Practice, Munich, GRIN Verlag, https://www.grin.com/document/421308