Evidence-based practice (EBP) is the conscientious use of the best evidence contained in the literature to guide healthcare decisions. The authors describe how their baccalaureate program prepares its graduates to be successful in implementing EBP in their nursing practice. Outcomes of sustained student projects in agency settings are presented. They posit that bachelor of science in nursing students, agency personnel, and faculty can lead practice innovations supported by EBP.
The focus of this study was to examine construct validity of the Adaptive Potential Assessment Model (APAM). Incorporated within a larger theory and paradigm entitled Modeling and Role-Modeling, APAM depicts three main states, arousal, equilibrium, and impoverishment; each state represents a different potential to mobilize coping resources. Arousal and impoverishment are considered stress states while equilibrium is considered a nonstress state. The sample was young, male students (N = 73) who were experiencing varying degrees of stress. Physiological and psychological data were gathered by utilizing several instruments and clinical assessment techniques. APAM was validated in a healthy population. Discriminant function analysis revealed motor-sensory behavior, fatigue-sadness, hope, and verbal anxiety as useful predictors in determining adaptive potential states. Misclassifications of subjects determined to be at risk by the investigator and not by the mathematical algorithm are considered. The benefits of holistically identifying clients' ability to mobilize coping resources is that nurses can plan intervention more effectively if these categorizations can be consistently verified.
The purpose of this research was to test the validity of a propositional statement within the Modeling and Role-Modeling theory and paradigm (Erickson, Tomlin, & Swain, 1988). The Adaptive Potential Assessment Model (APAM) is part of a multidimensional assessment strategy used by nurses to determine ability to mobilize coping resources. This study tested the theoretical proposition that basic need satisfaction and adaptive potential status are directly related. Three study hypotheses were deduced from the identified theoretical proposition. A simple linear relationship between basic need satisfaction and adaptive potential status was not supported. Multidimensional representations of the relationships contained important findings. Understanding more about the relationships between basic need status and adaptive potential will contribute to refining this theory for use in practice.
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