The patient-centered care process was transforming and it was expressed through the themes of closeness, therapeutic care and team work. Being close displayed the sudden and devastating nature of injury and the need for the staff to let go of their emotions in order that they may maintain a positive momentum. Therapeutic care provided the necessary link between the staff and the patients, and it was combined with a proactive dynamic approach to care. Team work identified the importance of maintaining expertise and at the same time making the system work for patients to ensure quality care.
In this study, they concluded that it was possible to provide a frame work for individuals and units to develop and better recovery promoting practice, and they said that it could apply in other areas similar to that.
However, there are other approaches that can promote quality care that were not mentioned in this paper. One of them is the evidence-based practice. This is practice based on research and evidence from experiences from the work that the practitioners do. This study was based on examining the role of advanced practice nurses, that of the frontline staff and the role of the patients in the promotion of evidence based practice.
Gerrish K and Lacey A 2007, in the article, The Research Process in Nursing (5th Edition) examined the role the advanced practice nurses (APNs) play in the promotion of evidence-based practice among the frontline staff.
They outlined the empowerment of the frontline workers as an important aspect of contemporary healthcare policy for ensuring quality services from them. This, they farther explained, had been supported by the introduction of new
Advanced practice roles such as consultant nurse and modern matron, to augment the existing clinical nurse; specialist, nurse practitioner and practice development nurse roles.
Policy guidance on the advanced practice roles places on the nurses the obligation and duty to defend their practice on research evidence and bring about change.
Even though there's widespread realization that there is need for the nursing practice to be based on evidences, sound evidence, the staff experiences a big challenge in the attempt to put in place this evidences-based care at an individual level, even the organizational level, particularly the frontline nurses who despite the fact that they are willing to use research, they often lack the skills to conduct or interpret the research themselves. In addition, the organization may not be very supportive, hence bringing about restricted local access to information, which is a barrier. The colleagues may also not be supportive, hence demoralizing. (Bryar et al 2003).
A research on evidence-based practice singles out the contribution that 'opinion leaders' such as the advanced practitioners in nursing influence the practice of the frontline staff. They can either disseminate information on evidence based practice to them or can become intermediaries between the clinical and the research communities in facilitating evidence-based practice. (Milner et al 2005).
This study aimed to examine the contribution of advanced practice