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Evidence based practice in nursing essay examples
Importance of applying evidence based practice to nursing care
Evidence based practice in nursing essay examples
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The levels of evidence are assigned to studies based on the quality of design validity and applicability. Evidence-based nursing care is informed by research findings, clinical expertise, and patient’s values, and its use can improve patient’s outcomes. The use of research evidence in clinical practice is and expected standard of practice for nurses and health care organizations, but numerous barriers exist that create a gap between new knowledge and implementation of hat knowledge to improve patient care. Using the levels of evidence, nurses can determine the strength of the research studies, assess the findings and evaluate the evidence for potential implementation into best practice. Evidence-based nursing care is a lifelong approach to
Melnyk’s Hierarchy of Evidence is a system often use for assigning levels of evidence in nursing by integrates clinical expertise and patient choices with the best available research. It is represented by a pyramid that enumerates the levels of strength of the evidence from 1 to 7, of which level 1 is the higher level. The higher level on the pyramid, the more likelihood that the research is valid; therefore, answering a clinical or practice question. “The systematic review or meta-analysis of randomized controlled trials are at the top of the evidence pyramid and are typically assigned the highest level of evidence, due to the fact that the study design reduces the probability of bias” (Melnyk, 2011). The weakness of the system is that when
Catheter Acquired Urinary Tract Infections (CAUTIs) has become to be classified as one among the leading infections which most individuals end up being susceptible to acquire while at the hospital. Healthcare-associated or acquired infections (HAIs) are a significant cause of illness, death, and more often than not, have resulted to cost the tax payers potentially high medical expenses in most health care settings. ("Agency for Healthcare Research and Quality," para. 1) Due to this, 1 out of every 20 patients will end up with CAUTI within the US hospitals and this has caused Agency for healthcare research and quality (AHRQ) to embark on nationwide plans to help in the eradication and control of CAUTI incidences. ("Agency
The Iowa model, developed by Titler in 1994, focuses on organization and collaboration incorporating conduct and use of research, along with other types of evidence (Titler et al, 2001). Since its origin in 1994, it has been continually referenced in nursing journal articles and extensively used in clinical research programs (LoBiondo-Wood and Haber, 2006). This model allows us to focus on knowledge and problem-focused triggers, leading staff to question current nursing practices and whether care can be improved through the use of current research findings (Titler, 2006). In using the Iowa model, there are seven steps to follow: (1) selection of a topic or problem for evidence-based practice, (2) forming a team, (3) Evidence retrieval, (4) Grading the Evidence, (5) Developing an EBP Standard, (6) Implementing the EBP, and (7) Evaluation (Titler et al, 2001). The Iowa Model of Evidence-Based Practice has been extensively used in nursing, focusing on assessing, developing, implementing, and evaluating evidence based practice protocols or guidelines; however, there are many sources of knowledge rather than evidence based knowledge e.g. clinical experience, patient experience, and local data or information.
In healthcare today, it has become more apparent that evidence-based practice (EBP) is essential to incorporate into every facility, but nurse leaders have noted difficulties during the implementation process. Therefore, Melnyk and Fineout-Overholt recommend that practice changes should be guided by conceptual models and frameworks (2015). In order to effectively integrate EBP into facilities, eight models were created. Within this discussion, the Evidence-Based Advancing Research and Clinic Practice through Close Collaboration (ARCC) Model will be investigated (Melnyk & Fineout-Overholt, 2015).
Evidence-based practice (EBP) is a process, a clinical master tool, so to speak, used by the nurse who is focused on positive outcomes in patient care. Registered Nurses (RNs), that assume a leadership role, continuously assess their practice in order to find out what is working and what is lacking or in need of more information (Barry, 2014). The RN who uses EBP strives to prevent healthcare errors, critically thinking through processes and anticipating obstacles, methodically drawing upon clinical research and expertise, including their own knowledge and drawing upon the individual patient experience toward improving safety and quality care (Barry, 2014). This systematic approach sets the RN apart from others, who may otherwise be tempted to remain stuck in old ineffective routines, and allows the RN the unique opportunity to affect change, most importantly, change that is directed toward keeping patients safe and receiving the best quality care (Barry, 2014).
When performing evidence based practice research, the Iowa Model uses a team or individual approach to assist nurses in the journey to quality care. The Iowa Model begins by offering a process of selecting a proper clinical topic, which is often a recurring problematic issue (Polit & Beck, 2012). This topic is formulated as a question to improve a technique or procedure. Once the researcher determines that an ample amount of reported investigation exists on the desired question, information may be gathered and presented for approval (Polit & Beck, 2012). The research may lead to a gradual change in nursing practice.
Over the last 10 years evidence-based practice (EBP) has grown substantially and is changing the nursing care delivered to patients along with the nursing work environment. Nurses are more involved in the decision making process, and are making clinical decisions with better patient outcomes (Good, Fink, Krugman, Oman, & Traditi, 2011). With technology growing at such a fast pace, new and more effective medicines, medical devices, and procedures are developed daily. Digestible sensors that monitor your bodily systems and 3D printing of embryonic stem cells, blood vessels, and sheets of cardiac tissue that actually beat like a real heart, are significantly impacting the future of healthcare (Honigman,
Nursing research is a systematic enquiry that seeks to add new nursing knowledge to benefit patients, families and communities. It encompasses all aspects of health that are of interest to nursing, including promotion of health, prevention of illness, care of people of all ages during illness and recovery (or) towards a peaceful and dignified death (ICN 2009)
Burns, N., & Grove, S. K. (2011). Understanding nursing research: building an evidence-based practice (5th ed.). Maryland Heights, MO: Elsevier/Saunders
Evidence-based practice integrates best current evidence with clinical expertise and patient/family preferences and values for the delivery of optimal health care (qsen.org). Like most medical professions, nursing is a constantly changing field. With new studies being done and as we learn more about different diseases it is crucial for the nurse to continue to learn even after becoming an RN. Using evidence-based practice methods are a great way for nurses and other medical professionals learn new information and to stay up to date on new ways to practice that can be used to better assess
The program director, the associate director, the administration, the head of nutrition and metabolism research as well as the nursing staff. All these personnel are charged with different responsibilities when combined helps in realization of an effective outcome that improves the nursing practice.
In recent years, nursing scholars have developed many Evidence Based Practice (EBP) models to improve the implementation of research findings into nursing practice. Application of evidence based models can reduce the complexity of the challenge of transforming evidence into clinical practice. Effective EBP models to guide translation of research into practice are vital to avoid failure accompanied by a costly investment of time and resources. There are many EBP models, at times it can be confusing for clinicians to select an appropriate EBP model due to excess availability of models and various approaches in implementing EBP. Therefore, it is important for clinicians to aware about these models and select an EBP model that best-fit for their
The correlation between nursing theory and evidence based practice are very useful guidelines that help nurses to provide efficient, safe, and effective care to their patients. To build a foundation between nursing theory and evidence based practice, nurses need to be modernized with present-day knowledge and practice. Evidence based practice help nurses to identify patients’ medical problems with the aspect of precise study of present nursing knowledge and practice, review the research evidence using measures concerning scientific value, select interventions, and validate the choice with the best effective evidence. On the other hand, nurses use theory as a method of comparative, theoretical and broad knowledge, concepts, judgements, and
Evidenced-based practice is an extremely important function in the role as a registered nurse. In my preceptor rotation I have seen evidence-based practice demonstrated both effectively and ineffectively on the floor. In all instances when evidence- based practice was demonstrated effectively the patients were more comfortable post operatively and had must better outcomes.
Evidence - Based Nursing, An introduction (2008, p.1) “ At is core evidence based ‘anything’ is concerned with using valid and relevant information in decision making” “high quality research is the most important source of valid information”.