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Evidence based practice (EBP) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research" (Sackett et al, 1996). This definition takes into consideration the need to delve into the professional’s clinical knowledge (Burns, 2007) as well as looking into the best evidence to support the professional. Clinical practices may become out dated if new evidence is not sourced and professionals should be aware of appropriate evidence that can be integrated into their practice (Aveyard & Sharp, 2013). EBP is important …show more content…
All evidence was found via ‘Google scholar search’ or ‘UWE Library search’ using key words of ‘music’, ‘therapy’, ‘Alzheimer’s’, ‘dementia’ and ‘anti-psychotics’. Qualitative is a term which is used to describe the quality of something in size, appearance and value (Oxford University Press, 2015). The first piece of evidence focuses on the importance of music for people with dementia, covering their perspective, and also from the families, carers, staff and music therapists. It expresses how music helps connect people with life and memories, exploring the concept that music therapy can help stimulate the brain. It explores how music therapy is invasive, and cost effective in its delivery. A qualitative study was conducted using focus groups that was formed of patients, carers, staff and families. This helped develop insights into the musical experiences of people with dementia and explore the meaning of music within their lives (McDermott et al, 2013). The results signified that the accessibility of music for people at all stages of dementia has close links with music, personal identity and life events. It also highlighted the importance of relationship building through music as valuable tool. The evidence concludes that the effects of music reduce behavioural and psychological symptoms and that sustaining …show more content…
The music groups had also increased their Quality of Life (QOL) scores, which was measured by a questionnaire at the beginning and end of the session. As the QOL scores increased, individuals become more stimulated to their surroundings and started communicating more with others around them. Communication can aid interpersonal relationships and help maintain wellbeing for an individual (Lavender, 2010). McDermott (2013) argued that music can reduce
Evidence Based Practice (EBP) is useful to practice because it aids practitioners development and widens their knowledge and insight, therefore enhancing the experience of the practitioner. This ensures that the best quality of care is given to the patient (Duncan, 2006).
Filmmaker Michael Rossato-Bennett follows social worker Dan Cohen on his mission to bring music into the lives of nursing home residents. Cohen’s non-profit organization Music & Memory hope to use music to help patients struggling with memory loss regain their self identify. Alive Inside: A Story of Music & Memory introduces us to people suffering from memory disorders and have been confined to nursing homes. Their memory impairment and separation from the outside world have left them isolated.
230) in EBP. Clinical opinion, together with the best relevant research evidence, provides the framework to for the best patient outcome. The nurse’s clinical opinion is acquired through knowledge and skills developed from undergraduate, graduate, or continuing education, clinical experience, and clinical practice (Melnyk & Fineout-Overholt, 2010). Clinical opinion also includes internal evidence, which is generated within a clinical setting from quality improvement outcomes, management initiatives or EBP implementation projects (Melnyk & Fineout-Overholt, 2010). Nurses use their clinical opinion when they identify each patient’s condition, individual risks, personal values and expectations, benefits of possible interventions, and gather evidence for EBP. When searching for the best available evidence, there is a hierarchy in the strength of evidence. The highest level of evidence usually comes from a systematic review or an evidence-based clinical practice guideline based on a systematic review. Systematic reviews provide the strongest evidence through a summary combining the results from many relevant, unbiased studies, to answer a particular clinical question. Nurses critically assess the individual studies, to gather the best evidence available for patient care. Systematic
Counselors are very dependent on the research of others. Counselors are among many who are responsible for producing evidence based practice. Counselors have a responsibility to be eager and capable of locating and using evidence based interventions. Research reports are used to help summarize the findings of different types of research in the counseling profession. The results of a research report should summarize the findings of the research. According to Sheperis, Young, and Daniels 2010, “it should be easy for the reader to connect the findings with the stated research questions and to determine whether the finding support or refute your hypothesis” (p.239). The following are two challenges that the counseling profession is faced with when it comes to outcome research: (1) producing sufficient volumes of evidence and (2) being able to find, interpret, and use the evidence from previous research. These challenges place a limit on the variety of interventions that are available to the counseling profession. One intervention that works for one child, might not produce the same results for another child. So it is very important that research provides information that is useful and effective. The lack of studies makes it more challenging to determine whether or not an intervention is an effective solution that will improve a student’s behavior or academics. “Ultimately, regardless of how effective a counselor may be, if the problems are not properly measured and assessed, intervention is disadvantaged and treatment is comprised” (Sheperis, Young, & Daniels, 2010, p. 3). In order to best serve clients we have to complete comprehensive research and use the results to the advantage of the client.
Music therapy works because of its three fundamentals: the application of systematic thinking through music theory, the creation of an individualized treatment plan, as well as the patie...
Evidence-based practice is important to consider when researching for interventions, further knowledge, or help to guide a new idea in the health professions. Evidence-based practice is comprised of three significant concepts: respect and awareness for the targeted population’s values, previous clinical practice or experience with that population, and systematic research to establish a better understanding of what is already known about the study’s focus. These concepts are all taken into consideration when designing and conducting a study because it provides a more valid and credible source for others.
Evidence Based Practice emerged in the late 20th century, becoming widespread in the 21st century. According to Research and Practice: The Role of Evidence-Based Program Practices in the Youth Mentoring Field ( 2009) “The concept of Evidence Based Practice (EBP) actually has its roots in the medical field, where the work of Archie Cochrane (1972) and others examined the key role that the substantial body of medical research and literature could play in how doctors make decisions in patient care” (para 6); Thus, a doctor’s decision would be an “educated” decision, based on evidence gathered (patient symptoms), history of cases they have overseen, or research of previous case diagnosed by another doctor, with a related case. Evidence Based Practices are defined as “ integration of: (a) clinical expertise/expert opinion, (b) external scientific evidence, and (c) client/patient/caregiver perspectives to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve” (“Evidence Based Practice (EBP),” 1997-2014); often described as the “Best Practices”. The evidence itself is not the basis of decisions made, but it does help support the process of care given to our clients.
Johnson, J. K., & Chow, M. L. (2015). Hearing and music in dementia. Handbook of Clinical
Norman, R. (2012). Music therapy assessment of older adults in nursing homes. Music Therapy Perspectives, 30, 8-13. Retrieved from
This essay paper will demonstrate reflection on a health care scenario and paper article; it will critically appraise the evidence provided in paper 1. Using the principles of evidence based practice, it critically allows analysing research and gaining an understanding to utilise skills and knowledge in practice. The main aim of evidence based practice is to greatly improve the quality of information and research. It provides health professionals and audiences to find the best quality information to answer a range of clinical questions (De Brun, Pearce-Smith 2009). Strengths and limitations of paper 1 will also be addressed throughout and factors will be discussed which influence the use of evidence in practice.
“At its 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”. Psychological Association (2006, p. 273) defines EBP as "the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences. " When caring for patients it is fundamentally important to have a good selection of up to date evidence Based Practice clinical articles to support research strategies, this allows professionals to assemble the most recent and accurate information known which enables them to make decisions tailored to the individual’s plan of care. It is essential to have clinical expertise and have the involvement of the individual patient, they must have full engagement and incorporation in order to have the accurate evaluation.... ... middle of paper ...
“The roots of evidence-based practice [EBP] are in evidence-based medicine [EBM]… In 1972, Archie Cochrane pointed out the importance of properly testing the effectiveness of health care strategies, and stressed the role of randomised controlled studies to provide evidence on which health care is based. The term "evidence-based medicine" was introduced by Guyatt et al in 1992 to shift the emphasis in clinical decision making from "intuition, unsystematic clinical experience, and pathophysiologic rationale" to scientific, clinically relevant research. “("A Brief History of Evidence-based Practice | Evidence Based Practice in Optometry EBP Australia UNSW", 2017). “Historically, EBM primarily involved physicians and concentrated on the“treatment”
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
Evidence-based medicine (EBM) has been described as “the conscientious, explicit, and judicious use of current best evidence in making decision about the care of individual patients” . Evidence-Based Practice is a thoughtful integration of the best available evidence, coupled with clinical expertise. It enables one to address healthcare questions with an evaluative and qualitative approach. It is about applying the best available research evidence in provision of health, behavior and education services to enhance outcomes. Evidence-Based practice is about performing the best possible practice in order to provide the best possible care .
The importance of Evidence-Based Practice is to ensure the best possible care is provided for patients. Evidence-Based Practice functions by measuring the effectiveness of a treatment and differentiating findings between high-quality and low-quality. It also helps with health development and improves the reliability and facilitates students to become reflecti...