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Examples of evidence based practice nursing
Examples of evidence based practice nursing
Chapter 5 evidence based practice
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Certainly all of us are interested in providing the best care for our patients, whereas ensuring that they receive quality treatment and in a timely manner. Likewise, to provide optimal care and a decreased length of stay, reducing their cost should also be considered. All of these concerns are known as “Evidence based practices,” or as to say, the use of EBP it must be useful. To be useful, evidence should enable you to do your job better: better outcomes for your patients and better professional satisfaction for you. (Warren 2015) At my institution, each unit has their own set of best practice guidelines published on the intranet as well as a hard copy binder located at the charge nurses desk. Fortunately, I have actually read and used it
Association, A. N. (2010). Nursing Scope and Standards of Practice. (2nd ed.) Maryland: American Nurses Association. Retrieved January 20, 2014 from http://media.wix.com/ugd/8c99f2_4fde86431966e34f2e03bbb137edfee3.pdf
Green (2005) identifies that, “Using evidence from reliable research, to inform healthcare decisions, has the potential to ensure best practice
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).
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 patients should receive safe and appropriate care in return for payment equal to the level of care received (“What is Value-Based Care”, 2016). For providers, this means using affordable and proven treatments while also catering to the patient’s needs (“What is Value-Based Care”, 2016). Additionally, this model is built upon measurement which when relayed to the patient will inform them of the scope and cost of their care. Examples of measures that are tracked, provided by the article “What is Value-Based Care,” include: procedural complications, hospital-acquired infections, and readmissions; providers face penalties if these metrics are unacceptable (“What is Value-Based Care”,
Cowell, J. M. (2010). Standards of practice: Questions for School Nursing. The Journal of School Nursing, 26(6). Retrieved from http://search.proquest.com.proxy.library.ohiou.edu/docview/807964990accountid=12954
Quality of care and patient outcomes rely heavily on practice based on evidence found in systematic reviews of randomized-control trials. While administration often-times implements core measures that involve EBP in their regulations, it is ultimately the nurse’s responsibility to include EBP into their care of patients. Nurses have an obligation to include EBP into their care because “it leads to the highest quality of care and the best patient outcomes” (Melnyk & Overholt, 2015). The nurse leaders really have a responsibility here because it is their responsibility to stress the importance of EBP as well as reviewing research to determine the best possible findings to implement into their unit’s care. Careful monitoring must be performed to assure compliance because “despite the multitude of positive outcomes associated with EBP and the strong desire of clinicians to be the recipient of evidence-based care, an alarming number of healthcare providers do not consistently implement EBP” (Melnyk & Overholt, 2015). Often times, I find seasoned nurses act putout with anything that changes their methods of care. The important thing to remember is that seasoned nurses, while often-times set in their ways, are great nurses and presenting EBP findings and their success during implementation will keep them involved with EBP because they ultimately want to do what’s best
The balance between quality patient care and medical necessity is a top priority and the main concern of many of the healthcare organizations today. Due to the rising cost of healthcare, there has been a change in the focus of reimbursement strategies that are affecting the delivery of patient care. This shift from a fee-for-service towards a value-based system creates a challenge that has shifted many providers’ focus more directly on their revenue. As a result, organizations are forced to take a hard look at the cost of services they are providing patients and then determining if the services and level of care are appropriate for the prescribed patient care.
In the article, Promoting Evidence-Based Practice Through A Research Training Program For Point Of Care Clinicians, the authors state that evidence based practice is, “a problem-solving approach to clinical care that incorporates the conscious use of current best practice from well-designed studies, clinician’s expertise, and patient values and preferences” (Black, Balneaves, Garossino, Puyat, Qian, 2015, p.14). The nursing student should use evidence-based practice in order to make decisions about the patient's care plan. Using evidence-based practice while deciding how to appropriately care for a patient will ensure that the nursing student is using the most effective and current techniques. The nursing student should also use this standard to guarantee that they are providing the best care possible while still honoring the patient’s values and
Nursing is the balance between art and science. Caring is an important aspect that patients expect but also is knowledge in current practices. Integrating current practices into care improves quality outcomes. Evidence-based practice is the best approach in planning care for patients, it is the basis for proven, factual outcomes that we expect. Experience and personal opinions are great assets but are not sound ideals to provide safe and effective care. Evidence-based practice uses clinical judgment with selective research to deliver the most effective, cost-efficient outcomes (Wilkinson et al., 2014). Standards are held to the highest of quality, helping to reduce or eliminate errors. Standardizing healthcare to science and evidence-based practice helps to reduce variations among facilities (Stevens, 2013). All healthcare professionals need to adopt this practice in order for its success. With more participation, quality of care increases, the patient is the core
In a nursing facility it is easier said than done. It is very important to have all of your staff on the same page when it comes to patient care, documentation, and standard operating procedures. One way to have better communication is daily goal sheets, which will help staff know what is expected of them. (2015 NurseJournal )The daily goal sheets should be easily accessible and reviewed to make sure one particular person is bombarded with additional task because he/she is an efficient worker. Unit huddles should be done a minimum of once a day. In the huddles the daily goals she be announced again to reinforce what is expected. Nursing supervisors should also let this be a time for staff to voice their concerns. This will give management ways to improve communication or conflict. It is very important that medical treatment facilities have enough staff to carry out these
Introduction The College of Nurses of Ontario (CNO) is the governing body of all registered nurses in Ontario and is regulated. The CNO provides expectations and guidelines to follow, which need to be met by each Registered Practical Nurse (RPN) individually. As a nursing student, I am taught about the CNO and the importance of referring back to the guidelines while caring for patients. While gaining experience in the nursing field through my clinical settings, I have realized as a nursing student there are areas I need further development in. In this paper, I will address two of my learning needs and my goals for each.
The idea behind conforming to evidenced based practices is that research is the most likely tool to improve patient
Thus, it is imperative that evidence-based practice is conducted to provide the best current, valid and reliable evidence in an aim to close the gap between non-conformity and coincide with the professional obligation of providing the patient with the best possible care (Liamputtong, 2013).... ... middle of paper ... ... Patient safety and quality of care. Rockville, MD: Agency For Healthcare Research And Quality, U.S. Dept. of Health.
...d procedures are now being monitored to improve clinical processes. Ensuring that these processes are implemented in a timely, effective manner can also improve the quality of care given to patients. Management of the processes ensures accountability of the effectiveness of care, which, as mentioned earlier, improves outcomes. Lastly, providing reimbursements based on the quality of care and not the quantity also decreases the “wasting” and overuse of supplies. Providers previously felt the need to do more than necessary to meet a certain quota based on a quantity of supplies or other interventions used. Changing this goal can significantly decrease the cost of care due to using on the supplies necessary to provide effective, high-quality care. I look forward to this implementation of change and hope to see others encouraging an increase in high-quality healthcare.