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Evidence based practice in clinical setting
Evidence based practice in clinical setting
Evidence based practice in clinical setting
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Hi Kylee, thanks for you inputs and ideas. I like that you mentioned this, “First of all it gives a quick look into best practices as far as evidenced based practice goes. Second, I can read a literature review and decide if I need to look deeper into an article or if that article really does not pertain to my research study.” I agree with you because it is very important to understand the articles deeper, the key issues, the criticisms, the strength and weaknesses. Not only that, it is also important to know how they were applied and developed. Any why do we do literature review? To improve patient care-to deliver the best and safest way—EBP is proven effective, it works!
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).
EBP is a method of finding evidence and using it in practice: as Blaney (1986) states, it is used to assess health, plan, implement, and evaluate individualized care (p.182). Finotto et al. (2013) breaks EBP down into steps as follows: Formulate a research question; find the most relevant evidence; appraise evidence; integrate evidence with clinical experience and patient values to make practical decisions; and evaluate the outcome (p.460). Carrazzone (2009) and Moch et al. (2010) argue that didactic components with EBP integrated into the education are believed to be beneficial to studen...
Evidence –Based Practice is a process through which scientific evidence is identified, appraised, and applied in health care interventions. This practice obliges nursing experts to depend on logical research and confirmation more frequently than experience or instinct. EBP is intended to guide medicine of patients in a regulated methodology. This model joins together research, investigation and patient history to give the most exhaustive consideration conceivable. EBP got mainstream throughout the late 1970s. In any case, the thoughts behind the practice were presented much sooner than by nursing pioneer Florence Nightingale. As stated by Carole Cooper, "Nightingale evaluated nature's turf, gathered information, distinguished intercessions and observed patient results." This methodology mirrors current evidence- based practice. Utilization of EBP expanded throughout the 1970s and 1980s in light of calls for additional productivity in patient consideration. While restorative exploration discoveries were accessible, specialists and attendants were not equipped to get to or execute the new data rapidly enough. This new system joined together components of useful information and experience with clinical examination discoveries and investigation.
152). EBP has inspired nurses to acknowledge the significance of theory and research and utilize it to their area of practice. Through strong educational foundation and advanced practice, APN is able to comprehend the relationship between research, theory and EBP and utilize it in providing quality care to patients. Best research evidence is indispensable, as nurses nowadays use pragmatic evidence in practice and not just previous experiences or beliefs (Chinn, & Kramer, 2011). Evidence based practice has been proven to upgrade patient outcomes, reduce health care expenses, and cause increased patient and provider satisfaction. By using evidence-based care and theories, patients are given proper assessment and treatment without wasting valuable money and supplies on testing and procedures that are not
While working in the field of social work with various diverse groups and cultures, it is crucial to maintain a knowledge of cultural competence and cultural humility. In order to be culturally competent, a social worker needs to have both a background knowledge of the culture, and in order to practice cultural humility a social worker needs to be open to the likelihood that they will learn from their culturally diverse clientele. An example of this can be seen in a client from the Muslim-American cultural group. The client to be discussed here is an Iranian Muslim-American woman with OCD, or Obsessional-Compulsive Disorder. In order to address this client's needs regarding her OCD, the Evidence-Based Practice of Cognitive-Behavioral Therapy will be applied. Because of this client's cultural background, the pre-sessional tuning-in, as well as the obstacles she might face, are important factors when it comes to
Case Management is to provide support to patients by making sure that they are getting the optimal care. Utilization Management is to maintain the quality of healthcare by ensuring the least costly but most effective treatment plan. However, both Utilization Management & Case Management are working together to prevent unnecessary treatment, duplication of services, long Stay (LOS) in hospital. Evidence Based Practice exists to demonstrate the value of case management and Utilization Management in order to enhance patient-centered care. The call for evidence-based in healthcare make patient’s effective, safe, and efficient. Case management use a team approach such as physicians, nurses, nutritionists, therapies and treatment to improve best
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 main barriers to evidence based practice change can include time involvement, access to databases, accountability to use evidence based practice, inability to understand information in research articles, and not knowing what to do with information once found.
The evidence based practice model that I have selected is Prolonged Exposure (PE) Therapy for Posttraumatic Stress Disorder. PE is a Therapy for Posttraumatic Stress Disorders, which focuses on cognitive-behavioral treatment program for adults who have experienced single or multiple/continuous traumas and have posttraumatic stress disorder (PTSD). This intervention consists of a course of individual therapy designed to help clients process traumatic events and reduce their PTSD symptoms as well as depression, anger and general anxiety. Treatment is individualized and usually consists of 8-15 sessions once or twice weekly for 90 minute each. The treatment length can be shortened or lengthened depending on the client (Children, Youth and Families Mental Health Evidence-Based Practice Project, 2001).
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.
This paper is a critique of an article written by McKinney and Jones (1993) entitled: “Effects of a Children’s Book and a Traditional Textbook on Fifth-grade Students’ Achievement and Attitudes toward Social Studies”. In their research the authors examined the effects of a children’s book and a traditional social studies textbook on knowledge acquisition and attitudes toward social studies and the textbook in a sample of 57 fifth-graders. It is the intention of the present paper to develop analytical discussion and the holistic interpretation of the McKinney and Jones’s quantitative study (1993).
There are some key distinctions between Randomized Controlled Trials (RCT) in a psychotherapeutic context and a medical context. There are key differences between the design of an RCT to evaluate a new drug and an RCT to evaluate a new form of couples’ therapy. However, it is important to begin by defining and understanding the importance of RCT in research (O'Brien, 2013).
The idea behind conforming to evidenced based practices is that research is the most likely tool to improve patient
Maintaining an organization effectiveness and efficiency in a global changing environment possesses many challenges for the organization to advance its processes. Research in this situation can be very time consuming, some research can conflict with other research, and Meta-analysis can add value to this dilemma combining research into systematic reviews of statistical quantitative results. One such challenge is the value of theoretical driven empirical research, and when organizations apply “tactic and experience based knowledge” a gap exist between the academia and practical function of the organization (Lawler & Mohrman, 2011). This gap becomes minimized or closed with the relationship and familiarity of academia
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 .