“With the new day comes new strength and new thoughts” - Eleanor Roosevelt. Traditional approaches in health care are under review by the process of evidence-based practice (EBP). It is a multi-step process, which investigates the methods used to collect research data that has been incorporated with scientific theories. The purpose of this paper is to explain the role of EBP and the value that EBP has in various clinical settings.
EBP enables nurses to “make clinical decisions using the best available research evidence, their clinical expertise and patient preferences” (Razmus 2008). The EBP paradigm involves organizational culture that is devised into three components, known as context of caring, that form a clinical decision, which results in high-quality patient outcomes. The three components of context of caring include research evidence and evidence-based theories, clinical expertise, and patient preferences and values.
Research evidence and evidence-based theories provides information for nursing practice. Nursing research notes persons, health, nursing practice, and environment as top priorities that nurses can use to generate new understanding or validate and verify, as well as modify, existing knowledge that effects nursing practice. If nursing practices were devoid of research, it would remain reliant on tradition, authority, trail and error, personal experiences, intuition, and borrowed evidence. Nurses should be equipped with the skills to read, evaluate, and apply nursing research to progress in higher quality treatment in care.
Clinical expertise subjects nurses to use logical reasoning to conduct critical thinking and decision making. The matriarch of nursing, Florence Nightingale, was the first nurse to create...
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...ursing care. This process permits health care providers to utilize critical thinking when comparing scientific findings to traditional nursing interventions. Overall, EBP is advancing the health care system and benefiting the health care industries, personnel, and most importantly the patients.
Works Cited
Melnyk, B., Fineout-Overholt, E., Stillwell, S., & Williamson, K. (2009). Igniting a spirit of inquiry: An essential foundation for evidence-based practice. American Journal of Nursing, 109(11), 50-51. doi:10.1097/01.NAJ.0000363354.53883.58
Melnyk, B., Fineout-Overholt, E., Stillwell, S., & Williamson, K. (2010). The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 50-53. doi:10.1097/01.NAJ.0000366056.06605.d2
Razmus, I. (2008). What you need to know about ebp. Nursing Management, 39(7), 10. doi:10.1097/01.NUMA.0000326560.16296.69
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).
Werner-Rutledge, C. (2012). Evidence-Based Practice Preparation in Nursing Education: Recent BSN Graduates and Their Experience With Applying Evidence-Based Practice. (Doctoral Dissertation). Capella University. Retrieved from ProQuest Digital Dissertations. (3502734) http://search.proquest.com.ezp-02.lirn.net/pagepdf/993006005/Record/3CA1ED1ED991402DPQ/1?accountid=158614
LoBiondo-Wood, G., & Haber, J. (2014). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice (8th ed.). St. Louis, MO: Elsevier, Inc.
Polit, D. F. & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott.
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
Research based practice is arguably the hallmark of professional nursing and is essential for high quality clinical and cost effective nursing care (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 Johns Hopkins Nursing Evidence-Based Practice Model provides nurses with a system to formulate a practice question, appraise both research and non-research evidence, and to develop recommendations for practice (Dearholt & Dang, 2012). This model guides nurses through the evidence-based research process with ease and minimal difficulty using a problem solving approach.
Rose Aguilar Welch (Ed.)Making Decision and Solving Problems. In P. S. Yoder-Wise(Ed.), Leading and managing in nursing (4th edition), (pp 92-93). Evolve: Mosby Elsvier.
(White-Williams, et al., 2013, p.247) In the article “Use, Knowledge, and Attitudes Toward Evidence-Based Practice Among Nursing Staff”, the researchers use descriptive correlational analysis of the knowledge, attitudes, and use of EBP of the nurses that participated in the study. The article investigated these themes, as well as, examined whether increased education, awareness, and participation in EBP improved the probability of use during
“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 ...
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.
In health care, evidence-based research is crucial. Nurses revolve their practice on evidence so that they may provide the best health care. Without research, there would be no evidence to prove health care related findings (Shmidt & Brown, 2012). With appropriate
Yoder-Wise, P. S. (2011). Leading and managing in nursing (5th ed.). St. Louis, Missouri: Elsevier Mosby.