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Evidence based practice nurse
References on the importance of evidence based practice in patient care
Evidence based practice nurse
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Defining Evidence-based Practice
An Introduction into Evidence-Based Practice
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).
The Evolution of Evidence-Based Practice
The EBP movement began with the portrayal of a problem, describing a gap in practice between what is known, what we actually do in practice and how this gap in knowledge affects the way we care for our patients (Stevens, 2013). The roots of EBP could have originated from the teachings of Florence Nightingale, who, quite literally, seems to have given direction on how to go about utilizing the practice of EBP before the term was even common in her book, Notes on Nursing, What it Is and What It Is Not, as quoted by author, Lim Fidelindo in his article, Pearls: Why Florence Nightingale Still Matters (Fidelindo, 2011). Florence Nightingale’s belief, that ...
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...urse of clinical action for their patients and they do this by utilizing EBP (The EBP Optometry Project, 2013). EBP has been adopted by other professions in healthcare as well such as psychology and speech pathology (The EBP Optometry Project, 2013).
Conclusion
It is incumbent upon the nurse to remember that the patient, having dignity and top priority to the nurse, will benefit from the use of EBP. The nurse should incorporate EBP at all times, incorporating the nursing process. Further, all healthcare disciplines may benefit from the use of EBP, improving patient outcomes in all areas of healthcare and, with the adoption of facility policy and government reporting, this will ensure and safeguard the relationship between EBP and patient safety. This is a goal that our first great teacher of nursing, Florence Nightingale, intended for us to embrace and understand.
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).
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.
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.
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
What are the best ways of achieving this in the reality of the modern NHS? To conclude, Evidence Based Practice is a process of building up accurate information from medical research which has been correlated and assessed. From this, the nurse is capable of advising the best plan of care. For nursing standards to improve, it is vitally important that the nurse is given the time to research and the trust to start off the process of change for better care. References Cullum, N., Ciliska, D. and R. Haynes, Marks (2008).
EBP incorporates an organized search for the best up to date empirical research, with clinical expertise, to answer a focused clinical question concerning a patient or a quality improvement issue in the clinical environment. The focused question addresses the patient population, area of interest, comparison intervention or control group, and desired outcome (PICO). Using this question style saves the nurse time and will yield the best available relevant evidence.
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
Here, the article depicted that the disciplines involved, in both the research and writing of this article, were nursing and dental hygienists. It was important for these disciplines to be involved in this research because it allowed for a greater, broader, and more in depth care for their patients. However, just because these were the only two disciplines involved it does not mean that these disciples are the only ones who may benefit from this research. I believe that both physical therapists and athletic trainers may utilize and identify with this content as well. This is so because the interprofessional EBP setting was in a school environment. Therefore, I believe that the two disciplines, which were not involved, may utilize this technique and collaborate by working together in schools systems. An example of interprofessional EBP that they may research is to educate student athletes on pre-game stretches (athletic training) in order to prevent sport related injuries, such as a torn muscle (physical
Observation of the unit interface exemplified the need to identify, understand, and reject WPB with expectation to promote civility and cohesiveness, which would bring about a change to promote the best patient care. Under the auspice of EBP the nurses must rise to the challenge of delivering optimal patient care for it is imperative to evolve. To accomplish this standard a medium is needed for the process. The Iowa Model to improve quality of care considers all facets of the healthcare system, through established seven steps to change; this is one theoretical model to use for the mandate that all nurses must encompass the philosophy of EBP. One viewpoint is, would purging WPB stimulate civility and cohesiveness in the unit to
1. Critically analyze current practice to formulate researchable problems: There are so many issues facing the current practice in the healthcare. It is very important for the providers to identify the problem and conduct the best evidence-based research and apply it into practice to prevent or reduce the identified problems. Conducting a study on one of the healthcare-associated infections (HAIs) was a learning experience and it equipped me with the knowledge I need to conduct a research or be part of any research in the future. 2.
Research is the diligent, systematic inquiry or investigation to validate and refine existing knowledge and generate new knowledge (Gray, 2017). Webster states research is a studious inquiry or examination, especially, investigation or experimentation aimed at the discovery and interpretation of facts, revision of accepted theories or laws in the light of new facts or practical application of such new or revised theories or laws (Webster, n.d.) Research provides nurses with an understanding of a problem about which little is known. Assess the need for an intervention, identify factors that must be considered in the nursing care plan. (Gray, 2017). Evidence-based practice (EBP) evolves from the integration of the best research evidence with
Evidence-based practice is integrating research with clinical nursing (Stevens, 2013). Evidence-based practice is about taking the research that has been done on something and putting it into practice and making it a standard way of practice. An example would be the sterile technique for Foley catheter insertion. Through research we know that infections are higher among patients with Foley catheters, but with using the standardized evidenced-based practice for sterile technique there is a major decrease in the amount of infections among these
EBP not giving patient care only, but also cover all the aspect of a patient, means -emotional, mental, social and cultural aspect. It will help the patient to trust more in the care and treatment. Quality improvement of health care facility, will attract more patients to the hospital. Good communication is very effective in evidence based practice ,if we are giving care in a society or community, first we have to assess the patient problem, plan, implement and evaluate, so these step by step process will give more clarity to the treatment ,we can impress patient and patient
Evidence-base practice has been defined as “the integration of clinical expertise, patient values, and the best research evidence into the decision making process for patient care” [1] Evidence-based practice is the mix of best clinical research ,prove clinical ability and patient qualities. The utilization of the evidence for basic leadership, as opposed to the formation of the confirmation through the examination procedure accordingly appears to be a basic contrast amongst research and evidence-based practice. Research is utilized to direct an examination, the after effects of which will add to existing confirmation. Evidence based practice means to look for and evaluate best confirmation, some of which will be given by research.
According to the textbook "EBP is a process for making practice decisions in which practitioners integrate the best research evidence available with their practice expertise and with client attributes, values, preferences, and circumstances."(Rubin & Bellamy, 2012, p. 7).