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What are the benefits of evidence based practice
Essentials of Evidence-Based Practice
Evidence based practice application
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Evidenced-based practice (EBP) is utilized by nursing professionals all over the world to implement change in their current nursing practice. An advantage of implementing EBP results in a higher level of care that ultimately leads to improved patient outcomes. EBP combines the latest research evidence that is readily accessible to healthcare providers (Prior, Wilkinson & Neville, 2010). There are several benefits of EBP in the healthcare setting; EBP increases nurse’s critical thinking and decision making, confidence level, ability to adapt to change as they have to constantly evaluate the various researches that would support and be beneficial in their practice (Hanberg & Brown, 2006).
The Royal College of Nursing in the United Kingdom developed the “Promoting Action on Research Implementation in Health Services (PARIHS) which is a multifaceted framework. According to the PARIHS, the formula for successful implementation of EBP incorporates three components: clinical expertise or expert opinion, outside scientific evidence, and patient perspectives to provide high-quality services that reflect the values, interests and needs of the individuals served (Rycroft-Malone, J., 2004).
A framework that was developed by nurses is the “Advancing Research and Clinical practice through close Collaboration” (ARCC). The aim of the ARCC is to improve integration of research and clinical practice in acute care settings like the cardiac telemetry unit at Advocate Lutheran General Hospital. ARCC assists in the dispersal of the best high quality evidence from studies to facilitate the advancement of an EBP method to clinical care.
The implementation of EBP to reduce the number of readmissions for Spanish-speaking HF patients will require the util...
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...ical research cannot be applied to individual patients. Nurses who work in a clinical setting are required to prioritize the ever growing demands for patient care and associated assignments on an everyday basis. Participating in an EBP is not a priority since it is imperative that the needs of patients and their families be met. Therefore, the best of intentions by nurses to take part in and or support research can be put aside by patient care and workload demands (Giles et al., 2010).
In order for clinical policy or guideline to be both evidence based and clinically relevant, it must balance the strengths and weaknesses of all applicable research evidence with the practical realities of the healthcare and clinical settings. This is can be a problematic step because of limitations in both the evidence that is available and in policy making (Donald & Haines, 1998).
Evidence-based practice (EBP) entails the use of explicit, reliable, and judicious evidence to make effective decisions about the care of patients. This DNP student will introduce EBP with the IOWA model. The IOWA model applies to this DNP proposal. The IOWA model is an EBP applicable in healthcare setting and implemented to show the applicability of evidence in nursing to give the best outcome. Doody and Doody (2011) noted that the IOWA model focuses on problem-focused triggers and knowledge in undertaking quality improvement study. The steps involved include topic selection, team formation, evidence retrieval, grading evidence, developing an EBP evidence, implementation of EBP, and evaluation of the progress. These steps apply to this DNP proposal, showing best practices, guidelines, procedures, and policies
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).
It is essential that when using evidence-based practice guidelines to choose a treatment, that variety of research methods are applied so that the best relevant data can be produced. Such methods include qualitative/quantitative research, randomised controlled trials and systematic reviews. Both qualitative and quantative methods produce valuable data. Quantative research produces numeric evidence that is necessary for practice and can be measured and qualitative research produces descriptive data about the subject by using patients views etc. which can also be applied to clinical practice (Broeder et al, 2010)
When performing evidence based practice research, the Iowa Model uses a team or individual approach to assist nurses in the journey to quality care. The Iowa Model begins by offering a process of selecting a proper clinical topic, which is often a recurring problematic issue (Polit & Beck, 2012). This topic is formulated as a question to improve a technique or procedure. Once the researcher determines that an ample amount of reported investigation exists on the desired question, information may be gathered and presented for approval (Polit & Beck, 2012). The research may lead to a gradual change in nursing practice.
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
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
Research based practice is arguably the hallmark of professional nursing and is essential for high quality clinical and cost effective nursing care (ICN 2009)
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 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 next stage is for the team to jointly develop an evidence-based practice standard based on the information compiled during the research process (Doody & Doody, 2011). An important concept of evidence-based practice as pointed out by Doody & Doody (2011) is the involvement of the patient in the development of new standards. The developed standard should apply to the research topic that is being addressed, however; it should also be modified from person to person based on morals and values for the standard to truly be evidence-based (Doody & Doody,
The Ottawa Model of Research Use has been used in nursing to explore the barriers and supports for adoption of new innovations, describe the process of adoption of new innovation or guidelines, implement a new research based guidelines, and to increase evidence-based practice across health-care settings. The feasibility and effectiveness of using the OMRU in actual practice contexts was supported by findings from a number of studies (Scott et al., 2009; Hogan & Logan, 2004; Logan, Harrison, Graham, Dunn, & Bissonnette, 1999; Stacey, Pomey, O'Conner, & Graham, 2006).
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 resent 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 from the individual patient, they must have full engagement and incorporation in order to have the accurate evaluation.
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.
Clinical Practice Guidelines (CPGs) are very crucial in the evaluation of the practice to be absorbed and implemented by an organization. Often, clinical practice guidelines are defined as the statements that recommend intentions to optimize patient care that is informed by a systematic review of evidence, outcome and findings and an assessment of advantages and benefits and the disadvantages and challenges of alternative care options. Clinical practice guidelines play a very important role in providing medical practitioners with explicit and extrinsic evidence and findings while at the same time recommending how to manage health conditions and reduce the utilization and implementation of unnecessary, ineffective or harmful interventions.
Evidence-based decision-making entails the process when a practitioner integrates the best research evidence in combination with clinical expertise and patient values to enhance the treatment outcomes. The three fundamental components of evidence-based decision-making include individual clinical expertise, scientific evidence and patient values and preferences (Peterson, Becker, Treasure, Shafran, & Bryant-Waugh, 2016). Scientific evidence entails the adoption of clinically relevant research conducted applying acceptable methodology. Clinical expertise is about the clinician’s cumulated education, skills, and experience in execution of the tasks. Patient values or preferences regard the concerns and expectations