EBP has its roots in evidence-based medicine. For thousands of years medicine contained many treatments that did not help patients, but caused actual harm. As early as the late 1800s physicians began to question traditional treatments and attempted primitive experiments to determine if treatments actually worked. By the 1970s the idea that care should be based on the scientific findings of randomized controlled studies rather than tradition was firmly accepted fact. The term evidence-based medicine was introduced in the 1990s to more accurately describe this shift of medicine from intuition and unsystematic clinical experience to scientific research. During this time, nursing was also changing rapidly due to increased technology. Nurses saw …show more content…
EBP has been implemented by most allied health professions.
EBP needs to be used to implement facility policies, unfortunately, this does not always happen quickly and easily.
Because knowledge is always increasing, EBP demands continual reevaluations of care to determine the best course of action. EBP is a never-ending process of assessing, researching, making changes based on the research, evaluating the outcome and implementing the changes into practice. While this may seem like a daunting task, the patient ultimately benefits.
EBP has done much to improve patient safety. Care not based on fact can, as pointed out earlier, actually be harmful. But EBP does not stop there. When properly implemented, EBP can also reduce errors in care by finding the best and most efficient ways of providing care, limiting human error.
With so much knowledge readily accessible in this internet age there is no reason why patients should not benefit from the many excellent scientific studies available. Using EBP is the best way to bring knowledge into active use, thus improving the treatment outcome of
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.
On account of theses limits other tools that are more efficient, objective and accurate are necessary to enhance acute hospital care. The National Institute for Health and Clinical Excellence (NICE 2007) have highlighted the importance of a systemic approach and advocated the use of EWS to efficiently identify and response to pa...
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
Evidence-Based Practice (EBP) can be defined in two ways. Sackett (1996) explains about evidence based medicine (EBM) and that by using the best clinical expertise alongside the best available external clinical evidence from systematic research then the patient would receive the best treatment available. Although one issue with this approach is that the only point that the patient is involved is when the decision has already been reached. The author feels that on occasions the final decision may not be the best one. An alternative approach comes from Gray (2001) who discusses that using the best evidence available, in consultation with the patient would aid both parties in deciding the best option which will suit the patient. As a patient in the past the author knows which approach has been taken when discus...
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 vitality important that the nurse is given the time to research and the trust to start off the process of change for better care.
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).
ASHA proposed the idea of EBP about 5 years ago. As the years progressed, implementing EBP in our field has increased, but it has not reached its highest capacity. There are many challenges that reduce implantation of EBP in our field. These challenges may include ………… In addition, some current SLP’s have not been trained on EBP, which decreases the involvement of EBP in clinical activities. SLP’s that work in public schools may not have time to schedule time to suppose EBP activities due to an overload of clients on their caseload. The papers only included school based and not rehabilitation or hospital base so I would have liked to compare use of EBP in different settings. ASHA needs to continue to promote EBP to increase SLPs awareness and try to reduce the challenges so that SLPs will feel comfortable in implementing EBP in their work.
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.
Evidence based practice (EBP) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research" (Sackett et al, 1996). This definition takes into consideration the need to delve into the professional’s clinical knowledge (Burns, 2007) as well as looking into the best evidence to support the professional. Clinical practices may become out dated if new evidence is not sourced and professionals should be aware of appropriate evidence that can be integrated into their practice (Aveyard & Sharp, 2013). EBP is important
In conclusion, EBP is an approach to clinical practice to help make decision about how to promote health or provide care by combining the best available evidence. Evidence-based practice are being utilized by many institutions and nurses are encouraged to participate in implementing the evidence-based changes. Nurses need to be vocal about implementing EBP because we are the patient advocates. In order to deliver the best patient care and outcomes safely, we need incorporate our nursing process with evidence-based practice.
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
Evidence based practice (EBP) is a key component in delivering cost-effective, high quality health care. [1] However, only around half of the care providers in the United States utilized EBPs. Additionally, nearly a quarter of services delivered to American consumers are unnecessary and potentially harmful. Today, educators are teaching and promoting evidenced based health care to future nursing professionals. The Institute of Medicine (IOM) supports this action as a means to achieve the objective that 90 percent of all medical treatments have a foundation in evidence based practices by the year 2020.
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).