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Evidence based practice in health care essay
Challenges to implementing evidence based practice
Evidence based practice 1
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As health care professionals we strive to provide the best care that we can daily. But what drives the care that we give? Where do the protocol stem from? How do we know that we are using the best practice to give care to patients? We know through evidence base practice and evidence based management. We then need to use the knowledge that we gain to develop Innovative Care Delivery models to bring about changes for the betterment of the patient, and to help us provide the best patient centered care possible. Evidence based care is care that is based on scientific knowledge that is obtained through research. The knowledge and plan is delivered through care, so that the health care team optimizes the health of their entire panel …show more content…
of patients, with the most up to date practice. (Van Borkulo 2011) Often in the emergency department the nurses think to themselves, “We just had that patient.” In the ED that I work we were burdened with the same problem, so a formed committee looked at the numbers, and indeed we were having many repeat patients for the same ailments. Then the question became, “Why?” We looked through patient charts and talked to patients themselves to try to figure out what was going on. After investigation the committee determined that some of the problem was a lack of understanding with discharge instructions. Our unit used evidence-based research to find the best possible way to deliver discharge instructions. After research we decided to use the “teach back” method for discharge. We are now using evidence-based research to guide our care. Evidence-Based Management is using evidence-based research and applying it to managerial strategies to improve the performance of health care organizations.
Evidence based management takes research evidence and applies it to practices that solve organizational problems. (Kovner 2006) As nurses we are a key component and advocate for change. Naturally, when we find something that we do not like we bring it to a higher level. In the emergency department that I work it if we find a process, practice or situation that we feel could be done better our manager will not give us a solution. He encourages us to find a solution. He asks the tough questions, the ones that we will need to answer to iron out the kinks. He helps us form our idea into the “Plan, Study, Act, Do” method. We have a working board in our department that tracks the progress of the idea, and it has a troubleshooting area that co workers can give input. Our manager has used evidence - based research to guide this practice. He has applied it to his position as manager and in turn has made positive changes in our organization. If we need help along the way he is always there to guide us, but he encourages us to find a solution. He guides us using evidence-based research to make changes to our …show more content…
department. When working for patient centered care, nursing searches for the best way to reach an outcome.
Innovative Care Delivery Models are generally nursing driven, or they are interdisciplinary care delivery models that carry a heavy nursing component and in an acute care setting, including transitional care to home setting. The model should be state of the art, it should focus on improving care making it effective, and cost conscious, it should focus on new roles for nurses and other interdisciplinary members. The model should show measurable improvement in quality, safety, cost, and patient satisfaction. (Joynt and Kimball 2008) Accountable care organizations and Medical Homes are both examples of Innovative Care Delivery models at work. These models show collaboration between disciplines, working together to give the patient the best possible outcome is always the
goal Patient centered care is at the center of our health care goals. We must continue to use evidence base research to guide our practice. The use of Evidence based practice needs to begin at the managerial position and trickle down to staff. As leaders we need to continue to encourage best practice, by use of evidence based practice and be an advocate for patient centered care, and to guide our staff in doing so. Many great changes in health care begin with nursing; we need to continue to drive change for the better.
Evidence Based Practice emerged in the late 20th century, becoming widespread in the 21st century. According to Research and Practice: The Role of Evidence-Based Program Practices in the Youth Mentoring Field ( 2009) “The concept of Evidence Based Practice (EBP) actually has its roots in the medical field, where the work of Archie Cochrane (1972) and others examined the key role that the substantial body of medical research and literature could play in how doctors make decisions in patient care” (para 6); Thus, a doctor’s decision would be an “educated” decision, based on evidence gathered (patient symptoms), history of cases they have overseen, or research of previous case diagnosed by another doctor, with a related case. Evidence Based Practices are defined as “ integration of: (a) clinical expertise/expert opinion, (b) external scientific evidence, and (c) client/patient/caregiver perspectives to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve” (“Evidence Based Practice (EBP),” 1997-2014); often described as the “Best Practices”. The evidence itself is not the basis of decisions made, but it does help support the process of care given to our clients.
Evidence based practice is the basis for needed change in practice and function. It is a sound method for scientific, fact-based change. Changes which have no evidence to support them are fragile, unscientific, and subjective. These changes don’t effect real change over time, as they aren’t able to be proven to a more general population.
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
As our health care system continues to evolve and become more focused on a preventive and coordinated approach to patient care, we too must progress and create programs that follow such principles. The Patient-Centered Medical Home (PCMH) model follows similar ideologies and recently has gained increasing support. The patient’s primary care physician, who will provide preventive and continuing care for the patient, directs this medical model. The PCMH model of care is comprised of a health care team working together to serve their patient and provide quality care.1 The model works to empower the patient by promoting communication with not only the physician but with the nursing staff, specialists, and other health care providers. Every patient
Evidence-Based Practice is a methodology, framework, gathering of ideas or concepts, adopted principles and strategies supported by research (Fixsen et al.,
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).
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).
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
Thus, it is imperative that evidence-based practice is conducted to provide the best current, valid and reliable evidence in an aim to close the gap between non-conformity and coincide with the professional obligation of providing the patient with the best possible care (Liamputtong, 2013).... ... middle of paper ... ... Patient safety and quality of care. Rockville, MD: Agency For Healthcare Research And Quality, U.S. Dept. of Health.
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.
To promote this outcome, the institute suggested that medical professional seek the latest information on patient centered care, interdisciplinary teams, evidence based practices, quality improvement, and informatics. Patient centered care involves the identification of and respect of cultral differences, values, preferences, and needs. Nurses who practice patient centered care collaborate freely with organizational decision makers and advocate for community wellness by promoting health education. To maximize the utility of evidenced based practices, medical professionals must also collaborate freely with interdisciplinary peers. For optimum patient outcomes, practicing care providers must also commit to continuing learning and the ongoing incorporation on new evidence based
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.
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 .
According to Samonte & Vallente (2016), "evidence-based practice (EBP) is the amalgamation of research evidence, experience and expertise, and patient preferences in the process of clinical patient care". The Evidence- based practice is proved by multiple types of research and utilized to aid and improve the realm of the nursing care.
The importance of Evidence-Based Practice is to ensure the best possible care is provided for patients. Evidence-Based Practice functions by measuring the effectiveness of a treatment and differentiating findings between high-quality and low-quality. It also helps with health development and improves the reliability and facilitates students to become reflecti...