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References on the importance of evidence based practice in patient care
Evidence based practice in health care essay
References on the importance of evidence based practice in patient care
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Evidence Based Medicine (EBM) has been a truly evolving and expanding standard for the practice of medicine and healthcare around the world. This expanding body of knowledge and expertise has been melded into medicine becoming the gold standard of care, in addition to possibly the only manageable way to extract precise and up to date clinical information. The evolution of EBM has been thoroughly evolving since its inception into the lexicon of mindset of medicine. It is believed that Evidence based medicine is relatively new to the practice of medicine, the initial exposure is dated only to the 1970’s, and its implementation to the 1990’s, as far as many researchers can deduce,1 given what the body of research has presented. Given its relative infancy in the overall practice of medicine it has truly become intertwined in the evolution of clinical education and clinical medicine. With the preponderance of research and clinical studies in healthcare, the future of competent and effective healthcare is completely dependent upon the utilization of EBM. The current status of the physician assistant is and will be to continue to incorporate EBM in the education of its’ students and will proceed to effortlessly employ EBM in daily clinical practice.
There are varying standards of science when it comes to evaluating and judging the efficacy and progress of each branch of science. With the Randomized Control Study being the gold standard for medical care and the estimated 16,000 of these studies being published yearly,2 it is of the utmost importance to all practitioners of medicine to be educated in and be able to use EBM. The physician assistant discipline of medicine is no stranger to the utilization of EBM as it has been a growing par...
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...(1):1-8. Available from: Academic Search Premier, Ipswich, MA. Accessed November 26, 2013.
Facchiano L, Snyder C. Evidence-based practice for the busy nurse practitioner: Part one: Relevance to clinical practice and clinical inquiry process. Journal Of The American Academy Of Nurse Practitioners [serial online]. October 2012;24(10):579-586. Available from: Academic Search Premier, Ipswich, MA. Accessed November 29, 2013.
Adams A, Adams R, Thorogood M, Buckingham C. Barriers to the use of e-health technology in nurse practitioner-patient consultations.Informatics In Primary Care [serial online]. June 2007;15(2):103-109. Available from: Academic Search Premier, Ipswich, MA. Accessed November 29, 2013.
Ubbink, DT, et al. Implementation of evidence-based practice: outside the box, throughout the hospital. Netherlands Journal of Medicine [serial online]. 2011;69(2):87-89
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.
Burns, N., & Grove, S. K. (2011). Understanding nursing research: building an evidence-based practice (5th ed.). Maryland Heights, MO: Elsevier/Saunders
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.
EBP is defined by Sacket et al as 'the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients.' (Duncan, 2006) The best evidence in this context could therefore be argued to come from information that has been researched using quantitative methods that is numerical data that tests a hypothesis such as randomized control trials (RCT)(Duncan, 2006).
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.
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.
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...
LoBiondo-Wood, G., & Haber, J. (2014). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice (8th ed.). St. Louis, MO: Elsevier, Inc.
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
I plan to continue utilizing a constructivist theoretical framework to bridge my practice with my educational experiences through evidence-based practice (EBP) along with a mentor.... ... middle of paper ... ... References Anderson, A. R., & O’Grady, E. T. (2009). Primary care nurse practitioner.
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).
In the profession of nursing, evidence-based practice skills are used to help patients’ return to their normal state of being before illness or injury. New skills and knowledge that is brought to patient care by the nurse should be researched and supported by evidence – based practice.
The concept of evidence based practice is an ongoing guide to the bettering of practice that also contains the dreaded word change. Even though change is not always looked at as a positive thing, it is a way in which professionals continue to grow. The reality is that EBP is a life long learning process in which managers, innovators, and leaders ensure their staff are continually aiming towards professional
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.
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...