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What is evidence based practice in nursing essay
What is evidence based practice in the delivery of nursing care
What is evidence based practice in nursing essay
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If you were diagnosed with a disease and faced with decisions on the type of treatment to have, would you like your doctor/nurse to use the evidence, that’s been trailed, tested and successful from other patients with the same disease? Or would you like to be offered the same treatment that’s been used for years and years with no further research? All individuals working within the healthcare sector delivering care should be able to justify anything they undergo and professionals delivering care are expected to understand why they are caring for patients. Using Evidence Based Practice keeps all healthcare professionals up to date with all the policies and procedures. Therefore, it is crucial that professionals keep their skills and knowledge …show more content…
Barker (2010) defined it as the conscientious, explicit and judicious use of theory-derived, research-based information to make decisions about care delivery to individuals or groups of patients, taking into consideration individual needs and preferences. Then, there’s a definition by Melnyk and Fineout-overholt (2005) that states that EBP should be a problem solving approach that integrates a systematic search for, and critical appraisal of the most relevant evidence to answer a burning clinical question. By also taking into account clinical expertise at the time, patient preferences and values and is also important in the nursing …show more content…
In order to apply evidence into practice it is important for nurses to have role models that respect EBP, rather than relying on clinical expertise. Enabling them to value ideas, providing support for the process of clinical questions. These role models need to be enthusiastic about all EBP by having a positive vision about the opportunities EBP can provide when integrated into the day to day practice. As a result of this nurses will be able to see the benefits of the importance of applying best current evidence to their practice and most importantly creating a positive motivation towards EBP. Therefore, by being interested nurses will adopt practices and attitudes, courage and willingness to carry out change and commitment to continuous learning. when in clinical settings nurses on a day to day basis should be thinking about the problems that they occur frequently and what they want answers for from further research and evidence. That’s why many healthcare professionals have a passion to go into research as they can speak from experience and want to be able to provide more research and evidence that can be put into practice and be the ones to make that
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).
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
One of the most essential aspects of doing a job well, no matter what job it is, is the ability to think critically about a situation. Finn (2011) defines critical thinking as “the ability and willingness to assess claims and make objective judgments on the basis of well-supported reasons and evidence rather than emotion or anecdote”. The difference between assessing a certain situation critically and assessing it without any evidence to corroborate your claims is that when you look at something critically, you are using your ability to “come up with the alternative explanations for events, think of research findings and apply new knowledge to social and personal problems” (Finn, 2011). When you can come up with other explanations using evidence, you can also create an alternative way of enhancing the situation. Critical thinking skills are especially important to nurses in a fast-paced setting. Nursing is a very demanding and rewarding field to enter into; it becomes enjoyable when you are good at it. In order to be good at their jobs, nurses need to learn the skills required to think critically and also, relate those skills to their everyday routines. This is known as evidence-based practice. Evidence-based practice is defined as “using the best scientific evidence available to guide clinical decisions and interventions with the goals of fostering self-management skills and improving health outcomes” (Miller, 2011). This paper examines the skills required for critical thinking, how to learn these skills, and how to apply them in clinical settings. (Miller, 2011; Finn, 2011; Noonan, 2011; Lunney, 2010; Wangensteen, Johansson, Bjorkstrom & Nordstrom, 2010; Chitty & Black, 2011).
For nursing, research has played a major role in the way clinical practice is done. Research has allowed nurses to provide appropriate care to patients. It allows them to perform their job by providing them the tools and information they need in order to make the decisions on the concerns for caring the patient (Polit & Beck, 2006). Moreover, research can also take focus on the workers themselves in order to improve the practice both on a professional and personal level. An example of a study conducted by King, Vidourek, and Schweibert of University of Cincinnati created a study to determine if there is a correlation between ...
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.
If the patient come in with only one condition then using the evidence based guideline to treat that one condition would not be a problem. Therefore, evidence based practice cannot be fully trusted due to its research quality, time constraint, being able to use in real life situation and being able to use in multimorbidity
The introduction of EBP has provided clinicians with the tools to use the best available evidence when making decisions (Leach, 2006). Fineout-Overholt et al. (2005) defines evidence based practice (EBP)
CONCEPT-3: EVIDENCE BASED NURSING PRACTICE Evidence based practice which is broadly defined as use of best clinical evidence in making patient care decisions. The roots of evidence based practice can be formed in the emergence of evidence based medicine in the early 1990s. Evidence based practice or evidence based decision making is rapidly developing as a growth industry in nursing and the health professions more widely. EBP has emerged as a marker for health care quality. Evidence based practice is a covert method of rationing resources is overly simplistic and constrains professional autonomy.
Nursing is based on what has been proven to work; care should never be provided because it has been done that way in the past. Providing evidence based care will “ensure that people consistently receive the best care possible, based on the application of the most up-to-date research, rather than mere tradition” (Upton, Upton, & Scurlock-Evans, 2014, p. 46). Evidence based practice validates nursing decisions, and it is important to be aware of current evidence to provide the best possible care. Evidence based means that there is significant research and feedback from patients and healthcare providers supporting that this is the most effective and efficient way to practice (Spruce, 2015, p. 107). It serves as a guide for nurse by justifying
In addition, it looks into expert opinions in the identification of ways of improvement. However, this method poses a challenge in the identification of exact differences between research and evidence based practice. Evidence based research is used in closing the gap between research done and the actual practice by challenging nursing practitioners to look at the reasons behind current methods as well as processes in getting better practices (Titler et al., 2001). Identified Similarities and Differences in EBP and Research
Evidence based practice (EBP) is a well-known clinical practice that has transitioned healthcare practices into the thriving force that it is today. Healthcare has advanced in several ways that catapulted over the last decades that, causing tremendous positive outcomes for the patients and for the healthcare system. After completing the EBP Beliefs Scale and the EBP Implementation Scale I found that EBP is quite vital and significantly important to the entire healthcare practices and is a necessity that will continue to improve the healthcare practices. Once I completed the EBP Beliefs Scales I found that I personally lack implementing or researching new EBP, nor do I have a complete understanding of the foundation and importance of the EBP
Hence, they must take their clinical experience, scientific research, and convert this information into making trustworthy decisions for the better good of patient care. According to Houser, J., & Oman, K.S., (2011), “Using the best scientific evidence as a basis for clinical practice makes intuitive sense and joins other science-based professions in using evidence as a foundation for decision making.” (page 4, para 2). In this way evidence based research is important to health care leaders and professionals because it helps provide effective care to patients. Along with making positive change comes with exploring and gathering reliable information.