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Evidence based nursing practice in clinical settings
Evidence based practice and the nursing process
Evidence based nursing practice in clinical settings
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task and the appendix heading should be deleted if there is no appendix in the assignment) Introduction This report aims to use the principles of Evidence Based Practice (EBP) to evaluate the case study of Emily. EBP is the process by which nurses use research to aid decision making and provide evidence to support practice (McCutcheon, 2009, p. 5). The aim of this report is to build on the analysis produced in assignment one and employ the remaining steps in the EBP model. In Assignment one it was identified that Emily had not used EBP in her nursing process. This is important because providing EBP is a core philosophy in the ANMC competency standards for the registered nurse (The Nursing and Midwifery Board of Australia, 2016). This report …show more content…
In clarification of comments offered in assignment one, the problems is that Emily did use EBP. This is a problem because Emily had no valid evidence that her method was best practice. Her decision had the potential to put her clients at risk as it was based on opinion not valid evidence gained through the EBP process. The answerable question was can mentoring between graduate nurses and senior nurses improve the use of EBP in graduate nurses? This needs to be amended as this is a topic that could be difficult to find a definitive answer to. The amended the questions is can evidence based practice be used by nurses to improve patient …show more content…
The articles found during the search four were chosen for use in this report. The articles chosen were critically appraised to establish the validity and relevancy of the reports. The articles were selected based on the outline given in Richardson-Tench, Taylor, Kermode & Roberts (2014, pg 53-54) which aims to assess the question and the topic, the abstract, the methodology, the findings or conclusions and an overall evaluation. It was essential that all articles chosen were peer reviewed. This is a process maintains high standards in research and involves the review of articles by subject matter expert’s (Richardson-Tench, Taylor, Kermode & Roberts 2014, pg 53). The authors of the papers were also assessed for credibility. All articles were found to be of authority in the field, authors included nurses with Phd and fellowships, and associations to institutions in high regard. Each abstract of each article was evaluated Richardson-Tench, Taylor, Kermode & Roberts (2014, pg 67) state the abstract should be a clear and brief overview of the report and should include information on the “problems, methods, design, results, conclusions and implications” Richardson-Tench, Taylor, Kermode & Roberts (2014, pg 67). All chosen reports provide an acceptable abstract, for example Mathers
Burns, N., & Grove, S. K. (2011). Understanding nursing research: building an evidence-based practice (5th ed.). Maryland Heights, MO: Elsevier/Saunders
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.
According to ASHA Evidence Based Practice is the combination of clinical expertise opinion, data, and patient’s perspectives, with the goal of providing high-quality services (2013). The process of evidence-based practice consists of formulating a research question, collecting evidence, including views, and then evaluating the entire process. This project introduces the research topic I’ve chosen, which identifies a researchable problem, and formulates an answerable question that is relevant to nursing and evidence-based practice.
Catheter Acquired Urinary Tract Infections (CAUTIs) has become to be classified as one among the leading infections which most individuals end up being susceptible to acquire while at the hospital. Healthcare-associated or acquired infections (HAIs) are a significant cause of illness, death, and more often than not, have resulted to cost the tax payers potentially high medical expenses in most health care settings. ("Agency for Healthcare Research and Quality," para. 1) Due to this, 1 out of every 20 patients will end up with CAUTI within the US hospitals and this has caused Agency for healthcare research and quality (AHRQ) to embark on nationwide plans to help in the eradication and control of CAUTI incidences. ("Agency
Werner-Rutledge, C. (2012). Evidence-Based Practice Preparation in Nursing Education: Recent BSN Graduates and Their Experience With Applying Evidence-Based Practice. (Doctoral Dissertation). Capella University. Retrieved from ProQuest Digital Dissertations. (3502734) http://search.proquest.com.ezp-02.lirn.net/pagepdf/993006005/Record/3CA1ED1ED991402DPQ/1?accountid=158614
For this practice guideline, the original development panel of six members included; a Chief Nursing Officer, Charge Nurse, Clinical Nurse Specialist, Clinical Practice Facilitator, a Professor from a School of Nursing, and an Education Coordinator. The revision panel members included; a Chief of Nursing & Professional Practice, an Assistant Lecturer from York University, a Clinical Nurse Specialist, Clinical Practice Facilitator, a Nursing Professional Development Educator, an Internist/Geriatrici...
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
Evidence - Based Nursing, An introduction (2008, p.1) “ At is core evidence based ‘anything’ is concerned with using valid and relevant information in decision making” “high quality research is the most important source of valid information”.
Over the last 10 years evidence-based practice (EBP) has grown substantially and is changing the nursing care delivered to patients along with the nursing work environment. Nurses are more involved in the decision making process, and are making clinical decisions with better patient outcomes (Good, Fink, Krugman, Oman, & Traditi, 2011). With technology growing at such a fast pace, new and more effective medicines, medical devices, and procedures are developed daily. Digestible sensors that monitor your bodily systems and 3D printing of embryonic stem cells, blood vessels, and sheets of cardiac tissue that actually beat like a real heart, are significantly impacting the future of healthcare (Honigman,
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
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 (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.
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.
Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (Seventh ed.). St. Louis, Mo.: Mosby Elsevier.