More handpicked essays just for you.
What is evidence based practice in nursing quiz
What is evidence based practice in nursing quiz
What is evidence based practice in nursing quiz
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Evidence Based Practice Define Evidence based practice Haneline(1) have identified evidence based practice is essentially telling the practitioner to continue learn all relevant information regarding the skills of practice via new research, along with their own clinical experience and preferences of patient. Best care of chiropractic patient In terms of evidence based practice care, most of the chiropractors misunderstood the purpose of evidence based practice. It helps chiropractors to develop and improve their current knowledge, and new methods are being produced if used in practice it may be valuable for patient. Besides, Haneline(1) demonstrated chiropractors think only the highest-level evidence such as randomised controlled trials …show more content…
Secondly, it is credit by all medical professionals such as Buchbinder et al.(2) have identified that general practitioner that have enthusiasm in lower back pain would more likely to believe taking rest as much as possible it is the best solution for the patient. Similarly, from the accreditation it is also important to promote collaboration between different discipline, Parr and May(3) have demonstrated physiotherapists trust the concept of evidence based practice and the National Institute for Health and Clinical Excellence guidelines for back pain is useful for their practice. Lastly, it is always important to actively do some research or even reading peer-reviewed journal articles to obtain knowledge from it and apply it in the clinic. If solely rely on non-evidence based practice is not achieving the best care for the patient because the information learnt from chiropractic school may be slight out of date. Thus, evidence based practice is critical in practice not just for chiropractors but for several other health professionals, the collaboration between different discipline is vital it helps each other to improve their practice and brings out the best care for their …show more content…
Different levels of evidence may affect the result such as case report would not be trustworthy because it may contain too much bias towards the case. Moreover, Walker et al.(4) have stated that the barrier of performing evidence based practice into clinics is difficult due to the time, you need more time to find more relevant study and consolidate the skills or knowledge learnt from the research. Likewise, Kelly et al.(5) also demonstrate it is always important to cooperate the research with patient’s preference, because the research is there to help patient to get the best treatment instead of just researching but not actually being able to practice it. Similarly, Parr and May(3) have also present with the concerns of the evidence based practice could not relate to their day to day practice from a physiotherapist’s view. Furthermore, Greenhalgh(6)identify that patients with multiple pain could not use the evidence based guidelines because the guideline usually targets one specific condition. 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
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.
The guidelines generate the latest high-quality evidence which can very helpful to Physiotherapists as it will allow them to provide the best quality of care to the patients and improve the quality of their clinical decision making. However, guideline recommendations can be misleading, misinterpreted or wrong for some patients. It is important to evaluate the evidence and see if it is compatible with the patient the treatment is being provided for before selecting the recommended treatment. Furthermore, guideline evidence can be difficult to scrutinise for limitations as this requires a lot of time, resources and skills which is not available for all clinicians. Overall, if used correctly and appropriately Evidence-Based guidelines can be an effective process when Physiotherapists are choosing a treatment for a
“The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease” by Thomas A. Edison. Chiropractors use hands-on spinal manipulation and other alternative treatments on the spine which will enable the body to heal itself without surgery or medication. Chiropractic care began in 1895 when its founder, Daniel David Palmer, claimed any and all diseases could be healed by nothing more than just his hands. Dr. Palmer examined a janitor who was deaf for 17 years after the janitor felt his back was out of place, so Dr. Palmer gave an adjustment to what was felt to be a misplaced vertebra in the upper back. The janitor then observed that his hearing improved thanks to Dr. Palmer. Chiropractors use manipulation to restore mobility to joints restricted by tissue injury caused by sitting without proper back support. Chiropractic is primarily used as a pain relief alternative for muscles, joints, bones, and connective tissue, such as cartilage, ligaments, and tendons. About 22 million Americans visit chiropractors annually
through the Eyes of a Participant Observer." Chiropractic & Manual Therapies. Vol. 20, No. 1, 19 Jan. 2012, p. 1. EBSCOhost. 2017 October 25.
The word “chiropractor” has two word origins, the Greek words cheir and praxis; meanwhile, cheir means “hand” and praxis means “practice.” Also, most of the work that chiropractors do is done by hand (Pike para. 5). In 2002, going to a chiropractor was found to be the most commonly used program for therapy. Seventy-four percent, about 4 million, of people that had back pain went to a chiropractor to get treated. Among that 74 percent of people, 66 percent of them stated that they got “a great benefit” (Pike para. 9). Many chiropractors work full time but 1 out of 3 chiropractors work part time. Chiropractors work whenever their patients need them, even on w...
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
“At its 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”. Psychological Association (2006, p. 273) defines EBP as "the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences. " When caring for patients it is fundamentally important to have a good selection of up to date evidence Based Practice clinical articles to support research strategies, this allows professionals to assemble the most recent and accurate information known which enables them to make decisions tailored to the individual’s plan of care. It is essential to have clinical expertise and have the involvement of the individual patient, they must have full engagement and incorporation in order to have the accurate evaluation.... ... middle of paper ...
Paanalahti, K., Holm, L. W., Nordin, M., Asker, M., Lyander, J., & Skillgate, E. (2014). Adverse events after manual therapy among patients seeking care for neck and/or back pain: a randomized controlled trial. BMC Musculoskeletal Disorders, 1577. doi:10.1186/1471-2474-15-77
230) in EBP. Clinical opinion, together with the best relevant research evidence, provides the framework to for the best patient outcome. The nurse’s clinical opinion is acquired through knowledge and skills developed from undergraduate, graduate, or continuing education, clinical experience, and clinical practice (Melnyk & Fineout-Overholt, 2010). Clinical opinion also includes internal evidence, which is generated within a clinical setting from quality improvement outcomes, management initiatives or EBP implementation projects (Melnyk & Fineout-Overholt, 2010). Nurses use their clinical opinion when they identify each patient’s condition, individual risks, personal values and expectations, benefits of possible interventions, and gather evidence for EBP. When searching for the best available evidence, there is a hierarchy in the strength of evidence. The highest level of evidence usually comes from a systematic review or an evidence-based clinical practice guideline based on a systematic review. Systematic reviews provide the strongest evidence through a summary combining the results from many relevant, unbiased studies, to answer a particular clinical question. Nurses critically assess the individual studies, to gather the best evidence available for patient care. Systematic
There are many different uses of alternative medicine and that can be used in a variety of situations. Some people may be skeptical of alternative medicine since they are not aware of the facts and statistics. By homeopathy becoming more popular people will not be as skeptical. “Despite the successes of many alternative therapies, the phrase "alternative medicine" has not acquired a completely respectable air. To many, especially doctors trained in conventional medicine, "alternative therapies" seem unscientific and dangerous” (Badertscher). As the author shows that although alternative medicine may seem skeptical to people, there are many reasons to prove that alternative medicine is an overall better solution. Badertscher also explains the many benefits to his view of alternative medicine of seeking to work with the body 's own natural healing processes” (Badertscher). For example, a person may suffer from chronic back pain may decide to go to a chiropractor instead of using medication such as oxycodone. In this Badertscher shows the benefit that using the body’s natural healing does and that it puts the person in control of their
Richardson, W., Sackett, D., Rosenberg, W., & Haynes, R. (1997). Evidence-based medicine: how to practice and teach EBM. London (UK): Churchill Livingstone.
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 .
Another doubt that many individuals have towards chiropractic care is that they do not think it is scientifically proven to benefit. “In recent years, qualified researchers on the faculty of chiropractic colleges have evaluated many of the profession’s popular techniques,” Magner continues, “So far, most published reports have concluded that whatever technique was considered had not been proven reliable, reproducible, and/or clinically significant” (Magner 92). Magner fails to see the benefits that most people receive from chiropractic care and that chiropractic is not a form of Western medicine. “It does not see itself simply as a deranged form of scientific medicine, but outside the theoretical structure of modern medicine altogether. It
Medical study is a combination of clinical experience and scientific research, which requires proof and evidence. These two components can help physiotherapists with diagnosis, provide treatments for patients and making clinical decision. However, what are the ways for individuals to testify the effectiveness of these methods and treatments? Is there scientific evidence proving the information is correct and up to date? How helpful and appropriate are these methods and treatments to the patients? Hence evidence-based practice is necessary. It has a strong impact in physiotherapy, to ensure researches are more focused and relevant to physiotherapists and as a guiding principle to practice and treatment of patients.