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Evidence based practice and applied nursing research wgu
The importance of evidence based practice in nursing
Evidence based practice and applied nursing research wgu
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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 …show more content…
Some nurses may not be aware there is a new way to do something, they may not understand why the newer way is better, or they may not allocate time to learn new skills or information. Nurses may not have access to the latest information or their superiors may not support implementing changes to care (Barria, 2014, p. 192). Upton et al. (2014) identifies multiple barriers to utilizing evidence in nursing: nurses with less education were less likely to understand or seek out research, but nurses with less experience such as recent graduated were more likely to use current evidence based practice (p. 50). All these reasons evidence based practice is not used reflect a lack of understanding from the nurse and administrators about the benefits of research. These barriers seem simple to overcome if administrators enforce policies that reflect evidence based research and make themselves available to educate and answer questions from nurses. "Providing the rationale is far more likely to result in compliance with the request than citing a policy that may be interpreted by personnel as arbitrary," according to Spruce (2015, p. 108). Ultimately, it is the responsibility of the nurse and the administration to ensure the care given abides by the most recent
Burns, N., & Grove, S. K. (2011). Understanding nursing research: building an evidence-based practice (5th ed.). Maryland Heights, MO: Elsevier/Saunders
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.
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
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
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
Cullum, N. Ciliska D. and R. Haynes, Marks (2008;) Evidence – based Nursing: An Introduction.
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.
Policies and procedures in nursing practice are important for nurses to perform and to deliver quality of care and patient safety. Policies and procedures help nurses to prevent errors and carry out procedures safely to the patients. It also brings uniformity in following organizational guidelines. Policies and procedures are designed to influence and determine major decisions and actions, and activities that take place within the boundaries set by them. Procedures are the specific methods employed to express policies in action in day to day operations. Policies and procedures are made for the users easily understandable, well organized, and easily accessible (Policies and procedures - Definition, 2012). Nowadays, most hospitals and clinics maintain their nursing policies and procedure manuals on campus intranet/public drives and also on the units. This writer as a nurse leader has access to use these resources. Evidence based policy has been defined as an approach that “helps people make well informed decisions about policies, programs and projects by putting the best available evidence from research at the heart of policy development and implementation”(Davies, 1999). This nurse leader’s facility utilizes policies that evidence based and retrieved from best available resources.
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.
For the better outcome of patients, consultation from an expert and experienced a professional is not new. Florence Nightingale started the concept of Evidence-Based Practices by publishing her work “Notes on Nursing” in 1860, which was based on cleanliness, nutrition, and fresh air. After that, thousands of researches provided the direction and trend to nurses and health care organizations to use “Evidence” in their clinical practices to provide the standard care to patients. American Nurses Association stress on the utilization of Evidence Based practices in “code of Ethics” and “scope and Standards of Practice”(Peterson, H, M, 2014).
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 .