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How evidence based practice is important in nursing
How evidence based practice is important in nursing
How evidence based practice is important in nursing
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In the nursing community it has been widely accepted that knowledge of Evidence- Bbased Ppractice (EBP) enables nurses to provide the most current and high quality care available to their patients, as well as, improve patient outcomes. EBP can be defined as a highly researched, tested, and reviewed way of practicing nursing; that takes into consideration the clinical expertise of the nurses, and patient preferences to offer the safest and best quality care possible. But despite remarkable evidence of its benefits to patient outcomes, many nurses are slow to incorporate EBP into clinical practice (White-Williams, et al., 2013, p.247). Why is this? And what are some of the factors that impact the use of EBP in clinical nursing? The answer to these questions are discussed by White-William, et al. in the article “Use, Knowledge, and Attitudes Toward Evidence-Based Practice Among Nursing Staff.” Specifically, how knowledge, attitudes, and practice of nurses at a large academic, Magnet designated medical center effect EBP. With this data, the researchers address the barriers of EBP and ways improving these factors can counteract apprehension to its use in a clinical setting. …show more content…
(White-Williams, et al., 2013, p.247) In the article “Use, Knowledge, and Attitudes Toward Evidence-Based Practice Among Nursing Staff”, the researchers use descriptive correlational analysis of the knowledge, attitudes, and use of EBP of the nurses that participated in the study. The article investigated these themes, as well as, examined whether increased education, awareness, and participation in EBP improved the probability of use during
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).
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.
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
Iowa Model of Evidence-Based Practice extensively has been used in nursing focusing on assessing, developing, implementing, and evaluating evidence based practice protocols or guidelines; however, there are many sources of knowledge rather than evidenced based knowledge e.g. clinical experience, patient experience, and local data or information. Varaei, Salsali, Cheraghi, Tehrani, & Heshmat (2013) used IOWA model to assess the effect of evidence based nursing education program on the knowledge, attitude, and practice of nurses who take care of patient with diabetes foot ulcer in Iran. After implementing the education intervention, the nurses’ performance in caring for patient with diabetes foot ulcer, nurses’ knowledge, and attitude improved. Using IOWA model, Haxton, Doering, Gingras, & Kelly (2012) implemented skin-to-skin contact immediately after birth for healthy term...
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
The implementation of evidence-based programs is generally quite new in the field of medicine, and it is even more recent in the social sciences field. One point of interest in the development towards evidence-based programs was the foundation of the Food and Drug Administration that is in charge of testing the security and safety of medicinal treatments (Leff, Conley, & Hennessey, 2006). Another point of interest was in the utilization of randomized control studies. It was in 1948 that the first study occurred – examining the adequacy of streptomycin in treating tuberculosis. By the 1960s the quantity of randomized control experiments reached into the hundreds, and in the last ten (10) years there are tens of thousands happening each day (Dodge, 2006). In the field of psychology, which does not have a legislative body inspecting the adequacy of treatments, it is the obligation of those in the field to examine effective and compelling programs. It truly was not until the 1990s that this concept started to expand. The Alcohol, Drug Abuse and Mental Health Reorganization Act of 1992 assisted with the creation of the Substance Abuse and Mental Health Services Administration (SAMHSA), whose part was to help in disseminating research and viable programs/services in regards to issue practices. In 1999, the American Psychological
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 practice is giving apt and effective care to patient based on integration of best evidence supporting the practice, clinical experience and patient’s preference (8). Studies has shown that health care workers are aware of the benefits of evidence bases practice such as ensuring quality and providing consistent care, practicing updated interventions or techniques and giving effective services but there is a mismatch in actual practice. This part of the paper will looked at barriers anticipated in adopting evidence based parctise among healthcare workers and will end with recommendations that could manage this problems.
Cullum, N. Ciliska D. and R. Haynes, Marks (2008;) Evidence – based Nursing: An Introduction.
In social work evidence based practice is considered to be a decision making process and practitioners rely on the evidence when working with clients. According to Aveyard and Sharp (2013), evidence based practice is not easy to put into practice and there are many barriers to evidence based practice such as lack of time, lack of awareness of research, lack of support and cooperation, and lack of authority and inadequate facilities (p. 145). Although there are challenges to implementing evidence base practice this is still a doable task in the field of social work. Therefore, practitioners need to explore the motivation, knowledge and skills needed by the individual, the organizational motivation, learning
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
Hi Kylee, thanks for you inputs and ideas. I like that you mentioned this, “First of all it gives a quick look into best practices as far as evidenced based practice goes. Second, I can read a literature review and decide if I need to look deeper into an article or if that article really does not pertain to my research study.” I agree with you because it is very important to understand the articles deeper, the key issues, the criticisms, the strength and weaknesses. Not only that, it is also important to know how they were applied and developed. Any why do we do literature review? To improve patient care-to deliver the best and safest way—EBP is proven effective, it works!
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.