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The significance of applying evidencebased practice to nursing care
The significance of applying evidencebased practice to nursing care
The significance of applying evidencebased practice to nursing care
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Evidenced-based practice is an extremely important function in the role as a registered nurse. In my preceptor rotation I have seen evidence-based practice demonstrated both effectively and ineffectively on the floor. In all instances when evidence- based practice was demonstrated effectively the patients were more comfortable post operatively and had must better outcomes.
On a floor such as Orthopedics, pain management is a top nursing priority and intervention for almost all of your patients. Many of these patients can experience extreme discomfort if their pain is not managed effectively. Placing this kind of the stress on the body can alter the function of other organs and slow the patient’s recovery. I have seen evidence-based practice
demonstrated effectively when regarding pain management. During my rotation the nurses on the floor consistently give pain medication on schedule to ensure they are staying ahead of the patient’s pain. In addition, they re-evaluate pain management interventions thirty minutes after administering a pain medication in order to ensure their interventions have been effective. This unit protocol ensures patient comfort and better outcomes for your patient during their stay. Unfortunately, I have witnessed ineffective evidence- based practice in regards to voiding after catheter removal. In more than one instance I have witness patients being sent home with inaccurate documentation of voiding post catheter removal. In many instances this was a result of patients not adhering to the request to void in a urinal or hat and let the nurse know. As well, physicians consistently put discharge orders in before documentation of a void was ever reported. Urinary retention can lead to UTI’s and bladder infections. I belief that more emphasis should be placed on this protocol to decrease the instances of urinary tract infections related to urinary catheters. My time on the floor has allowed me to witness the use of evidence-based practice in a variety of ways. These experiences have shaped my own ideals in terms of what you should do as a nurse in order to ensure your patient the best possible outcome. Evidence-based practice is going to be an important function post-graduation and throughout your entire career as a nurse.
The Johns Hopkins Nursing Evidence-Based Practice Model provides nurses with a system to formulate a practice question, appraise both research and non-research evidence, and to develop recommendations for practice (Dearholt & Dang, 2012). This model guides nurses through the evidence-based research process with ease and minimal difficulty using a problem solving approach.
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
Counselors are very dependent on the research of others. Counselors are among many who are responsible for producing evidence based practice. Counselors have a responsibility to be eager and capable of locating and using evidence based interventions. Research reports are used to help summarize the findings of different types of research in the counseling profession. The results of a research report should summarize the findings of the research. According to Sheperis, Young, and Daniels 2010, “it should be easy for the reader to connect the findings with the stated research questions and to determine whether the finding support or refute your hypothesis” (p.239). The following are two challenges that the counseling profession is faced with when it comes to outcome research: (1) producing sufficient volumes of evidence and (2) being able to find, interpret, and use the evidence from previous research. These challenges place a limit on the variety of interventions that are available to the counseling profession. One intervention that works for one child, might not produce the same results for another child. So it is very important that research provides information that is useful and effective. The lack of studies makes it more challenging to determine whether or not an intervention is an effective solution that will improve a student’s behavior or academics. “Ultimately, regardless of how effective a counselor may be, if the problems are not properly measured and assessed, intervention is disadvantaged and treatment is comprised” (Sheperis, Young, & Daniels, 2010, p. 3). In order to best serve clients we have to complete comprehensive research and use the results to the advantage of the client.
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
Nursing research is a systematic enquiry that seeks to add new nursing knowledge to benefit patients, families and communities. It encompasses all aspects of health that are of interest to nursing, including promotion of health, prevention of illness, care of people of all ages during illness and recovery (or) towards a peaceful and dignified death (ICN 2009)
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).
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,
Evidenced-based practice (EBP) is utilized by nursing professionals all over the world to implement change in their current nursing practice. An advantage of implementing EBP results in a higher level of care that ultimately leads to improved patient outcomes. EBP combines the latest research evidence that is readily accessible to healthcare providers (Prior, Wilkinson & Neville, 2010). There are several benefits of EBP in the healthcare setting; EBP increases nurse’s critical thinking and decision making, confidence level, ability to adapt to change as they have to constantly evaluate the various researches that would support and be beneficial in their practice (Hanberg & Brown, 2006).
This paper aimed to critically analyse why nursing care of patients depends upon evidence base research and is less dependent on ‘opinion’ and ‘ritual base’. It explores health care professionals in the field of health in order to define and aspect of the emergency and purpose of evidence-based nursing care provision. It also explains the importance of evidence-based practice in the provision of quality nursing care for patients and carers. Furthermore, the comparisons grew due to increasing healthcare treatment and expenditures. Use of evidence- based nursing is preferred over rituals or opinions in order to provide the best quality treatment (Stevens, 2013). On the other hand, procedures that were designed in the past and has been
This essay aims to demonstrate an understanding of the research process and use of evidence in nursing practice. The research article by Rostami et al. (2014) titled “Supporting adolescents with type 1 diabetes mellitus: A qualitative study” will critically examine using the Critical Appraisal Skills Program (CASP) tool. With the guide of this tool, the chosen study will be assessed in terms of strengths and limitations, the validity and reliability of its findings as well as established an insight of the research method and its relevance to nursing practice.
In the article, Promoting Evidence-Based Practice Through A Research Training Program For Point Of Care Clinicians, the authors state that evidence based practice is, “a problem-solving approach to clinical care that incorporates the conscious use of current best practice from well-designed studies, clinician’s expertise, and patient values and preferences” (Black, Balneaves, Garossino, Puyat, Qian, 2015, p.14). The nursing student should use evidence-based practice in order to make decisions about the patient's care plan. Using evidence-based practice while deciding how to appropriately care for a patient will ensure that the nursing student is using the most effective and current techniques. The nursing student should also use this standard to guarantee that they are providing the best care possible while still honoring the patient’s values and
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).
The importance of Evidence-Based Practice is to ensure the best possible care is provided for patients. Evidence-Based Practice functions by measuring the effectiveness of a treatment and differentiating findings between high-quality and low-quality. It also helps with health development and improves the reliability and facilitates students to become reflecti...
Evidence-based practice is defined as “making decisions through the conscientious, explicit and judicious use of the best available evidence from multiple sources by asking, acquiring, appraising, aggregating, applying and assessing to increase the likelihood of a favorable outcome.” (CEBMA.) The definition implies the use of critical thinking and best available information, facts or data supporting a claim, assumption or hypothesis.