Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
What is evidence based practice in the delivery of nursing care
What is evidence based practice in the delivery of nursing care
What is evidence based practice in the delivery of nursing care
Don’t take our word for it - see why 10 million students trust us with their essay needs.
According to APA (2005), "evidence-based practice in psychology (EBPP) is the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences."
The evidence based practice process has five steps as outlined by EBBP.org:
1. Ask important questions about the care of individuals, communities, or populations.
2. Acquire the best available evidence regarding the question.
3. Critically appraise the evidence for validity and applicability to the problem at hand.
4. Apply the evidence by engaging in collaborative health decision-making with the affected individual(s) and/or group(s). Appropriate decision-making integrates the context, values and preferences of the care recipient, as well as available resources, including professional expertise.
5. Assess the outcome and disseminate the results.
This approach was adapted into behavioral studies from the field of clinical medicine. The approach is supposed to serve an alternative to other forms of evidence such as opinion, advice, bias, fallacy, professional myth, or advocacy.
EBP is based upon and always implies ethical practice. I find APA Ethics Codes (APA, 2010) Principles 2.03 and 2.04 being directly related to complying with EBP approach: 2.03 Maintaining Competence: Psychologists undertake ongoing efforts to develop and maintain their competence. 2.04 Bases for Scientific and Professional Judgments: Psychologists’ work is based upon established scientific and professional knowledge of the discipline.
From the EBP perspective, both of this principles represent an ongoing professional commitment to reevaluating ones' best practices in light of new research and evidence, as opposed to blindly adhering to...
... middle of paper ...
...ing, communication in globally diverse teams may have research associated with them but need to be reviewed in the context of particular organization with its unique characteristics.
Works Cited
American Psychological Association. (2005). Policy Statement on Evidence-Based Practice in Psychology. Retrieved from http://www.apa.org/practice/guidelines/evidence-based-statement.aspx
American Psychological Association. (2010a). American Psychological Association ethical principles of psychologists and code of conduct. Retrieved from http://www.apa.org/ethics/code/index.aspx
Briner, R. & Rousseau, D. (2011). Evidence-Based I–O Psychology: Not There Yet. Industrial and Organizational Psychology, 4 , 3–22.
Spring, B. (2007). Evidence-Based Practice in Clinical Psychology: What It Is, Why It Matters; What You Need to Know. Journal of Clinical Psychology DOI 10.1002/jclp
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.
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).
Evidence based practice is the basis for needed change in practice and function. It is a sound method for scientific, fact-based change. Changes which have no evidence to support them are fragile, unscientific, and subjective. These changes don’t effect real change over time, as they aren’t able to be proven to a more general population.
Didactic EBP is a method of finding evidence and using it in practice: as Blaney (1986) states, it is used to assess health, plan, implement, and evaluate individualized care (p.182). Finotto et al. (2013) breaks EBP down into steps as follows: Formulate a research question; find the most relevant evidence; appraise evidence; integrate evidence with clinical experience and patient values to make practical decisions; and evaluate the outcome (p.460). Carrazzone (2009) and Moch et al.
American Psychological Association (APA). (2002). Ethical Principles of Psychologists and Code of Conduct. American Psychologist, 57, 1060-1073.
Having a positive approach helps psychologists clarify what they value, contemplate how they must behave, and decide what institutes suitable professional demeanor. The significance of positive ethics supports psychologists and allows them to reach their utmost ethical principles instead of violating the rules. The American Psychological Association are the top procedures to monitor to help stay within the ethical guidelines which has recently had revisions in the year two thousand two. There are a number of ethical codes to consider as a forensic psychologist cannot have the unawareness of particular psychological information, absence of specific preparation in forensic, presumptuous the lawyer will offer the expert with the essential legal ethical and professional evidence, assuming diverse jurisdictions are comparable in laws, how the laws are applied and failure to recognize the sole matters related with privacy and privileged communications for the work in the forensic
Within this essay, evidence based practice will be identified and the significant effect it has on the nursing profession, barriers will also be explored in the implementation of evidence based practice. Individuals need specific care tailored to them, it is vitally important to have the correct professional and appropriate personal care. In order to receive this, we need to get the patient involved in the decision process, listen to their views and opinions and receive the relevant, accurate, professional and medical information. Once all the information is collated, a personal care package can be put into practice. Evidence Based Nursing, An introduction (2008, p. 1).
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,
The concept of evidence based practice is an ongoing guide to the bettering of practice that also contains the dreaded word change. Even though change is not always looked at as a positive thing, it is a way in which professionals continue to grow. The reality is that EBP is a life long learning process in which managers, innovators, and leaders ensure their staff are continually aiming towards professional
Walshe,K. & Rundall,T. 2001, Evidence based management:From theory to practice in health care ,Milbank Quarterly, Vol.79, PP.429-457
Polit and Beck (2010 p. 4) describe the research process as “a systematic inquiry designed to develop trustworthy evidence about issues of importance to the nursing profession, including nursing, practice, education, administration and informatics”. With the use of research, nurses can update themselves with the knowledge and analytical skills necessary to facilitate the use of appropriate evidence in clinical decision making for effective health service delivery (Greenhalgn 2010). Clinical decisions should be supported by current, appropriate and robust evidence rather than invalid primary training or the interpretation of personal experiences (Thompson and Dowding 2002). Baker (2010 p. 6) defines EBP as “the conscientious, explicit and judicious use of theory-derived, research-based information to make decisions about care delivery to individuals or groups of patient, taking into consideration individual’s needs and preferences”. It offers the nurse with the skills and knowledge to assess best update health care literature and practice (Donald and Greenhalgh
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.
The APA founded in 1892 provides psychologists with a formalized set of ethical principles and standards for professional conduct
Ethical issues in a counseling practice lay the foundation of a therapist in practice. Ethics are at the center of how the counseling process functions and operates in a successful manner for the clients who seek help in such a setting. In order for the counseling profession to be ethical and hold professional recognition, there are many facets that need to be examined and outlined to make sure all counselors and practitioners are functioning at the highest level and withholding their duties required by the counseling profession. The first introduction so to speak of the area of ethics also happens to be one of the first steps in counseling, which is the informed consent. The informed consent provides the basis of what happens or will be happening in a counseling setting and serves to inform the client to their rights, responsibilities, and what to expect. Most importantly, the informed consent is in place for the client’s benefit. It also is important to understand that culture and environment play a role in the treatment of a client and how theories can positively or negatively impact this treatment. Therapists need to understand how to work within the context of a theory while being able to understand the individual in their own environment. Although theories are put into place to serve as a framework, there are also alternative ways to approach counseling, one example being evidence-based practice. Such an approach is very specific, which presents a series of solutions for counseling as a whole, but also brings forth many problems. Every approach or theory introduces ethical concerns that need to be taken into consideration by the entire counseling community and how each can positively and negatively affect clients and the pr...
American Psychiatric Association. (2010). Ethical principles of psychologists and code of conduct. American Psychological Association (APA), Retrieved from http://www.apa.org/ethics/code/index.aspx