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Benefits of evidence based practice in nursing
Benefits of evidence based practice in nursing
Benefits of evidence based practice in nursing
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Evidence based practice is the combination of clinical expertise, patients expectations and values, and best research evidence into the process of clinical decision making for the purpose of patient care and welfare. Clinical expertise refers to the experience, skills and education of the clinicians. Patient expresses his or her own personal values, expectations, preferences and individual concerns. And best research evidence is often found through the clinical based research which has been conducted using proper methodology. (Isenburg and Handler, 2016)
Evidence based practice de-emphasizes instinct, unsystematic clinical experience, and pathophysiologic justification as adequate reason for clinical decision making and burdens the examination
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(Jette et al., 2003)
Evidence-based practice (EBP) is the scrupulous and wise utilization of current best evidence human services choices. Best evidence incorporates experimental confirmation from randomized controlled trials; proof from other investigative techniques, for example, illustrative and subjective exploration; and in addition utilization of data from case reports, exploratory standards, and master supposition. (Titler, 2008)
In my opinion, evidence based practice is very essential for the purpose of practice development by promoting research and studies to gather the relevant evidences.
Importance of evidence based practice:
• Evidence based practice is necessary to enhance change in health education.
• It emphasizes the practice relevant research to find out powerful and meaningful evidences.
• It stimulates the closer working relationships between health personnel and researchers.
• Evidence based practice helps the nurses to provide person-centered care which is more effective and dynamic.
• It helps to bring up the best new practice rather than following the existing
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(Sackett and Rosenberg, 2016)
Research is one of the important sources that help in making clinical decisions.
Research is a systematic method which is used in other to answer the certain questions or solve problems that leads to the development and expansion of knowledge. Clinical nursing research is designed to determine reliable evidence about issues relating to the nursing profession including education, practice, service, and administration. Due to the importance of evidence based practice in nursing practice development, research has become valuable source in nursing practice. (Polit and Beck, 2016)
Nursing and medical practice is ongoing change and developing process due to impact of evidence based practice.
Example of evidence based practice: “Kangaroo care”
Kangaroo care refers to the holding of neonatal skin to skin and chest to chest by parent. It is now-a-days so common in neonatal intensive care units (NICUs). This is a new trend arouse through the trustworthy evidence. In early 1990s, this was rarely followed but later on the fact was accumulated that there is no any negative effect of the care instead it is the life saving phenomenon. The adaptation of this practice proves that the reliable evidence enhances the practice development. (Polit and Beck,
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.
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.
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. (2010) argue that didactic components with EBP integrated into the education are believed to be beneficial to studen...
A nurse is required to be responsible and accountable, updating their knowledge and skills continually by using professional development (NMC, 2008). This requires an understanding and awareness of what Evidence Based Practice (EBP) is. Nurses make decisions about their practice using EBP. Ways in which this can be utilized in the improvement of knowledge and practice is, for example; using established sources of evidence. (Marquis et al, 2012). Nursing practice uses a range of approaches to improve and develop patient care so as a nurse the skill of evaluating sources of evidence is necessary to do this effectively. Evidence is gathered through research. EBP consists of research, data collection and nursing research. When searching for evidence to improve your practice the range of information available is vast. A distinction must be made between evidence that is reliable under scrutiny and evidence which is unreliable. Fitzpatrick (2007) asserts that, to understand evidence based practice is to understand where to look and what credible sources of evidence are. Sources that are credible include information published by a government body or academic institution. Fitzpatrick (2007) recommends identifying key aspects of information of the source to ascertain its credibility, for example; who is the author and where did the research come from? Is the article true or false and how long has it been there? (Fitzpatrick, 2007). A journal article is scrutinised by peers and editors and publishers, whereas in contrast a piece of information on a general website could be published by any person and make any claim and may not pass scrutiny under a peer review. Databases like EBSCO for example have articles that are peer reviewed.
Evidence-Based Practice is a methodology, framework, gathering of ideas or concepts, adopted principles and strategies supported by research (Fixsen et al.,
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
Research based practice is arguably the hallmark of professional nursing and is essential for high quality clinical and cost effective nursing care (ICN 2009)
“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 ...
Research is a pivotal tool necessary in order to expand knowledge. It provides the basis of evidence that leads to discoveries. This is especially crucial in nursing and health care. Nursing research allows nurses to further understand illness, prevention of disease, and effective ways to provide optimal health care (National Institute of Nursing Research, 2003).
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
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.
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 .
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...