REFLECTIVE JOURNAL Our group decided to do on ‘knee- length compression stocking has more benefits than thigh length compression stocking’. Before I start my evidence- based practice (EBP) assignment, I feel lost and worry because I have no confidence in my writing which will affect my assignment. I also think this module is difficult and troublesome because I could not understand what I need to do in writing assignment.
When I started my EBP, I feel angry and annoyed because we had changed our topic for a few times before finally settle down with this topic. When we step into searching of evidence, I am so frustrated because I could not find appropriate evidence to support our topic. Even if we found journal that is suitable, it was more
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I feel happy because we finally come out with a new topic from the article we found. I had done well in analyzing and summarizing the articles in order to apply in my topic. However, I need to improve in finding an appropriate topic and searching for articles. In order to find an appropriate topic, I need to be more alert and vigilant on current issue happening in clinical setting by reading more news or article regarding clinical issue. In searching evidence, I need to recall those searching techniques taught in Year 1 and apply it. Not only that, I also need to have more initiatives in reading articles to find appropriate evidences.
From this module, I learnt that EBP is very important in clinical practice in order to deliver best care to patient and this make me appreciate this module. I know the steps in implementing EBP. The steps are assess the need for change, link problem intervention and outcomes, synthesize best evidence, design practice change, implement and evaluate change in practice and lastly integrate and maintain change in practice. In addition, I also know I can find evidence from Cochrane, Joanna Briggs Institute, MEDLINE, Science Direct and CINAHL, which I had never use before. From JBI Critical Appraisal Checklist, I know systematic review of randomized controlled
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.
Evidence-Based Practice is a methodology, framework, gathering of ideas or concepts, adopted principles and strategies supported by research (Fixsen et al.,
152). EBP has inspired nurses to acknowledge the significance of theory and research and utilize it to their area of practice. Through strong educational foundation and advanced practice, APN is able to comprehend the relationship between research, theory and EBP and utilize it in providing quality care to patients. Best research evidence is indispensable, as nurses nowadays use pragmatic evidence in practice and not just previous experiences or beliefs (Chinn, & Kramer, 2011). Evidence based practice has been proven to upgrade patient outcomes, reduce health care expenses, and cause increased patient and provider satisfaction. By using evidence-based care and theories, patients are given proper assessment and treatment without wasting valuable money and supplies on testing and procedures that are not
Evidence-Based Practice (EBP) can be defined in two ways. Sackett (1996) explains about evidence based medicine (EBM) and that by using the best clinical expertise alongside the best available external clinical evidence from systematic research then the patient would receive the best treatment available. Although one issue with this approach is that the only point that the patient is involved is when the decision has already been reached. The author feels that on occasions the final decision may not be the best one. An alternative approach comes from Gray (2001) who discusses that using the best evidence available, in consultation with the patient would aid both parties in deciding the best option which will suit the patient. As a patient in the past the author knows which approach has been taken when discus...
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.
The process of EBP has several models with common elements that start from uncertainty in the clinical setting, and lead to making an informed decision by assessing and implementing the latest research evidence into practice (Stevens, 2013). Melnyk and Fineout-Overholt (2010) define the seven step process of EBP as:
Walshe,K. & Rundall,T. 2001, Evidence based management:From theory to practice in health care ,Milbank Quarterly, Vol.79, PP.429-457
Examine the ways that health professionals can use five steps of evidence based practice (EBP) as a practical framework to overcoming barriers to locating, appraising, and applying the best research evidence to an occupational health and safety practice.
In high school, I distinctly remember the week or so that my AP Biology class spend discussing ethics in science. The liveliest debate that grew out of these classes was about a topic that is so controversial it seemed to cause even the quietest students to take a strong stance on one side or the other. This topic was euthanasia. Whether we were talking about taking a patient off life support or about physician assisted suicide, it was clear that each member of the class had very distinct views on this topic. Throughout the nation and around the world, people continue to have very distinct views on euthanasia. When making decisions on this topic, religious officials rely on long standing Christian beliefs and moral values. The Roman Catholic Church’s stance on euthanasia can be traced far back to the teachings of Augustine and Thomas Aquinas, and has continued to develop throughout history. In this essay I will argue that the Roman Catholic Church’s strong opposition to euthanasia is based on the ideas of many influential historical figures and has had an impact throughout the world.
Richardson, W., Sackett, D., Rosenberg, W., & Haynes, R. (1997). Evidence-based medicine: how to practice and teach EBM. London (UK): Churchill Livingstone.
With so much knowledge readily accessible in this internet age there is no reason why patients should not benefit from the many excellent scientific studies available. Using EBP is the best way to bring knowledge into active use, thus improving the treatment outcome of
Evidence Based Practice (EBP) builds from critical thinking as it is a concept that utilizes the best available ideas with experience. Raines (2004, p. 71-85) and the University of Minnesota (cited in http://hsl.lib.umn.edu/learn/ebp/mod01/index.html) further states EBP can be broken down into five steps;
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...