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Impact of modern technology in nursing pdf
Evidence based nursing practice in clinical settings
The importance of evidence based practice to the nursing profession
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Running head: EVIDENCE BASE PRACTICE 1
Evidence Base Practice
Letha Bly
Chamberlain College of Nursing
NR-351: Transitions in Professional Nursing
July 2016
EVIDENCE BASE PRACTICE 2
Evidence Base Practice
Health Care Changes Rapidly, Over the next few years, the transformation from volume-based to value - based health care will be significant. Nurses use many forms of evidence to guide clinical practice , Including Nursing research. Over the past two decades , nurses have made great progress in increasing
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The U.S. Food and Drug Administration substantiated through a series of randomized clinical trials . Evidence - Base Practice has existed for decades , and yet it's routine use in the perioperative setting is lacking . Another reason that practice in the perioperative setting is changing rapidly is the pace at which technologies evolve , and EBP enables perioperative professional to look not at which technologies work . but also at what is most Cost- Effective. Health Care Organization are Joining together to provide excellent patient care using EBP . Evidence-Based Practice skills assist perioperative team members who may have to justify why they practice a certain way by providing the rationale for their care . For example if a surgeon does not want to cover his hair with a bouffant cap and asks the nurse to explain why , the nurse can reply " Because that is what our policy says" or the nurse can explain that there are several research articles demonstrating that hair can harbor bacteria that can be dispersed into the air when shed and that completely covering hair on the head and facial hair protects the patient from exposure to potentially pathogenic microorganism that can cause surgical site infection
Polit, D. F. & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott.
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...
LoBiondo-Wood, G., & Haber, J. (2014). Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice (8th ed.). St. Louis, MO: Elsevier, Inc.
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)
The 2010 Institute of Medicine (IOM) Report- The Future of Nursing described the role that nurses have in the current and future US health care environment (IOM, 2011). This report was completed at a time when the Affordable Care Act had been passed and a new emphasis was being put on interdisciplinary healthcare teams, care coordination, value-based payment systems, and preventative care (IOM, 2011). Nursing is the largest profession in health care and with an aging baby boomer populace, the expanded role of nurses will be critical in meeting the growing healthcare burdens (Sisko et al., 2014).
... Even after finding evidence-based practice that would prompt a change in the patients care plan, you may still have problems convincing professional colleagues and the management of your findings and putting them into place. Journal of Wound Care p. 11. Practitioners have a responsibility to ensure their practice is based on sound clinical evidence and that the care delivered is of a high quality.
EBP incorporates an organized search for the best up to date empirical research, with clinical expertise, to answer a focused clinical question concerning a patient or a quality improvement issue in the clinical environment. The focused question addresses the patient population, area of interest, comparison intervention or control group, and desired outcome (PICO). Using this question style saves the nurse time and will yield the best available relevant evidence.
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 occupational health and safety practice. Infection control: Hand washing. Are interventions to promote hand hygiene an effective measure in reducing hospital-acquired infections? One of the most significant current discussions in nursing evidence-based practice is the effectiveness of hand hygiene interventions in reducing hospital-acquired infections. Much debate continues into the uncertainty that exists between the correlation of interventions and increased hand hygiene practices.
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
For nursing, research has played a major role in the way clinical practice is done. Research has allowed nurses to provide appropriate care to patients. It allows them to perform their job by providing them the tools and information they need in order to make the decisions on the concerns for caring the patient (Polit & Beck, 2006). Moreover, research can also take focus on the workers themselves in order to improve the practice both on a professional and personal level. An example of a study conducted by King, Vidourek, and Schweibert of University of Cincinnati created a study to determine if there is a correlation between ...
O'Brien, D. (2009). Randomized controlled trials (RCTs). In R. Mullner (Ed.), Encyclopedia of health services research. (pp. 1017-1021). Thousand Oaks, CA: SAGE Publications, Inc. doi: http://dx.doi.org.proxy1.ncu.edu/10.4135/9781412971942
Nurse practitioners’, as primary care providers base their practice on innovations and evidence to provide cost-effective health care services, which in turn can bring improved patient outcomes (Vincent, Hastings-Tolsma, Gephart, & Alfonzo, 2015). Through EBP, NPs can contribute to the transformation and improvement of health care. As a future nurse practitioner, I believe it is my duty to deliver my patients high quality care, while incorporating the best evidence into the clinician-patient decision making process. Also EBP will help me to keep my body of knowledge up to date and enhance clinical judgment. An example for EBP used in my practice is the Deep Vein Thrombosis (DVT) prophylaxis for post-operative patients. In our hospital, we follow a DVT prevention protocol, which includes application of sequential compression devices and TED stockings in the pre-operative area; early ambulation within first eight hours of surgery and initiation of low molecular anticoagulation therapy for high risk patients. All these measures have proven to reduce the risk of DVT in post-surgical
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...