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Nursing reflection on using evidence based practice
Nursing reflection on using evidence based practice
Nursing reflection on using evidence based practice
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Evidence-based practice (EBP) is an interdisciplinary approach to clinical practice that many organizations are being utilized. “The benefits of EBP, including greater cost effectiveness, and better patient safety, clinical outcomes, and patient and staff satisfaction are widely acknowledged” (Embedding a culture of evidence-based practice, page 14). In this paper, I will discuss how evidence-based practice is being utilized in the organization I work for, how nurses at the bedside are encouraged to participate in planning and implement evidence-based changes and what factors are available for nurses to use when implementing evidence-based practice. I will also discuss how nurses can suggest or help improve evidence-based practice and sustain a positive environment for EBP. The organization I work for is Kaiser Permanente. Evidence-based practice is focused on providing the best care to their members based on the highest level of knowledge derived from the systematic inquiry. Kaiser Permanente utilizes evidence-based practice by encouraging the nurses to participate in research to voice their ideas and help shape the future of nursing. The research provides the most objective means of determining how to deliver the best care to the nursing practice and deliver the best service. Since Kaiser encourages the nurses to participate, they developed nursing research program to enhance research and evidence-based nursing practices. I work in the Surgery department in the pre-operative and post-operative phase. One of the EBP that we use is intravenous antibiotic prophylaxis prior to surgeries. Studies have shown absolute decrease of infections and length of hospital stay. The timing of preoperative prophylaxis is crucial. “F... ... middle of paper ... ...s the tools to educate but putting the time to educate the nurses is important. For the workplace resistance, change is hard for some nurses especially the seasoned nurses. Sometimes nurses are intimidated with using technology. I can take the time to teach my peers on how to use and access information to EBP and feel less intimidated. In conclusion, EBP is an approach to clinical practice to help make decision about how to promote health or provide care by combining the best available evidence. Evidence-based practice are being utilized by many institutions and nurses are encouraged to participate in implementing the evidence-based changes. Nurses need to be vocal about implementing EBP because we are the patient advocates. In order to deliver the best patient care and outcomes safely, we need incorporate our nursing process with evidence-based practice.
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).
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.
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
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 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)
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).
Evidence-based practice (EBP) is a process, a clinical master tool, so to speak, used by the nurse who is focused on positive outcomes in patient care. Registered Nurses (RNs), that assume a leadership role, continuously assess their practice in order to find out what is working and what is lacking or in need of more information (Barry, 2014). The RN who uses EBP strives to prevent healthcare errors, critically thinking through processes and anticipating obstacles, methodically drawing upon clinical research and expertise, including their own knowledge and drawing upon the individual patient experience toward improving safety and quality care (Barry, 2014). This systematic approach sets the RN apart from others, who may otherwise be tempted to remain stuck in old ineffective routines, and allows the RN the unique opportunity to affect change, most importantly, change that is directed toward keeping patients safe and receiving the best quality care (Barry, 2014).
Evidence based practice (EBP) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based medicine means integrating individual clinical expertise with the best available external clinical evidence from systematic research" (Sackett et al, 1996). This definition takes into consideration the need to delve into the professional’s clinical knowledge (Burns, 2007) as well as looking into the best evidence to support the professional. Clinical practices may become out dated if new evidence is not sourced and professionals should be aware of appropriate evidence that can be integrated into their practice (Aveyard & Sharp, 2013). EBP is important
Quality of care and patient outcomes rely heavily on practice based on evidence found in systematic reviews of randomized-control trials. While administration often-times implements core measures that involve EBP in their regulations, it is ultimately the nurse’s responsibility to include EBP into their care of patients. Nurses have an obligation to include EBP into their care because “it leads to the highest quality of care and the best patient outcomes” (Melnyk & Overholt, 2015). The nurse leaders really have a responsibility here because it is their responsibility to stress the importance of EBP as well as reviewing research to determine the best possible findings to implement into their unit’s care. Careful monitoring must be performed to assure compliance because “despite the multitude of positive outcomes associated with EBP and the strong desire of clinicians to be the recipient of evidence-based care, an alarming number of healthcare providers do not consistently implement EBP” (Melnyk & Overholt, 2015). Often times, I find seasoned nurses act putout with anything that changes their methods of care. The important thing to remember is that seasoned nurses, while often-times set in their ways, are great nurses and presenting EBP findings and their success during implementation will keep them involved with EBP because they ultimately want to do what’s best
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
An evidence based practice committee is a committee within a health care facility that determines the best clinical practices by nurses using current research. These committees determine how policies, protocols, and procedures should be completed, in their specific facility, to have the best possible outcome for the patient.
A key characteristic of Advanced Practice Nurses (APN) is to develop and refine the ability to generate and synthesize research and use this information to influence positive changes to everyday nursing practice (Burns & Quatrara, 2013). APNs are well placed as clinical leaders to facilitate for frontline nurses the links between practice and research. Stevens (2013) reminds us that evidence-base practice can result in improved care, positive patient outcomes and enhanced nursing satisfaction. Nurses are professionally obligated to ensure that the best evidence supports their nursing work, with the end goal being the delivery of the best care
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 practice (EBP) is a key component in delivering cost-effective, high quality health care. [1] However, only around half of the care providers in the United States utilized EBPs. Additionally, nearly a quarter of services delivered to American consumers are unnecessary and potentially harmful. Today, educators are teaching and promoting evidenced based health care to future nursing professionals. The Institute of Medicine (IOM) supports this action as a means to achieve the objective that 90 percent of all medical treatments have a foundation in evidence based practices by the year 2020.