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An essay on why empiricism is better than rationalism
An essay on why empiricism is better than rationalism
Essays on evidence based practice
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Dr. Porter bolsters that evidence-based practice (EBP) should be the foundation for the four patterns of knowing. For Dr. Porter, empirics is the dominant mode of knowledge because the data is objective, measured, and replicated. I agree with his logic to an extent. Dr. Porter (2012) states the population is becoming educated consumers, therefore lacking trust in healthcare professionals. Since the advent of multiple medical sites and research articles populating on Google’s search engine, consumers can read the latest EBP guidelines and question why their provider’s approach is different from research. For example, my sister, Laura, asked me who she needs to direct her concerns regarding handwashing and foaming because she has noticed the
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).
According to ASHA Evidence Based Practice is the combination of clinical expertise opinion, data, and patient’s perspectives, with the goal of providing high-quality services (2013). The process of evidence-based practice consists of formulating a research question, collecting evidence, including views, and then evaluating the entire process. This project introduces the research topic I’ve chosen, which identifies a researchable problem, and formulates an answerable question that is relevant to nursing and evidence-based practice.
Iowa Model of Evidence-Based Practice extensively has been used in nursing focusing on assessing, developing, implementing, and evaluating evidence based practice protocols or guidelines; however, there are many sources of knowledge rather than evidenced based knowledge e.g. clinical experience, patient experience, and local data or information. Varaei, Salsali, Cheraghi, Tehrani, & Heshmat (2013) used IOWA model to assess the effect of evidence based nursing education program on the knowledge, attitude, and practice of nurses who take care of patient with diabetes foot ulcer in Iran. After implementing the education intervention, the nurses’ performance in caring for patient with diabetes foot ulcer, nurses’ knowledge, and attitude improved. Using IOWA model, Haxton, Doering, Gingras, & Kelly (2012) implemented skin-to-skin contact immediately after birth for healthy term...
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
Dimension1.2- “Clinical Effectiveness” takes part in better resource utilization; attempt to accomplish “more for less” through evidence based practice to improve the care. Providing effective and safe care is necessary in achieving the best clinical care outcome especially in an acute care hospital, and will help provide the best possible patient experience
According to the article, Empirically Supported Treatments are treatments that have medical evidence including high-quality research to show their work. Evident-Based Practice is research findings from a collection of data through observation and experiment, formulations of questions and testing of hypothesis. EBT applies the best available research result/evidence when making decisions about health care. The therapist employs the knowledge, cumulated experience, and clinical skills. According to the article, APA endorses multiple types of research evidence such as efficacy, effectiveness, cost-effectiveness, treatment utilization that contribute to effective psychological practice (APA, 2005).
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.
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 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.
In social work evidence based practice is considered to be a decision making process and practitioners rely on the evidence when working with clients. According to Aveyard and Sharp (2013), evidence based practice is not easy to put into practice and there are many barriers to evidence based practice such as lack of time, lack of awareness of research, lack of support and cooperation, and lack of authority and inadequate facilities (p. 145). Although there are challenges to implementing evidence base practice this is still a doable task in the field of social work. Therefore, practitioners need to explore the motivation, knowledge and skills needed by the individual, the organizational motivation, learning
Evidence-based practice is giving apt and effective care to patient based on integration of best evidence supporting the practice, clinical experience and patient’s preference (8). Studies has shown that health care workers are aware of the benefits of evidence bases practice such as ensuring quality and providing consistent care, practicing updated interventions or techniques and giving effective services but there is a mismatch in actual practice. This part of the paper will looked at barriers anticipated in adopting evidence based parctise among healthcare workers and will end with recommendations that could manage this problems.
One feature of evidence based practice is a problem-solving approach that draws on nurses’ experience to identify a problem or potential diagnosis. After a problem is identified, evidence based practice can be used to come up with interventions and possible risks involved with each intervention. Next, nurses will use the knowledge and theory to do clinical research and decide on the appropriate intervention. Lastly, evidence base practice allows the patients to have a voice in their own care. Each patient brings their own preferences and ideas on how their care should be handled and the expectations that they have (Fain, 2017, pg.
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.
This reflective essay will discuss three skills that I have leant and developed during my placement. The three skills that I will be discussing in this essay are bed-bath, observing a corpse being prepared for mortuary and putting canulla and taking it out. These skills will be discussed in this essay using (Gibb’s, 1988) model. I have chosen to use Gibb’s model because I find this model easier to use and understand to guide me through my reflection process. Moreover, this model will be useful in breaking the new skills that I have developed into a way that I can understand. This model will also enable me to turn my experiences into knowledge that I can refer to in the future when facing same or similar situations. Gibbs model seems to be straightforward compared to the other model which is why I have also chosen it. To abide by the code of conduct of Nursing and Midwifery Council (NMC) names of the real patients in this essay have been changed to respect the confidentiality.
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 .