Initiating and implementing an evidence-based practice (EBP) in a large health care organization requires much more than a clinical observation. Which method of knowledge translation of research findings are used, organizations are duty bound to facilitate best practices that influence patient outcome (Grimshaw, et al., 2012). Archie Cochrane, the front runner of the EBP gave the “wooden spoon” award the poorest rating to the field of obstetrics as far as not using EBP to provide patient care. This award brought forth “The Cochrane Pregnancy and Childbirth database (Ting, 2014). As an up and coming DNP’s we must be aware of the steps to successfully implement change. The hospital that I conduct my maternal/child clinical is trying to achieve …show more content…
It was very interesting to watch how the team proceeded to change policy. First, the team explored the EBP implemented the option of KC to the healthy mother/infant dyad. Past practice was to place newborns in a thermoregulation warmer with prolonged separation from the mother. Using the Iowa Model of Evidenced-based practice (Schaffer, Sandau, & Diedrick, 2013), the research was gathered and reviewed to support the practice change. Planning meetings took place to overcome barriers, a review of resources, and a time-line was established. Newborn physiologic well-being and safety during KC, greater patient satisfaction, and minimal cost were evaluated. The Iowa Model of EBP combined with the organizations scorecard of Quality of Quality Care, Customer Service, Quality of Work-life and Finances proved that patient care satisfaction can be impacted with little organizational cost. This project was also great for the obstetric staff. It advanced the nurses’ knowledge of the uses of an EBP model to make a sustainable change in bedside practice by incorporating the use of
JHNEBP model focuses on best practices for nurses. The JHNEBP model summarizes the adoption of implementing evidence-based into to practice setting using three strategies: (a) identification of the practice question, using a team approach; (b) collection of the evidence, involving searching, critiquing, summarizing, determining the strength of evidence, and making recommendations based on evidence; and (c) translation of the evidence for use in practice to include determining the feasibility of adopting the change and creation an action plan for implementation (Schaffer, Sandau, & Diedrick, 2013). Newhouse, Dearholt, Poe, Pugh, and White (2009) have described the JHNEBP model as a problem-solving approach that is applicable in clinical decision making through the incorporation of the best scientific evidence to promote positive health care. White and Dudley-Brown (2012) explained the model designed by an interdisciplinary and collaborative team of nurse leaders to develop a practical model with the aim of enabling nurses to evaluate current evidence and apply the research finding into patient
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).
In this case I will discuss evidence based nursing problem which has a very big impact to the nurses which is evidence- based practices for safe patient handling and movement. Evidence-based practice is critically appraised and scientifically proven evidence for delivering quality health care to a specific population. This is very important because it will help me in reduction of injuries that are associated with patient handling. There are very many approaches that can be used or rather are used in patient handling. These includes manual patient lifting, classes in body mechanics, training in safe lifting techniques, and back belts. Amazingly there has been a strong evidence that this methods still they do not help in reducing nurses or caregiver’s injuries.
Over the last 10 years evidence-based practice (EBP) has grown substantially and is changing the nursing care delivered to patients along with the nursing work environment. Nurses are more involved in the decision making process, and are making clinical decisions with better patient outcomes (Good, Fink, Krugman, Oman, & Traditi, 2011). With technology growing at such a fast pace, new and more effective medicines, medical devices, and procedures are developed daily. Digestible sensors that monitor your bodily systems and 3D printing of embryonic stem cells, blood vessels, and sheets of cardiac tissue that actually beat like a real heart, are significantly impacting the future of healthcare (Honigman,
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
Counselors are very dependent on the research of others. Counselors are among many who are responsible for producing evidence based practice. Counselors have a responsibility to be eager and capable of locating and using evidence based interventions. Research reports are used to help summarize the findings of different types of research in the counseling profession. The results of a research report should summarize the findings of the research. According to Sheperis, Young, and Daniels 2010, “it should be easy for the reader to connect the findings with the stated research questions and to determine whether the finding support or refute your hypothesis” (p.239). The following are two challenges that the counseling profession is faced with when it comes to outcome research: (1) producing sufficient volumes of evidence and (2) being able to find, interpret, and use the evidence from previous research. These challenges place a limit on the variety of interventions that are available to the counseling profession. One intervention that works for one child, might not produce the same results for another child. So it is very important that research provides information that is useful and effective. The lack of studies makes it more challenging to determine whether or not an intervention is an effective solution that will improve a student’s behavior or academics. “Ultimately, regardless of how effective a counselor may be, if the problems are not properly measured and assessed, intervention is disadvantaged and treatment is comprised” (Sheperis, Young, & Daniels, 2010, p. 3). In order to best serve clients we have to complete comprehensive research and use the results to the advantage of the client.
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 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 in nursing is an important concept in which information is gained to increase the efficiency and effectiveness of nursing practice (Bjørk et al., 2013). One way in which research can be deciphered and utilized is through the application of research translation models. These models are frameworks for the development and application of evidence-based practice in various health-care settings (Polit & Beck, 2012). Numerous models are in existence and they all offer a variety of methods in which to translate topics of interest and issues into research-based evidence for the use in clinical practice (Polit & Beck, 2012). One such model is the Iowa model of evidence-based practice to promote quality
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).
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.
The Consensus on Evidence Based Practice The idea behind conforming to evidenced based practices is that research is the most likely tool to improve patient treatment outcomes. [2] Duly, care provider organizations are aligning policies and procedures with evidenced based practices to improve service quality. Public health advocates hope that this movement will standardize
These improvements are much dependent on the generation of findings i.e. collecting the findings and integrating them into practice (Braun and Clarke, 2013). It is widely accepted that the process of effective research activity, aligned and incorporated into the evidence-based practice, is the best way to ensure the quality provision of health care. While some nurses and midwives may choose not to conduct research, most of them will recognize the necessity of having the special skills to read reports from research work critically. It is therefore on this basis of understanding that decisions about change of
Until recently, practicing EBM was vague and few physicians had little skills to implementation of it, need time and effort to promote their own practice. Today, rising of new resources and technologies, EBM has become doable even for busy healthcare professionals for introducing evidence in to their practice. To get started:
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 .