Evidence based practice (EBP) is the utilisation of best available, contemporary research in the management of individual patient care (Sackett et al. 2000). Combined with the personal experience of the healthcare professional, EBP facilitates problem-solving that takes patient preferences and values into account (Melnyk and Fineout-Overholt 2005). The approach respects the patient as an individual and as a partner in the planning and receiving of care. EBP aims to reduce the use of ineffective healthcare interventions and encourage clinical decision-making that is based on modern credible evidence (Stevens 2013). Concisely, it aspires to achieve best outcomes for patients hence increasing the standard of care nurses provide to their patients.
EBP is a value that underpins nursing practice in Ireland (An Bord Altranais 2000). Furthermore EBP is an essential component of modern nurse education and student nurses are required to display safe clinical skills that are founded on evidence to achieve their qualification (An Bord Altranais 2005). An example of the utilisation of EBP in the clinical setting, is the obtaining of pH aspirates from a nasogastric tube to confirm tube position prior to feeding or the administration of medication. Through verifying gastric placement, the nurse can start the feed safely knowing the tube is not positioned in the respiratory tract or oesophagus reducing the risk of aspiration and possible pneumonia. In this example safe practice is determined by evidence.
The paper selected was Karlsson, Arman and Wikblad’s (2008) Swedish research paper published in the International Journal of Nursing Studies. The paper followed the research process and employed a qualitative phenomenological paradigm that explo...
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...s (2014) interpretive phenomenological study concurred with the original sample’s confidence in their peers’ ability to cope. This study utilised a sample group that was similar in age profile, gender composition and disparities in glycaemic control to the original study’s sample; to explore the impact of social environments on self-management issues. Furthermore they agreed that supportive peers facilitated self-management activities. Conversely teenagers in Spencer, Cooper and Milton’s (2014) investigation outlined experiences where their diabetes caused them to feel different from their peers. Unwanted attention due to independent care practices and administration of injections were two examples of how the teenagers felt different. Interestingly these examples came from the school environment which was not explored in Karlsson, Arman and Wikblad’s (2008) text.
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).
Catheter Acquired Urinary Tract Infections (CAUTIs) has become to be classified as one among the leading infections which most individuals end up being susceptible to acquire while at the hospital. Healthcare-associated or acquired infections (HAIs) are a significant cause of illness, death, and more often than not, have resulted to cost the tax payers potentially high medical expenses in most health care settings. ("Agency for Healthcare Research and Quality," para. 1) Due to this, 1 out of every 20 patients will end up with CAUTI within the US hospitals and this has caused Agency for healthcare research and quality (AHRQ) to embark on nationwide plans to help in the eradication and control of CAUTI incidences. ("Agency
“Evidence-based practice is the integration of best research evidence with clinical expertise and patient values” (ASHA). Staff of ASHA embarked upon the new idea of Evidence-Based Practice (EBP) in 2005. The goal of EBP is the integration of: clinical expertise/expert opinion, external scientific evidence, and client/patient/caregiver perspective to provide high-quality services reflecting the interests, values, needs, and choices of the individuals we serve (ASHA). The four steps of EBP include: framing the clinical question, finding the evidence to suppose the question, assessing the evidence, and making the clinical decision. Researchers have studied the status of current implementation of EBP in the field, challenges to implement EBP, the debate of adopting EBP framework in our field, and the use of EBP in SLP practice and EBP knowledge.
230) in EBP. Clinical opinion, together with the best relevant research evidence, provides the framework to for the best patient outcome. The nurse’s clinical opinion is acquired through knowledge and skills developed from undergraduate, graduate, or continuing education, clinical experience, and clinical practice (Melnyk & Fineout-Overholt, 2010). Clinical opinion also includes internal evidence, which is generated within a clinical setting from quality improvement outcomes, management initiatives or EBP implementation projects (Melnyk & Fineout-Overholt, 2010). Nurses use their clinical opinion when they identify each patient’s condition, individual risks, personal values and expectations, benefits of possible interventions, and gather evidence for EBP. When searching for the best available evidence, there is a hierarchy in the strength of evidence. The highest level of evidence usually comes from a systematic review or an evidence-based clinical practice guideline based on a systematic review. Systematic reviews provide the strongest evidence through a summary combining the results from many relevant, unbiased studies, to answer a particular clinical question. Nurses critically assess the individual studies, to gather the best evidence available for patient care. Systematic
This paper aimed to critically analyse why nursing care of patients depends upon evidence base research and is less dependent on ‘opinion’ and ‘ritual base’. It explores health care professionals in the field of health in order to define and aspect of the emergency and purpose of evidence-based nursing care provision. It also explains the importance of evidence-based practice in the provision of quality nursing care for patients and carers. Furthermore, the comparisons grew due to increasing healthcare treatment and expenditures. Use of evidence- based nursing is preferred over rituals or opinions in order to provide the best quality treatment (Stevens, 2013). On the other hand, procedures that were designed in the past and has been
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.
Nursing research is a systematic enquiry that seeks to add new nursing knowledge to benefit patients, families and communities. It encompasses all aspects of health that are of interest to nursing, including promotion of health, prevention of illness, care of people of all ages during illness and recovery (or) towards a peaceful and dignified death (ICN 2009)
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
From ancestral times to present, healer’s dedicated their life’s passion to exercise experienced medical techniques to improve a patient’s quality of life. As many techniques are passed from generation-to-generation they continue to evolve as research philosophers discover improved ways to enhance patient care through evidence-based practices (EBP). EBP has emerged through the years as an effective strategy to improve the quality clinical experience, implement best-researched practices, and tailor to patient values and preferences. The impact of EBP has echoed across the united states, as well as many countries, in transforming health care facilities by redesigning effective, safe, and efficient platforms. However, there has been much hardship for nurses to incorporate EBP into their daily nursing process. This paper will discus the common barriers nurses encounter when implementing evidence-based practices into the nursing process, and the effective workshop programs management has placed to overcome those barriers.
The Johns Hopkins Nursing Evidence-Based Practice Model provides nurses with a system to formulate a practice question, appraise both research and non-research evidence, and to develop recommendations for practice (Dearholt & Dang, 2012). This model guides nurses through the evidence-based research process with ease and minimal difficulty using a problem solving approach.
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 which is a problem solving approach in the way that health care professionals deliver care is based on studies and patient care data with clinician expertise and patient preferences and values. It provides scientific approach that helps nurses to deliver quality care to a particular population. Evidence based practice has earned energy in nursing. It provides possibilities to more individualized nursing care. It also offers opportunities for nursing care to enlarge his dynamist and make the best use of clinical judgment. Evidence-based practice is an important method that nurses can use to provide an excellent care to patients and their relatives. Research has shown that nurses that treat their patients by using evidence based practice method tend to provide a better care than nurses that don’t. Evidence based practice includes a methodology approach for the most significant evidence to come with clinical solution. . It gives the nurse method to approach patient in the way of focusing on the health issues and the well-being. Evidence based practice method helps nurses to provide a better care that ensure patient’s safety and monitor effectiveness. When patient care is not adequately provided with applied evidence it may cause physical and emotional harm not only to the patient but also to the all family and relatives. When people are sick they are most of the time hopeless and depend on those with the best expertise to advocate for the best delivery of care for them. Evidence based practice method enable nurses to fulfil their role and meet their job criteria by improving their knowledge and skills for better outcomes. It has a lot of advantages for the patient. For example it reduces the amount of time was...
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 .
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...