Evidence based practice (EBP) is a systematic approach that integrates the best currently available evidence, along with clinical expertise and each individual’s preference to make clinical decision, in order to deliver the most optimal care to patients (Baigis & Hughes, 2001). EBP in nursing refers to the adaptation of the latest best nursing research findings with nurses’ clinical experience and the value and preference of patients, families and communities to make the patient care better (The Honor Society of Nursing, 2005).
The contribution of clinical trial nurses in promoting EBP in nursing can be traced back to the nineteenth century. During the Crimean War in 1850s, the rates of fatality and morbidity of English soldiers were high. A nurse, Florence Nightingale, collected clinical data and analyzed it. She found that with an improved sanitary method, the death rate would drop (Audain, 2009). She improved the hygiene in the military hospital, and the death rate significantly fell from 42% at her arrival to 2% six months later (Bloy, 2009). However, evidence based nursing practice was not prevailed after Nightingale’s work. Many studies were focused in nursing education (Polit & Beck, 2004). The EBP in nursing was noticed by nurses again in 1970s. Since then more and more nurses learned how to do the research, and became nurse researchers. Some nurses’ research findings modified healthcare professionals practice. For instance, in 1980s, a nursing study developed a model of site transitional care. The intention of the model was to reduce the cost and provide follow up services to the very low birth weight infants after they were discharge to home from hospital. Because the model was very effective, it has been put to use fo...
... middle of paper ...
...F., & Beck, Cheryl Tatano (2004). Nursing research: Principle and
methods (7th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Profetto-Mcgrah, Joanne (2005). Critical thinking and evidence-based practice.
Journal of Professional Nursing, 2, 364–371. Retrieved February, 21, 2010, from PunMed database.
The Honor Society of Nursing. (2005). Evidence Based Nursing Position Statement.
Retrieved February 24, 2010, from
http://www.nursingsociety.org/aboutus/PositionPapers/Pages/EBN_positionpaper.aspx
Wikipedia, the free encyclopedia. (2010). ScienceDirect. Retrieved February, 24, 2010, from
http://en.wikipedia.org
Williams, B. (2004). Creating cohesion between the discipline and practice of nursing
using problem based learning. International Journal of Nursing Education
Scholarship, 1, 1–15. Retrieved February, 21, 2010, from PubMed database
Evidence-based practice (EBP) entails the use of explicit, reliable, and judicious evidence to make effective decisions about the care of patients. This DNP student will introduce EBP with the IOWA model. The IOWA model applies to this DNP proposal. The IOWA model is an EBP applicable in healthcare setting and implemented to show the applicability of evidence in nursing to give the best outcome. Doody and Doody (2011) noted that the IOWA model focuses on problem-focused triggers and knowledge in undertaking quality improvement study. The steps involved include topic selection, team formation, evidence retrieval, grading evidence, developing an EBP evidence, implementation of EBP, and evaluation of the progress. These steps apply to this DNP proposal, showing best practices, guidelines, procedures, and policies
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
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...
The concept of evidence based practice is an ongoing guide to the bettering of practice that also contains the dreaded word change. Even though change is not always looked at as a positive thing, it is a way in which professionals continue to grow. The reality is that EBP is a life long learning process in which managers, innovators, and leaders ensure their staff are continually aiming towards professional
Research is a systematic process that ultimately leads to the development of new knowledge and solutions to problems or questions (Adams, 2012). Evidence-based practice is the use of the best scientific evidence available to support clinical decisions when caring for individuals or groups of patients (Santos, Pimenta, & Nobre, 2007). The connection between research and evidence-based practice is derived from the fact that nurses use solutions found in research to validate and refine existing nursing knowledge. As a result, nursing practice is impacted. (Adams, 2012). In addition, the goal for conducting nursing research is not only to improve patient outcomes, but also to provide credibility to the nursing profession through evidence-based practice (Adams, 2012). Therefore, research provides the foundation for the develo...
In the profession of nursing, evidence-based practice skills are used to help patients’ return to their normal state of being before illness or injury. New skills and knowledge that is brought to patient care by the nurse should be researched and supported by evidence – based practice.
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 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
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.
The steps in the nursing process relate to evidence based practice in many ways. During the diagnostic, and assessment steps of the nursing process important clinical questions are considered and the critical review of existing knowledge is completed. Evidence based practice also begins with identification of the problem and knowing the clinical problem by asking questions, in relation to the nursing process. These clinical questions are asked in a concise, accurate, and organized way which allows for clear answers. Once all the specific questions are identified, the second step is to search for evidence by an extensive research of the best information to answer the question. The third step in the nursing process is to develop a plan of care. In evidence-based nursing practice, the plan of care is established upon completion of a critical research of what is known and not known about the specific problem. Next in the traditional nursing process, the nurse implemen...
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 vitality important that the nurse is given the time to research and the trust to start off the process of change for better care.
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 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 .