Analysis Of Cautis

Evidence-Base practice (EBP) is defined as: “based on problem identified from the practitioner’s area of practice; a combining of best evidence and professional expertise and an integration of this into current practice; about ensuring patients receive quality care, being part of quality improvement processes; about collaboration and requiring a team approach” (French, 1999). Scott and Mcsherry (2008) supported the French’s assertion, proposing the key elements of EBP are that it is a theory-driven process, which involves the use, evaluation and application of research; identification of best evidence; evaluation of care; problem solving; decision-making; clinical expertise; and requires patient involvement. Evidence-based practice is made of evidence, clinical expertise, patient preference, the context of care (Barker, 2013). In brief, evidence-based practice is the parameter in the nursing practice that it requires that the nurses gather and use clinical evidence to make decision for the patients so that in the nursing process they can deliver the quality of care for the patients (Ellis, 2013). In the other words, in the nursing practice all the nursing procedures performed by the clinical evidence supported.

Evidence based practice is an integral part of nursing care. According to the Academy of Medical-Surgical Nurses, evidence based practice is defined as, “the conscientious use of current best evidence in making decisions about patient care.” (AMSN) The use of evidence based practice has drastically improved patient outcomes, increased quality and safety of healthcare, and reduced costs for facilities. (Melnyk, 2016) In this paper I will provide the history of evidence based practice, how it has already been incorporated and impacted healthcare, and why it is important to nursing and healthcare as a whole.

The Evidence-Based Practice (EBP)is the systematic decision-making process to improve the work environment and clinical practices to get better quality patient outcomes. The EBP is the process where data collection, organizing, processing and implementing of the research findings are the critical points for the right results. One of the essential aspects of interest of using EBP research for nursing practice is that it gives the highest conceivable quality care and cost-effective treatment possible. It helps to fill the gaps and weaknesses in patient care so that patients will get better outcomes. It also blends the evidence and clinical experience to provide better patients experiences. It is essential as it helps to increase patient safety and improve quality of life. It also helps to reduce various medical complications and keeps the healthcare costs low.

“PICOT is an acronym for the elements of the clinical question: patient population (P), intervention or issue of interest (I), comparison intervention or issue of interest (C), outcome(s) of interest (O), time it takes for the intervention to achieve the outcome(s) (T).” (Stillwell et al., 2010, p. 59).

Evidence-based practice is an approach used by health care professionals to continually use current best evidence-based research to make ethical and reliable decisions regarding patient care. “Research to promote evidence-based practice is becoming more and more a part of the regular work of health care leaders” (Grand Canyon University, 2015, p. 1). However, it is important to determine the difference between solid research and flawed research that provides unreliable inferences. Evidence-based research includes focusing on a clinical question; and includes the review and incorporation of several studies to strengthen the results of the new study (Grand Canyon University, 2015). Roddy et al. and Ganz et al. articles will be assessed to determine if the recommended changes were backed by solid research that warrants changes in a hospital.

Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).

Evidence-based practice is a formulation of ideas, research and conclusions to formulate the best possible health care choice (Hood, 2014). In health care the process of utilizing current information begins with a question can something be done better, can the patients benefit as a result and is it cost effective, EBP seeks new information to replace old or outdated information. When there are doubts if something can be done better a research team collects data on the subject using unbiased information they analyze the data, design interventions that are based on the new evidence and makes their final recommendations on their findings (Hood,

According to Lewis, Dirksen, Heitkemper & Bucher (2014), “Evidence-based practice is a problem-solving approach to clinical decision making. It involves the use of the best available evidence in combination with clinical expertise and patient preferences and values to achieve desired patient outcomes.” Using evidence based practice in nursing is extremely important, because evidence-based practice is the result of others trying a practice one way but needing to change some of the guidelines to make the practice safer and over all better for patients.

Evidence - Based Nursing, An introduction (2008, p. 285 ) “ The rapidity of change and the reorganization of nursing services within the health care sector presents challenges for the advancement of EBP. Managers and administrators should facilitate the uptake of practice based on current, high-quality research by formalizing the expectation that nurses care be Evidence Based”.

Evidence-Base practice (EBP) is defined as based on problems identified from nursing practice; using best evidence and professional expertise and merging them into current practice to ensure patients receive quality care (French, 1999). Evidence-based practice is a part of quality improvement process; it is made of evidence, clinical expertise, patient preference and the context of care (Barker, 2013). In brief, evidence-based practice is the guideline in the nursing practice that requires nurses gather and use clinical evidence to help diagnose or assess patients correctly by using their knowledge and experience in order they can deliver the quality of care to the patients (Ellis, 2013). In the other words, in the nursing practice the clinical evidence supports all the nursing procedures performed.

“Evidence-based practice (EBP) is using the best available research findings to make clinical decisions that are most effective and beneficial for patients” (Chitty & Black, 2007, p. 275). As a professional, evidence based practice incorporates critical thinking and improving your clinical judgement. In order to stay up to date with evidence based practice the nurse can attend continued education, professional conferences, read journals, and become a member of a professional organization (Chitty & Black, 2007, p. 276). The AANP

Evidence Based Practice (EBP) is a process that permits us to evaluate study, scientific strategies, and other evidence resources centered on high quality outcomes and put on the results to run-through [Academic of Medical-Surgical nurse (AMSN, 2014)].

A urinary tract infection (UTI) is an infection in the body that attacks the kidneys, uterus, urethra and bladder. Women more than men are more prone in getting a UTI in their lifetime. A UTI typically develops when bacteria in the rectal region comes in contact with the urethra and it then makes its way to the urinary tract. There are three types of urinary tract infection (UTI) first one is Urethra (urethritis) which is an infection in the urethra, the second one is bladder (cystitis) which is an infection in the bladder and the third one is kidneys (acute pyelonephritis) which is an infection in the kidneys.

Catheter-associated urinary tract infections (CAUTIs) have become one of the most common healthcare-acquired infections in the United States (Gould, Gaze, Drey, & Cooper, 2017). CAUTIs commonly affect elderly patients in both acute-care settings and long-term care facilities such as nursing homes (Gould et al., 2017). The research suggests that while healthcare-associated urinary tract infections are increasing, the majority of them are preventable by practicing evidence-based prevention measures (McNeill, 2017). It was determined by The Institute for Healthcare Improvement (IHI) (as cited in McNeill, 2017) that four essential components can contribute to the prevention of CAUTIs: avoiding unnecessary placement of indwelling catheters,

The Quality Improvement nursing process that I have chosen to research is patient safety. I have chosen to focus specifically on the topic of catheter associated urinary tract infections (CAUTI’s) during hospitalization and their preventions. It is estimated that 15-25% of hospitalized patients receive a urinary catheter throughout their stay, whether or not they need it. A large 80% of all patients diagnosed with a urinary tract infection (UTI) can be attributed to a catheter (Bernard, Hunter, and Moore, 2012). The bacteria may gain entry into the bladder during insertion of the catheter, during manipulation of the catheter or drainage system, around the catheter, and after removal.