Describe Evidence-Based Practice

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.

I believe the most important aspect to successful implement evidence-based practice is a common understanding and stress of the importance of EBP among health care professionals. Everyone need to be on the same page and understand that practice methods that are not backed by evidence are no longer acceptable. I believe the facility needs to have a mandatory meeting with all the health care professionals and discuss how EBP will be implemented into their facility. I also believe that there should be repercussions if EBP is not put into place.

validated through research (Monti & Tingen, 1999). This author believes that the basis of a good practice is through the use of evidence based findings. If the procedure or care plan is supported by research, and the findings are reproducible, then this author is more likely to implement it into his practice.

Choose a nursing problem from your current practice setting, and identify a possible solution to that problem.

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).

Using the knowledge of EBP I am able to review current research on practice issues or problems in my organization by evaluating the problem or issue and determining the PICO components to establish the EBP question. This information can help provide some of the search terms used to gather the information. I would evaluate the relevance and believability of the data by assessing the strength and quality of the data. This is achieved by looking at evidence provided in the last five years to assure the research is current. High quality evidence can often be found in well-known professional journals or on government agency websites. The type of evidence is defined as research (level 1-3) or non-research (level 4-5). For example, level one research is a randomized control trial. To measure quality you would look at the sample size and the adequacy of control used for the study and if it was a larger study this would be a higher quality. The strength and the quality as noted in these features help to define the relevance and believability and thus the ability to draw conclusions form the evidence.

Evidence Based Practice is crucial to support care provided to patient. It is imperative to get evidence base on proven clinical practice that provides valuable insights about human health and illness as per Polit and Beck (2017). The researcher must pick a topic to be research on and A PICOT question formulated. These questions help as a guidance on the research. The researcher then check to see what can be retrieve that are of importances to topic. In most case narrowing of the questions may help. The levels of evidence are important because it help with identifying hierarchy of evidence. The higher the Hierarchy of evidence the better evidence base information.

The process of using Evidence Based Practice in a patients care plan consists of five key stages. Asses the patient and formulate the problems from this you will then need to access the relevant clinical articles. Using this information you should then be able to assess which is the best method of treatment discarding any misleading or ambiguous articles. You then need to incorporate this knowledge into the patients care plan. Finally you need to evaluate and assess the patient during treatment to ensure effectiveness.

Evidence-based practice is important because it lets nurses know what they are doing, why they are doing it and how they can do it better based on scientific research. Then evidence-based practice is a process of professional learning, even in training the nurse must know how to ask the right questions, how to critically appraise evidence, how to make clinical decisions and how to solve the clinical problems. Then the evidence-based practice is not only required for the nurses to have knowledge but also the nurses need to use this knowledge to identify evidence to inform practice and how you might subsequently assimilate this

2. Decide: what we need, what we want to change and review resources from previous

Evidence-Based Practice is the use of the best scientific evidence integrated with clinical experience and incorporating patient values and preferences, in the practice of professional health care (Houser & Oman, 2011). The EBP process is a system that allows health professionals to assess research and other information resources to then apply the results in their decision making process and everyday practice. This paper presents fundamental information gather through a case study conducted on EBP in healthcare.

Your post was very informative; it shows the processes involved in finding the evidence about our clinical questions.

When trying to implement a new practice, there are several tools that must be considered to use. First, you must ask a focused clinical question, searching literature is another important component, screening your findings, appraising each article’s findings, and applying the findings. There are many different types of articles, such as: diagnosis articles, prognosis articles, harm articles, and meta-analysis articles. Having the appropriate literature to support your new practice

Research is essential in all areas of nursing as nurses have a duty to ensure they are up to date with all relevant developments in nursing and should be able to give rationale for all care they give. Nursing research expands the evidence base and improves clinical practice (NursingTimes.Net 2014). Nurses need to have the ability to research a subject in order to keep up to date with the ever changing nursing practice and ultimately improve the delivery of care to our

Research is a process in which the investigator actively determines the question to answer, creates a data collection and analysis plan as well as a plan to control for events (known as threats) that would influence the outcome(Burns and Grove,2005).Nursing research is a systematic enquiry that seeks to add new nursing knowledge to benefit patients, families and communities. Research based practice is arguably the hallmark of professional nursing and is essential for high quality clinical and cost effective nursing care (ICN 2009)