Dr. Davies: A Brief Summary

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.

As a provider of care, professional nurses depend on research, theories, and evidence based practice to guide the care they provide to patients. Nurses deliver care to their patients based on information they have learned through many years of school and training. Training for nurses and other providers of care is founded on theories, research, and evidence based practice in the healthcare field. Theories, research, and evidence based practice are all important for providing care to patients and each can be used in a different manner depending on the situation. Clinicians often use research based evidence to design and implement care that is high-quality and cost effective for patients. Evidence based practice can be used to provide care to patients in a steadily changing clinical environment. (PDF page 8-9). Nursing theories are frequently used as frameworks for establishing nursing care interventions and assessing

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.

Evidenced Based Practice (EBP) is essential to enable all nurses to provide the most current up to date practises for their patients. This process involves research, systematic review of current practises, critical thinking skills, evaluation and application to the clinical setting. In addition to this, the nurse must take into account the patients’ preferences. For nurses to have professional autonomy they must be able to justify their actions and demonstrate an understanding of why they perform the tasks they do. This defines them as unique professionals judged by their knowledge and not simply by their hands on skills.

Slutsky, J. (2005). Using evidence-based guidelines: Tools for improving practice. In B. F.-O. Melnyk, Evidence-based practice in nursing & healthcare. A guide to best practice (pp. 221-236). Philadelphia, PA: Lippincott, Williams & Wilkins.

Fry’s extensive literature search comparison provides current evidence that positive clinical trends are demonstrated with the use of nurse practitioners in the hospital setting. Margaret Fry is an associate professor for Higher Research Degree Coordinator at the University of Technology in Australia and identified 1048 articles referencing the impact nurse practitioners with 47 studies considered relevant. This article is well written and researched, including a long list of pertinent references.

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).

Within this essay Evidence based Practice will be identified and the significant effect it has on the nursing profession, barriers will also be explored in the implementation of Evidence Based Practice.

Although the American Association of Colleges of Nursing clearly defined the role of Doctor of Nursing Practice (DNP) degree in 2004, some confusion about the academic programs still exist. The role of both the DNP and PhD-prepared individuals is to improve the quality of health care and the health of population through the use of the best evidence when assisting them in making decisions about treatment options. Melnyk, B. M. (2013). According to the national leaders in major healthcare fields, mentioned a gap between research and practice and the importance to apply research findings and engage in evidence-based practice. In order to translate this knowledge, the clinician must understand the healthcare delivery in order to help narrow the research-to-practice gap and transform health care. DNP-prepared nurses are trained to reduce the research-to-practice gap. Because most nurse lack knowledge to critically appraise research studies and the skills to effectively implement evidence-based practice (EBP) in their clinical settings.

Dr. Gwyn Jones article has impacted me in several ways as a future physical therapist, when it comes to working with individuals with lifelong disability. One impact it has made was not telling individuals that they will never be able to do something. In this article she mentions how several doctors told her she would never be able to do several things such as walking, but she had the determination and motivation and eventually did. I believe not every disease or condition runs the same course in every individual, and therefore telling a patient they may never be able to do something, could potentially result in them never being able to do an activity, if they don’t have the motivation and belief as Dr. Gwyn. As a future physical therapist

“If he be Mr. hyde” he thought, “I shall be Mr.Seek” this quote is from the novella “The Strange case of Dr.Jekyll and Mr.Hyde” by Robert Louis stevenson. The romanticism literary movement happened around 1800-1850 some characteristics of romanticism are glorification on emotions; horror, terror, awe and physical condition, a subset literature is gothicism. The modernism literary movement happened around the 19th and early 20th centuries that was spurred by the industrial revolution some characteristics of modernism are using symbols or images to suggest meanings, alienated focus, and stream of conscious to show what's going on in and out of the characters. There are many difference between romanticism and modernism but in some stories there

Mr. Henley endured life- changing experience. Experiences that basically challenged him in ways that no one wants to be challenged in. His lines are very powerful and very passionate. From the beginning to the end of the poem he had a Great growth mindset of not being afraid anymore he says “ I am the master of my fate “. Basically saying how we are the controllers of how our lives will end up. Mr. Henley is saying that we are the ones who decide if our lives will be a good or bad. Also when he grows and says that “ I am the captain of my soul “ Explaining that no one can make decisions for you, nobody can decide what's right or wrong for you at this point. You can see from those lines that he’s passionate and that he has grown from the harsh

Clinical practice guidelines (CPG) are used to guide the healthcare providers for specific clinical decision making. Researchers had proven that by using CPG it helps in reducing inappropriate variations in healthcare practice. In healthcare service the use of CPG had shown improvement in promoting the delivery of high quality care. CPG had been long develop and evaluated in the medicine field however, in nursing profession, nurses had shown a great interest in developing and using CPG as a means to facilitate evidence based nursing practices. Hospitals that had adopted CPG had shown a great reduction on inappropriate variations in clinical practice and prometed high quality care with evidence based health

Advertising through different means is business’s top priority when wanting to reach the public. Nowadays, technology and competition are working together as to finding new ways to introduce products and services that would benefit companies the best. This way, it is inevitable for companies of any nature to invest in advertising, be it printed or electronically. However, we are aware that advertising has its limits as to the content it must hold and the principles it must meet. The most accurate case when advertising should have its boundaries, justified by regulations, is the one when the business offers psychology related services. This paper is going to discuss how psychologists should be under surveillance through the American Psychological

Evidence-based practice (EBP) in nursing means making decisions about patient care on the basis of best, current, standardized practice and guidelines. According to an article, written by Dr. Kathleen Stevens, the development of evidence-based practice (EBP) is fueled by the increasing public and professional demand for accountability in safety and quality improvement in health care (Stevens, 2013). The author also mentioned in her article that the intended effect of EBP is to standardize healthcare practices to science and best evidence and to reduce illogical variation in care,