EBP In The Nursing Profession

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.

In the first step of the Tanner (2006) model nurses use their personal knowledge and experience to notice whether the patient requires attentions based on their expectations and looking at environment of the patient. Therefore, for an experience nurse it is easier for them responding to the similar situation if she or he revisit because the knowledge is already there through experience. In the case of Mr Devi, assessment will perform using systematic assessment based on the ABCDE approach (Airway, Breathing, circulation, Disability and Exposure). The ABCDE approach is an evidence-based practice widely accepted and used by all the members of a multidisciplinary team (MDT) to assess an acutely ill patient (Harrison and Daly 2011). First, life-threatening

A degree of evidence related to protocol usage and outcomes was collected to determine if a researchable problem was obtainable and valuable. According to Davies (2011), research questions should concentrate on "real-world problems" (p. 75). Patients in the intensive care unit who are mechanically ventilated receive intravenous sedation on a regular basis. According to findings by Wøien, Vaerøy, Aamodt, and Bjørk (2012), as much as "30-60% of intensive

Experience with EBP: Evidence-based practice plays a crucial role in the quality of patient care. When care is performed based upon evidence opposed to outdated textbooks, instinct, tradition, or colleagues influence (Beyea & Slattery, 2006). The average nurse is currently more than forty years of age, without the frequent education upon new topics, many nurses’ knowledge has become outdated. As new textbooks are not published yearly or often times not kept up to date within facilities, they do not serve as reliable sources of

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.

Time line – the project will require a 12-month implementation time line to allow the team to compare the intervention on a monthly and on a quarterly basis.

| Lesson Outline: Allocated teacher-NExplaining legal requirements : Duty of care: A duty of care is implied when the person who is requiring your assistance is in your workplace. E.g. patient, co-worker or visitor. Consent of an unresponsive patient is assumed in an emergency situation. (Crouchman, 2009; Milne & Mellman-Jones, 2010).Cultural awareness/sensitivity: We need to mindful of varying cultures when assisting patients, as different cultures prefer to be unexposed which is necessary when defibrillation is required. Eg, Muslims (Hattersley & Keogh, 2009). Confidentiality: Following an emergency situation it is vital to refrain from speaking to others outside the workplace about the patient to ensure the patient’s privacy and dignity. Think about how you would feel if you where in the patient’s situation. (Maeder, Martin-Sanchez, Croll, & Ambrosoli, 2012)?Limitations: Remember that once you start you can’t stop until you’re physically unable to or help arrivesDebriefing: Participating in the debriefing process is vital due to the enormity of the situation, enabling the nurse to express

Although it is the nurse's responsibility to know and adhere to the nursing scope and standard of care in whichever setting he or she practices in (NSO, n.d.), it is also the duty of the clinic nurse manager to ensure that the nursing staff are knowledgeable in the applicable procedures concerning the management of the orthopedic patient. Therefore, providing nursing staff with additional education and training may be needed especially if the nurse is new to nursing or to orthopedic medicine. By providing additional education and training will ensure the orthopedic patient's clinical symptoms can be safely and appropriately handled ( NSO, n.d.). If sending your staff for training is not feasible, then I would want to provide them with EBP guidelines and algorithms that would help them with making decision; however, I would also stress to the staff that

In a research study, ICU healthcare workers were asked to complete an anonymous questionnaire related to personal knowledge of ventilator- associated pneumonia prevention. The most recognized prevention guidelines of ventilation associated pneumonia were the use of a semi-recumbent position and the need to have written guidelines in the unit, more than 90% of the health

I agree with you, sometimes I feel that those who are sitting in the offices, writing the staffing policies and coming up with those numbers in new nurse- patient ratio, should definitely come back a few weeks and work at bedside, that will totally change their mind.

Background: Backrest elevation is one of the most frequently performed nursing activities in the critical care, often providing an essential focus for planning other nursing activities. Aim of the study was to examine the effect of backrest elevation on oxygenation and hemodynamic status among mechanically ventilated critically ill patients after Coronary artery bypass graft surgery. Setting: The study was conducted at the open heart surgery Intensive Care Unit (ICU) at Menoufia University Hospital. Sample: A convenient sample of fifty critically ill patients who were admitted to the open heart surgery ICU. Design: A quasi- expermental design was utilized. Tools: A Semi Structured Demographic Questionnaire, Cardiorespiratory Parameters Questionnaire,

With a plan to work in the critical care area, as a Clinical Nurse Specialist (CNS), articles with an ICU focus become high on the priority list for review. With ten years of experience as a basis, the writer’s opinion is that care of the severely ill has not changed in the area of mobility while in the ICU over that time. Patients in the ICU are traditionally on bed rest until just a day or two prior to discharge from the unit.

Nurses are often in charge of caring for individuals that are critically ill. In order to care for these patients, it takes knowledge of patient issues as well as the ability to collaborate with the interdisciplinary team to find the best plan of care. In order to develop this plan of care it takes knowledge of evidence based research which is ever changing. In this case study patient ML will be discussed. This case study will involve the patient’s problem as well as research which supports the care given as well as new alternative that could have been beneficial to the patient’s care. Patient ML suffered from a septic infection which was likely the result of multiple infected pressure ulcers. The article discussed will detail the use of a

Critical care in the United States is currently accelerating at a rapid pace and is predicted to continue the growing trend as more people age. With high costs and diminishing availability of nursing care, the medical field is at a crucial juncture with managing the health of those who are in critical care. Individuals who enter Intensive Care Units (ICU) are at higher risk for developing further complications the longer they are under critical care such as developing Intensive Care Unit delirium and weakness to ventilator-associated pneumonia. The role of critical care nurses’ in the ICU is not only essential but it is pertinent in the success of a patients’ ability to recover and leave the ICU department. “A “bundle,” according to the Institute for Healthcare Improvement, is a set of evidence-based practices-generally 3-5-that, when performed collectively and reliably, improve patients’ outcomes. The Awakening and Breathing Coordination, Delirium Monitoring and Management, and Early Mobility (ABCDE) bundle incorporates the best available evidence related to delirium, immobility, sedation/analgesia, and ventilator management in the ICU and tailors the

Almeida, Suely Morais; Cruz, Isabel CF da ( 2013) Brazil conducted a study on The elevation of the head acting for prevention of ventilator-associated pneumonia - literature review which concluded that Patients in intensive care often require the use of an artificial airway, it has its depressed level of consciousness, respiratory failure, trauma or need for aspiration of secretions, making them susceptible to pneumonia associated with mechanical ventilation. The objective of this study is to investigate the effectiveness of elevating the head by 30 to 45 among other prevention measures. The method used was a computerized literature search in the databases online, over the period 2007 to 2012. It was observed that the elevation of the head at 30 and 45, is one of the most simple and effective prevention. We conclude that good nursing practices associated with elevated bed rest at 30 and 45, may prevent ventilator-associated pneumonia. It is recommended the creation of a protocol for prevention, constant training of staff and preparation of posters displaying the