Ebp Case Study

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.

Evidence-based practice is the practice of making clinical decisions based off the best available research evidence coupled with the nurse’s own expertise, while also taking into account, the patient’s assessments and own personal preferences. This use of research has proven effective at providing better outcomes and lower healthcare costs, yet there are several barriers, such as time, education, and support, which prevent nurses from consistently using evidence-based practice (AJN, 2012). The top three barriers to the use of evidence-based practice are lack of time, education, and support in implementing new practices and using them consistently.

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.

further diabetes education. The EBP change project was able to increase diabetes knowledge among African Americans with prediabetes by discussing risk factors associated with type 2 diabetes, proper nutrition and promoting health promotion behaviors. Currently, there is no diabetes education program or policy that’s in place targeting patients with prediabetes at the EBP change project site. Therefore, it is the project manager goal that the EBP change project site will begin to implement a diabetes education program focusing on the prediabetic patient population.

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 base practice is essential in nursing practice. It incorporates 3 key components which are clinical expertise, patient values, and best research evidence in order to provide the most effective and safe decision making for patient care. Neglecting a key component can affect the accuracy and efficiency of a research. Clinical expertise is based on a clinician’s experience, skill, education level and understanding in a certain area of nursing practice. Patient values can impact evidence base practice depending on their needs, preferences, expectations, values, understanding, and concerns. Best research evidence can be obtained from clinical research with supporting evidence base literature and sound methodologies. Each component will be discussed in further detail and how it links to clinical decision making by registered nurses in order to achieve the best evidence-based practice available.

To start my plan for implementation, I will first talk to my director of nursing, manager, and nurse educator for approval. I plan to implement increase evidence based practice use in my department (cardiac unit). I will obtain information from our quality assurance nurse to evaluate how our core measures like AMI, chf, and stroke bundle is being consistently followed by the nurses in my department. I plan to empower staff nurses to use EBP. I will schedule workshops for nurses interested in learning more about research and EBP, increase access to library resources and EBP information, interactive EBP skills and rounds, development of EBP mentors and champions. The change should be an ongoing support from the leaders and organization to

In order to provide exceptional care for patient. Than the nurse should incorporate the best evidence care practice into patient care. Many times the best evidence care practices come through research.

Throughout the everyday job for a physician, health professional or even for me as an aesthetician we have to ask questions; these questions must have an answer. Hopefully, it will be the right answer. The reason is that the answers will accumulate in the patient’s records to provide a solution to the problem; the solution will be supported by the medical knowledge, either from school and practice experience or consulting a more experience colleague. There is not enough written information that can support the evidence except the knowledge and the practice itself.

It also gives nurses of acute and critical care areas resources to help “enhance their knowledge to incorporate evidence-based

I also believe in using that best evidence should be incorporated into every nursing decision. Masic suggests the practice of evidence-based medicine is a process of lifelong, self-directed, problem-based learning in which caring for one’s own patients creates the need for clinically important information about diagnosis, prognosis, therapy and other clinical and health care issues. He also points out nursing tradition as a “cookbook,” full of recipes if you will, as the way it’s done (2008). Both take evidence into account; however, evidence based practice demands better evidence than has traditionally been used. We as nurses must challenge nursing tradition in order to provide better health care. I would assume most nurses would express a

Disseminating evidence strategy for results of project to key stakeholders, the data collected, solution and the final results would be shared with all stakeholders. According to Melnyk and Fineout-Overholt (2004), disseminating findings as quickly and broadly as possible is paramount so that findings can guide future research and help health professionals make important decisions. Commitment of nurses and other health care professionals will guide evidence, and influence the quality of care being provided by nurses. In addition, this will also decrease the registered nurses’ frustration and increase their self esteem. The purpose of disseminating

Nursing is an ever-changing field and the way patients are taken care of should be no different; however, patient care can be heavily influenced by tradition. Nurses can have traditions so ingrained in their practice that they never stop to question if a practice could be done differently and still provide quality care. Evidence-based practice (EBP) can be defined as use of current, best evidence in making decisions about care of patients (Portney, 2004). EBP has become an important part to include in high-quality, cost-effective health care; it breaks through the traditional molds that have been set by having evidence support its benefit in practice. EBP all begins with a clinical question that undergoes research and testing. A good research questions can be easily formulated using the PICOT method. This paper will discuss the relationship that research and EBP share, how clinical questions are formed, and how PICOT is used and its key components.