Evidence-Based Model Analysis

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 has been seen as far back as the 1700s and there is even some evidence tracing back to Ancient Egypt. (Dillard, 2017) The first randomized control test for EBP was in 1747 by James Lind. (Dillard, 2017) Lancaster used a sailing voyage to test the theory that scurvy could be prevented in sailors by use of citrus juice. The results from his experiment were dramatic but were not published for another 7 years. Even after it was published it took another 40 years before ships implemented having citrus juice for sailors. (Dillard, 2017) One of our most prominent figures in nursing, Florence Nightingale, is credited with evaluating and then changing practice standards in our field. (Brower, 2017) One of her greatest examples was implementing the change of using hot water with soap instead of just cold

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.

Evidence based practice is when recent research is integrated into the clinical setting for maximum delivery of health care. A lot of evidence based practice was developed from research studies conducted by nurses such as decubitis ulcer prevention. Knowing and demonstrating the scientific methods and processes will help to advance nursing care by providing better interventions for patient care. Patient care plans should be developed based on evidence (Dycus, 2009). With monitoring outcomes from evidence based practice it can be determined if the care caused improvement in the healthcare setting. Using quality measures such as charts and diagrams to understand performance.

Evidence based practice is the basis for needed change in practice and function. It is a sound method for scientific, fact-based change. Changes which have no evidence to support them are fragile, unscientific, and subjective. These changes don’t effect real change over time, as they aren’t able to be proven to a more general population.

However, this is not the recommended protocol shown in the literature. The current unit practice and evidenced based practice will be compared. The barriers to performing evidenced based practice will also be assessed.

As a HNC Health Care student I am required to provide evidence of the following principal aims and objectives: to integrate knowledge, theory and practice, to develop and apply a broad knowledge and skills and to have an individual patient/client focus in my practice. To achieve all of the above I am required to complete project in a form of Graded Unit which consists of three stages: planning, development and evaluation.

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.

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)].

Guidance on a treatment is important but more is required to achieve high quality care and effectiveness, such as the patients physical, psychological and social assessment. A good thorough patient assessment is crucial as it helps with finding the right treatment for the patient and increases patient participation. Evidence-Based Practice (EBP) can be defined as the conscientious use of current best evidence in making decisions about patient care (Sackett et al, 2000). Evidence-Based Practice (EBP) is a practice which requires that decisions about health care are based on the best available, current, valid and relevant evidence and the decisions should be made by those receiving the care and those providing the care (Dawes M. et al, 2005). Professions such as Physiotherapists use Evidence Based Practice as an aid when it comes to choosing the correct and

Evidence-based practice will be extremely helpful among the hospital setting because it will allow for me to learn from reliable resources. Using evidence-based practice thus far has helped for me to learn about different cultures and become more prepared when meeting with patients. I will continue to work within the hospital setting and need to be sensitive of how different cultures feel about the medical system as well as treatment options. At times, I have found myself wondering why my patient does not want to go a certain treatment route and many times I can use evidence-based practice to get a better understanding. Many times evidence-based practice has allowed for me to share articles with coworkers and have dependable evidence to fall back on when advocating for my patient within team meetings.

CONCEPT 1 CONCEPT OF EVIDENCE BASED NURSING 1.0 INTRODUCTION/IDENTIFICATION OF CONCEPT Nursing as a profession has changed so much to compare with what is use to be decades ago. Technology, nursing procedures, teaching and nursing research have contributed much in high quality delivery of nursing care. It was on this note that evidence based practice was adopted. Evidence-Based Practice is regarded by the Academy of Medical-Surgical Nurses as a way to affect best available patient care. It focuses on the integration of the best available evidence to direct nursing care and improving patient outcomes thus helping health practitioners address

something is done in a specific way. It also takes into consideration the preferences of

Evidence based practice is based on evidence used to support practice and nurses must justify their rationale, it is now formed as an integral part of management, education, strategy and policy.