Evidence-Based Practice

Researchers investigate the nurses’ clinical practices about utilization of EBP to direct their practices. But despite the enriched source of literature, nurses’ knowledge of Evidence Based Practice

The John Hopkins Nursing Evidence-Based Practice Model is a powerful problem-solving approach to clinical decision making and is used in research. The model is designed to meet the needs of the practicing bedside nurses and used a three step process called a PET, facilitating nurses in translating evidence to clinical, administrative and education based on evidence. According to Melnyk and Overholt (2015), there are three steps to the JHNEBP model. The first phrase is practice questions: Identification of an EBP question and defines its scope. The second phrase is evidence of internal and external evidence team determine if its feasibility to implement. The final phase is a translation which includes recommended practice for changes and dissemination of findings.

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.

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 When care is performed based upon evidence opposed to outdated textbooks, instinct, tradition, or colleagues influence (Beyea & Slattery, 2006).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more than forty years of age, without the frequent education upon new topics, many nurses’ knowledge has become outdated.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

Evidence - Based Nursing, An introduction (2008, p. 285 ) “ The rapidity of change and the reorganization of nursing services within the health care sector presents challenges for the advancement of EBP. Managers and administrators should facilitate the uptake of practice based on current, high-quality research by formalizing the expectation that nurses care be Evidence Based”.

The use of Evidenced-Based Practice (EBP) is required by universities throughout Undergraduate programs in Communication Science-Disorders, Graduate programs in Masters of Arts or Science in Speech-Language Pathology, and during Doctor of Philosophy (PhD) programs in Speech-Language-Hearing Sciences. The implementation of EBP in all my assignments significantly increased during my first semester in the Masters of Arts program for Speech-Language Pathology at Lehman College. During the use of EBP for assignments, I have relayed on my clinical judgment to question: the methodologies, how and why certain groups were selected, the author/s’ purpose for writing the article, the most valuable piece of information, the inferences and conclusions, and how it will impact the field of speech-language pathology. I also used evidence-based research while writing reports and justifications for therapy techniques and goals; during the search for articles I had to consider how it would impact the client and his/her family, as well as the meaning it would add to the therapy session. Moreover, I encountered acronyms and new vocabulary that are currently being used in the field such as MGRs- Mental Graphemic Representations, and tDCS- transcranial Direct Current

The purpose of Chapter two is to establish the theoretical foundations of the Evidence-Based Practice (EBP) project, discuss the connection between the EBP model and the PICOT question, discuss the literature search and appraisal of evidence that supports the project, synthesize the findings into recommendations for best practice to form a model for the EBP Project. The PICOT question at the core of the project’s purpose asks: For elementary school staff does the use of a specific anti-bullying program training reduce the risk of bullying in the school compared with current anti-bullying practices? This chapter details the search strategy including databases, keywords, limiters, inclusion and exclusion criteria, and describes the method of

Evidence-Based Practice integrates the best research with clinical expertise and patient values for optimum care and participates in learning and research activities to the extent feasible. EBP might impact interventions such as prevention diagnostic tests or therapy may affect the ability to compare alternatives, and in some cases, lead to the decision that no intervention is the best choice. EBP can improve nursing care. EBP within nursing care is a problem-solving approach to making clinical, educational, and administrative decisions that combines the best available scientific evidence with the best practical evidence” (Newhouse,2006, p.337).EBP increases nurses clinical knowledge. EBP within nursing care also helps to get research results

Utilizing the EBP approach by nurses helps to bridge the gap between research, expert opinion and patient preferences to provide the highest quality of patient care possible. The simplest way to define Evidence Based Practice is the method of evaluating, and applying research findings to improve clinical practice, and patient outcomes. In the search for clinical improvement, nurses must examine the “why” behind current methods and processes, using EBP aids nurses in answering this question. Nursing interventions should be realistic, and clinical decisions should be based on EBP research studies because EBP is

“Evidence-based practice (EBP) is using the best available research findings to make clinical decisions that are most effective and beneficial for patients” (Chitty & Black, 2007, p. 275). As a professional, evidence based practice incorporates critical thinking and improving your clinical judgement. In order to stay up to date with evidence based practice the nurse can attend continued education, professional conferences, read journals, and become a member of a professional organization (Chitty & Black, 2007, p. 276). The AANP

The Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) process can be used to facilitate change. This process serves as a guideline to access, combine, and implement research into nursing practice. According to Dearholt and Dang (2012), the JHNEBP is an 18-step process that occurs in three phases. Phase one of the JHNEBP contains steps 1 through 5 and can be summarized as the practice question phase where the issue is identified (Dearholt & Dang, 2012). Phase two is the evidence phase containing steps 6 through 10 and is where search for evidence pertaining to the issue

So how does Evidence-based practice work? The process begins with finding a problem in the clinical setting and answering it with research evidence. Then what happens next is the development of a PICOT question. This question is designed to ask the clinical question. After asking the question, the next thing that is done is searching and finding evidence that is able to answer the question. Finding evidence can be hard sometimes, so what helps make it easier is using key words on an online search. The next step that is taken is going through the evidence to see how strong it is. After that the evidence that is being used, it will be integrated with the nurse’s own clinical experience. Some of the things that are factors from integrating the evidence are patient preferences and values. The last step of the EBP process is assessing the effectiveness of the intervention that has been chosen and actually using it (Pilot & Beck, 2014).

Nurses are encouraged to integrate and apply evidence based practice in their daily practice. Evidence based practice is utilizing scientific knowledge/theory while making clinical decisions to provide quality care to their patients.EBP is very important and applicable in today’s clinical and nursing practice and it is used to provide best quality care to their patients and has to be monitored closely. Nurses should apply EBP in all day to activities like nursing intervention,

Evidence-based practice has many contributions to nursing as a profession. It must be stated, without evidence-based practice there wouldn’t be any valid evidence that supports the fact of why we utilize certain practices instead of others. (Mazurek et al., 2016) “Urgent action is needed to rapidly accelerate EBP in order to reduce the tremendously long lag between the generation of research findings and their implementation in clinical settings. Many interventions or treatments that have been found to improve outcomes through research are not standard of care throughout healthcare systems or have never been used in clinical settings”. The article that was located, not only shows the need for research but identifies the issue of implementation

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,