Another important barrier is nursing education. Nurses who graduated many years ago were not taught evidence-based practice and even current schools focus too much researching rather than how to implement current research into care (AJN, 2012). This lack of knowledge on how to implement may stem from the lack of knowledge on how to read and interpret research data or that nurses might feel overwhelmed due to the fact that there is so much and might not know how to narrow what is important or how to read all of it (Brown et al., 2009). In the Tacia study (2015), advanced care nurses could easily point out
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
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).
Nurses are responsible in providing holistic, quality care to their clients. In order to effectively provide such care Boswell and Cannon (2009, p. 2 & 7) states that nurses must base their provision of care on the most current, up-to-date health information available and sound nursing knowledge. This is where evidence-based practice (EBP) comes in. Polit and Beck (2010, p. 4) defined EBP as "the use of the best clinical evidence in making patient care desicions". This usually comes from research conducted by nurses and other healthcare professionals. Thus it is pertinent that research reports are critically analyzed.
Nursing improves when Evidence Based Research findings can be utilized and implemented by nurses in their daily practice. J. Dracup (2006) stated what some nurses had identified as barriers to Evidence Based Research, namely: “accessibility of research findings, anticipated outcomes of using research, organizational support to use research, and support from others to use research.” Dracup believed that “evidence-based practice must include an assessment of the available resources” since the cost of implementation is yet another barrier and “will not be adopted if resources are insufficient to incorporate them into the daily routine” nursing care. G. Mitchell (1999) raised “ the lack of sufficient meaningful research” as an additional barrier.
This paper will discuss how evidence based practice effects nursing practice and how nurses can apply what they learn to their practice. Evidence based practice is a great way to improve the quality of care we provide. “Evidence based practice means using the best available research findings to make clinical decisions that are most effective and beneficial for patients” (Chitty & Black, 2011, p.258). By allowing nurses to participate in research and development, we are able to see firsthand how effective our intervention can be. Nurses run into all kinds of problems on a daily basis and they are able to share their experience and expertise to help develop a better way to solve a problem.
Evidence based Practice allows for there to be a relationship between the care of patients and the best practices available. In order to achieve this relationship EBP combines a few key components in the clinical setting to enhance decision making to provide the best care possible. These key components are:
The following literature will define the term, “evidence informed practice”. It will discuss the benefits and limitations of integrating evidence informed practice in nursing. It will include information about how nurses can overcome these barriers. It will also illustrate the importance of utilising evidence informed practice to enhance the quality of service delivered within the healthcare profession.
Evidence based practice can be defined as the process of, using the recent evidence base practice to make decision about patients individual care and to make sure that patient is getting most appropriate care by utilising the best practice, judgement clinically, preference for individual patient and systematic review (Nay & Fetherstonhaugh, 2007). Hence, when health professional work, they need to consider the characteristics of the context of the practice and the patient’s values and their situation. So, combination of these elements helps to make an assessment in patients care as EBP is involved (Hoffmann, Bennett & Del Mar, 2013). Hypothetically, the proper practice of EBP can help to increase consistency in caring patient, supporting the experimental research, which can benefit clinicians to provide quality of care, assessing and justifying patient (Nay & Fetherstonhaugh, 2007). For e.g, the act of washing hand prevents from infection. It is consider being the main root of transmission of disease from one person to other. According to the systematic review by So (2011), organism is eradicated from immediate hand washing with liquid soap and water when changing the wound dressing of methicillin-resistant S. aureus (MRSA). According to Hoffmann, Bennett & Del Mar, (2013), the rational of the clinical evaluation becomes more obvious when clinical information is integrated on best evidence practice, which is available with knowledge. It also helps to increase confidence in
The clinician demonstrated evidence based practice in his care. By informing the patient about the procedure and waiting for a clear approval. He demonstrated great communication skills as well as keeping the client’s values and circumstance at the core of his care throughout. In addition, the five moments of hand hygiene, aseptic technique and the rights of medication administration of current best practice were utilised. Furthermore, clinical expertise were demonstrated the clinician completed the task in a timely manner with good dexterity highlighting that he has been administering IV therapy for quite some time and is experienced in the way he handled the
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
The findings from good, current, reliable, valid or trustworthy research are the basis for maintaining high standards of care and all nurses must practice based on the most up to date evidence (NMC 2008). It is now an important part of nursing to actively participate in research and evidence based practice in order to continually improve the standard of the health care system. This process ensures that nurses are kept up to date with relevant information needed to provide the most effective care for patients.
In order to do this, we need to understand how the research process works, so we can better understand the results. Conducting evidence-based practice or promoting evidence-based practice is important for the graduate level nurse, in my opinion. Providing the best evidence for clinical decisions is essential in delivering appropriate patient interventions.
The harmony among clinical and research orientation is essential to professional nurses as they dynamically enhance the nursing’s scientific knowledge by way of research. Evidence facilitates advancements in nursing and inhibits the usage of unjustified nursing errors and practices. Finally, evidence-based practice substitutes usage of trial and error and improves development, evaluation, and professional progression. Evidence-based practice is used by professional nurses for the sake of influencing the standard of care and for encouraging a self-directed nursing environment.