EBP Change: A 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.

Many individuals do not like the idea of change, but as health care professionals we know that change is a part of our profession. Evidence-based practice is present and the future of health care practice and needs to be fully supported by every health care team member. The gap between understanding EBP and applying it needs to be a thing of the

According to Warren et al. (2016), numerous barriers exist for implementation of evidence-based practice (EBP) within hospitals. In a study conducted evaluating the strengths and opportunities for implementing EBP in hospitals, lack of autonomy, lack of leadership support, and lack of inclusion in clinical practice decisions, were noted as the top barriers to the implementation of EBP (Warren, et al., 2016). The study revealed that while the majority of respondents’ beliefs

Another barrier is that organization does not provide the encouragement and acknowledgment to nurses who implement Evidence Based Practice (Cathy L. O’Nan, 2012). Major factors which prevent nurses from the implementation of Evidence Based Practices (EBP) are a lack of time to read articles, poor coordination with other members of health team and unavailability of nursing research articles. It was also concluded that nurses perceived the lack of managerial and organizational support to implement EBP (Ay, F., 2014).

NRS-433V Week 5 - Evidence-Based Practice Presentation - Healthcare Associated Infections [12 Slides + Speaker Notes]

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

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

Interventions that are effective with one patient may not always be as effective with different patients with different acuities. EBP uses the findings from clinical research studies and quality improvement studies to support or change existing practices (Arndt & Netsch, 2012). Nursing EBP will continue to grow as access to resources such as online journals, books, and internet access becomes more readily available to people. Nurses gain critical thinking skills and learn new strategies that are supported by evidence that they can apply in clinical

“Back to Basics: Implementing Evidence-Based Practice” written by Lisa Spruce is an article that touched on the importance of implementing EBP to engage patients better in their care. Spruce discusses how to implement EBP in a perioperative nurse setting can improve patient outcomes and save money. She goes on to describe the steps to take to implement this strategy and describes how the implementation of EBP positively impacts the entire facility. Physicians and other medical professionals, such as nurses, have the obligation to inform patients about the best options for their care. After all, the goal of seeking medical care is a positive outcome; EBP requires highlights this.

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”.

Evidence based practice (EBP) is using the most current scientific evidence when making decisions about patient care. Evidence based nursing uses the best evidence available, combined with nursing expertise and preferences of the patient/family to create the best patient care possible (Stanhope & Lancaster, 2014). The definition of EBP continues to broaden in scope in order to include every approach to practice, and now includes both external and internal evidence involving clinical questions to achieve the desired patient outcome (Stanhope & Lancaster, 2014).

Nursing organizations, particular the American Nursing Association coupled with the Institute of Medicine (IOM) are two of the chief driving forces, to push for EBP. According to (Houser, 2015, p. 12.), “evidence-based practice is quickly becoming the norm for effective nursing practice”. For gone are the days where nurses make decision or judgement based on intuition. We all know that numerous lives had been saved with this method, but we tend to ask ourselves when the outcome was unfavorable, what could we have done differently? Or why things did not work out the way we had expected. This is one of the reasons why the National Institute of Nursing Research (NINR) came into existence. (Houser, 2015, p.7) states that the mission is to “improve the health of individuals, families, communities and populations through evidence-based nursing

Nurses are cheered to integrate and apply EBP as part of their daily practice. EBP is “knowing that what we do is the best practice” (AMSN, 2014). EBP is very important in health care system and can dramatically change quality care and clinical outcomes. According from the Iowa/Titler Model from AMSN (2014), the EBP process have five steps:

In addition to following policies and procedures, nurses are constantly looking to improve best practices and reduce the amount of people affected by a certain illness or infection. Chlorhexidine bathing can be seen in critical care settings, surgical floors, and other medical floors. However, it’s not a practice that is implemented in all health care settings or hospitals. By studying

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,