Evidence-Based Practice

Pressure ulcers occur over bony prominences when skin is compressed for long periods of time, affecting the blood supply to certain areas, leading to ischaemia development (Waugh and Grant, 2001). Compression of skin is caused by pressure, shearing and friction, but can also occur due to pressure exerted by medical equipment (Randle, Coffey and Bradbury, 2009). NICE (2014) states that the prevalence of pressure ulcers in different healthcare settings in December 2013 was 4.7%, taken from data available for 186,000 patients. The cost of treating ulcers can vary depending on severity from £43 up to £374 (NICE, 2014). Evidence based practice skills are essential in nursing as it allows the best available evidence to be used to improve practice and patient care, while improving decision-making (Holland and Rees, 2010). I will be critiquing two research papers; qualitative and quantitative, using a framework set out by Holland and Rees (2010), and will explore the impact on practice. Using a framework provides a standardised method of assessing quality and reduces subjectivity.

Write a three- to four-page article review in which you discuss methodological issues unique to psychological research and analyze basic

Bruce A. Thyer, P. (n.d.). What Is Evidence-Based Practice? Brief Treatment and Crisis Intervention Vol. 4, No. 2, 167-176.

According to Stevens (2013), the call to develop and implement evidence-based practice (EBP) within all healthcare disciplines is fueled by legislative demands for improvement in standard medical metrics such as mortality and morbidity. However, increasing demands by the public for evidence related to the metrics and outcomes of such concepts as quality of life illustrate what may be more important to the client (Stevens, 2013). This client-directed focus has resulted in patient-centered outcomes research (PCOR) (Stevens, 2013). "The Patient-Centered Outcomes Research Institute (PCORI) helps people make informed health care decisions, and improves health care delivery and outcomes, by producing and promoting high integrity, evidence-based information

Evidence-based research is when the clinician/practitioners combine valid/reliable-researched interventions, experience and utilizing a code of ethics, while implementing cultural competency/sensitivity to drive the delivery of treatment. The practitioner, researcher and client are advised to work in collaboration to decipher what works and what needs to be adjusted. This process ensues that the treatment/services if utilized as intended the outcomes produced by research should be effective. This will also prove the success of programs and potentially benefit a wide range of

In our research, we have compared three very different tools for ranking evidence based practice methods. Each of these tools could be effectively utilized in any healthcare facility or healthcare organization.

Proper collection of blood cultures are necessary and the most direct method of determining whether or not a patient is septic. The purpose of obtaining blood cultures is to identify and isolate the bacteria that are causing an illness and then determine the best course of treatment based on the sensitivity of the bacteria to particular antibiotics. One of the most frustrating problems plaguing hospitals is the increased rate at which blood culture results are being returned as contaminated specimens. These results can lead to a significant increase in cost to the hospital and patient as well as an increased length in hospital

Research is how new knowledge is generated or how existing knowledge is validated based on theory (Conner, 2014). It identifies facts and trends. Identification is important but without the information being analyzed and put into a usable context it cannot be used. This is where evidence-based practice comes in. It collects and analyzes research that was performed, and combines it with a clinician’s personal experience along

According to Dr. David Sackett, Evidence Based Practice (EBP) is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It is a clinical decision-making process in which clinicians use theory-derived, research-based knowledge to inform their decisions about care delivery. Most importantly, consideration of individual needs, preference and resources must be included.

For the purpose of this paper, this writer, will use the APA Task force on Evidence-Based Practices (2006, p. 273), definition, beginning with the foundation and expanding it to mental health, defined evidence-based practice as “the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences” (Norcross, Hogan, & Koocher, 2008). According to Dr. Norcross, counseling is a dynamic process, with many moving parts, and the clinical experience is the integration of parts (pillars), the actual work in progress, which creates an opportunity for the best clinical outcomes and improved quality of life (Laureate Education Producer, n.d.).

1.The Organization that developed Prevention of VTE in Orthopedic Surgery Patients: Antithrombic Therapy and Prevention of Thrombosis is The American College of Chest Physicians-Medical Specialty Society.

This paper will examine the best nursing practice for standardizing shift-to-shift reports. I became interested in this topic after hearing my mother talk about her day floating to a floor at her hospital. She received report on her patients from two different nurses that morning. Each nurse gave her different information and both were missing information that she considered vital to the care of her patients. She normally works in the ICU and on the step-down medical surgical floor, which both use a version of a template that was designed by one of the nurses to facilitate a standardized shift-to-shift

Research has only one source of proof and that is the research itself (Levin, 2006). The focus of research is on whether the intervention being researched is ready to be applied to clinical practice (Levin, 2006). Evidence-Based Practice reviews and assesses current clinical practice and presents a new or improved clinical practice (Levin, 2006). Evidence-Based Practice begins by questioning a current clinical practice (Levin, 2006). The question will then help guide the reviewer to reliable research in a reputable database, to find quality evidence that will answer the clinical question (Levin, 2006). The evidence then has to be evaluated for legitimacy and incorporated into clinical practice and lastly it will be assessed to determine if it is successful and if it meets patient preference and satisfaction (Levin,

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-based practice (EBP) offers a framework utilization of systematic high-quality research, an analysis which consistently enhances measurable client outcome and clinical decision-making grounded in rationality; EBP depends on data collected through experimental research and accounts for individual client characteristics and clinician expertise. The potential benefits of EBP comprise of increased service delivery and quality of care, heightened accountability, and a bridging of the research-practice gap (Sackett, Straus, Richardson, Rosenberg, & Haynes, 2000). It is imperative that research scholars are cognizant of research outcome dependability and validity prior to implementing results