Evidence-Based Practice (EBP): A Case Study

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

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.

Evidence-Based Practice (EBP) was initially a movement in medicine, dating back to early 20th century (Spring, 2007). It was described as a careful decision making process about the care of individual patients using best available evidence by Sackett, Rosenberg, Gary, Haynes, and Richardson (1996). Greenhalgh (2010) gave a similar definition but with more emphasis on the mathematical assessment of the potential benefit and harm. By now, EBP has been widely adopted by many health disciplines, including psychology. In 2005, the American

Venous thromboembolism refers to the formation of a blood clot in a blood vessel. While clots can form in an artery or a vein, this article focuses only on clots that occur in a vein ("," 2015). Critically ill patients are at an increased risk of a venous thromboembolism (VTE) due to VTE can manifest as a deep venous thrombosis (DVT) or a pulmonary embolism (PE). Risk factors include venous stasis, vascular injury, and hypercoagulable disorders. A majority of ICU patients carry at least one risk factor for VTE; additional risk factors are considered to have a cumulative effect…it is impossible to predict which patients will experience a

Today, we are continually striving to improve the quality of care that we deliver and the best method in applying relevant research into clinical practice are through evidence based practice (EBP). We have now come to a time in our careers to shift our direction on how to employ evidence based practice techniques when managing our patient's health care needs. Facilitation is a method that has been investigated as a way to help clinicians accomplish the implementation of evidence into practice. As clinicians, we are encouraged to think outside the box and utilize critical thinking skills as well as express our role as nurses as part of the health care team.

Special education practitioners appear to have produced the majority of the research on the prevalence of evidence-based practice in education. Studies of the prevalence of evidence-based practice in general education do exist, but in at least one instance, the research was published in a special education journal (Kretlow and Helf, 2013). Kretlow and Helf (2013) published a study of kindergarten, 1st and 2nd grade teachers that asked these teachers about the reading programs they were implementing. The results indicate that few of these teachers are using reading curricula that is demonstrated to be evidence-based. Studies among special educators have produced similar results. Research by Cook and Cook (2013) suggested that significant misunderstanding exists about what evidence-based practices are and this has led some special education teachers to ignore evidence-based practices. Similar results were obtained by Carter, Stephenson, and Strnadova (2011) regarding the prevalence of

Evidence based practice (EBP) is an important part of social work. Every social policy and interaction with individuals is based on experience and careful selection of research. Moreover it aims to empower individuals and reduce discrimination. Therefore it promotes productive interactions, which is crucial in this economic climate. Therefore. Social workers have to be competent and confident in analysing the latest research and being able to judge whether it is suitable in practice. Moreover this is supported by Standards of proficiency (SOP) section 14 “Be able to draw on appropriate knowledge and skills to inform practice”.

Healthcare continues to evolve at an extremely rapid pace. It is vital that patients are given the highest quality of care throughout the duration of care received. Melnyk & Fineout-Overholt (2015) states that evidenced based practice is the key to delivering a higher quality of care that facilitates the most favorable outcomes. In order to remain abreast in the face of change, healthcare providers must research and employ initiatives that forwards the healthcare entity as a whole. Unfortunately healthcare providers and healthcare organizations fail to utilize evidenced based practice as often as they should. Often time this is a result of unfamiliarity with research, inability to appropriately incorporate research into active daily practice,

The purpose of this paper is to answer questions which surround the topic of evidence based practice (EBP) in Social Work. This paper will discuss the definition of EBP, why EBP is used in Social Work, the positive and negative sides of EBP, and finally an example of EBP being used within an agency setting. The information gathered is coming from three separate scholarly journal articles, a podcast episode, and the National Association of Social Workers Code of Ethics (NASW Code).

There is constant change in health care and the amount of new evidence related to improved patient outcomes is so abundant it is difficult to keep up with new recommendations. Adoption of evidence-based practice and care by an interprofessional team requires good communication skills and reinforcement of the reasons for change. Efforts to communicate change effectively must create a sense of urgency and generates a vision and motivates staff to accept change. Williams, Rycroft-Malone, & Burton (2016), discuss the importance of change agents or intermediaries that serve as educator and role-models to adopt evidence-based practice. They concluded that an active and constant presence at the bedside by intermediaries develops trust, influence,

Drug use amongst young teenagers develops different effects upon their lives. The different effects include brain defects along with memory loss. (TeenRehabCenter, 2016) This fifteen-year-old is already experiencing issues within his health. Each morning he has to meet his dealer to fulfill his needs, which is a major problem for his age. As a social worker this issue alarms me, therefore I have recognized that he needs help. Through recognizing this issue with this client I realized it was best to use the “evidence-based practice” skill to evaluate the needs of this client.

The physicians will have the role as the promoter; they need to make sure the patients have this information, and they understand what they are reading. The physicians have to be on board and encourage all the staff to support this process change to continue to grow and meet the needs of our patients. The providers are pivotal to this process change because they have the power to help the process along or hinder it. The providers would have a great interest in this project to ensure we are utilizing evidence-based practice and meeting our patient’s needs.

According to Melnyk, Fineout-Overholt, Gallagher-Ford and Kaplan (2012) evidence-based practice (EBP) is a problem-solving technique to help in the making of clinical decisions in regards to healthcare to provide the best scientific solution to a clinical problem. This process involves clinical expertise, patient values, preferences and the best research evidence to date. The findings of an EBP project alone does not make the final decision, but the findings can help support new interventions to patient care and patient processes (---------------). If I was approach by a colleague who wanted me to co-author a manuscript and I was passionate about the project and potential benefits to patient care I would willingly accept to join their team.

Mary’s understanding has grown regarding to her knowledge of sustaining evidence-based practice (EBP). Her take away was that leaders must learn and then perform the EBP leadership skills. I agree with Mary. We can obtain all the advanced degrees and certifications, but if you do not use it, you lose it.

Effective implementation of process improvement is dependent on thorough and successful dissemination of evidence-based plans. Walsh (2010) explains the need for healthcare systems to be nimble and responsive to changes in clinical practice. Ensuring quality, safe care, requires health care providers to maintain high levels of knowledge and competency using evidence-based practice (EBP). Strategies to disseminate EBP must be clearly articulated to all relevant stakeholders in order to drive knowledgeable changes in behaviors (Agency for Healthcare Research and Quality, 2013). The Senior Vice President Health Partner Services as a clinical leader and direct link to community health partners provides what Titler (2008) describes