Evidence Based Practice ( Ebp ) Model

I believe the most important aspect to successful implement evidence-based practice is a common understanding and stress of the importance of EBP among health care professionals. Everyone need to be on the same page and understand that practice methods that are not backed by evidence are no longer acceptable. I believe the facility needs to have a mandatory meeting with all the health care professionals and discuss how EBP will be implemented into their facility. I also believe that there should be repercussions if EBP is not put into place.

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.

First of all, gather all the information, such as facility policies and procedures. Research should be evidence-based. Why is it being implemented? How will we be affected? Perhaps other hospital's data could help in presenting the new procedure and how they implemented

Evidence-based practice is an approach used by health care professionals to continually use current best evidence-based research to make ethical and reliable decisions regarding patient care. “Research to promote evidence-based practice is becoming more and more a part of the regular work of health care leaders” (Grand Canyon University, 2015, p. 1). However, it is important to determine the difference between solid research and flawed research that provides unreliable inferences. Evidence-based research includes focusing on a clinical question; and includes the review and incorporation of several studies to strengthen the results of the new study (Grand Canyon University, 2015). Roddy et al. and Ganz et al. articles will be assessed to determine if the recommended changes were backed by solid research that warrants changes in a hospital.

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

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

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

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

The final identified recommendation is the use of a standardized action plan format that will provide the framework for change. Defined expectations and deadlines will ensure that progress is maintained amongst the numerous and diverse clinical settings. My role-modeling of this step will teach my management team how to utilize this tool as well as assist with setting the expectation that they utilize the tool with their staff members as well.

Research, quality improvement (QI), and evidence-based practice (EBP) all play an important role in the field of healthcare and are essential for the delivery of quality patient care. While each involves teamwork, critical thinking, and creativity there are distinct differences between them.

Evidence-based practice is a formulation of ideas, research and conclusions to formulate the best possible health care choice (Hood, 2014). In health care the process of utilizing current information begins with a question can something be done better, can the patients benefit as a result and is it cost effective, EBP seeks new information to replace old or outdated information. When there are doubts if something can be done better a research team collects data on the subject using unbiased information they analyze the data, design interventions that are based on the new evidence and makes their final recommendations on their findings (Hood,

However, there are some barriers to EBP. One barrier is lack of time, lack of resources, and the difficulty in understanding statistical analysis. Another barrier for nurses is the lack of time in being able to implement these new practices and the lack of authority the nurses have to be able to change the patient care procedures. “Implementation of EBP places additional demands on nurses to apply credible evidence to individual client situations through searching related evidence, using clinical judgments, and considering client values and system resources” (Majid, 2011). In order to make EBP successful it has to be adopted by nurses and other health care professionals.

The process of using Evidence Based Practice in a patients care plan consists of five key stages. Asses the patient and formulate the problems from this you will then need to access the relevant clinical articles. Using this information you should then be able to assess which is the best method of treatment discarding any misleading or ambiguous articles. You then need to incorporate this knowledge into the patients care plan. Finally you need to evaluate and assess the patient during treatment to ensure effectiveness.

Your paper relies on evidence in the form of both quantitative and qualitative measures. Assessing quantitative measures such as the number of online clinic and urgent care visits prior to implementation vs post implementation will allow your organization to assess the degree of change. Assessing patient feedback regarding their experience will provide qualitative outcome measures regarding your program. I appreciated seeing the percentage of visits made during the pilot. By chance do you know the percentages before the pilot? Knowing the before percentages would provide a reference point for assessing change.

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