Evidence Based Practice

4004 Words Mar 28th, 2012 17 Pages
In this essay, I am going to consider how evidence-based practice can be used to support, justify, legitimate and/or improve clinical practice. I am also going to explore and discuss primary and secondary research evidences about how nursing interventions can potentially improve the quality of life of patients in the community suffering from heart failure. I will gather these evidences using a literature search which I will include an account of. Using a critiquing framework for support, I will appraise both primary and secondary evidences that I have chosen. I will also look at potential non-evidential factors that can influence evidence utilisation in practice. Finally, a conclusion will be drawn.

Evidence-based Practice (EBP) is
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I did not choose PsychInfo or Social Care Online and several specialist databases as I did not want to get any articles that focus on other perspective other than nursing.
I asked the search engine to look for heart failure in the title section of articles and also lifestyle as secondary to it. I also used quotation marks to specifically search for heart failure rather than search each word individually. To further refine my search, I went onto the chronic heart failure filter. Using these search criteria, I was able to pick the primary evidence that fits best to my aims.
I used the Cochraine Library to search for my secondary evidence as it is best to look for systematic reviews which is a form of secondary evidences. I used the advance search feature of the database. I performed the search using heart failure with quotation marks in the title section of articles. I also used quality of life and exercise in the abstract of possible articles as keywords. As well as this, I used the search engine’s function to only show results restricted to systematic reviews. Using these search criteria, I successfully chosen my secondary evidence.

The primary evidence that I have chosen is a study conducted by Brodie et al (2008) about how a physical activity ‘lifestyle’ intervention based on motivational interviewing, compared to standard care, can improve quality of life for people with chronic heart failure. The authors of this article included an account of its
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