Evidence Based Practice : Importance The Pre-Hospital And Emergency Care Environment

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.

Share what evidence-based practice means to you (EBP) and describe how EBP is used in your practice setting.

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.

Evidence Based Practice (EBP) is a process that permits us to evaluate study, scientific strategies, and other evidence resources centered on high quality outcomes and put on the results to run-through [Academic of Medical-Surgical nurse (AMSN, 2014)].

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

Evidence Based practice was established to enhance the quality of patient care. An EBP has been considered as a series of mechanisms to improve the patient care as well as preventing the medical errors by clinicians. In order to optimize the patient wellbeing, today clinicians are expected to use their clinical knowledge along with use of research evidence in to the practice. Practicing EBP can enhance the clinician’s excellence in the practice (Manske & Lehecka, 2012). A quality care which is based on evidence

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

According to Dr. David Sackett (1996) 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 means integrating individual clinical expertise with the best available external clinical evidence from systematic research.”

Over the past two decades, EBP has expanded on Florence's theories. EBP constitutes the combination of clinical expertise, patient values, and research evidence when making decisions about patient care. In the 1990's, it was determined that just increasing knowledge was not sufficient for improving patient outcomes. To obtain better patient outcomes "new knowledge must be transformed into clinically useful forms, effectively implemented across the entire care team within a systems context,

According to Nelson and Stagger (2014, p.40), “knowledge is the heart of EBP”. Knowledge is one of the four paradigm of the informatics framework, which is a result of identification of data and information; and formalization of relationship between data and information. EBP is defined as the integration of current best evidence into clinical practice to enhance decision making while providing care to an individual (Nelson & Staggers, 2014). The decision making for clinical process is not only influenced by the high-caliber, peer-reviewed scientific studies in the literature, but also a clinician’s expertise and patient preferences and needs are equally important.

Evidence Based Practice (EBP) is "the process of lifelong, self directed learning in which caring our own clinical patient create the need for clinically important information about diagnosis, prognosis and interventions" (Crist, McVay and Marocco, 2016), also mentions that time and experience may work against us sometimes if we do not pursue current evidence. EBP also describe, as practice which based on best evidence with clinical judgment, additionally, best evidence mentioned as timely, well design study, which significant to the question a physical therapist (PTs) about patient management (Jewell, 2005) . Evidence may assist the PTs practice in various decision making areas

Utilizing the EBP approach by nurses helps to bridge the gap between research, expert opinion and patient preferences to provide the highest quality of patient care possible. The simplest way to define Evidence Based Practice is the method of evaluating, and applying research findings to improve clinical practice, and patient outcomes. In the search for clinical improvement, nurses must examine the “why” behind current methods and processes, using EBP aids nurses in answering this question. Nursing interventions should be realistic, and clinical decisions should be based on EBP research studies because EBP is

Drawing on a range of evidence discuss how different types of research can be used to support practice.

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

Evidence-Base practice (EBP) is defined as based on problems identified from nursing practice; using best evidence and professional expertise and merging them into current practice to ensure patients receive quality care (French, 1999). Evidence-based practice is a part of quality improvement process; it is made of evidence, clinical expertise, patient preference and the context of care (Barker, 2013). In brief, evidence-based practice is the guideline in the nursing practice that requires nurses gather and use clinical evidence to help diagnose or assess patients correctly by using their knowledge and experience in order they can deliver the quality of care to the patients (Ellis, 2013). In the other words, in the nursing practice the clinical evidence supports all the nursing procedures performed.