Evidence Based Practice In Health Care

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.”

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.

The impact of evidence based practice has been brought into nursing through education, practice, and science over the last decade. Evidence based practice provides quality care to patients that is effective, safe, and efficient. Evidence based practice promises moving care to a high level of producing the intended health outcome for the patients. “EBP is aimed at hardwiring current knowledge into common care decisions to improve care processes and patient outcomes” (Stevens, 2013). EBP empowers nurses and expands their skills by using the best available evidence to guide nursing care and patient outcomes.

For reference, evidence based practice (EBP) is defined as “the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences” (American Psychological Association, 2005, p.5).

Evidence-based practice is becoming an imperative and integral part of the clinical setting upon healthcare professionals. Evidence-based practice is considered to increase patient outcomes due to evidence-based implementation and successful facilitation and training of the staff.

The unique feature of evidence-based practice is the effective it has on psychological symptoms. Dr. Norcross noted that evidence-based practice when put in clinical knowledge,  encompasses the patients characteristics, culture and client's preferences to enhance the application of psychotherapy.

Each hospital has a specific policy and procedure protocol for every patient related procedure etc. These protocols vary form hospital to hospital yet their main purpose is to provide specific details on how they want the procedures performed. It is important to provide a rationale along with current research as to why certain procedures need specific details. I will be including what current evidence based practice suggest and what Santa Clara Valley Medical Hospital’s policy suggest is the proper protocol for seizure precautions.

It is important to consider the necessity of mentors in enhancing my knowledge and skills about evidence-based practice (EBP). According to Mazurek, Stillwell, and Williamson (2010), these mentors may include clinical nurse specialists or advanced practice clinicians because of their evident knowledge in EBP and credibility when it comes to teaching this type of subject.

Evidence-based practice (EBP),as characterized by the integration of clinical expertise and experience, patient values and preferences, and ideal research evidence (DiCenso, Guyatt & Ciliska, 2014) is vital for quality healthcare delivery and improves patients’ health outcomes. Several steps must be fulfilled in order to achieve EBP in practice. To begin with, clinicians assess the patient, then question the patient on issues regarding their preferences and values. Next, clinicians conduct research to appraise the patient’s clinical case then evaluate the credibility of the sources used in the research. Lastly, clinicians apply the information collected and integrate it with their clinical skills, patient preferences and values.

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.” (Sackett D, 1996)

Evidence based practice, also known as EBP, by definition, is an interdisciplinary tool based on using patient care and expectations, along with evidence to create a safe clinical environment and practice. EBP involves combining an investigative approach with caring, incorporating best evidence from studies, data from patient care, clinical experience and expertise, and patients’ preferences and values (Makic, Martin, Burns, Philbrick & Rauen, 2013).

Evidence Based Practice has contributed to the healing of millions of patients across the world by meeting the needs of patient care through providing extensive research and evidence. The process of Evidence Based Practice (EBP) is made up of professional nurses. The start of this process is based on previous clinical experience based on encounters nurses have had with patients regarding clinical problems. EBP brings better care to the patient by making the patient and their health issue the main focus of what is being researched or studied. The evidence-based practice (EBP) movement is consistent with nursing’s goal of providing research-based care to patients (Fain, 2015). Nurses main goal of EBP is to explain what and why a topic is being researched, how this process is important to the care of the patient and how the evidence collected can be credible to make a difference.

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

Evidence-based practice or EBP is the utilization of the best and up-to-date evidence available in the decision-making process about the patients’ healthcare (as cited by Courtney, Rickard, Vickerstaff, & Court, 2010). It is a combination of patient preferences, expert opinion, clinical expertise, organizational experience, and research (Newhouse, Dearholt, Poe, Pugh, & White, 2007). According to Spruce (2015), it is a combination of patient preference, clinician experience, and the best research available. It assists and informs administrative, educational, and clinical decision making (Newhouse et al., 2007). It ensures effectiveness, efficiency, and efficacy (Newhouse et al., 2007). Moreover, it weights cost, risk, and advantage (Newhouse