Evidence Based Practice In Nursing Research

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 is an integral part of nursing care. According to the Academy of Medical-Surgical Nurses, evidence based practice is defined as, “the conscientious use of current best evidence in making decisions about patient care.” (AMSN) The use of evidence based practice has drastically improved patient outcomes, increased quality and safety of healthcare, and reduced costs for facilities. (Melnyk, 2016) In this paper I will provide the history of evidence based practice, how it has already been incorporated and impacted healthcare, and why it is important to nursing and healthcare as a whole.

Conrad, A., Grotejohann, B., Schmoor, C., Cosic, D., & Dettenkofer, M. (2015). Safety and tolerability of virucidal hand rubs: a randomized, double-blind, cross-over trial with healthy volunteers. Antimicrobial Resistance & Infection Control, 4(1), 1. doi:10.1186/s13756-015-0079-y

Nurses are responsible in providing holistic, quality care to their clients. In order to effectively provide such care Boswell and Cannon (2009, p. 2 & 7) states that nurses must base their provision of care on the most current, up-to-date health information available and sound nursing knowledge. This is where evidence-based practice (EBP) comes in. Polit and Beck (2010, p. 4) defined EBP as "the use of the best clinical evidence in making patient care desicions". This usually comes from research conducted by nurses and other healthcare professionals. Thus it is pertinent that research reports are critically analyzed.

This paper will discuss how evidence based practice effects nursing practice and how nurses can apply what they learn to their practice. Evidence based practice is a great way to improve the quality of care we provide. “Evidence based practice means using the best available research findings to make clinical decisions that are most effective and beneficial for patients” (Chitty & Black, 2011, p.258). By allowing nurses to participate in research and development, we are able to see firsthand how effective our intervention can be. Nurses run into all kinds of problems on a daily basis and they are able to share their experience and expertise to help develop a better way to solve a problem.

Findings of evidenced based practice have to be disseminated to ensure that innovations for practice are replicated or applied in other settings by stakeholders in the health fraternity and healthcare professionals (Forsyth, Wright, Scherb & Gaspar, 2010). One of the objectives of dissemination should be to improve the practice. Dissemination of evidenced based practice findings in nursing is very critical in knowledge synthesis, translation, and translation. It is imperative in strengthening healthcare, informing policy, and improving practice decisions based on clinical evidence (Rycroft-Malone & Bucknall, 2010). This is realized by transforming clinical changes into practice. It actually involves two stage processes namely: translation of evidence into practice and integration of research recommendations into actual practice. Effective dissemination of evidence based practice findings enable staff to share information about developments in healthcare practice and implement innovation (Freemantle & Watt, 1994).

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.

Evidence based practice is an important priority in nursing because it ensures that the best quality and most effective care is being used. Restraint use is an intervention that is being minimized more and more. It can be an important intervention when necessary but there are specific circumstances and guidelines that must be followed. Evidence based practice is proving that restraint use may be eliminated due to safety concerns and more beneficial interventions being used.

Within this essay Evidence based Practice will be identified and the significant effect it has on the nursing profession, barriers will also be explored in the implementation of Evidence Based Practice.

According to The American Nurses Association (ANA) Evidenced-based practice is a "scholarly and systematic problem-solving paradigm that results in the delivery of high quality healthcare" (American Nurses Association, 2010, p. 65). Through the use of evidence-based practice nurse and other health care professional have the ability to create clinical decisions, which allows clinical questions to be answered and aid in quality improvement. Furthermore creating a safe, efficient, productive environment for patients and staff that may result in improving patient outcomes and reduce expenses. Nursing research helps health care providers provide evidence-based practice, which may result in quality improvement (Rebar & Gersch, 2015).

It was pretty difficult to choose to the most important competency to use in nursing practice since all of them play a vital role in our nursing practice, however I do see why evidence based practice is the most important competency to you. Evidence based practice is designed as a clinical- decision making process based on theory-derived information necessary to provide patients with care that is effective, safe and efficient. In order to have effective patient outcomes, it is necessary for new researched-based knowledge to be transformed into the clinical setting and implemented effectively within the health care system. As the healthcare system evolves, so do our nursing practices and the same polices that once use to be in place, may no

How do researchers determine reliability in a study? Describe the major types of each. According to our text Understanding Nursing Research: Building an Evidence-Based Practice “reliability testing is a measure of the amount of random error in the measurement technique. It takes into account such characteristics as dependability, precision, stability, consistency, and reproducibility (Grove, Gray, & Burns, 2015, p. 288). It then goes on to describe the different types that, “focuses on the following three aspects of reliability- stability, equivalence and homogeneity” (Grove, Gray, & Burns, 2015, p. 289). The chart on page 289 goes into detail about each term, Test-retest reliability, Alternate forms reliability, Interrater reliability,

NYP Weill Cornell puts a strong emphasis on patient satisfaction. The famous slogan, “We Put Patients First”, serves as a reminder for clinicians, including nurses, to review and stay current with their practices. The Professional nurse can recommend integration of evidence as Evidence- Based Nursing Practice (EBNP) in order to improve patient care outcomes. First, the nurse needs to identify a problem based on patient safety enhancement opportunity, new approach to care delivery, procedure, a clinical situation, quality data or issue or other areas of interest in nursing practice. In order to develop an EBNP project, the nurse has to formulate a question applying the standard PICO-TS format (Population,

Thus, it would not be appropriate to use only the quantitative method or the qualitative method, since the study would not have been well-rounded and precise.

When it comes to nursing research and evidence based practice I knew very little but have definitely expanded my knowledge thanks to this class. As stated by Houser (2015) "Evidence based practice is the use of the best scientific evidence, integrated with clinical experience and incorporating patient values and preferences in the pratice of professional nursing care." I have learned so many valuable things from this class from how to search for credible sources to how to incorporate what I have read into the clinical setting. In addition I am able to distinguish what should and should not be incorporated into the healthcare setting knowing that every case is in fact different from the rest. According to Courtney & McCutcheon (2010)"Evidence