Evidence Based Practice Method

Evidence-based practice improves patient outcomes. There are apparent gaps between understanding and applying evidence-based practice, but that does not mean that we shouldn’t take the time to try and eliminate those gaps and do what’s best for our patients.

Evidence-based practice is the practice of making clinical decisions based off the best available research evidence coupled with the nurse’s own expertise, while also taking into account, the patient’s assessments and own personal preferences. This use of research has proven effective at providing better outcomes and lower healthcare costs, yet there are several barriers, such as time, education, and support, which prevent nurses from consistently using evidence-based practice (AJN, 2012). The top three barriers to the use of evidence-based practice are lack of time, education, and support in implementing new practices and using them consistently.

Evidence Based Practice Nursing is the utilization by nurses of Evidence Based Research findings that, according to Houser (2012), steer the nurse toward integration of clinical expert opinion and experience with an unbiased exhaustive review of the best scientific evidence professional nursing care literature can provide while incorporating patient values and preferences. Evidence Based Practice Nursing entails adopting a systematic critical thinking decision making process guided by a deliberate and defined chosen Evidence Based Nursing model path that involves searching,

As mentioned before, my chosen policy priority is childhood obesity, an epidemic with many health issues associated with it. According to Burns, Grove, and Gray (2011), research used as evidence- based practice (EBP) has been implemented in the clinical practice to achieve quality care, efficiency, and positive outcome for patients and healthcare organizations. Furthermore, when EBP is applied to clinical practice it provides description, explanation, prediction and the control of phenomena. To this, Saviñon, Taylor, Canty-Mitchell, and Blood-Siegfried (2012) suggested that nurses can advocate for the children by encouraging parents to provide children with a variety of foods in adequate amounts to support growth and energy play. Furthermore,

It would seem a foregone conclusion that effective clinical practice is based on the best possible, rigorously tested evidence because the public assumes it, patients expect it and practitioners profess to value it. Yet the emphasis on evidence as a basis of clinical practice reached the forefront of health care only in the last two decades. The past decade has seen unprecedented advances in information technology, making research and other types of evidence widely available to healthcare practitioners. Technology has supported the rapid communication of best practice and afforded consumers open access to healthcare information as well. As a result, Evidence Based Practice (EBP) is quickly becoming the norm for effective clinical practice.

In my organization, we have no formal implementation of evidence based practice. We have policies and procedures that guide general practices with updates occurring from time to time. Within my organization we have over twenty different facilities, each one is governed by the standard policy and procedure, but has autonomy for developing and implementing what they think is the best practices. On a monthly bases we all meet and at times will share some “best practices” with each

Evidence based practice has a great impact on health care system, nursing practice, teaching, and science. The necessity for evidence based quality enhancement and healthcare alteration underscores the requirement for redesigning and implementing care that is effectual, secure and competent (Stevens, K., Ma., 2013). The movement of evidence based practice commenced with the identification of the problems faced in healthcare system. The unacceptable gap between what we know and what we do in the patients care(Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. 2001). The main intend of evidence based practice in health care is to provide the resources by which the most latest relevant evidence from research and studies can be judiciously

In today 's society, there is a great deal of research and practice about evidence based practice. Most of this is highly sought upon in the field of psychology, where evidence and decision making is key to accomplishing new ideas of treatments for people who retain psychiatric problems. The meaning of evidence-based practice in psychology is that it involves making very educated and supported decisions based on punctilious, unambiguous, and astute evidence (Rousseau & Gunia, 2016). With evidence-based practice, it assists in raising and deriving the issue of what evidence really is, the strength of the evidence, and how practitioners can improve the quality of their evidence (Rousseau & Gunia, 2016). Evidence is a major factor because

Evidence-based practices (EBP) develop from the combination of excellent research evidence with the needs of the patient and clinical knowledge or skills. EBP promotes health care that enhances the quality, values, and reliability of patient care, improving health outcomes, and reducing costs, and disparity in patient care (Burn, Grove, 2009). When EBP is delivered, the best clinical decisions are made and the results are positive patient outcomes (Makic, Martin, Burns, Philbrick, & Rauen, 2013).

Evidence based practice is defined as the conscientious use of current best evidence in making decisions about patient care. (Melnyk, 2016) One of its main features is the reliance on the partnership among hard scientific evidence, clinical expertise, and individual patient needs and choices. EBP looks at research findings, quality improvement data and other forms of evaluation data, and expert opinion to identify methods of improvement. Evidence based practice challenges nurses to look at the “why” behind existing methods and processes in the search for improvement. EBP and research based practice have often been confused with one another. Research is generating new knowledge about a phenomenon or validation existing knowledge. “Although evidence-based practice may have opinion-expert opinion, but opinion still-woven in, research is built in such a way avoid bias.” (Melnyk, 2016) Evidence-based practice improves healthcare quality and patient outcomes while reducing costs.

My organization uses evidence based practice to improve patient care by setting up "practice council meetings". These meetings have several groups of individuals in the hospitals departments. Comprised of Med-surg Nurses and Clinical assistants, Progressive care RN's and CA's, and pharmacy staff. We meet the last Wednesday of each month to talk about good things that has happened on the Units, practice goals, and problems in practice. Having many disciplines in the meeting allows for different points of views and many solutions. Using PICO we determine what the problem is and talk about what the interventions should be. We explore alternatives and find our outcome. (Masters, 2014).

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

First, I thought it was significant how Dr. Loring meticulously described the meaning of evidence-based practice through dividing this concept into four smaller branches. Though we have discussed the meaning of evidence-based practices in class, I was struck by the specific way that it was presented today. She stated that in addition to support from research, professional agreement, values and preferences, and capacity must be considered before implementing an evidence-based practice. By professional agreement, Dr. Loring emphasized the importance of locating the established research within

“Evidence based practice is a process involving the examination and application of research findings or other reliable evidence that has been integrated with scientific theories” and taking into consideration the patient’s preferences and values (Schmidt & Brown, 2015, p.4). It is constructed from the three components of patient preferences, clinical judgment or expertise, and the best available evidence (Schmidt & Brown, 2015). Evidence based practice is an important tool to provide the highest quality of patient care, improve patient outcomes, and reduce patient care costs (Schmidt & Brown, 2015).

As we continue to focus on value-based care, where quality and costs are so important, there has been a growing emphasis on practicing evidenced-based medicine. We are now beginning to collect data and evidence not only on clinical matters, but also on issues such as whether patient-centered medical homes really work or if technology really lowers costs. As we accumulate more information on what works and what does not, we will need to increase our vigilance to using the information. Historically in healthcare, we have not really used evidence-based practices even when we say we do.