Evidence Based Practice Model

Proper collection of blood cultures are necessary and the most direct method of determining whether or not a patient is septic. The purpose of obtaining blood cultures is to identify and isolate the bacteria that are causing an illness and then determine the best course of treatment based on the sensitivity of the bacteria to particular antibiotics. One of the most frustrating problems plaguing hospitals is the increased rate at which blood culture results are being returned as contaminated specimens. These results can lead to a significant increase in cost to the hospital and patient as well as an increased length in hospital

Evidence-based practice is extremely important in health care. It is not only important to know how to perform a certain skill, but why it should be done. There needs to be a standard of care and providers need to know the best way of doing things based on evidence. The article mentions that in the 20th century, many medial decisions were made on doctor assessment and preference (Brower, 2017). Many physicians were practicing dramatically different when compared with one another, which led to the realization that changes needed to be made and Evidence-based practice began to develop. Even though Evidence-based practices have been in play for a while, there is a gap between understanding and applying evidence-based

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.

Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).

According to Stevens (2013), the call to develop and implement evidence-based practice (EBP) within all healthcare disciplines is fueled by legislative demands for improvement in standard medical metrics such as mortality and morbidity. However, increasing demands by the public for evidence related to the metrics and outcomes of such concepts as quality of life illustrate what may be more important to the client (Stevens, 2013). This client-directed focus has resulted in patient-centered outcomes research (PCOR) (Stevens, 2013). "The Patient-Centered Outcomes Research Institute (PCORI) helps people make informed health care decisions, and improves health care delivery and outcomes, by producing and promoting high integrity, evidence-based information

Constance, evidenced based practice (EBP) and quality are important and they are becoming a focus of healthcare payment models that reward for better quality and outcomes. With the repeal of the Sustainable Growth Rate (SGR) legislature and the enactment of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, the United States has changed the rules around what determines how much health care providers are paid for services. Starting in 2019, providers including physicians and advanced practice nurses (APNs), will receive payments that are adjusted by the cost associated with, and the quality outcomes of the care provided to their patients for services rendered during 2017 (MACRA, 2015). It is important that all care providers

Applying evidenced-based practice has three steps. Step one is making sure the research is creditable. Going into detail about step one should model a social work practice. In a social work practice, you always want to make sure you are looking for clarity and in some cases it helps to paraphrase it or reword it differently. As a social worker you have to be non-judgmental and try to understand every perspective. You have to be unbiased when it comes to wording and how it affects the meaning of the conversation. Also, making sure the research on the surveys or interviews are fair and represent the entire population. The second step is when you match your outcome of the research in your own “practice wisdom." As a social worker you want to compare the research you made with prior experience. You want to have different perspective and information that help you understand the client better. Lastly, the last step is to ask questions to the clients about their significance of what they have accomplished by working with you. Just asking what the client has learned can help

In our research, we have compared three very different tools for ranking evidence based practice methods. Each of these tools could be effectively utilized in any healthcare facility or healthcare organization.

Evidence-Based Practice Reflective Essay Caring for patients can be very challenging at times and patients as well as a family often has many questions. They want to know the “why” of the problem. Evidence-based practice helps clarify the reason behind care and treatment not only for ourselves but the patients.

There have been many changes throughout the years in healthcare. One of the many changes that affect us every day is oxygen toxicity in premature babies and the effects on their eyes. There is a fine line to walk when protecting the function of the brain and preserving vision. The risks have been a concern for healthcare providers for decades. Some people were born at 26 weeks in the early 60’s and suffers from severe retinopathy from over oxygenation. Between 1950 and the mid-1960’s many babies were blinded due to over oxygenation (Millenson, 2015).

According to Melnyk, Fineout-Overholt, Gallagher-Ford and Kaplan (2012) evidence-based practice (EBP) is a problem-solving technique to help in the making of clinical decisions in regards to healthcare to provide the best scientific solution to a clinical problem. This process involves clinical expertise, patient values, preferences and the best research evidence to date. The findings of an EBP project alone does not make the final decision, but the findings can help support new interventions to patient care and patient processes (---------------). If I was approach by a colleague who wanted me to co-author a manuscript and I was passionate about the project and potential benefits to patient care I would willingly accept to join their team.

Nurses agree that having a consistent process for screening for depression increases the quality of care. Routine screening for depression and suicidal ideation is often overlooked or omitted due the comfort level of individual providers. Early identification of depression in family members of active duty soldiers is key in referral for additional services. The evidenced-based practice (EBP) project by Yackel, McKennan, & Fox-Deise (2009) was “designed to develop, to implement, and evaluate a standardized nursing procedure to improve the screening of family members for depression…” (p. 139).

The foundation of the evidence-based practice paradigm according to Barkham & Mellor-Clark (2003), relies on efficacy research that focuses on and assesses the measurability of specific interventions. It also addresses questions about safety, and capability. The goal is to provide the best practices possible in reducing possible harm or threat to the client through practice intervention. Through evidenced based practice, potential harm can be minimized, and potential benefits maximized. According to Drisko (2011), EBP, improves clinical practice outcomes, informs treatment planning and helps to better serve our clients. It also helps identify procedures that are cost-effective resulting in the best practice and the best use of resources.

When considering the implementation of the evidence-based practice (EBP), several factors act as the organizational support. The main ones are the support from the management and the leadership, facilitation and a conducive environment that is ready to accept changes (Gerrish & Clayton, 2004). If the management and leadership are supportive of the EBP movement, they will help the staff overcome the barriers of EBP. Therefore, they make arrangements for the employees to find time and resources to conduct research for the evidence that has scientific backing. They will encourage the staff to follow this new movement and help facilitate the EBP. The employees who work under a supportive leadership will enjoy the privilege of authority to make

Evidence based practices like bedside reports have reduced the number of patient calls during changes of shift. Hence scholarly discovery not only helps with present issues, but also helps in assessing future needs to meet the strategic goals of an organization. Implementation of report by the method known as SBAR (Situation-Background-Assessment-Recommendation) is another example of the integration of knowledge in practice in this acute care hospital in north Texas.