Evidence Based Practice

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).

Evidence-Based Practice (EBP) was initially a movement in medicine, dating back to early 20th century (Spring, 2007). It was described as a careful decision making process about the care of individual patients using best available evidence by Sackett, Rosenberg, Gary, Haynes, and Richardson (1996). Greenhalgh (2010) gave a similar definition but with more emphasis on the mathematical assessment of the potential benefit and harm. By now, EBP has been widely adopted by many health disciplines, including psychology. In 2005, the American

· The results of the study, the interpretation of the data by the authors and any conclusions they include at the end of the article.

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,

In order to know whether the evidence of research studies are accurate, one must be able to have a fundamental understanding in statistical analyses to determine if such descriptions and findings within manuscripts and articles are presented correctly and explicitly (Sullivan, 2012). Proper use of statistics begins with the understanding of both descriptive and inferential statistics. Correct organization and description of data characteristics from the population sample being studied leads the researcher to identify a hypothesis and formulate inferences about such characteristics. It is with inferential statistics that researchers conduct appropriate tests of significance and determine whether to accept or reject the identified null

more faith in the nursing services that practices research based care, for example, The well-established University Malaya Medical Centre in Malaysia is well-known for its tremendous research and its successful application in the clinical practice (Universiti Malaya Medical Centre, 2014) . Therefore, the Institute of Medicine (2010) aims that by the year 2020, 90% of the clinical decisions expected to follow evidence based practices to improve the health and prevent harm to the patients.

WHY: The purpose of this article was to present findings of a study that analyzed the difference

Thank you for involving me in the review of this manuscript. Bias and/or risk of bias, is a very critical topic in health research methodology. This is a project generally well-conducted and a manuscript well written; but my major concern is whether the researchers answered a scientifically meaningful question. And consequently, I am concerned with the implication of the product of this study. I recommend to reject this manuscript.

As stated in previous reports, the part (a) questions are always about responding to the

The authors’ justification of the need for the study, including the degree to which the authors synthesized and critically analyzed existing research to show that this study is the next logical step in the line of research.

There are several limitations in this research. First of all, the time given; the researchers had done this report in nine weeks, they had a very

Data collection is amongst the most significant stages of the research process which includes quantitative and qualitative data. The secondary data is to be identified and collated from existing literature, past research work, peer reviewed journals, professional magazines and online websites (Creswell 2009). The current study has to rely on secondary data and must put in considerable effort through clinical search and study of the existing literature which includes data sheets, magazines, peer reviewed journals, previous research articles, online websites, past research papers, thesis and books on the subject-matter (Bryman and Hardy 2009). (Kumar 2011) elaborates on the significance of collating valid and comparable secondary data wherein the data from various sources can be used to move consistently from generalizations to specifics. (Wei 2011; Spirig 2011) bring out that there are researches that can be entirely conducted based on secondary data when reliable and accurate data exists in sufficient quantity.

The introduction drives the reader from a general branch of knowledge to a specific field of exploration. It sets up the connection and essentialness of the exploration summarizing the current observation and foundation data about the theme, expressing the reason for the work as the examination issue bolstered by a theory or an arrangement of inquiries, quickly clarifying the methodological methodology used to inspect the exploration issue, highlighting the potential results your study can uncover, and plotting the remaining structure of the paper. The opening passage of your paper will give your readers their underlying impressions about the rationale of your contention, you 're composing style, the

This chapter shows the various techniques that the researcher used to carry out the study. It shows the study design, population of the study sample size and selection, data collection methods, data collection instruments, data quality control procedure, and data analysis.