Evidence Based Practice Essay

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.

The following ssion of this assignment attempts to critically appraise the venUS III randomised control trial (RTC) published in the British Medical Journal.

Evidence-Based Practice Proposal Final Paper Usha Kizhakkedan Grand Canyon Final Paper of Evidence Based Proposal NUR-699 Dr. Debbie Long June 1, 2016 Table of Contents Part 1: Organizational Culture and Readiness Assessment 4 • Introduction to Evidence-Based Practice 4 • Barriers to Evidence-Based Practice 4 • Facilitators of Evidence-Based Practice 5 • Integration of Clinical Enquiry 5 • The Survey 6 Part 2: Problem Description 7 • Description 7 • Identification of change agents in the Health care system 8 • PICOT question 8 • Purpose and Objectives 9 • Rationale 10 • Literature support 10 • Research Method 10 Part 3: Literature Support 11 • Research Questions 11 • Search Method 12 • Organization of Literature 12 • Framework 12 • Nursing Rounds- Patient and Family Satisfaction: 13 • Communication: 15 • Management of Pain, Use of Call Lights and Cases of Patient falls 15 • Data Collection 16 Part 4: Solution Description 16 • Objectives 17 • Change Methodology 17 • Implementation Plan 18 • Evaluation 19 Part 5: Change Model 19 • Change Model 20 • Implementing Change 21 • Rationale 22 Part 6: Implementation Plan 22 • Staff Education 23 • Client feedback 23 • Timeframe 23 • Hiring Process 24 • Implementation 24 • Data collection and Evaluation 24 • Progression 24 • Resource Management 24 • Budget Plan 25 • Outcomes and its impact 25 • Summary 26 Part 7: Evaluation of Process 26 • Objectives 26 • Methodology 27 • Procedure 27 • Collection and Analysis of data

Bradley, S., & Mott, S. (September 2012). Handover: Faster and safer? Australian Journal of Advanced Nursing, 30(1), 23-32.

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 base practice is essential in nursing practice. It incorporates 3 key components which are clinical expertise, patient values, and best research evidence in order to provide the most effective and safe decision making for patient care. Neglecting a key component can affect the accuracy and efficiency of a research. Clinical expertise is based on a clinician’s experience, skill, education level and understanding in a certain area of nursing practice. Patient values can impact evidence base practice depending on their needs, preferences, expectations, values, understanding, and concerns. Best research evidence can be obtained from clinical research with supporting evidence base literature and sound methodologies. Each component will be discussed in further detail and how it links to clinical decision making by registered nurses in order to achieve the best evidence-based practice available.

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

Over the last several years, nurses have been facing critical challenges. This is because there is a shortage of qualified individuals inside many facilities. At the same time, they are expected to serve a variety of roles in order to address the needs of stakeholders. To fully understand what is occurring requires focusing on the use of evidence based practices inside a clinical setting and formulating strategies for overcoming barriers to them. Together, these elements will highlight the underlying challenges and how they can be addressed in the long term. (Lundry, 2009)

However the research study would have been better if they used qualitative methods to find out the nurse’s perceptions, knowledge and barriers towards evidence based practice in clinical decision making. Majid, et al. (2011) could have interviewed some of the participants to get detailed descriptions of how they feel about evidence based practice in clinical decision making. This would allow the researches to get an in-depth understanding making the study more valid (Saris and Gallhofer, 2007).

In the field of social work, workers are constantly faced with practice issues, ethical conundrums, lack of needed supervision, and personal feelings regarding the work they do. When supervision is limited or nonexistent, one course of action could be to form a consultation group of one or more peers or mentors. This allows the social worker to receive supportive feedback and critical advice when needed. The construction of peer consultation groups can provide an opportunity to meet informally with peers to converse about issues regarding practice in a helpful and confidential setting. For this paper, I met with Latisha White on Tuesday, September 15th, in order to form a small peer consultation group to discuss the benefits and conflicts of working with Evidence-Based Practices (EBPs). We met at the Social Work Building and then, for almost one hour, we conversed at South Union. When a fire drill was conducted, Latisha and I fled from South Union and finished our discussion at the Engineering Hall for another hour.

Importance of Evidence Based Practice in Nursing Profession Evidence-Based Practice (EBP) is very important in the health care profession in general and specifically in nursing because it aims to provide the best and most effective care to the patients. According to the The American Journal of Nursing (2010) “EBP leads to higher quality care, improved patient outcomes, reduced costs, and greater nurse satisfaction than traditional approaches to care” (Volume 110, Issue 1, p. 51-53). Currently, almost all health care professions are required to follow EBP in their practice. The goal is to achieve safety and efficient during care with the least expensive as possible. Central Line Care Central Venous Catheter (CVC) is inserted in the vena cava or the right atrium, “they are used to administer any type of infusion therapy” (SCVMC, p. 2).

). An essential component of nurses’ knowledge and skills in delivering quality care is basing practice on information coming forth from the best available evidence termed ‘evidence-based practice’. However, accessing the latest research in itself does not constituteevidence-based practice. Appropriately using the knowledge from the information for the individual patient and individual situation is what marks the transition from evidence being simply information to being best practice. Using evidence based practice assists the delivery of person-centred care

Advance practice nurses have the ability to change the health care system as they play a critical role in improving health outcomes. In a clinical setting, implementing the recommended changes of monitoring, enhanced communication, greater collaboration and education of patients and more analysis of patients with a focus on their preferences and beliefs would create a more relaxed and trusting environment. This change would allow for better patient experience which would cause them to place greater reliance and confidence in the opinions and recommendations of providers and would more readily adhere to suggestions. A culture of medication adherence would be facilitated and would in turn build trust in the overall national healthcare system.

One of the greatest challenges is advanced nursing practice is to stay current on new approaches to patient care and the most effective treatment strategies (Andreoni et al., 1995). Evidence-based practice gives us best practice for the best care and outcomes possible. One thing about change is that it happens and nothing ever stays the same. I have learned through my personal problem and my clinical problem that the outcome isn’t always what one plans. When making a change there are obstacles along the way, and the process to getting to the outcome may need to be reevaluated or changed.

The paper herein provides a critical discussion of evidence based practice (EBP) in nursing. It clearly elaborates on the meaning and definition of EBP as used by nurses as well as the importance of evidence based decision making as it relates to nursing care. It broadly examines the concept of EBP in nursing care and its relevance to nursing practice and to the delivery of quality patient care. Subsequently, the essay will also expound on the broad research methods that are used in evidence based nursing and conclusively show how this evidence can be applied in day to day health care practice.