Evidence Based Practice Research Paper

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

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

Indeed, "new and validated knowledge that forms the basis j Y for evidence-based practice (EBP) most commonly is discovered in academic settings. But findings need to be translated into a protocol or guideline that can be used to guide practice," according to Conner, (2014, p.40). Evidence-based projects have lead to many improved clinical practice changes at the bedside and healthcare in general; and they are highly promoted and supported by different healthcare organizations.

Jeremy, nice posting about continuing to advance evidence-based practice (EBP). Stevens (2013) wrote that clinical leaders have the chance to advance ahead and change healthcare from a systems view, thus directing their efforts on evidence-based practice (EBP) for proven effectiveness, patient commitment, and patient safety. I see that through this program that this is only the beginning, I have the sturdy foundation from which I can build from the bottom up. Now that my eyes are open more and I challenge the organization or leaders more with the data to support my claims, I am now the squeaky wheel that grates on your nerves.

This essay aims to explore the importance of utilising evidence based care while working with clients and other health care providers to form a professional and reliable nursing team. This essay also aims to focus and evaluate a qualitative article entitled “Patient experiences of bladder problems following stroke” selected from the Nursing Standard. The assignment will adopt a systematic approach to expose the strengths and weaknesses of the chosen qualitative research article. I found this topic quite intriguing after undertaking a clinical placement in a stroke unit and learnt that many people suffered in silence as they found urinary incontinence embarrassing to live with as

I work in ICU unit as a registered nurse, where we provide care for patients with life threatening medical conditions. Working in ICU require a careful assessment and monitoring of patient progress in order to dictate sudden changes in the patients’ medical condition that might require emergency intervention. Evidence base practice is very important for our daily patient care. According the article published for the April issue of the journal critical care nurse, it encourages nurses to critically evaluate and apply evidence to daily practice to improve patient outcomes and to stop using practice intervention that are based solely on tradition. “It is well established that evidence-based practice (EBP) is associated with higher quality care

In medicine today it is becoming essential to remain on the journey to best possible practice, which “involves implementing available evidence into practice” (Dogherty, et al., 2013, p. 129). Dogherty, et al. (2013) researched the facilitation of evidence based practice by selecting 20 nurses “to attend an interactive knowledge translation symposium to examine what has worked and what has not in implementing evidence in practice.” Results from the study showed both many positive and negative facilitation experiences. “Successful implementation (of evidence based practice) is associated with focus on a priority issue, relevant and easy to use evidence, development of strategic partnerships and a multidisciplinary project team including

I have been working in community based services for three years now and one of the topics that I thought would be interesting to research would be the efficiency of evidence based practices within a community setting. I have myself been trained in several evidenced based practices which I have implemented with families. However, it has been a common experience among my colleges that many of these practices do not fit well within CBHI services. I would like to explore the issue and propose date to my field placement on how to better implement these evidenced based mental health practices within the community. I realized that this is a broad topic but I will work on refining this idea as I believe it will be valuable for my clients.

Healthcare continues to evolve at an extremely rapid pace. It is vital that patients are given the highest quality of care throughout the duration of care received. Melnyk & Fineout-Overholt (2015) states that evidenced based practice is the key to delivering a higher quality of care that facilitates the most favorable outcomes. In order to remain abreast in the face of change, healthcare providers must research and employ initiatives that forwards the healthcare entity as a whole. Unfortunately healthcare providers and healthcare organizations fail to utilize evidenced based practice as often as they should. Often time this is a result of unfamiliarity with research, inability to appropriately incorporate research into active daily practice,

The American Association of Colleges of Nursing (AACN) outlines fundamental essentials for the Doctorate of Nursing Practice (DNP) student to further develop and advance the nursing profession. DNP Essential III, Clinical Scholarship and Analytical Methods for Evidence-Based Practice, focuses on the importance of translating research into clinical practice (American Association of Colleges of Nursing [AACN], 2006). Evidence-based practice is the hallmark goal of research studies and DNP graduates are in a position to assist in the generation of new knowledge and affect evidence-based practice (EBP) from the practice arena (Chism, 2013). In order for research to be translated into practice, the data collected, analyzed and interpreted needs to be the result of proper use and translation of the statistics utilized throughout studies.

Shirey, et al, (2011) did an excellent job breaking down the differences between Quality Improvement (QI), Evidenced Based Practice (EBP) and Research. The terms QI, EBP and research are often erroneously used interchangeably. Frequently it seems as if nurses don't know which method to use to address the practice problems they are trying to solve. As someone, who is responsible for implementing QI projects on a regular basis and has also mentored nurses in doing both EBP and research, I found the clarity of the descriptions enlightening, an addition to my knowledge base and will also help me in my practice. The description used of a three-legged stool where QI, EBP and research as the legs all play an integral, yet individual, parts in

Evidence-based practice is defined as the best and recent available scientific research that has been clinically tested. Most healthcare providers use practice that is supported by evidence to provide their patients with high-quality services to improve patients’ outcome.

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.

According to Hah et al. (2017), several studies have shown that nerve blockade of the central nervous system (neuraxial anesthesia) or peripheral nerves (regional anesthesia) reduce the need for opioids in the immediate postoperative phase. There are two mechanisms through which nerve blockade reduces persistent opioid use. First, nerve blockade works by impeding the transmission of pain during the perioperative phase and thereby stopping central sensitization and chronic neuropathic pain. Second, nerve blocks are effective in treating postoperative pain and are good predictor of persistent opioid use. Similarly, studies found that intravenous local anesthetic such as lidocaine reduces perioperative opioid

Researchers should present write to persuade but present contracting viewpoints to illustrate their particular problem requires further explanation for clarity.