Evidence Based Practice Summary

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.

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

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 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,

The literature review studies discuss the recurrent issue of higher and lower staffing ratios and how they affect patient outcomes. The studies show how several factors affect the nursing workload and the adverse results of the patients. The information is investigated under several methods that range from level one to a level five on the pyramid. The extensive research studies provide the support and the evidence on the issue needing change.

Evidence-based practice is a decision making process in which you combine scientific data with clinical expertise, patient values and circumstances of the patient. (Hoffmann, Bennett 2017). The World Health Organisation (WHO) defines chronic diseases as those which are caused by non-reversible pathological changes in the body, are permanent and leave a lingering disability, those that require ongoing rehabilitation or care. Indigenous Australians experience very high prevalence, morbidity and mortality from chronic health conditions such as diabetes, cardiovascular, renal and chronic respiratory disease. Multi morbid and comorbid chronic diseases are increasingly placing a greater burden on individuals, communities and health care services

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

The purpose of this essay will be to discuss evidence based practise and its use in nursing, I will be discussing, the types of research and various forms of data, including the principles of evidence based practise and research. Evidence Based practice is finding the most effective, research proven, evidence to make decisions regarding the service users individual needs and the best decisions for them. As David Sackett quotes, "evidence based practise is the integration of best research evidence with clinical expertise and patient values." (Sackett D, et al 1996, p.71) Evidence based practice is good practice, assist practitioners, avoiding information overload and applying the most useful information.

Evidence-based practice is defined as the “integration of best current evidence with clinical expertise and patient or family preferences and values for the delivery of optimal health care” (Quality and Safety Education for Nurses, 2012). It is “the use of research in clinical decision making” (Brower, 2017).With the tremendous changes in the healthcare landscape, many processes have to be evaluated for its relevance, reliability,

When the most precious thing of the parents, their children have a condition such as type 1 diabetes, life is changed and their first reaction is anger, denial and doubt, and ask each other why my son? It is very important that parents understand that their child's condition is manageable and with good habits it can be controlled. The availability of evidence-based practice is a tool we can use to demonstrate parents that what we have told them has scientific evidence and it has been proven that with a medical follow up, monitoring and proper diet their child can have a normal lifestyle and a good quality of life. Having in mind the recommendations and guidelines that are provided to the feelings of grief, anger, denial and frustration will

Jennifer, these are all great points. Nursing practice has come a long way since Florence Nightingale, but still struggle when it comes to implementing evidence based practice. As discussed in chapter two (Walker & Advant, 2011), many nurses have misunderstood the term evidence based practice and its underlying intent and believe the focus should be more on practice based evidence (PBE). They state “PBE attempts to capture in-depth, comprehensive information about patient characteristics, processes of care and outcomes while controlling for patient differences” (Walker & Advant, p. 43, 2011). In recent years, I have seen a push to help nurses return to school for degree enhancement, and to provide more tools for them in the workplace such

The purpose of faculty training in the nursing profession is to provide program evaluation to examine evidence-based practice in a simulation of care and provide safe nursing practice. Patients with a tracheostomy are high risk and have numerous problems for nurses to find because of respiratory problems. In addition, understanding the facility policy regarding tracheostomy care, the faculty must possess specific knowledge and skills to provide satisfactory care. Evidence-based research has provided the organization for nurses to improve nursing care standards and practice regarding tracheostomy care (Schreiber, 2015). On the other hand, the patient simulation laboratory (SIM lab) coincides with this setting because it uses state-of-the-art

Evidenced-based practice (EBP) should be a driving force behind establishing optimal clinical practices. These efforts hold the potential to improve patient outcomes and reduce costs (Ahrens, 2005). It is true that evaluation tools are very effective for any kind of evidence-based change project. It helps in finding out the project needs, implementation and outcomes. Ideally, evaluation begins when a group of patients’ assessment is initiated and continues across the life of a program to ensure adequate implementation (Jacobs et al., 2012).

It is important to understand why research within the nursing profession is essential. Amongst healthcare workers worldwide nurses are the largest professional group. Within the UK nurses and midwives represent the largest work force within the NHS. They are also the profession that has the most person to person contact with patients. As the decisions and actions that nurses make affect the lives of the whole population, it makes sense that nursing practice should be based on evidence (Parahoo 2006). Nurses are expected to deliver competent, high quality care in a compassionate but also cost effective manner. To accomplish these goals, nurses continually need to access and evaluate new information and incorporate this into their clinical decision making (Polit and Beck 2010).

Evidence based practice (EBP) in dietetics is combining research evidence which has been appraised for its validity, with clinical experience, to make an informed decision about the nutritional care plan which is put in place. Employing EBP within my practice is beneficial as it provides a strong rationale for the decisions I make in designing a nutritional care plan for a patient. However the negatives of following EBP exclusively is that it does not allow for adjustment of care plans for individuals. I believe that it is of utmost importance to consider the patient at the centre of my decision making and therefore it may not be possible to always adhere to EBP.