Evidence Based Practice Summary

Fuller, C. Michie, S. Savage, J. McAteer, J. Besser, S. Charlett, A. Hayward, A. Cookson, B. Cooper, B. Duckworth, G. Jeanes, A. Roberts, J. Teare, L. Stone, S. (2012). The Feedback Intervention Trial - Improving hand-hygiene compliance in UK Healthcare Workers: A Stepped wedge cluster randomised Controlled Trial. PLoS One. 7 (10).

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

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

The incorporation of evidenced-based practice (EBP) into nursing practice is supported by research to positively improve the quality of care and improve patient outcomes. EBP is important to the nursing profession because it also leads to increased job satisfaction, teamwork, and levels of engagement in clinicians (Melnyk, et al., 2017). Miniature research projects such as quality improvement projects, surveys, and clinical research studies are frameworks used to get feedback and data from patients during their time spent in health care systems. EBP is not the standard of care in many health care systems (Melnyk, et al., 2017). This due to many factors, including lack of EBP mentors, nursing programs that do not incorporate EBP into the curriculum,

Evidence based practice is when there is a focus on improving the quality of care provided inside different facilities. This is because these challenges have become a major problem for health care professionals. They are overwhelmed from increasing numbers of patients and a reduction in qualified staff members. The results are that quality and safety inside many facilities is often overlooked. (Beyea, 2006) (Barker, 2009)

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.

The use of Evidenced-Based Practice (EBP) is required by universities throughout Undergraduate programs in Communication Science-Disorders, Graduate programs in Masters of Arts or Science in Speech-Language Pathology, and during Doctor of Philosophy (PhD) programs in Speech-Language-Hearing Sciences. The implementation of EBP in all my assignments significantly increased during my first semester in the Masters of Arts program for Speech-Language Pathology at Lehman College. During the use of EBP for assignments, I have relayed on my clinical judgment to question: the methodologies, how and why certain groups were selected, the author/s’ purpose for writing the article, the most valuable piece of information, the inferences and conclusions, and how it will impact the field of speech-language pathology. I also used evidence-based research while writing reports and justifications for therapy techniques and goals; during the search for articles I had to consider how it would impact the client and his/her family, as well as the meaning it would add to the therapy session. Moreover, I encountered acronyms and new vocabulary that are currently being used in the field such as MGRs- Mental Graphemic Representations, and tDCS- transcranial Direct Current

Social media (digital technology) platforms are defined as any form of digital communication through which users create online communities to share information, ideas, personal messages, and other content (such as videos). Over the last several years, the use of social media platforms such as blogs, text messaging, games, and Twitter, have had significant growth. Social media tools have become an effective way to expand reach, foster engagement and increase access to credible, evidence-based health information.

Today, we are continually striving to improve the quality of care that we deliver and the best method in applying relevant research into clinical practice is through evidence based practice (EBP). We have now come to a time in our careers to shift our direction on how to employ evidence based practice techniques when managing our patient's health care needs. Facilitation is a method that has been investigated as a way to help clinicians accomplish the implementation of evidence into practice. As clinicians, we are encouraged to think outside the box and utilize critical thinking skills as well as express our role as nurse practitioners as part of the health care team.

Special education practitioners appear to have produced the majority of the research on the prevalence of evidence-based practice in education. Studies of the prevalence of evidence-based practice in general education do exist, but in at least one instance, the research was published in a special education journal (Kretlow and Helf, 2013). Kretlow and Helf (2013) published a study of kindergarten, 1st and 2nd grade teachers that asked these teachers about the reading programs they were implementing. The results indicate that few of these teachers are using reading curricula that is demonstrated to be evidence-based. Studies among special educators have produced similar results. Research by Cook and Cook (2013) suggested that significant misunderstanding exists about what evidence-based practices are and this has led some special education teachers to ignore evidence-based practices. Similar results were obtained by Carter, Stephenson, and Strnadova (2011) regarding the prevalence of

Evidence based practice (EBP) is an important part of social work. Every social policy and interaction with individuals is based on experience and careful selection of research. Moreover it aims to empower individuals and reduce discrimination. Therefore it promotes productive interactions, which is crucial in this economic climate. Therefore. Social workers have to be competent and confident in analysing the latest research and being able to judge whether it is suitable in practice. Moreover this is supported by Standards of proficiency (SOP) section 14 “Be able to draw on appropriate knowledge and skills to inform practice”.

Evidence based practice (EBP) is using the most current scientific evidence when making decisions about patient care. Evidence based nursing uses the best evidence available, combined with nursing expertise and preferences of the patient/family to create the best patient care possible (Stanhope & Lancaster, 2014). The definition of EBP continues to broaden in scope in order to include every approach to practice, and now includes both external and internal evidence involving clinical questions to achieve the desired patient outcome (Stanhope & Lancaster, 2014).

Evidence-based practice is one of the strategies that has been applied in various aspects of social studies and social work. Researchers have associated this approach of social work with various benefits as well as challenges. However, there are various facets of evidence-based practice ranging from published case studies and the use of empirical studies. The process of selecting a particular evidence-based practice in social work depends on availability of resources, scope of the study and the goals of the study. This discussion will focus on a case study of a social worker Ajia Meux, who narrates her story on how she uses evidence-based practice to perform her duties as a social worker. It will also provide a case study on how the evidence-based practice indicated by Ajia could be used to solve certain social problems of an anonymous client. Consequently, this paper provides the benefits of applying evidence-based studies on social work.

Evidence Based Practice (EBP) is the process nurses use to conduct research and find recent and credible evidence to support best practice (McCutcheon, 2009). The process of EBP will be applied to the case study about a nurse who did not use EBP in her nursing process. This is important because providing EBP is a core philosophy in the ANMC competency standards for the registered nurse (The Nursing and Midwifery Board of Australia, 2016). The report will on build assignment one where a problem was identified and an answerable question was created and apply the remaining steps in the EBP process. These steps include locating the best evidence to answer the question, appraising it, and provide a summary of best practice (Johnson, 2008).