Evidence Based Quality Enhancement And Healthcare

Evidence-Base practice (EBP) is defined as: “based on problem identified from the practitioner’s area of practice; a combining of best evidence and professional expertise and an integration of this into current practice; about ensuring patients receive quality care, being part of quality improvement processes; about collaboration and requiring a team approach” (French, 1999). Scott and Mcsherry (2008) supported the French’s assertion, proposing the key elements of EBP are that it is a theory-driven process, which involves the use, evaluation and application of research; identification of best evidence; evaluation of care; problem solving; decision-making; clinical expertise; and requires patient involvement. Evidence-based practice is made of evidence, clinical expertise, patient preference, the context of care (Barker, 2013). In brief, evidence-based practice is the parameter in the nursing practice that it requires that the nurses gather and use clinical evidence to make decision for the patients so that in the nursing process they can deliver the quality of care for the patients (Ellis, 2013). In the other words, in the nursing practice all the nursing procedures performed by the clinical evidence supported.

As a provider of care, professional nurses depend on research, theories, and evidence based practice to guide the care they provide to patients. Nurses deliver care to their patients based on information they have learned through many years of school and training. Training for nurses and other providers of care is founded on theories, research, and evidence based practice in the healthcare field. Theories, research, and evidence based practice are all important for providing care to patients and each can be used in a different manner depending on the situation. Clinicians often use research based evidence to design and implement care that is high-quality and cost effective for patients. Evidence based practice can be used to provide care to patients in a steadily changing clinical environment. (PDF page 8-9). Nursing theories are frequently used as frameworks for establishing nursing care interventions and assessing

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.

Evidence based practice is when recent research is integrated into the clinical setting for maximum delivery of health care. A lot of evidence based practice was developed from research studies conducted by nurses such as decubitis ulcer prevention. Knowing and demonstrating the scientific methods and processes will help to advance nursing care by providing better interventions for patient care. Patient care plans should be developed based on evidence (Dycus, 2009). With monitoring outcomes from evidence based practice it can be determined if the care caused improvement in the healthcare setting. Using quality measures such as charts and diagrams to understand performance.

Evidence-based practice is an approach used by health care professionals to continually use current best evidence-based research to make ethical and reliable decisions regarding patient care. “Research to promote evidence-based practice is becoming more and more a part of the regular work of health care leaders” (Grand Canyon University, 2015, p. 1). However, it is important to determine the difference between solid research and flawed research that provides unreliable inferences. Evidence-based research includes focusing on a clinical question; and includes the review and incorporation of several studies to strengthen the results of the new study (Grand Canyon University, 2015). Roddy et al. and Ganz et al. articles will be assessed to determine if the recommended changes were backed by solid research that warrants changes in a hospital.

Slutsky, J. (2005). Using evidence-based guidelines: Tools for improving practice. In B. F.-O. Melnyk, Evidence-based practice in nursing & healthcare. A guide to best practice (pp. 221-236). Philadelphia, PA: Lippincott, Williams & Wilkins.

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).

Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model reaffirm that evidence based, is a reality concept in the clinical and educational setting. This model help the nurses at all levels will find clear explanations of the differences between quality improvement, research and evidence-based practice and, as long as they can establish good multidisciplinary team working, this model will be able to apply in the home health care agency to achieve the goal of my project. Also useful strategies for defining evidence-based practices problems and how to develop and implement a correct care plan. This model helps to develop research evidence, and find the correct

Within this essay Evidence based Practice will be identified and the significant effect it has on the nursing profession, barriers will also be explored in the implementation of Evidence Based Practice.

). 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

Evidence based practice is a practice that is based upon the best available evidence, patient preferences, and clinical judgments (Schmidt & Brown, 2012). According to Schmidt and Brown the nurse’s standpoint of patient care obliges nurses to form their own body of evidence through scientific research (Schmidt & Brown, 2012). A nurse encounters many patients with various disease processes throughout their careers. Overtime the nurse will be able to see which treatments work and which ones need improvements or can even do without. Nurses are key players when it comes to evidence based practice.

In this paper we will discuss the integration of evidence based practice into professional nursing practice. Scott & McSherry (2008) define evidence based practice as the combination of individual, clinical, or professional expertise with the best available external evidence to produce practice that is most likely to lead to positive outcomes for a patient. Despite literature surrounding what evidence based nursing is and isn’t, nurses struggle to get evidence into practice. Many reasons have been reported including a lack of understanding about evidence based nursing means. Scott & McSherry (2008) also define evidence based nursing is a process by which

The emergence of evidence-based practice was in the 90s mainly for medicine practice but it has rapidly spread into other disciplines and professions which are focused on people’s health. Sackett at al. (1996) have defined this term as: “Evidence-based practice is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients”. The reason for its prevalence and its success is clear as it is quite simply a self-evidently good idea to base the practice on an appropriate evidence (Trinder, 2006). To provide a complex and the most effective care that is available, the practitioner needs to make sure that the care will be based on clinical data/ knowledge, research evidence and patient values/ preferences or expectations. One aspect without the other is not sufficient and complex in the approach of client care and is not enough to provide the best care and ensure the best patient outcomes (Rowland and Goss, 2000).

The medical field is an ever-changing place. New medications, techniques, and products are coming out every day. With all these new items, there needs to be current clinical evidence that proves the effectiveness of such techniques and products and whether they can benefit a patient. In many settings, nurses tend to use practice traditions that they use on a daily basis as part of a habit. With new evidence, practice tradition interventions no longer support the actions. This is where evidence-based practice comes into play. Evidence-based practice can be broken down into

Nursing is a discipline that is highly affected by evidence-based practice. Evidence-based practice is derived from various research studies conducted to show the latest discoveries in health care for the safest treatment of patients. According to Baldi et al. (2014), there has been a major increase for the need of evidence-based practice research for nurses in recent decades in various countries. That being said, there are multiple structures and formats for conducting research studies. The most noted structure for evidenced-based practice research is the randomized controlled trial. This method has been considered to be the simplest and most powerful tool for research. The purpose of this paper is to describe the structure and usage of randomized controlled trials in modern medical research.