Evidence Based Research Essay

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

In order to develop nursing knowledge and establish evidence-based practice (EBP) in nursing, there needs to be a "concept model, one or more theories and one or more empirical indicators" (Fawcett & DeSanto-Madeya, 2013, p. 26). The theoretical framework can be advantageous in guiding and supporting the design and execution of an EBP change. Using a conceptual model (C) theory (T) and empirical research (E) provides the foundation for an intervention to an identified clinical problem. Known as C-T-E structure, the application of this system in nursing practice involves an elevated level of critical reasoning, which assists in knowing what data is important and how it relates to practice change (Chinn & Kramer, 2011; Fawcett & DeSanto-Madeya, 2013; Mazurek Melnyk & Fineout-Overholt, 2015). The doctoral level of nursing necessitates the need to combine the understanding and knowledge gained from using the C-T-E structure, and then integrate the concepts and theories into daily practice.

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.

Research in Nursing has become a fundamental discipline throughout the years and this report will provide an insight into the process of research. This report will show how to use the Cinhal database to extract the best available article within the parameters of Tissue Viability and formulation of the research question. The main features will focus on the reliability and validity of the chosen topic of the Waterlow Scale tool and the comprehensive evaluation of the evidence. The main aim of this report is to validate the effectiveness of Waterlow Assessment Tool and identify any risk factors, towards the prevention of pressure ulcers. The overall strengths and weaknesses of the report will highlight any

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

Nurses are responsible in providing holistic, quality care to their clients. In order to effectively provide such care Boswell and Cannon (2009, p. 2 & 7) states that nurses must base their provision of care on the most current, up-to-date health information available and sound nursing knowledge. This is where evidence-based practice (EBP) comes in. Polit and Beck (2010, p. 4) defined EBP as "the use of the best clinical evidence in making patient care desicions". This usually comes from research conducted by nurses and other healthcare professionals. Thus it is pertinent that research reports are critically analyzed.

Using the knowledge of EBP I am able to review current research on practice issues or problems in my organization by evaluating the problem or issue and determining the PICO components to establish the EBP question. This information can help provide some of the search terms used to gather the information. I would evaluate the relevance and believability of the data by assessing the strength and quality of the data. This is achieved by looking at evidence provided in the last five years to assure the research is current. High quality evidence can often be found in well-known professional journals or on government agency websites. The type of evidence is defined as research (level 1-3) or non-research (level 4-5). For example, level one research is a randomized control trial. To measure quality you would look at the sample size and the adequacy of control used for the study and if it was a larger study this would be a higher quality. The strength and the quality as noted in these features help to define the relevance and believability and thus the ability to draw conclusions form the evidence.

The questions were compiled by a team comprising information studies faculty at the Nanyang Technological University and nursing representatives from the National University hospital. Making the questionnaire unbiased towards the researchers. Marczyk, et al. (2005) states that it is important for all research to not be biased towards the researchers.

The clinical question being asked is; If primary care providers use motivational interviewing techniques to counsel pediatric patients during office visits, will patients be motivated to make lifestyle changes that will result is weight loss and decrease body mass index (BMI). Primary care providers will be educated on the benefits and the cost effectiveness of motivational interviewing. The primary care providers will also be provided with MI training prior to the implementation of the intervention. In addition to the MI training they will also have access to a MI coach who they can contact through telephone throughout project.

Evidence-based practice are methods that have been tested with rigorous and countless scientific and research trials that validate the medical treatment and utilizes the best possible treatment approach known today. I use evidence-based practice in my nursing practice by utilizing standardized tests as much as possible to ascertain the problem areas, research what treatments have been demonstrated to work on the problematic area, reassessing to demonstrate the progress that has taken place due to the treatment and properly document the assessment following the treatment plan. In my nursing practice, I want to always promote safe and thoroughly tested research and give top quality care that is safe so that my resident will have the best possible outcome. I work the floor at a long-term care facility and I incorporate evidence-based practice daily in my practice that is governed by our evidence-based practice policies and procedures. I also do research on my own to make sure that I and the facility are utilizing evidence-based practice for our residents to have the best outcomes. The issues I see the most in my practice that we use evidence-based practice is preventing falls, infection control, managing behavior and psychological symptoms in residents with dementia/Alzheimer?s, pain management in the elderly and prevention of wounds or how to treat wounds.

This piece of work will be exploring the different forms of research and their significance in the evidence-based practice.

Both quality improvement (QI) and research have subtle differences and frequently overlap, which can make it challenging to identify the best option to investigate the problem. With quality improvement is typically doesn’t involve with research articles, but more specific to one’s organization. The purpose of quality improvement is to improve workflow, improve efficiencies, reduce variations in care, and address clinical problems. QI will assess and implement changes to improve patient care and outcome. Research generates new knowledge for practice and adds to the nursing professions’s knowledge through literature. Thus research involves the development of theory, testing, and evaluation to formulate a conclusion based on evidence. When

Bringing new evidence based practice to the bedside involves a multi-faceted approach involving research, peer review, and publication of new ideas. Research is necessary for the discovery of scientific advancement. Peer review is necessary to ensure the integrity of research findings prior to publication. Adherence to writing principles and style are necessary to convey research findings vetted by peer review. Poorly written research findings remain undiscovered due to lack of clarity and ease of reading. Conversely, well-written research articles in peer-reviewed nursing journals often lead to change in bedside practice.

The percentage of children with obesity in the United States has more than tripled since the 1970s (“Healthy Schools.”). Childhood obesity is a medical condition that affects children and teenagers who contain excess body fat. This condition is very common today, having about 3 million cases per year (“Healthy Schools.”). A sign that a child is suffering from obesity is when their weight is well above the average for a child’s height and age. Today about one in five school children, ages 6-19, are obese (“Healthy Schools.”). I will be addressing the causes, health complications, treatments, controversy, and supporting obese students.

In this assignment I will be writing about the importance of research in nursing considering history of nursing and the difference between how research is performed nowadays. I will also be defining different types of research such as quantitative and qualitative research and giving an example of a nursing based research study that was carried out and how it is important to nursing presently.