Factors Role In Evidence Based Practice

In the counseling world today understanding psychodynamic approaches is more crucial than ever in the assessment and treatment of any psychological issue. Psychodynamic approaches such as Individual therapy, analytical therapy and psychoanalysis are similar in many ways but also differ based on the individuals own perception and circumstances. I will discuss the similarities as well difference’s and why these forms of therapy are critical in the assessment and treatment of clients.

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 (EBP) was initially a movement in medicine, dating back to early 20th century (Spring, 2007). It was described as a careful decision making process about the care of individual patients using best available evidence by Sackett, Rosenberg, Gary, Haynes, and Richardson (1996). Greenhalgh (2010) gave a similar definition but with more emphasis on the mathematical assessment of the potential benefit and harm. By now, EBP has been widely adopted by many health disciplines, including psychology. In 2005, the American

Evidence Based Practice is a principle that is centered on the improvement of patient care and outcomes, by introducing and researching current based evidence when making decisions for that patient. According to Johnston (2016), “Health-care practitioners are increasingly being encouraged to implement research evidence into practice in order to ensure optimal patient outcomes and provide safe, high-quality care”. Throughout the course of this class, whether it be from researching about Evidence Based Practice, or the implementation of nursing care delivery models, patient care and the way we treat our patients is at the forefront of change. We know that change is necessary, now it is just a matter of how to implement that change into the healthcare

Goodwin, V., Richards, S., Henley, W., Ewings, P., Taylor, A., Campbell, J., & ... Campbell, J. L.

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”.

Psychodynamic therapies are looks for themes past and present relationships that may be affecting the current conflicts for the patient. Humanistic therapists analyses the present and future around conscious thoughts while applying active listening, so the patient is hearing what they are sharing. These are being treated to find the root of the issue or the cause of the undesired issues.

Why should nurses incorporate research? Nurses should incorporate research in their scope of practice to deliver the highest and safest quality health care. This is based on proven scientific evaluation, peer review, combined with one’s clinical experience, critical thinking, and competency. (Stevens, 2013), “research produces the most reliable knowledge about the likelihood that a given strategy will change a patient's current health status into desired outcomes”. With these analyses, I believe that nurses can achieve great outcomes and patient satisfaction. However in our class lecture, Chamberlain College of Nursing (CCN, 2015), states that “research yields evidence upon which nurses may base their practice, i.e., evidence-based practice”. In a nut-shell, nurses’ combine research to improve their scope of practice, innovate nursing concept, and enlarge nursing knowledge (Hood, 2014, p. 243).

Once the survey is complete there are nurses within the organization that will review the suggestions and determine its value based on evidenced based practice. Evidence based is important to be used because it can support changes that need to made within the organization (International Council of Nurses, 2012). “When enough research evidence is available, the practice should be guided by research evidence in conjunction with clinical expertise and patient values” (Titler, 2008).

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) centers around using the current, best evidence available to make patient care decisions. EBP solves issues and problems by searching for the most relevant evidence available and critically appraising it. It then takes into account one’s own clinical expertise, as well as patient values and preferences (Academy of Medical-Surgical Nurses, 2017). The goal of evidence-based practice is to provide optimal clinical service while treating the patient as an individual (American Speech-Language-Hearing Association, 2017).

Over the last seven weeks, I have practiced evidence based practice when I provided care to my patients. For instance, when I administered the IV medication to my patient, I made sure that there were no air bubbles in the IV line because evidence-based practice has shown that air bubbles can travel to patients’ brain, heart, lungs and can cause a heart attack, stroke, and respiratory failure (complication of IV therapy, ATI).

Integrative Perspective is an effective way to help shape your personality into your psychological method of therapy. This type of approach helps bring together all personality aspects into one form of cognitive and behavioral functioning. Integrating this perspective makes it possible for people facing obstacles to do it more openly and much more freely as they don’t have a pre-formed opinion or expectation to the given situation. The aim of integrative perspective is to facilitate their wholeness in all aspects and to maximize their own personal limits and outer constraints. As you can see integrative perspective takes part in many views of human functioning, taking all these aspects into consideration the two theories I believe match my personality the most are gestalt therapy and postmodern approaches.

The integration of various schools of psychotherapy has been in the making for several decades, the reason it took so long to be taken seriously is because of the competition between different schools. A good example of this is during Freudian times when there were meetings on psychoanalysis, during these meetings each therapist would claim that they had found the best treatment approach which caused arguments. These disagreements only multiplied once behaviorism was founded. One of the first attempts at combining techniques was

Paul Wachtel, a therapist who uses theoretical perspective, created the cyclical psychodynamic therapy (Wachtel, 2014). The cyclical therapy incorporates the psychodynamic and cognitive behavioral therapy schools of thought. This type of psychotherapy integration focuses on the personality patterns that may have originated in childhood but that persist because they often generate the very feedback from others that is necessary to keep them going (Wachtel, 2014). Although the theory is rooted in the relational