Introduction to Research and Evidence Based Practice

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.

The steps to favorable evidence-based

There are two types of collecting data for research, which are qualitative and quantitative research. Qualitative research is used to gain a thorough explanation about a phenomena, and ‘is normally recognisable via the use of methods that include, at least, in-depth interview and group-moderation techniques’ (Bailey 2013)

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).

Findings of evidenced based practice have to be disseminated to ensure that innovations for practice are replicated or applied in other settings by stakeholders in the health fraternity and healthcare professionals (Forsyth, Wright, Scherb & Gaspar, 2010). One of the objectives of dissemination should be to improve the practice. Dissemination of evidenced based practice findings in nursing is very critical in knowledge synthesis, translation, and translation. It is imperative in strengthening healthcare, informing policy, and improving practice decisions based on clinical evidence (Rycroft-Malone & Bucknall, 2010). This is realized by transforming clinical changes into practice. It actually involves two stage processes namely: translation of evidence into practice and integration of research recommendations into actual practice. Effective dissemination of evidence based practice findings enable staff to share information about developments in healthcare practice and implement innovation (Freemantle & Watt, 1994).

Over the course of decades medical treatment has advanced causing an increase in the wellness of patient clinical outcomes. A large portion of the improvement is due to the vital role nurses play in the delivery of safe and quality care to their patients. For many years different methods of treating patients have evolved due to the continued research for the best practice. Nurses, researchers and people with questions have always tried to find better and efficient solutions to treat their patients detailing the best possible evidence-based practice. Evidence-based practice is an important tool to use for clinical decision making however one must understand it first. Interpreting Evidence-based practice allows nurses to comprehend the steps to determine if new evidence is needed and realize there are some benefits to utilizing up to date research and obstacles that may impeded the research into practice. .

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

Evidence-based practice is relied on by professional nurses in order for them to make informed decisions as well as apply critical thinking skills directly to the patient care they provide. The research process allows the nurse to ask and answer questions systematically to ensure the decisions they make are based on sound science. Research provides the evidence needed for nurses to practice based off scientific evidence rather than by tradition (Houser, 2013). Nursing research is fundamental to the practice and is the central principle that defines the nursing profession.

Evidence based practice and practice based evidence are a big part of a treatment process. These two can provide appropriate treatment that is needed to make advances in health care practices. Having enough evidence helps people determine whether to do something or not. To provide the best possible treatment for each patient you have to take information and see what will work best for each of your patients. Some will work and some will not work. Methodological issues can arise with in any type of research and some are more controversial than others. In the article “Practice Based Evidence: Back to the Future” (2011) the point of view was that research comes from evidence and that

Showing knowledge of up-to-date health practices is simply not enough. A nurse must have an adequate ability to research and discover current trends and best practices in his or her specific clinical setting (QSEN Institute, 2014). So, while creating this clinical practice project, a proficient knowledge of how to research for evidence-based

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

“Evidence-based practice (EBP) is an approach to health care wherein health professionals use the best evidence possible, i.e., the most appropriate information available, to make clinical decisions for individual patients” (McKibbon, 1998). It is patient/family centered and involves complex and contentious decision making that is based on evidence available as well as the patient situations, characteristics and preferences. The evidence found does not make the decision, but helps support the patient care process. Health care is ever changing and involves multiple different aspects that evidence based practice gives the health care providers the formalization of the care process. There are

Evidence-based practice is important to the nursing field today. Nurses need to be able to understand and use the research to help them in the work field. Evidenced-based practice helps nurses to use the best evidence in making decisions with patient care decisions. Nurses and other health care professionals usually conduct the evidence that is found (Pilot & Beck, 2014).

While sociological research is being recorded, a good sense of reliability and validity is essential for one to have. If one does not have the most honest VARIABLE being observed for their research, they might lie about what they have done. Or, the researcher could lie and all the information gathered would be tainted. If one is not directly honest with one's findings, people will not believe them without solid evidence.

Another perspective regarding qualitative research is confirmability. Confirmability refers to the degree to which the results could be confirmed by others (Trochim, 2006). Qualitative research tends to assume that each researcher brings a unique perspective to the study. By applying each of these concepts to the study, the researcher is able to provide a credible, valid, transferable study. Next, I will discuss the qualitative methods of data collection that this study will exploit.