Is there such a thing as “Evidence-Based Management” ? Essay

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.

Evidence based practice has been seen as far back as the 1700s and there is even some evidence tracing back to Ancient Egypt. (Dillard, 2017) The first randomized control test for EBP was in 1747 by James Lind. (Dillard, 2017) Lancaster used a sailing voyage to test the theory that scurvy could be prevented in sailors by use of citrus juice. The results from his experiment were dramatic but were not published for another 7 years. Even after it was published it took another 40 years before ships implemented having citrus juice for sailors. (Dillard, 2017) One of our most prominent figures in nursing, Florence Nightingale, is credited with evaluating and then changing practice standards in our field. (Brower, 2017) One of her greatest examples was implementing the change of using hot water with soap instead of just cold

There has been major controversy in defining the term evidence informed practice. The best definition which is globally accepted is the one invented by Sackett et al. (1996) He defined evidence informed practice as “the conscientious, explicit and judicious use of current best evidence in making decisions about care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research”. (Ellis 2003) To simplify, it means utilizing the best possible information which is proven to be useful in aiding the best possible care to patients.

I believe the most important aspect to successful implement evidence-based practice is a common understanding and stress of the importance of EBP among health care professionals. Everyone need to be on the same page and understand that practice methods that are not backed by evidence are no longer acceptable. I believe the facility needs to have a mandatory meeting with all the health care professionals and discuss how EBP will be implemented into their facility. I also believe that there should be repercussions if EBP is not put into place.

Sackett, D. Richardson, W. Rosenberg, W. et al (2000). Evidence based medicine; how to practice and teach EBM. London: Churchill

A model is a representation of concepts which are used to help people know, understand or simulate a subject matter. Moreover, a model is used to create the various hypothesis which can be tested in the laboratory or utilized for explaining a case study. The goal of this assignment is to explore three models of evidence-based practice (EBP) that interest the authors and give a summary. Although several models used in research, this paper will highlight three specific models and provide a summary, strengths, weaknesses and a model that can be implemented in a particular practice.

Evidence based practice is the basis for needed change in practice and function. It is a sound method for scientific, fact-based change. Changes which have no evidence to support them are fragile, unscientific, and subjective. These changes don’t effect real change over time, as they aren’t able to be proven to a more general population.

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).

Evidence Based Practice Nursing is the utilization by nurses of Evidence Based Research findings that, according to Houser (2012), steer the nurse toward integration of clinical expert opinion and experience with an unbiased exhaustive review of the best scientific evidence professional nursing care literature can provide while incorporating patient values and preferences. Evidence Based Practice Nursing entails adopting a systematic critical thinking decision making process guided by a deliberate and defined chosen Evidence Based Nursing model path that involves searching,

The process of using Evidence Based Practice in a patients care plan consists of five key stages. Asses the patient and formulate the problems from this you will then need to access the relevant clinical articles. Using this information you should then be able to assess which is the best method of treatment discarding any misleading or ambiguous articles. You then need to incorporate this knowledge into the patients care plan. Finally you need to evaluate and assess the patient during treatment to ensure effectiveness.

Evidence based practice (EBP) is the utilisation of best available, contemporary research in the management of individual patient care (Sackett et al. 2000). Combined with the personal experience of the healthcare professional, EBP facilitates problem-solving that takes patient preferences and values into account (Melnyk and Fineout-Overholt 2005). The approach respects the patient as an individual and as a partner in the planning and receiving of care. EBP aims to reduce the use of ineffective healthcare interventions and encourage clinical decision-making that is based on modern credible evidence (Stevens 2013). Concisely, it aspires to achieve best outcomes for patients hence increasing the standard of care nurses provide to their

This essay will be a critical review on the study conducted by Majid et al (2011). The article which is titled ‘Adopting evidence-based practice in clinical decision making:

something is done in a specific way. It also takes into consideration the preferences of

Evidence based practices are important to explore for various diseases so that their efficacy level can be determined and medical staff can be trained accordingly. Particularly speaking in the context of chronic diseases, evidence based practices are to be evaluated with the joint efforts of multiple healthcare institutions so that it can bring benefits to the overall healthcare industry.

“One of the strongest and most far-reaching current trends in health care is the application of evidence - based practice through the development