Knowledge Translation: Evidence Based Practice Project Implementation

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.

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).

Proper collection of blood cultures are necessary and the most direct method of determining whether or not a patient is septic. The purpose of obtaining blood cultures is to identify and isolate the bacteria that are causing an illness and then determine the best course of treatment based on the sensitivity of the bacteria to particular antibiotics. One of the most frustrating problems plaguing hospitals is the increased rate at which blood culture results are being returned as contaminated specimens. These results can lead to a significant increase in cost to the hospital and patient as well as an increased length in hospital

Evidence-based practice is a formulation of ideas, research and conclusions to formulate the best possible health care choice (Hood, 2014). In health care the process of utilizing current information begins with a question can something be done better, can the patients benefit as a result and is it cost effective, EBP seeks new information to replace old or outdated information. When there are doubts if something can be done better a research team collects data on the subject using unbiased information they analyze the data, design interventions that are based on the new evidence and makes their final recommendations on their findings (Hood,

Venous thromboembolism refers to the formation of a blood clot in a blood vessel. While clots can form in an artery or a vein, this article focuses only on clots that occur in a vein ("," 2015). Critically ill patients are at an increased risk of a venous thromboembolism (VTE) due to VTE can manifest as a deep venous thrombosis (DVT) or a pulmonary embolism (PE). Risk factors include venous stasis, vascular injury, and hypercoagulable disorders. A majority of ICU patients carry at least one risk factor for VTE; additional risk factors are considered to have a cumulative effect…it is impossible to predict which patients will experience a

Evidence based practice is the incorporation of individual clinical expertise with best research evidence and patient values and expectations. Health care decision of individual patients should be based on best available research evidence. A health decision made from a sound research evidence has the potential to ensure best practice and reduce variations in health care delivery. In health science, an ever increasing plethora of studies being published and is challenging for clinicians to keep up with the literature. Integrating research into practice is time consuming and need methods for easy access to such evidences for busy clinicians. Indeed, clinical decision should be based on the latest research evidence. Systematic reviews and meta-analyses summarize the research evidence, which is generally the best form of evidence, thereby making the available evidence more accessible to decision makers and are positioned

In healthcare, evidence based practice (EBP) has grown and become important in providing the best quality care possible to patients. There are numerous ways to collect and use the research in the nursing profession. Studies are constantly being done to help better nursing and all of the healthcare field in order to help patients live better and maintain their health. There are different types of research such as qualitative and quantitative. Qualitative uses the human experience or something that has been lived by someone and quantitative examines for meaning and goes more in depth to research things and strives to test a hypothesis or makes use of statistical data to answer research questions (LoBiondo-Wood

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

An evidence based practice, in my opinion, is the care provided to the patients based on the best evidences derived from the research. According to Hickson et.el (2013) an evidence based practice (EBP) is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients”. This definition recognizes three foundations of EBP such as the research evidence, expertness of the clinician and the client’s preferences and goals (Hickson, Laplante-Lévesque, & Wong, 2013).

Social media (digital technology) platforms are defined as any form of digital communication through which users create online communities to share information, ideas, personal messages, and other content (such as videos). Over the last several years, the use of social media platforms such as blogs, text messaging, games, and Twitter, have had significant growth. Social media tools have become an effective way to expand reach, foster engagement and increase access to credible, evidence-based health information.

Special education practitioners appear to have produced the majority of the research on the prevalence of evidence-based practice in education. Studies of the prevalence of evidence-based practice in general education do exist, but in at least one instance, the research was published in a special education journal (Kretlow and Helf, 2013). Kretlow and Helf (2013) published a study of kindergarten, 1st and 2nd grade teachers that asked these teachers about the reading programs they were implementing. The results indicate that few of these teachers are using reading curricula that is demonstrated to be evidence-based. Studies among special educators have produced similar results. Research by Cook and Cook (2013) suggested that significant misunderstanding exists about what evidence-based practices are and this has led some special education teachers to ignore evidence-based practices. Similar results were obtained by Carter, Stephenson, and Strnadova (2011) regarding the prevalence of

This essay aims to explore the importance of utilising evidence based care while working with clients and other health care providers to form a professional and reliable nursing team. This essay also aims to focus and evaluate a qualitative article entitled “Patient experiences of bladder problems following stroke” selected from the Nursing Standard. The assignment will adopt a systematic approach to expose the strengths and weaknesses of the chosen qualitative research article. I found this topic quite intriguing after undertaking a clinical placement in a stroke unit and learnt that many people suffered in silence as they found urinary incontinence embarrassing to live with as

Do as I say not as I do, is an idiom we are all familiar with. When discussing an organizational infrastructure it is important to understand that what the organization says and does greatly impacts the implementation of evidence based practices. Catch phrases that are seem in some mission statements such as: commitment to quality care, holistic care, promote healing, comprehensive care, respect and many others are just catch phrases unless the organization actually stands by these words. Development of mission statements are to serve as a foundation of which quality care and evidence based practice begin (Huber, 2014). I mention this because if the organization does not stand behind their mission statement then the culture of their employees will follow. If an organization states that it will provide quality comprehensive care with respect that promotes healing yet the organization will not invest in equipment, minimal staffing ratios, hire minimally educated staff, and disregard of staffs concerns; it is very difficult for the staff to buy in to the mission statement.

Healthcare continues to evolve at an extremely rapid pace. It is vital that patients are given the highest quality of care throughout the duration of care received. Melnyk & Fineout-Overholt (2015) states that evidenced based practice is the key to delivering a higher quality of care that facilitates the most favorable outcomes. In order to remain abreast in the face of change, healthcare providers must research and employ initiatives that forwards the healthcare entity as a whole. Unfortunately healthcare providers and healthcare organizations fail to utilize evidenced based practice as often as they should. Often time this is a result of unfamiliarity with research, inability to appropriately incorporate research into active daily practice,

Does the compliance with a sedation protocol improve after nurses receive a sedation competency over a three month period? The available data supported the hypothesis that nursing education and competency can lead to consistent best practices and positive outcomes for patients. The answers to this research question can help develop interventions that support best practices for patients who are mechanically ventilated and receiving intravenous sedation.