Literature Review On Evidence Based Practice

Marion Good, PhD, RN, has focused her study, “A Middle-Range Theory of Acute pain Management: Use in Research,” on complementary medicine for pain and stress, acute pain, and stress immunity. The purpose of this theory is to put into practice guidelines for pain management. Good, 1998, noted the need for a balance between medication usage and side effects of pain medications. The theory also promoted patient education related to pain management following surgery and encouraged plan development for acceptable levels of pain management. This theory was developed through deductive reasoning. Chinn & Kramer, 2008, defined deductive reasoning as going from a general concept to a more specific concept.

These complementary therapies would benefit the individual with the disorder they have. Although, these complementary therapies may not be able to cure the individuals cancer but it would be able to support the individual with the treatments they may have. The role of the complementary therapy reflexology would be to massage the individuals feet which would make them feel at ease and although they might be unaware of the different areas of their body being affected, through the reflexology they will be able to identify any areas that might have been affected due to the disorder. For example, if an individual describes that they might feel a sharp feeling this would suggest that the individual’s body might be out of balance.

Many people will experience many physical factors such as pain and mobility problems, some individuals may feel that it’s best to take orthodox medicines which are the best pain relief or option for them, this includes treatments such as paracetamol and ibuprofen. However, some people might have side effects from medicines, therefore they choose to have alternatives, such as, massage and acupuncture. This means that pain can be taken away without any side

One area that has had many studies conducted regarding the effects reflexology is Cancer treatment. The role of complementary therapy in this instance is to help manage a client’s symptoms that they may be experiencing from the aggressive cancer treatment. In 2000 Hodgson found using 12 patients who were in the palliative stage of cancer that there was 100% improvement in many areas of the lives of the participants within the group who were given reflexology, whereas the participants within the placebo group only reported an improvement of 67.6% within the same categories. The categories included their general mood, pain, mobility, tiredness, constipation, concentration and nausea.

Utilizing evidence based practice in nursing is paramount today in the always evolving field of nursing. Having the clinical expertise and knowledge of a nurse is just the first step in making decisions for the treatment of a client. Adding the most recent and up to date evidence alongside with the client’s values and preferences is ideal to guiding the process of healthcare (Kelly & Tazbir, 2010). When evidence based guidelines are set forth in the plan of care for a client, the clinician has an abundant of amount of data to make sound decisions on. This allows the nurse to make the best decision or develop the best strategy to deliver care. Evidence based practice also allows

The relationship discovered in the articles written by Denneson, et., al (2011) and Fletcher, et., al (2016) discuss how the Department of Veterans Affair is studying the significance of using complementary alternative medicine to effectively control chronic noncancerous pain versus the continuous use of opioids. Massage therapy was the most preferred and effective method for management of pain. In the article written by Fletcher, et., al (2016), about 60 percent of the outpatient was taking opioids for management of chronic pain.

Pain is one of the most common and feared complications of cancer. It is exacerbated by stress, anxiety, fatigue, and malaise which accompany advanced cancer. Pain is generally absent in the early stages of cancer, but it is a significant factor as the illness progresses to advanced stages. Cancer-associated pain can arise from a variety of direct and indirect mechanisms including direct pressure, obstruction, and invasion of a sensitive structure, stretching of visceral surfaces, tissue destruction, infection, and inflammation (McCance 2010). Pain is generally accepted as whatever the patient says it is, wherever the patient says it is. Treatment of pain and its associated symptoms is a primary responsibility of the healthcare team. Treatment modalities for pain include the use of opioid analgesics, patient-controlled analgesia, psychological interventions, and preventing recurrence of pain. Reinforcing the reporting of pain by the patient is important, as is a respect for the social and cultural differences with respect to pain perception.

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

For reference, evidence based practice (EBP) is defined as “the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences” (American Psychological Association, 2005, p.5).

Complementary and alternative medicine, or CAM, can be characterized as a gathering of restorative, human services, and healing systems other than those incorporated into health care in the United States. CAM incorporates the perspectives, speculations, modalities, items, and practices connected with these systems and their utilization to treat disease and advance health and prosperity (McKenzie, 2012). Even though heterogeneous, the significant CAM frameworks have numerous normal attributes, including an attention on individualizing medications, treating the entire individual, advancing self-consideration and self-recuperating, and perceiving the otherworldly way of every person. What's more, numerous CAM frameworks have attributes generally found in standard human services, for example, an emphasis on great sustenance and preventive practices. Dissimilar to standard medication, CAM frequently needs or has just restricted trial and clinical concentrate; then again, experimental examination of CAM is starting to address this learning crevice. In this manner, limits in the

It would seem a foregone conclusion that effective clinical practice is based on the best possible, rigorously tested evidence because the public assumes it, patients expect it and practitioners profess to value it. Yet the emphasis on evidence as a basis of clinical practice reached the forefront of health care only in the last two decades. The past decade has seen unprecedented advances in information technology, making research and other types of evidence widely available to healthcare practitioners. Technology has supported the rapid communication of best practice and afforded consumers open access to healthcare information as well. As a result, Evidence Based Practice (EBP) is quickly becoming the norm for effective clinical practice.

“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

Evidenced-based practice (EBP) should be a driving force behind establishing optimal clinical practices. These efforts hold the potential to improve patient outcomes and reduce costs (Ahrens, 2005). It is true that evaluation tools are very effective for any kind of evidence-based change project. It helps in finding out the project needs, implementation and outcomes. Ideally, evaluation begins when a group of patients’ assessment is initiated and continues across the life of a program to ensure adequate implementation (Jacobs et al., 2012).

There are many different definitions of Evidence-Based Practice (EBP). According to EBP book, most EBP definitions contain three components “research-based information, clinical expertise, and patient preferences” (In Schmidt & In Brown, 2019, p. 4). These three words explain what is EBP in a simple way for me to understand. It means EBP research includes collecting information, reviewing, evaluating, and implementing evidence into the practice to improve patient outcomes. EBP is unique concept because it doesn’t only take consideration of the evidence, but it does give preference to individual patient’s values and needs to advocate for improved patient experiences. EBP is a holistic approach to improve patient care outcomes and nursing practices. By utilizing EBP into my practice is not an extra task but it helps to cover the difference in patient care to improve patient

Pain, which is defined in its widest sense as an emotion which is the opposite of pleasure (White, 2004, p.455), is one of the major symptoms of cancer, affecting a majority of sufferers at some point during their condition (De Conno & Caraceni, 1996, p.8). The World Health Organization (WHO, 2009, online) suggests that relief from pain may be achieved in more than 90 percent of patients;