Nursing Information Expert Interview

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 is an integral part of nursing care. According to the Academy of Medical-Surgical Nurses, evidence based practice is defined as, “the conscientious use of current best evidence in making decisions about patient care.” (AMSN) The use of evidence based practice has drastically improved patient outcomes, increased quality and safety of healthcare, and reduced costs for facilities. (Melnyk, 2016) In this paper I will provide the history of evidence based practice, how it has already been incorporated and impacted healthcare, and why it is important to nursing and healthcare as a whole.

Even though evidence informed practice helps improve healthcare, there are still a few limitations. One main limitation is lack of time and accessibility. The best quality evidence is usually very difficult to locate, a busy nurse may not have the time to delve deep to find reliable sources. (NICE 2007) However there are now

The nurse I chose to interview has been a family friend for a while, as she has worked closely with my mother for several years. She is the first nurse I met when I decided I was interested in going into the nursing field, and she is actually the person who encouraged me to apply to Truman State University’s nursing program. I was confident that she would be able to share her capacity of nursing knowledge and wisdom with me when I asked if I could interview her. I will expand on our interview which took place in her office at work throughout the next couple of pages, and to keep confidentiality, I will allude to her by her initials, J.W.

Select an allied health care profession and provide a description of the jobs and services provided by that profession. Research regulatory or professional organizations that serve the profession you chose, and describe an area in which the profession seeks to improve or expand. In what other ways might the profession grow to better serve the ever-changing health care 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).

For my health care interview assignment I chose to interview Mayra Cruz, Certified Nurses Assistant. She works at Cuidado Casero Home Health and Hospice at 1617 E. Missouri Ave, El Paso, Texas. In my interview with her she described her job duties, her patients and how she interacts with others in her environment. In addition, she identified the length of time she has been in her current position, her career path that has led her to this position as well as her experience in the health care industry. Her education and what requirements were necessary for her certification. She also wonders if the education she received proper and

These systems will also help cut down on medication errors by comparing the patient’s to medications or interventions so that it is given to the correct patient. Also documents the care given so there would be no human error in the case of questioning whether care had been given as long as the caregiver documents in the record. These features of the electronic health record are in place to promote patient safety by reducing errors.

The interviewee was contacted by telephone and gave a detailed description of what her job as a nursing informatics specialist entail and what it took to make it happen. The interviewee’s job title is Clinical Systems Adoption Liaison. The interviewee has been in this current position since March 2014. After

5. Provide integrated support for a wide range of discrete care activities including decision support, monitoring, electronic prescribing, electronic referrals radiology, laboratory ordering and results display (Electronic Medical Records, 2005).

In order to provide exceptional care for patient. Than the nurse should incorporate the best evidence care practice into patient care. Many times the best evidence care practices come through research.

Today’s healthcare is changing, and more hospitals are commencing to go paperless using computers for both medical records and charting. Computers are widely accepted, in personal and professional settings. It is an essential requirement for computer literacy. Numerous advances in technology during the past decade require that nurses not only be knowledgeable in nursing skills but also to become educated in computer technology. While electronic medical records (EMR’s) and charting can be an effective time management tool, some questions have been asked on how exactly this will impact the role and process of nursing, and the ultimate effects on patient safety and confidentiality. In order to

Nursing care involves a wide range of interventions which are then draw diverse evidence base of knowledge and research of nurses. When providing evidence in practice it is very important that the records are accurately maintained in order for the evidence to be considered. The main reason for research to be evaluated and critiqued is due to evidence based practice. When carrying out Evidence Based Practice it is important to start off with a clear precisely aimed outcome that needs to be achieved. Evidenced based nursing is also the approach that nurses take to provide their patients with the best care that they can. This doesn’t just begin with the patient but stems to the families. The magnet hospital model upholds this to an exceptional level. They make it their goal to provide absolutely best care for their patients and they are awarded for it. Archiebald Cochran was a pioneer in evidenced based nursing. He published “Effectiveness and Efficiency” in 1971 where he criticized the lack of reliability in EBN. He argued the need for evidence in nursing. Being the founder of evidence based nursing his influence and dedication were said to be the key in making well-formed decisions about healthcare. EBN consists of formulating a question, gathering evidence to answer clinical questions, deciding which would be best, assessment of the patient, and evaluation. EBN paved the way for nursing

I also believe in using that best evidence should be incorporated into every nursing decision. Masic suggests the practice of evidence-based medicine is a process of lifelong, self-directed, problem-based learning in which caring for one’s own patients creates the need for clinically important information about diagnosis, prognosis, therapy and other clinical and health care issues. He also points out nursing tradition as a “cookbook,” full of recipes if you will, as the way it’s done (2008). Both take evidence into account; however, evidence based practice demands better evidence than has traditionally been used. We as nurses must challenge nursing tradition in order to provide better health care. I would assume most nurses would express a

Nurses should value and select the best evidence based on what it is relevant to their practice to enhance and optimize patients care. It is essential for nurses to equip themselves with knowledge and skills in accessing and