Nursing and Evidence Based Practice 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.

Evidenced Based Practice (EBP) is essential to enable all nurses to provide the most current up to date practises for their patients. This process involves research, systematic review of current practises, critical thinking skills, evaluation and application to the clinical setting. In addition to this, the nurse must take into account the patients’ preferences. For nurses to have professional autonomy they must be able to justify their actions and demonstrate an understanding of why they perform the tasks they do. This defines them as unique professionals judged by their knowledge and not simply by their hands on skills.

In order to develop nursing knowledge and establish evidence-based practice (EBP) in nursing, there needs to be a "concept model, one or more theories and one or more empirical indicators" (Fawcett & DeSanto-Madeya, 2013, p. 26). The theoretical framework can be advantageous in guiding and supporting the design and execution of an EBP change. Using a conceptual model (C) theory (T) and empirical research (E) provides the foundation for an intervention to an identified clinical problem. Known as C-T-E structure, the application of this system in nursing practice involves an elevated level of critical reasoning, which assists in knowing what data is important and how it relates to practice change (Chinn & Kramer, 2011; Fawcett & DeSanto-Madeya, 2013; Mazurek Melnyk & Fineout-Overholt, 2015). The doctoral level of nursing necessitates the need to combine the understanding and knowledge gained from using the C-T-E structure, and then integrate the concepts and theories into daily practice.

Conrad, A., Grotejohann, B., Schmoor, C., Cosic, D., & Dettenkofer, M. (2015). Safety and tolerability of virucidal hand rubs: a randomized, double-blind, cross-over trial with healthy volunteers. Antimicrobial Resistance & Infection Control, 4(1), 1. doi:10.1186/s13756-015-0079-y

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 Nursing, An introduction (2008, p. 285 ) “ The rapidity of change and the reorganization of nursing services within the health care sector presents challenges for the advancement of EBP. Managers and administrators should facilitate the uptake of practice based on current, high-quality research by formalizing the expectation that nurses care be Evidence Based”.

Evidence-Base practice (EBP) is defined as based on problems identified from nursing practice; using best evidence and professional expertise and merging them into current practice to ensure patients receive quality care (French, 1999). Evidence-based practice is a part of quality improvement process; it is made of evidence, clinical expertise, patient preference and the context of care (Barker, 2013). In brief, evidence-based practice is the guideline in the nursing practice that requires nurses gather and use clinical evidence to help diagnose or assess patients correctly by using their knowledge and experience in order they can deliver the quality of care to the patients (Ellis, 2013). In the other words, in the nursing practice the clinical evidence supports all the nursing procedures performed.

One phase of the Evidence-Based Nursing is the critical reading. The critical reading of sa nursing research literature is an indispensable tool that any professional who wants to base their practice on evidence should be handled with fluency. Qualitative research is sometimes surrounded by certain misconceptions, as thinking that it is not scientific or objective, that is subjective and it is less important than quantitative research. It is important to clarify that work primarily by assessing the importance of the research studie, and conducting a detailed analysis of the research in order to prove if the research is or not reliable. It is important to respect as much as possible the original text in the description of the diferents

Aveyard and Sharp (2013, citing Sackett et al. 2000) interpret evidence-based practice as the reliable and sensible use of the most recent evidence together with clinical knowledge and patient values to guide health care decisions. This suggests that we must use the best up-to-date evidence to make decisions about care delivery to patients, acknowledging individuals needs and preferences to optimised patient outcomes. By considering patient’s opinion and the clinician’s experience with the supporting significant evidence from research and expert report, we can give the best results for the patient () . However, nurses must always use their clinical judgement and decision making alongside with EBP as sometimes evidence may not applicable and

Emergency department (ED) over-crowding is an ever growing issue. Although the reasons for ED overcrowding are complex and caused by many different types of issues, a potential solution can be the application of the nursing theory, Health Promotion, for parents and caregivers of children with acute gastroenteritis (AGE). The purpose of this paper is to apply the Health Promotion Model (HPM), by Nola Pender, to assist nurses to understand the major determinants of health behaviors to promote healthy lifestyles. Therefore providing education and health promotion strategies to parents and caregivers about AGE. Using properties of the assumptions and assertions of the HPM, can assist to educate parents and caregivers and in turn lighten the over-crowding issues emergency departments face today (Sakraida, 2014).

Evidenced based practice (EBP) has become a dominant approach in healthcare, providing a framework for professionals to apply their art in a systematic fashion (Golec, 2009). EBP is supported by a clear, up to date rationale which takes into account the patients preferences and using clinical judgements. The NMC (2015) dictate that professionals should work to an evidence based approach, but there is also a moral necessity, as healthcare practitioners are accountable for the care they deliver and must be able to safeguard patients from harm and minimise risk by doing so (Ross, 2012).

I really like the points you brought up, the trends we fallow in nursing is brought up from the past. Nursing research based in evidence based practice. Nightingale started this practice. It is very significant way of finding best nursing practice. Any nursing interventions we practice these days are evidence based and patient outcomes. Nurse is a patient advocate and educator. We assess the patient, communicate with care team, implement the plan, evaluate and educate. All these fundamentals of nursing has been in practice since

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

Type 1 diabetes mellitus (T1DM) results from a defect in insulin secretion in the body. T1DM may happen at any age and it is one of the most common chronic diseases of childhood and adolescents (Misso, Egberts, Page, O’Connor, & Shaw, 2010). Long-term complications of T1DM include retinopathy, nephropathy, neuropathy, and cardiovascular disease. There is no prevention or cure for T1DM, and the treatment is a life-long insulin replacement regimen. Proper and accurate glycemic control is critical to the management of this disease (Misso et al., 2010, Pankowska, Blazik, Dziechciarz, Szypowska, & Szajewska, 2009). “Optimal metabolic control requires replacement therapy that mimics the insulin profile seen in non-diabetic people as closely as

Evidence-based practice (EBP) in nursing means making decisions about patient care on the basis of best, current, standardized practice and guidelines. According to an article, written by Dr. Kathleen Stevens, the development of evidence-based practice (EBP) is fueled by the increasing public and professional demand for accountability in safety and quality improvement in health care (Stevens, 2013). The author also mentioned in her article that the intended effect of EBP is to standardize healthcare practices to science and best evidence and to reduce illogical variation in care,