Part I: Introduction to Evidence Based 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 …show more content…
Some barriers to implementing evidence based practice include: lack of education, lack of organization, lack of time, geographical location, absence of literature to research, and the lack of willingness by staff (Melnyk, 2016). When people recognize that there are barriers involved in implementing evidence based practice, a plan should be made to eliminate as many of these barriers as possible. Despite the fact that nurses report that EBP leads to greater professional satisfaction and patient care, they are not consistently using it. “The two most frequent barriers to EBP, however, were a lack of time and an organizational culture that didn 't support it—getting past workplace resistance and the constraining power of the phrase, “That 's the way we 've always done it here” (Wallace, 2012). Some ways to implement evidence based practice include: incorporating education about EBP in order to start promoting the critical thinking and research interest. Part II: Experience With Evidence Based Practice Evidence based practice is critical to undergraduate nursing education. While working in a hospital there are going to be many experiences that nursing students will get to go through this process. While working as a Certified Nursing Assistant (CNA) on a Medical Surgical floor, the author has gained an abundant amount of experience with this. One of the most important things they learned was the evidence behind
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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.
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
Evidence-based practice is extremely important in health care. It is not only important to know how to perform a certain skill, but why it should be done. There needs to be a standard of care and providers need to know the best way of doing things based on evidence. The article mentions that in the 20th century, many medial decisions were made on doctor assessment and preference (Brower, 2017). Many physicians were practicing dramatically different when compared with one another, which led to the realization that changes needed to be made and Evidence-based practice began to develop. Even though Evidence-based practices have been in play for a while, there is a gap between understanding and applying evidence-based
Evidence-based practice is the practice of making clinical decisions based off the best available research evidence coupled with the nurse’s own expertise, while also taking into account, the patient’s assessments and own personal preferences. This use of research has proven effective at providing better outcomes and lower healthcare costs, yet there are several barriers, such as time, education, and support, which prevent nurses from consistently using evidence-based practice (AJN, 2012). The top three barriers to the use of evidence-based practice are lack of time, education, and support in implementing new practices and using them consistently.
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, “involves integrating the best available research evidence with professional expertise while also taking account of patient preferences the patients state setting and circumstance and health care resources” (Gerrish, K. Lathlean, J, 2015). As the health care profession constantly changes, then it is vital that all evidence based practice is kept up to date with current information and research, relating to nursing practice. Always assuring that the patients need are taken into consideration (Sackett et al, 1996).
Over the course of decades medical treatment has advanced causing an increase in the wellness of patient clinical outcomes. A large portion of the improvement is due to the vital role nurses play in the delivery of safe and quality care to their patients. For many years different methods of treating patients have evolved due to the continued research for the best practice. Nurses, researchers and people with questions have always tried to find better and efficient solutions to treat their patients detailing the best possible evidence-based practice. Evidence-based practice is an important tool to use for clinical decision making however one must understand it first. Interpreting Evidence-based practice allows nurses to comprehend the steps to determine if new evidence is needed and realize there are some benefits to utilizing up to date research and obstacles that may impeded the research into practice. .
Within this essay Evidence based Practice will be identified and the significant effect it has on the nursing profession, barriers will also be explored in the implementation of Evidence Based Practice.
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.
Nurses are brilliant at giving care and solving immediate problems. They interact with costumes of health care in extensive variety of settings. It gives them to understanding about health needs and how it might be affect the client and their families. Every patient deserves care that is based on the best scientific knowledge and that confirms high quality, cost effective care. According to Sackett., al, Evidence bases practice (EBP), is the careful use of current best evidence in making decisions about patient care (Sackett., al 2000)
Evidence based practice is a practice that is based upon the best available evidence, patient preferences, and clinical judgments (Schmidt & Brown, 2012). According to Schmidt and Brown the nurse’s standpoint of patient care obliges nurses to form their own body of evidence through scientific research (Schmidt & Brown, 2012). A nurse encounters many patients with various disease processes throughout their careers. Overtime the nurse will be able to see which treatments work and which ones need improvements or can even do without. Nurses are key players when it comes to evidence based practice.
In today’s health care settings, it is vital that all providers are utilizing evidence-based practices for every patient. Evidence-based practice (EBP) is the implantation of the best available evidence into everyday patient cares. Furthermore, using this innovative evidence will provide the safest and most effective care for all patients. As health care constantly evolves and changes, it is imperative that all health care providers stay updated on EBP. Obviously, no nurse or physician would want to perform unsafe or outdated practices on patients. Overall, utilizing EBP ensures that patients are receiving the highest quality and safest care while using the least amount of resources and cost (Melnyk & Fineout-Overholt, 2015).
It was nice reading from your posting, and that was very thoughtful of you on how nurse leader uses strategies in the implementation of Evidence-Based Practice (EBP) as you said the nurse leader should present any problem to the team in order to find solution to solve the problem. It is a very good idea for leaders to work as a team with their employee to find solutions to problem rather than seeking it themselves, like the saying goes that, “problem share is half solve”. The nurse’s leader should also create awareness and train staffs on new and best available information present on EBP web site to care for patients Huber (2014).
Evidence-based practice (EBP) offers a framework utilization of systematic high-quality research, an analysis which consistently enhances measurable client outcome and clinical decision-making grounded in rationality; EBP depends on data collected through experimental research and accounts for individual client characteristics and clinician expertise. The potential benefits of EBP comprise of increased service delivery and quality of care, heightened accountability, and a bridging of the research-practice gap (Sackett, Straus, Richardson, Rosenberg, & Haynes, 2000). It is imperative that research scholars are cognizant of research outcome dependability and validity prior to implementing results
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,