Reflection of the Practicum

Evidence based practice is the basis for needed change in practice and function. It is a sound method for scientific, fact-based change. Changes which have no evidence to support them are fragile, unscientific, and subjective. These changes don’t effect real change over time, as they aren’t able to be proven to a more general population.

My practicum was a good learning experience of practical public health work and exposure to how zoonotic disease is handled by multiple public health departments. I appreciated my experience giving me the knowledge of day-to-day public health work and what it means to be epidemiologist. My classes in epidemiology prepared me well for understanding terminology and the process of outbreak response. Particularly, my Applied Epidemiology course provided me with the critical thinking skills to evaluate published literature. In reviewing my work I used multiple public health competencies including biostatistics, epidemiology, communication and informatics, leadership, professionalism, and program planning.

I have learned how to ask better questions and to talk to my teachers when I need help or do not understand the concept well. I make sure that I have a relationship with my teachers and introduce myself at the beginning of each semester. Learning how to communicate with my teachers

According to Dr. David Sackett, Evidence Based Practice (EBP) is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It is a clinical decision-making process in which clinicians use theory-derived, research-based knowledge to inform their decisions about care delivery. Most importantly, consideration of individual needs, preference and resources must be included.

Evidence Based Practice Nursing is the utilization by nurses of Evidence Based Research findings that, according to Houser (2012), steer the nurse toward integration of clinical expert opinion and experience with an unbiased exhaustive review of the best scientific evidence professional nursing care literature can provide while incorporating patient values and preferences. Evidence Based Practice Nursing entails adopting a systematic critical thinking decision making process guided by a deliberate and defined chosen Evidence Based Nursing model path that involves searching,

B. The framework is based on a theory of evidence-based practices. The theory of evidence-based practices is one that is substantive in nature in that it provides data based on the practices as they are implemented and how effective or non-effective the practices are.

I chose the Iowa model for implementing evidence based practice. This model was chosen because of the design of the model, as it follows a scientific approach. This model requires a question to be generated form either a problem or new knowledge, organization of relevance of the subject matter, development of a team to

Evidence based medicine is a type of medical practice which involves decision making based on the evidence from the research, patient values, clinical experience to provide better quality healthcare services without any errors.

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.

The Social Work podcast by Parish stated that evidence-based practice is making the best choice about the care of the individual client. It is a process that uses the best available research and client values to answer a variety of practice questions.

Evidence Based Practice is primarily describing as a process that integrates available research with a practitioner that will relate to the clients’ needs. (Parrish, 2011) The process entitles five steps that explains how the single system works. Begin by coming with practice questions that can be answered. Then find something research for the practice questions. After your finding, next review any research that you have found. Then take the research that you found and collaborate it with your practitioner to relate to your client’s needs. Lastly, keep a record of outcomes to study if the treatment working. (Parrish,

During the first half of my Integrated Practicum, I was independent for the most time, applying my critical thinking, decision-making, communication, and research abilities, but I also asked for assistance or support from my Preceptor and CCD if difficult question raised. I followed the CHNC standards of building trusting relationship and demonstrated professional accountability, responsibility, and adaptability in approaching clients, groups, community partners, nurses, peers, and other professionals. I worked collaboratively in teams and fostered growth with other nursing students by sharing knowledge or alternative approaches or offering the topics to explore. I am confident that I am gaining the necessary

Evidence based medicine is reliable and thoroughly gathered information from trustworthy sources and skilful research. This information is precise that is stated clearly, in detail and leaves no room for confusion or doubts.It ensures that any choices made about an individual’s health are based upon information gathered from up to date, well designed and conducted research.

Evidence-based instruction includes reliable and valuable data obtained from your classroom. When you apply basil tests, unit tests, exit slips, and acuity assessments you need to collect the data from your classroom to organize your classroom groups. You should also use this data to decide who needs AIS or tiered interventions for certain areas. Instructional practices include the previously mentioned assessments. Pretests for all units of instruction can also help you understand what your students already know and who is weak in certain areas. For example, a unit on main idea and details using passages can be difficult for some students. Running records will help to determine what reading level your students are on. From this

Evidence based practice is based on evidence used to support practice and nurses must justify their rationale, it is now formed as an integral part of management, education, strategy and policy.