Summary: Implementation Of Evidence-Based Practice

In this essay, I am going to consider how evidence-based practice can be used to support, justify, legitimate and/or improve clinical practice. I am also going to explore and discuss primary and secondary research evidences about how nursing interventions can potentially improve the quality of life of patients in the community suffering from heart failure. I will gather these evidences using a literature search which I will include an account of. Using a critiquing framework for support, I will appraise both primary and secondary evidences that I have chosen. I will also look at potential non-evidential factors that can influence evidence utilisation in practice. Finally, a conclusion will be drawn.

Pressure ulcers occur over bony prominences when skin is compressed for long periods of time, affecting the blood supply to certain areas, leading to ischaemia development (Waugh and Grant, 2001). Compression of skin is caused by pressure, shearing and friction, but can also occur due to pressure exerted by medical equipment (Randle, Coffey and Bradbury, 2009). NICE (2014) states that the prevalence of pressure ulcers in different healthcare settings in December 2013 was 4.7%, taken from data available for 186,000 patients. The cost of treating ulcers can vary depending on severity from £43 up to £374 (NICE, 2014). Evidence based practice skills are essential in nursing as it allows the best available evidence to be used to improve practice and patient care, while improving decision-making (Holland and Rees, 2010). I will be critiquing two research papers; qualitative and quantitative, using a framework set out by Holland and Rees (2010), and will explore the impact on practice. Using a framework provides a standardised method of assessing quality and reduces subjectivity.

According to Stevens (2013), the call to develop and implement evidence-based practice (EBP) within all healthcare disciplines is fueled by legislative demands for improvement in standard medical metrics such as mortality and morbidity. However, increasing demands by the public for evidence related to the metrics and outcomes of such concepts as quality of life illustrate what may be more important to the client (Stevens, 2013). This client-directed focus has resulted in patient-centered outcomes research (PCOR) (Stevens, 2013). "The Patient-Centered Outcomes Research Institute (PCORI) helps people make informed health care decisions, and improves health care delivery and outcomes, by producing and promoting high integrity, evidence-based information

Venous thromboembolism refers to the formation of a blood clot in a blood vessel. While clots can form in an artery or a vein, this article focuses only on clots that occur in a vein ("," 2015). Critically ill patients are at an increased risk of a venous thromboembolism (VTE) due to VTE can manifest as a deep venous thrombosis (DVT) or a pulmonary embolism (PE). Risk factors include venous stasis, vascular injury, and hypercoagulable disorders. A majority of ICU patients carry at least one risk factor for VTE; additional risk factors are considered to have a cumulative effect…it is impossible to predict which patients will experience a

As mentioned before, my chosen policy priority is childhood obesity, an epidemic with many health issues associated with it. According to Burns, Grove, and Gray (2011), research used as evidence- based practice (EBP) has been implemented in the clinical practice to achieve quality care, efficiency, and positive outcome for patients and healthcare organizations. Furthermore, when EBP is applied to clinical practice it provides description, explanation, prediction and the control of phenomena. To this, Saviñon, Taylor, Canty-Mitchell, and Blood-Siegfried (2012) suggested that nurses can advocate for the children by encouraging parents to provide children with a variety of foods in adequate amounts to support growth and energy play. Furthermore,

In healthcare, evidence based practice (EBP) has grown and become important in providing the best quality care possible to patients. There are numerous ways to collect and use the research in the nursing profession. Studies are constantly being done to help better nursing and all of the healthcare field in order to help patients live better and maintain their health. There are different types of research such as qualitative and quantitative. Qualitative uses the human experience or something that has been lived by someone and quantitative examines for meaning and goes more in depth to research things and strives to test a hypothesis or makes use of statistical data to answer research questions (LoBiondo-Wood

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 purpose of this essay will be to discuss evidence based practise and its use in nursing, I will be discussing, the types of research and various forms of data, including the principles of evidence based practise and research. Evidence Based practice is finding the most effective, research proven, evidence to make decisions regarding the service users individual needs and the best decisions for them. As David Sackett quotes, "evidence based practise is the integration of best research evidence with clinical expertise and patient values." (Sackett D, et al 1996, p.71) Evidence based practice is good practice, assist practitioners, avoiding information overload and applying the most useful information.

Goodwin, V., Richards, S., Henley, W., Ewings, P., Taylor, A., Campbell, J., & ... Campbell, J. L.

Evidence based practice (EBP) is an important part of social work. Every social policy and interaction with individuals is based on experience and careful selection of research. Moreover it aims to empower individuals and reduce discrimination. Therefore it promotes productive interactions, which is crucial in this economic climate. Therefore. Social workers have to be competent and confident in analysing the latest research and being able to judge whether it is suitable in practice. Moreover this is supported by Standards of proficiency (SOP) section 14 “Be able to draw on appropriate knowledge and skills to inform practice”.

The purpose of this paper is to answer questions which surround the topic of evidence based practice (EBP) in Social Work. This paper will discuss the definition of EBP, why EBP is used in Social Work, the positive and negative sides of EBP, and finally an example of EBP being used within an agency setting. The information gathered is coming from three separate scholarly journal articles, a podcast episode, and the National Association of Social Workers Code of Ethics (NASW Code).

Evidence based practice allows for researchers to guide the process of data development and identification through the means of current research to provide the safest quality care to ensure and reduce the risks of outdated processes (Boswell & Cannon, 2014). When researching an article that was peer reviewed, based on nursing research, and that was about applying nursing research I came across an article from Zwakhalen, Hof, & Hamers (2012) that is designed around applying previous research regarding pain management and explore the feasibility of applied pain management intervention scales. Under-treatment of pain in dementia patients is becoming more common due to lack of proper communication and proper pain scales should be utilized within

It is important to understand why research within the nursing profession is essential. Amongst healthcare workers worldwide nurses are the largest professional group. Within the UK nurses and midwives represent the largest work force within the NHS. They are also the profession that has the most person to person contact with patients. As the decisions and actions that nurses make affect the lives of the whole population, it makes sense that nursing practice should be based on evidence (Parahoo 2006). Nurses are expected to deliver competent, high quality care in a compassionate but also cost effective manner. To accomplish these goals, nurses continually need to access and evaluate new information and incorporate this into their clinical decision making (Polit and Beck 2010).

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

The foundation of the evidence-based practice paradigm according to Barkham & Mellor-Clark (2003), relies on efficacy research that focuses on and assesses the measurability of specific interventions. It also addresses questions about safety, and capability. The goal is to provide the best practices possible in reducing possible harm or threat to the client through practice intervention. Through evidenced based practice, potential harm can be minimized, and potential benefits maximized. According to Drisko (2011), EBP, improves clinical practice outcomes, informs treatment planning and helps to better serve our clients. It also helps identify procedures that are cost-effective resulting in the best practice and the best use of resources.