The Care Of A Patient Using Evidence Based Practice

Complete the following table for each of the diseases assigned to you in NFS 715. The purpose of this assignment is to teach you how current research and evidence summaries are used to influence patient care.

Proper collection of blood cultures are necessary and the most direct method of determining whether or not a patient is septic. The purpose of obtaining blood cultures is to identify and isolate the bacteria that are causing an illness and then determine the best course of treatment based on the sensitivity of the bacteria to particular antibiotics. One of the most frustrating problems plaguing hospitals is the increased rate at which blood culture results are being returned as contaminated specimens. These results can lead to a significant increase in cost to the hospital and patient as well as an increased length in hospital

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.

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,

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

Today, we are continually striving to improve the quality of care that we deliver and the best method in applying relevant research into clinical practice are through evidence based practice (EBP). We have now come to a time in our careers to shift our direction on how to employ evidence based practice techniques when managing our patient's health care needs. Facilitation is a method that has been investigated as a way to help clinicians accomplish the implementation of evidence into practice. As clinicians, we are encouraged to think outside the box and utilize critical thinking skills as well as express our role as nurses as part of the health care team.

Evidence based Practice allows for there to be a relationship between the care of patients and the best practices available. In order to achieve this relationship EBP combines a few key components in the clinical setting to enhance decision making to provide the best care possible. These key components are:

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,

Nurses have many responsibilities. Providing safety and the highest quality client care is one of the top priorities. The collective goal for the Quality and Safety Education for Nurses (QSEN) is to educate nurses and future nurses to constantly refine their knowledge, skills and attitude to provide the highest safety and quality to their patients (Cronenwett et al., 2009). Evidenced-based Practice is one of competencies written by QSEN. This is a process which involves the healthcare provider to efficiently and effectively collect appropriate data and research activities to provide optimal healthcare to the patients (Cronenwett et al., 2009).

The clinician demonstrated evidence based practice in his care. By informing the patient about the procedure and waiting for a clear approval. He demonstrated great communication skills as well as keeping the client’s values and circumstance at the core of his care throughout. In addition, the five moments of hand hygiene, aseptic technique and the rights of medication administration of current best practice were utilised. Furthermore, clinical expertise were demonstrated the clinician completed the task in a timely manner with good dexterity highlighting that he has been administering IV therapy for quite some time and is experienced in the way he handled the

Pain…fever…oozing pus. Who would want to experience that? The answer is no one. Yet, out of the sixty to seventy of women who undergo a cesarean section, twelve percent will experience these symptoms due to a surgical site infection (SSI) ("Adjunctive Azithromycin Prophylaxis for Cesarean Delivery", 2017). SSI are the primary cause of mortality and morbidity amongst cesarean section women. SSI are linked to increased length of stay, hospitalization rate, and healthcare costs. Many cases of SSIs are preventable with appropriate preoperative preparation and surgical technique (McKibben et. al, 2015). One specific prophylactic method is the use of antibiotics preoperatively. Using an EBP model, PICO,

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,

Electronic Healthcare Systems (EHR) combined with Evidence Based Practice will increase the quality, timeliness, and safety in the healthcare system. Presently Evidence Based Practices are continuously being developed in order to provide patients with the highest and most accurate level of care. But, how do the providers keep pace with the rapid growth of information, evidence, studies and data? As Nelson and Staggers described, in order for the EBP to be successful, the evidence must be attainable and at hand (2014, p.42). Hence, health informatics is united with EBP to achieve preeminent standards of patient care.

As a provider of care, the nurse has a more personal relationship with the patient and can get more information. The provider of care can identify barriers in nursing care and can use this as a foundation to develop a plan, or theory. Evidence-based practice is incorporated in everyday nursing care, because many policies and procedures are the result of this practice. Before a policy is implemented, there is research that is done to provide a positive result. Nursing research has helped in the improvement and prevention of diseases. “Nurses may play a variety of roles in research, including the following: informed consumer of research; participant in research-related activity; contributor to a systematic review process; data collector for a research project; and principal investigator for a research study” (Houser, 2015,p.9).

Evidence based practice (EBP) in dietetics is combining research evidence which has been appraised for its validity, with clinical experience, to make an informed decision about the nutritional care plan which is put in place. Employing EBP within my practice is beneficial as it provides a strong rationale for the decisions I make in designing a nutritional care plan for a patient. However the negatives of following EBP exclusively is that it does not allow for adjustment of care plans for individuals. I believe that it is of utmost importance to consider the patient at the centre of my decision making and therefore it may not be possible to always adhere to EBP.