The Effect On Scaffolding And Through Students Centered Approach

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.

There has been major controversy in defining the term evidence informed practice. The best definition which is globally accepted is the one invented by Sackett et al. (1996) He defined evidence informed practice as “the conscientious, explicit and judicious use of current best evidence in making decisions about care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research”. (Ellis 2003) To simplify, it means utilizing the best possible information which is proven to be useful in aiding the best possible care to patients.

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.

“The educator values the worth and dignity of every single person, the search of veracity, devotion to excellence, acquisition of knowledge, and the nurture of democratic citizenship. Essential to the achievement of these standards are the freedom to learn and to teach and the guarantee of equal opportunity for all”. This means putting learner interests beyond everything else, especially personal advantage. The instructor will attempt their greatest to support each school child to identify his or her potential as a laudable and self-motivated member of the society by functioning to motivate the spirit of research, the self-reflection of knowledge and

One of the teacherâ€TMs role within the school is to plan, monitor and assess the achievement of children. The lesson plans need to be set so what the children are learning is in line with the

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).

According to Lewis, Dirksen, Heitkemper & Bucher (2014), “Evidence-based practice is a problem-solving approach to clinical decision making. It involves the use of the best available evidence in combination with clinical expertise and patient preferences and values to achieve desired patient outcomes.” Using evidence based practice in nursing is extremely important, because evidence-based practice is the result of others trying a practice one way but needing to change some of the guidelines to make the practice safer and over all better for patients.

Evidence simply consist of obtaining information to come up with a reliable solution that will be beneficial to everyone that is involved. Healthcare leaders deal with this type of thing every day from the aspects of changes in their staff loads to implementing programs that will bring about a good outcome for the patients that are serviced. Certain criteria’s have to be engaged and met to obtain qualifying information to be supportive regarding ones’ in-depth scenarios as to what the interviewer is trying to portray to the individual who is asking the essential questions.

A driving objective for a teacher is to affect students to advance their expertise in education by finding them the correct course. The teacher should promote positive motivation and inspiration by adhering to legislation and codes of practice which will increase every student’s focus in developing and bridging gaps to display eagerness towards a healthy broad mindset, creative thinking and brighter approach. A mentor should coordinate assessments which will reinforce the ability to perceive individuals’ abilities and knowledge progressions and moreover support them further to boost their learning capacity to acquire a well-established national standards skill set.

In this paper we will discuss the integration of evidence based practice into professional nursing practice. Scott & McSherry (2008) define evidence based practice as the combination of individual, clinical, or professional expertise with the best available external evidence to produce practice that is most likely to lead to positive outcomes for a patient. Despite literature surrounding what evidence based nursing is and isn’t, nurses struggle to get evidence into practice. Many reasons have been reported including a lack of understanding about evidence based nursing means. Scott & McSherry (2008) also define evidence based nursing is a process by which

With this definition of evidence I begin with a theory and gather surrounding facts or data to either substantiate or dispute my hypothesis. An example from my professional setting is the integration of a treatment in place model within skilled nursing facilities. If I hypothesize that it is beneficial for a geriatric resident in a long-term care facility to receive the highest level of care possible in place as opposed to the hospital setting, I can turn to literature as evidence. The literature may support my hypothesis and point to the adverse effects of inappropriate hospitalizations for older adults such as increase functional decline, cognitive deterioration and poly-pharmacy (Binder et al., 2003; Creditor, 1993; Tappen et al., 2014). If I were to take the stance that evidence is a collection of facts believed to be true then I would act from the expectation that treatment in place is an appropriate model for all long-term care facilities in any given situation. It is fact and truth. However, if I consider that these facts are solely supportive of my hypothesis then my grip remains slightly less taut around my proposed idea. I maintain a stance of openness and humility. From this posture, I am capable of a more integrative approach to my theory. I am better able to consider the external factors impacting the barriers to a treatment in place model. While my evidence supports a truth, my theory remains flexible and open to the individual needs and preferences of the population at hand. Evidence will always lead to more questions rather than more answers and ultimately, the goal shifts from seeking answers to seeking a cultivated spirit of

Teachers take on the role of learner as well as instructor and are there to guide the discussion towards learning objectives without just forcing their point of view on students. Another very important part from Vygotsky’s work is the concept of a student’s zone of proximal development (ZPD). Vygotsky (as cited by Eggen & Kauchak, 2011) described it as “the distance between the actual development level…and the level of potential development…under adult guidance…or more capable peers” Once a student is within their ZPD, they can vastly benefit from ‘scaffolding’, this is assistance from either the teacher or from peers in a collaborative group to achieve a level that they would be unable to do independently (Eggen & Kauchak, 2011). This scaffolding can take many forms, using prompts and cues, asking pertinent questions, the most important point is not to do the work for the student but to guide in the right direction.

Vygotsky’s concepts of zone of proximal development and the more knowledgeable other person has led to the idea of scaffolding. Scaffolding, which encompasses both ZPD and MKO, is seen in almost all classrooms in today’s society. Scaffolding is a temporary support mechanism that aids students when they need it and then relinquishes control when the assistance is no longer needed. According to Lipscomb, Swanson and West (2004), scaffolding is used in classrooms by the “development of instructional plans to lead the students from what they already know to a deep understanding of new material,” and “execution of the plans, wherein the instructor provides support to the students at every step of the learning process.” Scaffolding encompasses the role of the teacher. The teacher acts as the most knowledgeable other to the student and then assesses the current knowledge of the students. The teacher decides which knowledge level the students should be performing at, and that gap between current knowledge and abilities and their potential is the zone of proximal development. In order for

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.

As a teacher, one’s role and responsibility should be towards the learners’ ability to learn and for learning to be as tailored made for the individual learner.