The Importance Of Evidence Based Practice In Nursing

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.

Evidence based practice is an integral part of nursing care. According to the Academy of Medical-Surgical Nurses, evidence based practice is defined as, “the conscientious use of current best evidence in making decisions about patient care.” (AMSN) The use of evidence based practice has drastically improved patient outcomes, increased quality and safety of healthcare, and reduced costs for facilities. (Melnyk, 2016) In this paper I will provide the history of evidence based practice, how it has already been incorporated and impacted healthcare, and why it is important to nursing and healthcare as a whole.

According to Provision seven the attitudes of Deborah and the other nurses on the unit do not advance the nursing profession. Nursing from the beginning of its existence with Florence Nightingale has fought to be considered not only an art but also a science. Scientific research was one of the governing factors of Nightingale’s principles of nursing. She used statistical data to help her keep records of success and failure rates of her nursing interventions. The use of this scientific research proved to be beneficial because it gave substantial scientific evidence that her nursing interventions significantly decreased mortality rates during the Crimean War. The support of her statistical data enabled nightingale to prove to her colleagues and peers that the art of nursing plays a significant role in patient outcome and mortality. This relates to the nurses in the NICU, because since the beginning of nursing evidence based practice has been implemented and deemed useful. For one to denounce future practice of evidence based practice in contemporary nursing will further remove nursing from its professional status. Nursing is one

Evidence-informed practice is a critical part of nursing care. To be able to have evidence-informed practice, nurses need to be able to conduct research to find the most up-to-date and relevant information related to patient- and family centered care. When caring for patients, it is paramount to recognize the importance of family and the role they play in care. When one comes out as transgender, it is something that is not only going to affect the said person, but also their friends and family. Family members are key support systems so when you are caring for one person, you are in turn caring for the family as well. This is known as patient- and family-centered care. As there has been an increase in literature pertaining to family-centered care, the question of interest is “What is the impact on a spouse when a partner is transgendered?” To find the answer to this clinical question, the database Medline was utilized. The keywords LGBTQ, transgender, family-centered, spouse, nurse, sexuality and health care were used and combined with Boolean operators. Through this research, knowledge can be gained on how to properly care for the spouse of a transgendered person. This paper will discuss the key impacts of having a transgender spouse, nursing approaches that we can integrate into our care, and resources available for the non-transgender spouse.

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,

The background information and review of literature showed a definite opportunity to improve healthcare practices which would also improve patient safety. The methodology was clear and unbiased. It should have provided credible information. The data analysis done gave accurate results according to the information

Evidence based practice is an important priority in nursing because it ensures that the best quality and most effective care is being used. Restraint use is an intervention that is being minimized more and more. It can be an important intervention when necessary but there are specific circumstances and guidelines that must be followed. Evidence based practice is proving that restraint use may be eliminated due to safety concerns and more beneficial interventions being used.

The process of using Evidence Based Practice in a patients care plan consists of five key stages. Asses the patient and formulate the problems from this you will then need to access the relevant clinical articles. Using this information you should then be able to assess which is the best method of treatment discarding any misleading or ambiguous articles. You then need to incorporate this knowledge into the patients care plan. Finally you need to evaluate and assess the patient during treatment to ensure effectiveness.

According to The American Nurses Association (ANA) Evidenced-based practice is a "scholarly and systematic problem-solving paradigm that results in the delivery of high quality healthcare" (American Nurses Association, 2010, p. 65). Through the use of evidence-based practice nurse and other health care professional have the ability to create clinical decisions, which allows clinical questions to be answered and aid in quality improvement. Furthermore creating a safe, efficient, productive environment for patients and staff that may result in improving patient outcomes and reduce expenses. Nursing research helps health care providers provide evidence-based practice, which may result in quality improvement (Rebar & Gersch, 2015).

Personally, I have never experience any type of research that can relate to nursing, however; I have experienced evidence based practice at work. The institutions I’m at has changed the foley policy nevertheless, like countless nurses pulling a foley and given a patient lasix made no sense. This is where EBP came into play because, what is effective for nurses might not be healthier for the patients. The struggle to understand the different between EBP and primary research although, several nurses might feel they are the same entity and that the names remain interchangeable myself included.

Evidence-based practice is a systematic approach to rational decision making that facilitates achievement of best practices and can be used as a guide to help nurses make effective, timely, and appropriate clinical decisions in response to the broad political, professional, and societal forces that nurses and other health professionals are confronted with daily (Scott and McSherry, 2009).

Nursing is never steady and change is inevitable. Therefore, nurses should be open for changes and be mindful of good health outcomes. Development of evidence-based practice is fueled by the increasing public and professional demand for accountability in safety and quality improvement in health care (Stevens, 2013). My current hospital is small, but nurses and other staff are very compliance and can easily adapt to changes. Nursing staff shortage remained an issue and when faced to deal with these, nurses focuses on the most important priorities regarding the demands of the patient care and associated workloads. The daily duties of the nurses are crucial and imperative based on the needs of the patients and families, and thus provide hands

Nursing research helps to advance the knowledge base of healthcare by building a foundation for clinical practice. Research aids to perfect the practice of delivering optimal high quality care to assist in preventing disease and disability. By definition nursing research is a systematic process of inquiry that uses rigorous guidelines to produce unbiased, trustworthy answers to questions about nursing practice (Houser, 2015, p. 5) Evidence-based practice (EBP) is based on three fundamental principles. One consists of combining the best available researched evidence on specific treatments and why they work. Two, clinical experience and skill used to detect patient response to treatment interventions and identify potential benefits and potential threats. Three is a patient’s response and preferences to the treatment plan. This triad of evidence,

The result of the instruction shows, Analysis concerning dissonance indicated so much the between-unit disunity regarding a metering regarding perceived burnout complaints among colleagues used to be statistically or significantly large than the within-unit variance. This implies up to expectation even is huge settlement (consensus) within intensive care units regarding the prevalence over burnout. In addition, the end result regarding multilevel analyses showed that burnout complaints among colleagues among intensive car3e units taken a statistically enormous and unique achievement in accordance with explaining discord among unaccompanied nurses’ yet entire units’ trip concerning permanency burnout. i.e. tumultuous dirt depersonalization,

The effect and importance for evidence-based practice in nursing profession has reverberated across nursing practice, our educational institutions and in the field of science. The cry-out for improvement and the need to transform our healthcare industry calls for evidence-based practices to be inculcated into our health which would in turn usher in effectiveness, safety and efficiency into our health care. Therefore new practice approaches are those ideas with evidence-based practices that would help us move our healthcare in the desired direction. There is no doubt that we need evidence-based practices in tackling the issue of hospital acquired pressure ulcers (HAPUs). For some time now in the facility where I work, we perform thorough skin assessment upon admission, utilizing Braden scores, revised skin protocol, fluidized patient positioners, and silicone gel adhesive dressings. Most importantly, efforts were made to motivate the staff and also educate them to be more enterprising in discovering patients at risk of developing hospital acquired pressure ulcer. And since we started this, the result has been tremendous; the incidence of HAPUs in our facility has been reduced considerably. There is no doubt in my mind that by the end of 2018 our facility would have achieved a great deal in tackling the issue of HAPUs.