The Importance Of Evidence-Based Practice

Person centred care is an approach that puts individuals at the centre of their care. It involves them in making decisions about things that affect

Evidence-based practice is the practice of making clinical decisions based off the best available research evidence coupled with the nurse’s own expertise, while also taking into account, the patient’s assessments and own personal preferences. This use of research has proven effective at providing better outcomes and lower healthcare costs, yet there are several barriers, such as time, education, and support, which prevent nurses from consistently using evidence-based practice (AJN, 2012). The top three barriers to the use of evidence-based practice are lack of time, education, and support in implementing new practices and using them consistently.

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.

Person-centred is about providing care and support that is centred or focused on the individual and their needs. We are all individuals and just because two people might have the same medical condition, for example, dementia, it doesn’t mean that they require the same care or support because they are two different people which means their needs will be different. You need to develop a clear understanding about the individuals that you are working with and their needs, culture, means of communication, likes and dislikes, family and other professional’s

Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).

The use of Evidenced-Based Practice (EBP) is required by universities throughout Undergraduate programs in Communication Science-Disorders, Graduate programs in Masters of Arts or Science in Speech-Language Pathology, and during Doctor of Philosophy (PhD) programs in Speech-Language-Hearing Sciences. The implementation of EBP in all my assignments significantly increased during my first semester in the Masters of Arts program for Speech-Language Pathology at Lehman College. During the use of EBP for assignments, I have relayed on my clinical judgment to question: the methodologies, how and why certain groups were selected, the author/s’ purpose for writing the article, the most valuable piece of information, the inferences and conclusions, and how it will impact the field of speech-language pathology. I also used evidence-based research while writing reports and justifications for therapy techniques and goals; during the search for articles I had to consider how it would impact the client and his/her family, as well as the meaning it would add to the therapy session. Moreover, I encountered acronyms and new vocabulary that are currently being used in the field such as MGRs- Mental Graphemic Representations, and tDCS- transcranial Direct Current

As every patient is unique and has his/her own condition, nurses and other health care providers need a source to follow as a guideline. Evidence based practice can be used as good guideline for health care provider, and it also can show different ways of care and their results. Evidence based practice has a huge role in the world of nursing profession. One of the biggest goals of nurses is to apply the evidence into their practice in a right way, even though a lot of nurses could not apply the evidence into their practice in the right way. ((Schmidt & Brown, 2015). Role of a professional nurse is to implement the evidence into practice in a right way, and create the right result from it. There are a lot aspects involved in evidence based practice

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

The greatest benefits of Evidence- Based Practice are improved outcomes for patients, and health care agencies (Grove et al., 2015)." An example on how all staff can participate in EBP. The infection rate at my facility has improved tremendously because of a program that started one year ago called All Hands on Deck. All Hands on Deck program is a Peer Checking and Peer Coaching approach to improving hand hygiene compliance at our facility. In order to prevent lapses in hand washing to stop the spread of infection and reduces Health care Associated Infection rates, which equals ZERO events of harm to our patients. All employee are expected to wash their hand when entering and leaving a patient room, whether you're clinical or non-clinical staff.

It was very nice from you put yourself on another people situation. Most of the time people is not that thoughtful and do not think about the people who are not the luck. It is definitely an OT approach, think about others and imagine how hard can be living without insurance. I really think about the OT situation in the case of people who uninsured and this is a very good point that we should reflect about before give our opinion about the health care propose.

Often followed by initial dismay, change is not always met with great enthusiasm by the working nurse or patients. Any merge from the known can be intimidating by all who are involved. While change is sometimes hard, it is also vital to the growth and improvement of health care practices (LoBiondo-Wood & Haber, 2013). For this discussion board, I will be discussing an evidenced-based practice that was implemented at my place of employment while backing up the change with identified research.

The Nursing and Midwifery Council (NMC) (2008) states that nursing care must be evidence or best practise based. In order to excellently provide such care Boswell and Cannon (2009, p. 2 & 7) states that nurses must base their delivery of care on the most current, up-to-date health information available and rigorous nursing knowledge. According to Melnyk & Fineout-Overholt (2005) defines Evidence-based practise (EBP) as a problem solving approach to clinical practise that integrates: A systematic search for and critical appraisal of the most relevant evidence to answer a burning clinical question, one’s own clinical expertise and patient preferences and values. The benefits of EBP include resolving problems in the clinical setting; provide clinicians with evidence-based data, introducing innovation, Achieve excellence in care delivery and improves efficacy and reducing variation in clinical performance.

Evidence Based Practice has contributed to the healing of millions of patients across the world by meeting the needs of patient care through providing extensive research and evidence. The process of Evidence Based Practice (EBP) is made up of professional nurses. The start of this process is based on previous clinical experience based on encounters nurses have had with patients regarding clinical problems. EBP brings better care to the patient by making the patient and their health issue the main focus of what is being researched or studied. The evidence-based practice (EBP) movement is consistent with nursing’s goal of providing research-based care to patients (Fain, 2015). Nurses main goal of EBP is to explain what and why a topic is being researched, how this process is important to the care of the patient and how the evidence collected can be credible to make a difference.

A person-centred approach focuses on the individual’s personal needs, This can mean putting the person’s health, illness, injury, needs and situation first.

In 2011, reports from The Inspector General for Health and Human Services stated 180,000 patients die from medical mistakes a year. That’s 15,000 deaths a month, 3,461 deaths a week, 493 deaths a day, and 20 deaths per hour. Why do these deaths occur? Of course patients die all the time for a multitude of reasons, some deaths are preventable and others inevitable, but how do researcher and other health care interdisciplinary teams use those cases to improve outcomes. When patient outcomes are improved how are policies then implemented to span to future patients? How is new knowledge and scientific advancements transformed into useable forms in the health care field? How does the health care field use acquired knowledge to prevent death, illness, and injury? The concept of evidence based practice is the key; it unifies research evidence with clinical expertise and patient preferences to boost patient outcomes.