The Importance Of Evidence-Based Practices

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.

Evidence based practice is the incorporation of individual clinical expertise with best research evidence and patient values and expectations. Health care decision of individual patients should be based on best available research evidence. A health decision made from a sound research evidence has the potential to ensure best practice and reduce variations in health care delivery. In health science, an ever increasing plethora of studies being published and is challenging for clinicians to keep up with the literature. Integrating research into practice is time consuming and need methods for easy access to such evidences for busy clinicians. Indeed, clinical decision should be based on the latest research evidence. Systematic reviews and meta-analyses summarize the research evidence, which is generally the best form of evidence, thereby making the available evidence more accessible to decision makers and are positioned

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:

This paper will demonstrate that mental health social workers should employ evidence based practice. To do this I will discuss Advantages of evidence based practice, Ethics and Values and Educated Clients.

Special education practitioners appear to have produced the majority of the research on the prevalence of evidence-based practice in education. Studies of the prevalence of evidence-based practice in general education do exist, but in at least one instance, the research was published in a special education journal (Kretlow and Helf, 2013). Kretlow and Helf (2013) published a study of kindergarten, 1st and 2nd grade teachers that asked these teachers about the reading programs they were implementing. The results indicate that few of these teachers are using reading curricula that is demonstrated to be evidence-based. Studies among special educators have produced similar results. Research by Cook and Cook (2013) suggested that significant misunderstanding exists about what evidence-based practices are and this has led some special education teachers to ignore evidence-based practices. Similar results were obtained by Carter, Stephenson, and Strnadova (2011) regarding the prevalence of

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”.

Some barriers to implementing evidence based practice include: lack of education, lack of organization, lack of time, geographical location, absence of literature to research, and the lack of willingness by staff (Melnyk, 2016). When people recognize that there are barriers involved in implementing evidence based practice, a plan should be made to eliminate as many of these barriers as possible. Despite the fact that nurses report that EBP leads to greater professional satisfaction and patient care, they are not consistently using it. “The two most frequent barriers to EBP, however, were a lack of time and an organizational culture that didn 't support it—getting past workplace resistance and the constraining power of the phrase, “That 's the way we 've always done it here” (Wallace, 2012). Some ways to implement evidence based practice include: incorporating education about EBP in order to start promoting the critical thinking and research interest.

Jennifer, these are all great points. Nursing practice has come a long way since Florence Nightingale, but still struggle when it comes to implementing evidence based practice. As discussed in chapter two (Walker & Advant, 2011), many nurses have misunderstood the term evidence based practice and its underlying intent and believe the focus should be more on practice based evidence (PBE). They state “PBE attempts to capture in-depth, comprehensive information about patient characteristics, processes of care and outcomes while controlling for patient differences” (Walker & Advant, p. 43, 2011). In recent years, I have seen a push to help nurses return to school for degree enhancement, and to provide more tools for them in the workplace such

Implementing a project for a change requires patience and time. Presenting the issue to the staffs is not an easy task. There will be resistance and disagreement that the issue persists. According to Stevens, even though the evidence-based practices are embraced in the microsystem by nurses, there will be impediments in employing it into practice (2013). Showing the evidences and explaining the reason why the change is urgent ensure cooperation. Teaching the health care providers of the organization’s policy regarding restraint and the recommendation of the Center for Medicare and Medicaid Services (CMS) as well as The Joint Commission (TJC) will enhance compliance and improve patient outcome by providing a safe environment for the patients,

The unique feature of evidence-based practice is the effective it has on psychological symptoms. Dr. Norcross noted that evidence-based practice when put in clinical knowledge,  encompasses the patients characteristics, culture and client's preferences to enhance the application of psychotherapy.

I currently work as an Assistant Medical Officer (AMO), trained in anaesthesia. My overall duty includes managing operation theatre (OT) procedure with the anaesthetic and surgeon. Also part my duty to observed patients in the recovery room and hand over the transaction process patients from recovery to the ward.

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.

I have enjoyed reading your post, Melissa. I found your comment on evidence-based practice, nursing research, and quality improvement to be informative and educational. The aim behind nursing research is to generate new knowledge for the sake of improving patient outcome. Research is based systemic structure that follows a rigorous process for the purpose of answering a question or testing a hypothesis (Conner, 2014). Nursing research aims to discover effective intervention in order to improve patient outcome. Research is often peer reviewed before it is published. Evidence based practice is based on employing evidence into nursing practice. Therefore, the aim behind evidence based practice is to incorporate the best evidence into decision

I think evidence-based practices can not be over-emphasized because it is best if professionals use scientific-based practices. These practices have a much better chance of producing positive results because there is scientific evidence proving its efficiency. however just base a practice has scientific proof, this does not mean that it is the best practice for a client. the counselor should not solely reply of evide-based practices when working with clients. They need to be cultural compenetaen in various areas. They can use evidence-based practices if the approach is appropriate for the client. Another thing to keep in mind is that using evidence-based practice mean that counselors have to stay up to date. Practice can not be successful if