The Importance Of Evidence Based Practices

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 is an approach in the decision making of using the best evidence about the care of a patient.it is an integration of clinical expertise, patient values and the available evidence from ongoing research .taking into consideration internal and external influences, it promotes critical thinking in the application of the evidence in patient care. The impact of EBP has been echoed in the optimal health care, quality of life and clinical outcomes (Mabbott, 2011). Application of EBP in the plan of care has resulted in benefits such as reduced costs, decreased variation in care and nurse satisfaction. The EBP movement is one component essential aimed at transforming the current knowledge into a plan of care decisions to improve

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).

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.

According to Stevens (2013), the call to develop and implement evidence-based practice (EBP) within all healthcare disciplines is fueled by legislative demands for improvement in standard medical metrics such as mortality and morbidity. However, increasing demands by the public for evidence related to the metrics and outcomes of such concepts as quality of life illustrate what may be more important to the client (Stevens, 2013). This client-directed focus has resulted in patient-centered outcomes research (PCOR) (Stevens, 2013). "The Patient-Centered Outcomes Research Institute (PCORI) helps people make informed health care decisions, and improves health care delivery and outcomes, by producing and promoting high integrity, evidence-based information

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,

Utilizing evidence based practice in nursing is paramount today in the always evolving field of nursing. Having the clinical expertise and knowledge of a nurse is just the first step in making decisions for the treatment of a client. Adding the most recent and up to date evidence alongside with the client’s values and preferences is ideal to guiding the process of healthcare (Kelly & Tazbir, 2010). When evidence based guidelines are set forth in the plan of care for a client, the clinician has an abundant of amount of data to make sound decisions on. This allows the nurse to make the best decision or develop the best strategy to deliver care. Evidence based practice also allows

The purpose of this essay will be to discuss evidence based practise and its use in nursing, I will be discussing, the types of research and various forms of data, including the principles of evidence based practise and research. Evidence Based practice is finding the most effective, research proven, evidence to make decisions regarding the service users individual needs and the best decisions for them. As David Sackett quotes, "evidence based practise is the integration of best research evidence with clinical expertise and patient values." (Sackett D, et al 1996, p.71) Evidence based practice is good practice, assist practitioners, avoiding information overload and applying the most useful information.

Evidence-based practice is one of the strategies that has been applied in various aspects of social studies and social work. Researchers have associated this approach of social work with various benefits as well as challenges. However, there are various facets of evidence-based practice ranging from published case studies and the use of empirical studies. The process of selecting a particular evidence-based practice in social work depends on availability of resources, scope of the study and the goals of the study. This discussion will focus on a case study of a social worker Ajia Meux, who narrates her story on how she uses evidence-based practice to perform her duties as a social worker. It will also provide a case study on how the evidence-based practice indicated by Ajia could be used to solve certain social problems of an anonymous client. Consequently, this paper provides the benefits of applying evidence-based studies on social work.

Evidence-based health care practices are available for a number of conditions such as asthma, heart failure, and diabetes. However, these practices are not always implemented in care delivery, and variation in practices abound.1–4 Traditionally, patient safety research has focused on data analyses to identify patient safety issues and to demonstrate that a new practice will lead to improved quality and patient safety.5 Much less research attention has been paid to how to implement practices. Yet, only by putting into practice what is learned from research will care be made safer.5 Implementing evidence-based safety practices are difficult and need strategies that address the complexity of systems of care, individual practitioners, senior leadership,

It is important to understand why research within the nursing profession is essential. Amongst healthcare workers worldwide nurses are the largest professional group. Within the UK nurses and midwives represent the largest work force within the NHS. They are also the profession that has the most person to person contact with patients. As the decisions and actions that nurses make affect the lives of the whole population, it makes sense that nursing practice should be based on evidence (Parahoo 2006). Nurses are expected to deliver competent, high quality care in a compassionate but also cost effective manner. To accomplish these goals, nurses continually need to access and evaluate new information and incorporate this into their clinical decision making (Polit and Beck 2010).

Since the 1970’s the term evidence-based health care has progressively been used more, the expansion of evidence-based health care has risen with the development of being able to access a range of information. Other factors that have contributed to the use of evidence based health care include; changing of public expectations, political consensus, cost pressures and professional accountability (Hamer Collinsons 2005, cited by Cutcliffe W. & J. Ward M, 2004).

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

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.