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.
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.
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).
BSN is expected to also use research studies for a basis for their decision making. ADN analyzes assessment data, where BSN synthesizes comprehensive assessment data to solve problems. ADN’s evaluate and report outcomes and plan interventions from evidence based practice, where BSN nurses compare these interventions and outcomes to benchmarks in research and evidence-based practice and plans follow-up nursing care. They both create teaching plans to promote healthy outcomes, although BSN’s go on to assess population risk (BON,
Stroke is a leading cause of adult disability and patients face multiple challenges, such as weakness/paralysis on one side of the body, social disability, inability to walk and self-care, the decline in community participation, and the decline in cognitive and emotional functioning. These challenges impede them from independently performing their daily activities related to work, school, parenting, or leisure. Evidence Based Practice shows that the best way to treat individuals with stroke is through the use of the mental practice. Mental practice is a training method during which a person cognitively rehearses a physical skill in the absence of overt, physical movements for the purpose of enhancing motor skill performance. It is a practice
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 peer reviewed journal article, A Decision Tree Model for Postoperative pain Management, is an article describing postoperative pain management regimens using evidence-based practice. This article’s author has created a guide for prescribers who are managing postoperative pain levels for patients. This article is using evidence-based practice to help future patients have adequate pain relief, but not have the serious ramifications that can occur from the wrong dose or wrong medication for said patient.
NPs must know, embrace, and practice the scientific merit of research. This is the bases for having an evidence based practice to provide optimal health services for community members. According to Facchiano and Snyder (2013), it takes critical evaluations of studies to determine the credibility of studies to establish a sound evidenced-based practice. The application of the knowledge of evidence is vital to advancing the profession of nursing. As NPs, the scientific foundation must be an intricate part of providing daily care.
This paper will examine the best nursing practice for standardizing shift-to-shift reports. I became interested in this topic after hearing my mother talk about her day floating to a floor at her hospital. She received report on her patients from two different nurses that morning. Each nurse gave her different information and both were missing information that she considered vital to the care of her patients. She normally works in the ICU and on the step-down medical surgical floor, which both use a version of a template that was designed by one of the nurses to facilitate a standardized shift-to-shift
Evidence-based practice is the process of searching research to gain knowledge in the quest to improve nursing intervention. It requires time, resources, teamwork, collaboration, and dedication, but it’s our calling and duty as nurses to ensure that patients receive the highest quality of care. For this paper, I will identify a new best practice to initiate, describe steps required to implement it, and give examples from literature that support the change in patient care.
According to Hamer and Collinson (2005), evidence based practice (EBP) is about “finding, appraising and applying scientific evidence to the treatment and management of health care.” (p.6) Therefore, in nursing, EBP is relevant because it supports nurses’ performances of delivering suitable, safe and efficient care towards the patients and their families. Research is based upon clinical experiences and patient’s preferences. (Grove, Gray, and Burns, 2014) Through this nurses will have a better understanding of patient views and be able to make clinical decisions that can results of better outcomes towards their health.
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.
Disseminating evidence strategy for results of project to key stakeholders, the data collected, solution and the final results would be shared with all stakeholders. According to Melnyk and Fineout-Overholt (2004), disseminating findings as quickly and broadly as possible is paramount so that findings can guide future research and help health professionals make important decisions. Commitment of nurses and other health care professionals will guide evidence, and influence the quality of care being provided by nurses. In addition, this will also decrease the registered nurses’ frustration and increase their self esteem. The purpose of disseminating