Using A Standardized Guideline Offers Advanced Practice Nurses ( Apn )

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.

According to Dr. David Sackett (1996) Evidence Based Practice (EBP) is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.”

I believe the most important aspect to successful implement evidence-based practice is a common understanding and stress of the importance of EBP among health care professionals. Everyone need to be on the same page and understand that practice methods that are not backed by evidence are no longer acceptable. I believe the facility needs to have a mandatory meeting with all the health care professionals and discuss how EBP will be implemented into their facility. I also believe that there should be repercussions if EBP is not put into place.

46% of participants were able to recognize the term EBP and 54% of participants follow their colleagues for the guideline (Ammouri, A, A. 2014). Association between the personal characteristics and use Evidence Based Practice (EBP) including the difference of age, education as well, which also highly effect on the utilization of Evidence Based Practice ( Al-Ghabeesh, S et al.

This paper explores the perception of clinical practitioners to the change in policy related to the advanced practice registered nurse (APRN) full practice authority. The author conducts a one-on-one, open-ended interview of 5 nurse practitioners and 5 physicians licensed to practice in Maryland on their perceptions of the recent passage of the Advanced Practice Registered Nurse Full Practice Authority. A literature review was conducted in a policy report by the professional nursing organization, and discussion within the peer-reviewed article supported an overview, regulatory differences among 50 states, including the District of Columbia. Their policy implication for enhancing APRNs role nationally. The author discusses a critical component

Share what evidence-based practice means to you (EBP) and describe how EBP is used in your practice setting.

EBP is not only about research utilisation but also involves an integration of research evidence, scientific theories, clinical circumstances and setting, available resources, expertise clinical judgement, and patient preference (Satterfield et al., 2009). It

Evidence-Based Practice (EBP) was initially a movement in medicine, dating back to early 20th century (Spring, 2007). It was described as a careful decision making process about the care of individual patients using best available evidence by Sackett, Rosenberg, Gary, Haynes, and Richardson (1996). Greenhalgh (2010) gave a similar definition but with more emphasis on the mathematical assessment of the potential benefit and harm. By now, EBP has been widely adopted by many health disciplines, including psychology. In 2005, the American

Indeed, "new and validated knowledge that forms the basis j Y for evidence-based practice (EBP) most commonly is discovered in academic settings. But findings need to be translated into a protocol or guideline that can be used to guide practice," according to Conner, (2014, p.40). Evidence-based projects have lead to many improved clinical practice changes at the bedside and healthcare in general; and they are highly promoted and supported by different healthcare organizations.

Evidence-Base practice (EBP) is defined as based on problems identified from nursing practice; using best evidence and professional expertise and merging them into current practice to ensure patients receive quality care (French, 1999). Evidence-based practice is a part of quality improvement process; it is made of evidence, clinical expertise, patient preference and the context of care (Barker, 2013). In brief, evidence-based practice is the guideline in the nursing practice that requires nurses gather and use clinical evidence to help diagnose or assess patients correctly by using their knowledge and experience in order they can deliver the quality of care to the patients (Ellis, 2013). In the other words, in the nursing practice the clinical evidence supports all the nursing procedures performed.

Evidence Based Practice (EBP) is a process that permits us to evaluate study, scientific strategies, and other evidence resources centered on high quality outcomes and put on the results to run-through [Academic of Medical-Surgical nurse (AMSN, 2014)].

After speaking with the nurses in labor and delivery, they all seem to agree with this policy. They had very strong feelings about this topic actually. One nurse said that she feels that if it is a normal and healthy pregnancy that has not have any issues, they should let nature run its course and do its thing. The woman 's body know what it is doing and usually knows when she is ready to begin the laboring process. Another nurse believes that having an induction can increase risk of having to have an emergency c-section. She also believes that delivering a baby just because you want to regardless of what the gestational age is, you risk pre term babies that could have problems and may not be as healthy as if the mother would have waited and let her body naturally do it. From what I saw, they do not necessarily follow it, I took care of a patient last week who was being induced at 37 weeks. I could tell the reasoning why they shouldn’t. She had been in labor and delivery for 24 hours already and was not progressing at all. So she should not have been induced, as her body did

The World Health Organisation (WHO) states that Induction of labour should be offered to women when it is considered safer to deliver the baby for either, the baby, the mother, or both, rather than proceed with the pregnancy until spontaneous delivery. WHO specify there should also be an absence of contraindications for vaginal delivery and there should be no indication for a caesarean section (The World Health Organisation, 2011). This is supported by The Royal College of Obstetricians and Gynaecologists (RCOG) and National Institute for Health and Clinical Excellence (NICE) guidelines, (2008) for IOL, which endorse that women should be offered induction after 41 weeks between 41+0 and 42+0 weeks to avoid the risks of post-term pregnancy such as intrauterine fetal death (RCOG,2008; NICE, 2008). Yelikar (2007) suggests that post-term pregnancy is a pregnancy that is greater in length then 294 days from the last menstrual period or where it has progressed passed the expected date of delivery (EDD). It can also be referred to as prolonged pregnancy, post-maturity or post-date pregnancy (Yelikar, 2007)

EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” (Sackett D, 1996)

patients and be able to explain the reason behind the care given by them. Within nursing