Essay On Evidence Based Practice In Nursing

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.”

According to Dr. David Sackett, 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 is a clinical decision-making process in which clinicians use theory-derived, research-based knowledge to inform their decisions about care delivery. Most importantly, consideration of individual needs, preference and resources must be included.

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:

Evidence based practice is an important priority in nursing because it ensures that the best quality and most effective care is being used. Restraint use is an intervention that is being minimized more and more. It can be an important intervention when necessary but there are specific circumstances and guidelines that must be followed. Evidence based practice is proving that restraint use may be eliminated due to safety concerns and more beneficial interventions being used.

Using evidenced based practice in nursing care has been found to improve nursing care and patient outcomes for that matter. Though nurses are gradually embracing the use of evidenced based practice, we still have more to do to achieve EBP across the board. Studies have shown increase in responsiveness and attitude to EBP but are still faced by significant barriers in employing it. Therefore what we think and believe is not what is practiced (Stevens, 2013).

Evidence-Based Practice integrates the best research with clinical expertise and patient values for optimum care and participates in learning and research activities to the extent feasible. EBP might impact interventions such as prevention diagnostic tests or therapy may affect the ability to compare alternatives, and in some cases, lead to the decision that no intervention is the best choice. EBP can improve nursing care. EBP within nursing care is a problem-solving approach to making clinical, educational, and administrative decisions that combines the best available scientific evidence with the best practical evidence” (Newhouse,2006, p.337).EBP increases nurses clinical knowledge. EBP within nursing care also helps to get research results

Evidence based practice is the combination of clinical expertise, patient values and the best research evidence into the decision making process in order to have a better care for the patient. It’s a patient focused practice so the clinician should make use of the best recent evidence from the research along with patient’s preferences. According to Fineout-Overholt and Stillwell (2015), “formulating the clinical question is like identifying the characteristics of the needle”(p.25). The clinical research question asked ideally defines the best research design for the study. To ease doubt and facilitate getting the right information at the right time, EBP stresses first asking a well-built question, then searching the literature for an answer

Thanks to the advancements in medicine, the healthcare industry has been able to care for our patients more effectively. Nurses have played a significant role in these advancements through evidence-based practice. Evidence-based practice “integrates the best available evidence to guide nursing care and improve patient outcomes. This helps health practitioners address health care questions with an evaluative and qualitative approach” (AMSN). That goes without saying that nursing care has changed dramatically since the time Florence Nightingale was practicing.

How do researchers determine reliability in a study? Describe the major types of each. According to our text Understanding Nursing Research: Building an Evidence-Based Practice “reliability testing is a measure of the amount of random error in the measurement technique. It takes into account such characteristics as dependability, precision, stability, consistency, and reproducibility (Grove, Gray, & Burns, 2015, p. 288). It then goes on to describe the different types that, “focuses on the following three aspects of reliability- stability, equivalence and homogeneity” (Grove, Gray, & Burns, 2015, p. 289). The chart on page 289 goes into detail about each term, Test-retest reliability, Alternate forms reliability, Interrater reliability,

Nursing is never steady and change is inevitable. Therefore, nurses should be open for changes and be mindful of good health outcomes. Development of evidence-based practice is fueled by the increasing public and professional demand for accountability in safety and quality improvement in health care (Stevens, 2013). My current hospital is small, but nurses and other staff are very compliance and can easily adapt to changes. Nursing staff shortage remained an issue and when faced to deal with these, nurses focuses on the most important priorities regarding the demands of the patient care and associated workloads. The daily duties of the nurses are crucial and imperative based on the needs of the patients and families, and thus provide hands

Pressure injury is both financial and quality burden to the healthcare system in particularly when hospitals could potentially lose their reimbursement from the government for hospital acquired stage 3 and 4 pressure injuries. My workplace has commenced a series of campaigns to target and reduce the incidence of pressure injuries since 2014. This review shows that nutritional support and in particular high protein with arginine-enriched supplement have the tendency to be associated with a significant healing rate in pressure injury compared to routine care, which includes usual diet and standard pressure injury care. With these promising results, standardised pressure injury care policy to include

Since the beginning of nursing school we have been taught the importance of evidence-based nursing practice. Therefore, the following statement explains exactly what statistics means to me. “Statistics is used in the nursing sciences to promote evidence-based nursing practice, which is needed for answering the national call for nurses to lead change in the U.S. health care system” (as cited in ). Regardless of how nurses feel the health care system is continuously changing and moving forward. So why is it important for statistics to be included in nursing education? “Nursing education aims to prepare nursing students to read and understand the nursing and health care literature, to make informed data-based decisions, and to base practice

There are some limitations in all research studies and the use of them in the practice. Evidence shows that there are different situations for different individuals, and every single individual needs a specific treatment based on his/her situation.

The nursing profession is filled with a diverse group of care providers who all value the importance of properly treating the human response. This collection of diverse personalities aids immensely when establishing connections with patients and their families. The nurse plays a fundamental role by providing a special kind of intimate support which proves to be invaluable in the hospital setting. An emphasis on opportunities and satisfaction were two recurring themes found in all the videos. Every nurse interviewed found it extremely rewarding to treat the human person. By contributing to the recovery process in some kind of role, every nurse unanimously agreed that this career granted them a greater sense of purpose prior to their nursing