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The importance of evidence-based practice in nursing
Evidence based nursing practice in clinical settings
The importance of evidence-based practice in nursing
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With Reference to the CYP IAPT Core Principles, critically discuss Evidence Based Practice and Routine Outcome Monitoring and the challenges of implementing these within the modality of parenting and within the wider context of practise within the children centres Introduction Studies published by Green, Meltzer, McGinnity, Goodman and Ford in 2004 estimated that 9.6% or nearly 850,000 children and young people aged between 5 -16 had a mental health disorder and it was estimated that a staggering 76% of those CYP with anxiety and depression disorders were not accessing mental health services compared to 35% of adults. As a result of such studies, The children and young people’s improving Access to Psychological Therapies programme (CYP IAPT) was conceived and aimed to transform the delivery of Child and Adolescent Mental Health Services (CHAMS) across England. CYP IAPT has four core principles, Evidence Based Practice (EBP), Routine Outcome Monitoring (ROM), Participation, and Reflective Practice. This essay will focus on the two principles of EBP and ROM and will consider the challenges of implementing these within the modality of parenting and within the wider context of practise within the children centres.
The two Evidence Based Practice models that I decided to compare are the Johns Hopkins Nursing model and the ACE Star model. The Johns Hopkins Nursing model “helps bedside nurses translate evidence to clinical, administrative, and educational nursing practice” ( p. 302). The Johns Hopkins Nursing model focuses on nursing and nursing practice. The model helps nurses translate evidence-based practice into practice and enhances nursing autonomy, leadership, and engagement with interdisciplinary colleagues (). While on the other hand the ACE Star model focuses taking several forms of knowledge and turning it into evidence-based practice.
Organizational Culture and Readiness Having a positive attitude towards Evidence Based Practice (EBP) and valuing the importance of EBP practice for patients is the most important factor in the practice of EBP among nurses (Stokke, K., Olsen, N., Espehaug, B., & Nortvedt, M. (2014). An “Organizational Culture and Readiness Assessment” survey was conducted among nurses at a hospital following the Appendix K in (Melnyk & Fineout-Overholt, 2011, p 594). Most nurses agreed that the hospital is prepared for further implementation of Evidence Based Practice (EBP). Majority of them believe that the nursing staff, the physician team, and administrators actively practice EBP. The rationale behind this comes from the overall environment of the hospital.
The profession of nursing has embraced evidence based practice (EBP) as evidence based care combines evidence from research, clinical experience, and patient preferences that help us to ensure that patient care is effective, considerate, and cost effective for facilities and the population served, while meeting the specific needs of each patient Research that leads to EBP tells nurses and health care providers what practices/treatments that work, what does not work, and with whom and where they work best. An example of EBP is that the Affordable Car Act requires that all reimbursable treatments follow the guidelines and recommendations made by the U.S. Preventative Services Task Force (USPSTF). The USPSTF recommendations are derived from
During this assignment, the task asks for an overview of what Evidence Based Practice (EBP) is, and why is it so important and relevant to nursing as a generic term? The nursing and midwifery council (NMC) states that, all healthcare professionals are required to carry out care based on the best available evidence or best practice (NMC, 2008). A broad definition of Evidence Based Practice (EBP) came from David Sackett, (founder of the NHS Research and Development Centre and Colleagues); he expressed that EBP is: ‘The conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health [and social] care decisions’. (Sackett et al, 2000: 71-72).
The writer describe a conceptual framework, the IM to introduce, develop, and evaluate EBP into this project. This model consists of a series of steps that include selection of a topic, forming a team, evidence retrieval, grading the evidence, developing an EBP standard, implement the EBP, and evaluation. This conceptual framework has been referenced in nursing journal articles and extensively used in clinical research to introduce, develop, and evaluate EBP. Also, this model was chosen to drive quality patient outcomes, promote new research and innovations to implement in nursing practice, and share new knowledge with peers across the globe through research utilization.
Evidence-Based Practice Application The practice of nursing has changed over the years from a task-oriented job to a science-based profession (Brown, 2013). With this change, research studies have become a pivotal part of the nursing profession, providing the information that is used to expand, improve, and generate new nursing knowledge (Brown, 2013). Evidence-based practices (EBP) in nursing are based on the best available research data generated from these studies (Weng et al., 2013). An example of the research used in documenting an EBP was found in an article by Hammonds et al.
Organizations that cultivate a spirit of inquiry encourage their employees to question and challenge patient care and organizational practices in order to improve practices (Melnyk & Fineout-Overholt, 2015). Evidence-based practice (EBP) is a tool that cultivates a spirit of inquiry (Melnyk & Fineout-Overholt, 2015). Melnyk and Fineout-Overhold (2015) outline the six (6) steps of EBP. The first is to create a clinical question. The second step is to gather the best evidence possible using systemic reviews or meta-analyses resources.
Over the past decade, the healthcare profession has changed tremendously with the support of the evidence-based nursing practice. The evidence-based nursing practice is a multidisciplinary approach which involves the integration of a problem-solving that lead to the context of patient caring, patient’s data analysis, clinical experience, and expertise, and patients’ preferences and values. The fundamental function of the evidence-based nursing practice is to reduce or eliminate the uncertain in the clinical care, in order to achieve efficient and effective service delivery. The fundamental concept of evidence-based nursing practice methodology can be effective in the application of practice guideline. In the effectiveness and the efficiency
The term Evidence based practice was developed to replace the historical customary practice view of psychological treatment and can be looked at as a preferred set of procedures considered standard within an organization. More specifically, Evidence based practice (EBPP) is defined as a triad system that is intricately intertwined by scientific research, clinical expertise and client values and preferences. The use of evidence based practice has become more prevalent in recent years considering suggested research findings which points to the ineffectiveness of employing treatment techniques and interventions with clients that have not been generated by sound evidence. As a science, psychology is presumably rooted in the scientific method which
Evidence-based nursing practice help to improve individual bedside practice because nurses work in the ward based on knowledge they obtained from previous research. It can also answer problematic clinical practice issue since it aim at solving problem, it improves nurse’s quality and reduces variations in care. Nurses are also confident in their decisions due to the fact that they know what they’re doing and can as well prove it because every patient deserves care that is based on the best scientific knowledge and ensures high quality and are cost-
Evidence-based practice is made up of three principles. The first consists of well-researched evidence on why a specific(s) treatment would work for a client. The second part is expressed as clinical experience and ethics in order to distinguish a client’s needs. Lastly, the third principle pertains to the client’s wants and preferences when it comes to providing treatment and services. This practice involves participation from all parties involved, which are, the client, researcher, and also the practitioner.
Fawcett and Garrity (2009) explain that use of the evidenced-based practice in clinical practices is not a new phenomenon in health care delivery. DNPs reduce the research-to-practice gap. They have understandings on the use of research findings in clinical settings to provide quality of care to patients (Vincent et al., 2010). DNP nurse searches for strategies to produce a good outcome in care delivery models using concepts from quality improvement, psychosocial and cultural ideas. The DNP scholarly project, identifies, evaluates care delivery models and the need for change.
Ivonne I too thought this was going to be a very easy class. I had absolutely no idea how complex evidence based would actually be. There are many tedious concepts and facts to take into consideration when it comes to evidence based practice. As Houser (2015) states "The strongest evidence for nursing practice is provided when multiple studies report the same results. " I also learned that the way you search for your data makes an incredible difference in your results.
Giving care to a patient is not a straightforward process because a patient is made up of advanced systems. Symptoms and the severity of a disease process are dependent on a particular patient, and it may not always be uniform from patient to patient. Because of this, nurses must be able to use their knowledge appropriately to help a patient. Nurses use techniques, such as Evidence Based Practice, in order to integrate new and advanced knowledge into their patient care (Canada, 2016). By exercising evidence based practice, nurses effectively seek knowledge, take experience from past situations, and apply this intelligence to best give patient care (Canada, 2016).
