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Ebp Literature Review

1450 Words6 Pages

The goal of this literature review is to show the importance of incorporating evidence based practice (EBP) into the clinical and education setting of nursing. EBP education needs to be added to yearly nursing competencies in all settings of healthcare delivery. While EBP and protocols should never replace clinical critical thinking on an individual, patient to patient level, the community deserves the best care, which is current evidence-based. Nurses are accountable for their choices in practice, EBP empowers nurses to question rationale of protocols and physician orders. There has been an attempt to implement EBP into the clinical practice of the healthcare system nationwide. Statistics are not available for EBP implementation as a whole …show more content…

Data was collected voluntarily via Monkey Survey from the nursing schools whose dean had replied via email and agreed to school participation. ARCC-E (Advancing Research and Clinical Practice through close Collaboration and Education) was used to measure the perception of the effectiveness of EBP courses. Amongst the highest ranking statement on the questionnaire was the availability of data bases, belief in EBP courses being very useful for graduate nursing students and faculty having high expectations of what students can achieve in EBP courses. Amongst the lowest rating was faculty members were EBP mentors for healthcare professionals and that they would like to be mentors. Time constrictions in relation to the amount of academics, theories and skill sets required to be taught in nursing programs. Students’ background knowledge research and understanding of EBP was also noted to hinder …show more content…

(2014) researched Systematic Implementation of Evidence-Based Practice in a Clinical Nursing Setting. It is known that EBP is not sufficiently implemented in daily clinical practice and there is a significant lapse in time between research and implantation in practice. The issues to implementing the Best Practice Mode of Working and EBP discharge protocol into this setting was the limited knowledge of EBP. Patients and caregivers interviewed, expressed desire to be aware of discharge twenty-four hours in advance including follow up and relapse prevention. Patients reported not feeling informed or prepared to go home and successfully continue to heal without relapse or secondary issues. The nurses surveyed from the lung unit also stated that the discharge process was unstructured. Researchers did not find any supporting EBP guidelines to follow for discharging lung patients home, only that discharge instruction should be structured and comprehensive. Researchers worked with the nurses to develop a discharge protocol specific for lung patients using best current research available, nurse expertise, patient perspective and patient feedback. This intervention was only partially met, while the feedback was positive from the discharged patients it was clear that the nurses had difficulty applying EBP steps, suggesting a possible need for a simplified version. Further research is needed to evaluate the effectiveness of implementing a simplified

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421 Words | 2 Pages

Is the research setting similar to your instructional setting. Also, this is an area that the education professional needs to think about when selecting an EBP to ensure similar positive results. Is the setting in the general classroom or a resource room where there are probably more privacy, flexibility, and less opportunities for

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1600 Words | 7 Pages

Discuss the value of best evidence as a driving force in delivery of nursing care at your facility. Throughout the healthcare system, evidence based practice establishes a foundation where changes are made to improve practice. Leaders in practice are stationed at both the facility and system levels to guarantee the implementation of evidence based practice. ET’s facility’s EMR also contains third party evidence based content that provides care plan, flowsheet, and patient education content. To guarantee that ongoing evidence is imbedded within the EMR through regular upgrades, using a third party makes this possible.

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804 Words | 4 Pages

Quinshayla Honeycutt TREC 412: Ms.Russell EBP Summary Disability: Bulimia Eating disorder Modality: Art Therapy Theory: Cognitive Behavioral Therapy The client that was chosen for the EBP would be a 16 year old female adolescent who has an eating disorder called bulimia. Bulimia would be considered an emotional disorder where he or she would have insecurities when it comes to their body images which causes the client to have a desire to lose weight and start to get rid of their quantity of food by vomiting or binge at a short time period.

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1069 Words | 5 Pages

Retrieved from http://www.mghpcs.org/pcs/magnet/Documents/Monday/MM_010713.pdf McClellan, M. (2013). Improving health care quality: The path forward. Brookings. Retrieved from https://www.brookings.edu/testimonies/improving-health-care-quality-the-path-forward/ Stevens, K. (2013). The impact of evidence-based practice in nursing and the next big ideas.

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1495 Words | 6 Pages

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-

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176 Words | 1 Pages

Evidence based is been used widely in nursing practice, which involves integration of a problem solving approach within the framework that concerning care, using the best evidence from research, knowledge and proficiency from clinical together with patients’ beliefs and values. Nursing practice does support EBP as researchers had done many studies that showed improved outcomes when the best evidence is implemented of patient’s care. However, researchers had argued that, there are challenges in attaining and maintaining EBP in nursing practice despite the awareness (Mary, et. al. 2013). By using EBP nurses are able to come up with high quality of nursing care plan for the patients.

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1016 Words | 5 Pages

In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).

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283 Words | 2 Pages

Understanding the Healthcare system can be very challenging due to the system is constantly changing from new technology manage care, health care reforms, aging populations and other economic factors that have a significant impact in the service provided. Understanding plays an important role in the health care system because the improving quality in the healthcare system requires the implementation of internationally and recognized evidence based guidelines and protocols. EBP is necessary to integrate the best research with clinical expertise and patient value to establish best health outcomes. We believe that openly outlining and understanding some form of theory that explains the reason for why an intervention may work to induce planned

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494 Words | 2 Pages

Canadian Association of Critical Care Nurses, 19(4), 25–28. Retrieved from http://web.a.ebscohost.com.ezp.waldenulibrary.org/ehost/detail/detail?vid=3&sid=f3416679-5b34-4846-b51282ce5c289dbc%40sessionmgr4007&hid=4204&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=105592894&db=rzh Black, A. T., Balneaves, L. G., Garossino, C., Puyat, J. H., & Qian, H. (2015). Promoting Evidence-Based Practice Through a Research Training Program for Point-of-Care Clinicians.

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1549 Words | 7 Pages

Introduction Nurses as a professional, we are obligated to deliver the best care to patients. Every interventions that we performed are expected to be based on evidences and underpinned by rationales. In recent years, the idea of evidence-based practice is prevalent (G). To promote the development of evidence-based practice, we have to address the barriers and facilitators (B). In the following, I am going to give a description on evidence-based practice.

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3496 Words | 14 Pages

Locally, the practice of EBP is new and recently developed and applied in studies and practice (MOH 2012). The professional code of conduct for nurses and midwives (ONMC 2011) supports the implementation of EBP as this code states clearly to nurses that in order to be competent they need to update their knowledge and skill according to the current scope and standard of practice. What is more, care delivery should be based on the existing evidence and not be purely based on the nurse’s experience and traditional practices, it should be based on valid and approved research (ONMC 2011 ). Overall, using evidence in practice improve

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1215 Words | 5 Pages

Management support and encouragement are the main key elements for success in implementing EBP (Bernadette, 2002).Evidence based research must be encouraged at undergraduate levels to initiate and encourage interest in research and to evaluate current nursing practices. Emphasis on the importance of evidence based care must be encouraged by nursing tutors and educators as many of the discussed strategies fail to develop into practices and only remain as academic workshops (Schmidt & Brown, 2007). Encouraging continuing education is another strategy to overcome the barrier to implement evidence based practice. Nurses must be taught where and how to search for researches and

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637 Words | 3 Pages

Research has proven over and over again that using evidenced-based practice (EBP) lowers the cost of healthcare, provides for better patient outcome, and for best work satisfaction among nursing staff. Yet, there is disagreement among nurses about the real value of doing research to change and initiate better nursing practices. The lack of enthusiasm to generate knowledge from research has many different facets, depending on who is questioned. Moving EBP into the clinical practice is complicated by time constraints, increasing demands on nursing care, and the inability to incorporate into the organization’s policies and procedures.

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735 Words | 3 Pages

Compared with a large full-service hospital, this ICU is most like a step-down unit. Being located in a small farming community, most patients present with complications from Diabetes, COPD, and cardiac issues. Management is currently in transition, with the current manager being interim. The general attitude towards Evidence Based Practice is moderate. Several new policies have been implemented based on EBP, but it is certainly not the leading focus.

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868 Words | 4 Pages

The change revolves all around discharge and follow-up appointments. Discharge is the first intervention that should be improved to ensure quality transitional care. It is the golden rule that is taught to all nurses that discharge begins upon admission. I’ve had a firsthand witness of multiple discharges within the hospital and can truly say that a majority of the patients were not receptive to the teaching. It is understandable why discharge teaching would go into one ear and out the other.

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