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Evidence based practice in health care essay
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They also share commonalities in having the best research and clinical skills using scientific-based research to convey assessments and interventions. In order for clients to receive the best treatment we must use empirical science and evaluate treatment data to evaluate and make sure clients are receiving the best treatment possible for their individual needs. Furthermore, scientific approaches can ensure us that the interventions utilize should be the most effective. It is important that scientific practice provides us with the ability to acquire skills to evaluate and formulate hypothesis. The scientific-practitioner model ties into the BCBA guidelines as well.
Base on the type of service that was provided to the patient and the concept of the establishment of the healthcare practice guidelines, the evidence-based practice that was identified was the level I which is the evidence of randomized controlled trials (RCT). The level I RCTs, which is the meta-analysis level and sometime called the hierarchy of evidence of all relevant, are assigned to studies based on the methodological quality of their design, validity, and applicability to patient care which According to the Medical News Today (2014) stated that the randomized controlled trials in the use of clinical intervention and the procedures are the gold standard of scientific testing and in a research study. The purpose of the RCT it is to support
Deb Kanya Initial Post Polit & Beck, (2012) describe Evidence-Based Practice (EBP) as an integration of clinical expertise, patient values, and the best research evidence. One of the more challenging aspects of EBP is the actual research on a particular topic. The fact is there is a multitude of journals and reviews etc. on any given subject; for this reason it is imperative that one knows how to conduct a proper search for pertinent information. Due to the complexity of literature searches and the amount of information available it is prudent to follow a guide while doing research.
Evidence based practice (EBP) is to demonstrate the best practice, which has been supported, with a clear rationale to back it up, while acknowledging the patient/clients best interest. In this professional outline it will be discussed why EBP is so important to start with student nurses career and continuing throughout the nursing career and the second main point will be on the impact it has on patient outcomes regardless of discipline. I believe if this mind set is instilled early in the nurses career the practice will evolve it a more proactive
The model outlines specific steps to a practice question, evaluating, and developing recommendations and implementing practice change. It also has a rating scale to determining the value of evidence for research and non-research data. Unlike ACE, it includes both clinician and patient expertise. The critical appraisal component guides the teaching process of evidence review to students. While it is adaptable to clinical settings, is has little emphasis in the organization cultural
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
Before EBP was imbedded into healthcare, nurses relied in the advice of senior nurses and what they learned through education and trial and error. Floranc enightengal ……. However, it wasn’t until the mid-1800s that evidence-based medicine had its beginnings, but did not come into play until the year of 1972. Through many years different modifications, various groups of nurses have drafted their own versions of evidence-based practice guidelines into play.
1. CONCEPT 1-EVIDENCE-BASED PRACTICE IN NURSING This concept was deducted from module 2 with the topic “Concept of Evidence-based practice”. Evidenced-based nursing is a way of making decision and providing nursing care that is based on clinical issues and combine it with the most current, relevant research that is available on that issue. Evidence based nursing utilize the most up to date method of providing care, which have been proven via assessing high quality studies and statistically with significant research findings.
Historically, nursing programs and medical schools have taught students to base their clinical decisions on expertise, experience, or single-sourced literature instead of a careful systematic review of all the available evidence (Pellegrini, 2006). Evidenced based practice recognizes that clinicians need to place less emphasis on scientific authority, custom, or ritual and more emphasis on the most current evidence that is present in literature. As more peer reviewed journals were available
It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as
Evidence generated from research is not all the same. Some evidence is better than others. Whenever one searches for evidence, he should start looking for the best available one that is obtained from the following types of research: Systematic reviews and meta-analysis * Randomized controlled studies. * Non-randomized controlled studies.
The evidence-based practice will be practiced here since the planning and implementation of the interventions are based on the information that is presented and the evaluation will now determine if the
For this week’s discussion post I will identify a situation where evidence-based practice has been applied in my workplace. Evidence-based guidelines are put in place and into practice after research has been completed. This helps with intertwining practice and research and are established by professional organizations, government agencies, institutions, or expert panels (LoBiondo-Wood & Haber, 2014). These clinical guidelines give clinicians findings to help in the decision making process of diseases or treatments. In developing evidence-based practice, a clinical question must first be put into place.
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).
EBP was first initiated as a strategy for research and implementation in medical science by using blind studies and clinical trials in order to develop effective treatments from collected evidence. The challenge of EBP is that it has proven to be a failed practice in many fields. For example, using random clinical trials (RCT) where results are influenced by multi factors in leadership development is not an appropriate research strategy for evidence-based practices. The growth of evidence based practices has spreaded rapidly as a methodology for providing what works and to establish predictable results in fields other than clinical care and medicine and with this practice there will be controversies. It is said that random clinical trials are not always the best for decisions it can be misleading.
