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Barriers and benefits to evidence based practice
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It was a privilege to work with Laura on a team rehabilitating a severely impaired brainstem CVA patient. She uses evidence based practice to modify treatment approaches to promote positive outcomes for both her patients physical needs as well as cognitive-communicative needs. A perfect example of this was scheduling her PT session prior to an SLP comm/cog session with increasing cardiovascular effort to promote improved cognitive
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
I enjoyed reading your discussion post. Nurses must understand how organizational infrastructure and culture affects implementing and sustaining evidence-based practice. Although an evidence-based practice may be well documented and proven to positively, impact patient care, organizational structure and culture may present barriers to change. For example, financial constraints, tradition, or attitudes of leadership may hinder the implementation of evidence-based practice (Huber, 2014). Change agents or opinion leaders can influence the promotion and adoption of nursing evidence-based practice through creativity and persistence (Huber, 2014).
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.
The term Evidenced-based practice (EBP) is one of the most talked about concepts in healthcare. Nursing scholars, worldwide, have sought to provide healthcare workers with the evidence from research to be transform this into clinical care. To ease this transference of data into practice, scholars have developed EBP models. These models direct the researcher with the process from hypothesis to implementation of the data. The perplexity of EBP is that the data can come from research, clinical experience, patients, or local context and environment (Rycroft-Malone, et al., 2012).
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
Evidence- Based Practice Evidence based practice has influenced the way that induvials view sexually transmitted disease. It allows us to look at the information we have gathered previously, interpret it and then determine what needs to be changed and what seems to be working properly. When looking at EBP, we can tell that with the use of protection such as condoms and dental dams, the percentage of STDs being transmitted has lowered. When sexually active individuals did not use preventative measure, the percentage of STDs grew. EBP also has proven to show that the more partners one has, the risk of catching an STD becomes higher.
The use of evidence based practice in the hospital setting is increasing since research proving that integration of evidence based healthcare has a lot of benefits in this setting, and achieves the best possible outcomes for the patient . Improved patient outcomes is a result of the higher quality of care given by providers when following the most recent and updated evidence of the effect of care at the point of care. Utilization of evidence based practice also increases clinicians confidence in their care, allows them to adapt to new care, improve their skills, as well as their critical thinking and decision making skills. This in turn leads to higher clinician job satisfaction which promotes improved care of the patients through improved
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.
Integrating humanities and sciences in nursing is important and allow individuals to enhance their knowledge and critical thinking skills in their nursing practice. The information I learn in this course has taught me that evidence-based research findings can be used to shape future practice settings going forward. As a change agent, I will change and implement new evidence-based care to my practice to deliver high-quality
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).
This assignment has impacted my perspective on evidence-based practice by helping me build clinical reasoning skills and knowledge of difference diagnoses that will enables me to apply the most high-quality and appropriate intervention strategies that is proven effective in improve patient’s treatment outcome.
Evidence based practice (EBP) is a process of integrating high quality evidence into practice or care provided by health professionals and decision makers in health care. This discussion will explore the meaning of the term Evidence Based Practice further and discuss its origins. EBP requires finding the best available evidence to inform practice, its greatest benefit being the best possible care for a client. Other benefits and limitations will be further discussed below. EBP demands the client be seen as an individual and their unique circumstances be considered in the application of evidence
ENSURING EVIDENCE BASED PRACTICE SIGNIFICANCE OF THE CONCEPT Evidence base practice can be defined as the integration of clinical experience and skills, patient values and best research evidence into decision making process for patients’ care (Saclett D, 2002) The integration of the three elements into decision making process enables the practitioner a better opportunity for enhanced clinical outcome and improved quality of life. Evidence alone is not enough in decision making hence the integration of the three elements. In order to ensure effective public health programme the practitioner must ensure that every decision made is evidence based.
