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Evidence Based Practice History

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Definition and History of Evidence-Based Practice In the field of nurse anesthesia there are always clinical advances and an explosion of new information. So how does an anesthesia provider put all this new knowledge to good use in a clinical setting? 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 …show more content…

His ultimate goal was to make the research summaries of clinical trials readily accessible to healthcare providers. In 1993 between his work and the era of informatics explosion the initiation of the Cochrane Collaboration was officially founded. The Cochrane Collaboration enables health care providers to make sound clinical decisions by preparing, maintaining, and disseminating systematic reviews through a network of medical databases (Polit & Beck, …show more content…

The secondary evaluation was an analysis according to the route of intravenous verses topical administration. If the data in regards to laryngeal spasm had a classification of severity, they only included data was only that of severe laryngospasm. Each of the random controlled trials evaluated were assessed for risk of bias as described by the Cochrane Handbook for Systematic Reviews of Interventions. However a low risk of bias was established to all studies because it was determined that a lack of blinding of patients would be unlikely to affect the incidence of laryngospasms. The Grading of Recommendations Assessment, Development and Evaluation approach was used for evaluating the quality of evidence in this study and data was summarized using a risk ratio (RR) with a 95% CI. The random-effects model was used to combine the results of the

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Outcome three in the Doctor of Nursing Practice (DNP) program has prepared me to use analytic methods to appraise critically existing literature and other evidence to determine and implement the best evidence for practice.(Raup, King, Hughes & Faidley, 2010). For example, at the start of the DNP program, I lacked experience in research and understanding of the literature review, now I have the ability to develop, direct and evaluate quality improvement methodologies to promote safe, timely, effective, efficient, equitable, and patient-centered care. Technology and the database research assisted me in forming my question, proposal, and project by providing evidence-based data and available resources. Two key examples that facilitated my growth

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599 Words | 3 Pages

The Stetler Model of Evidence Based Practice was first established as the Stetler/Marram Model of Research Utilization. “The Stetler model has long been known as a practitioner-oriented model because of its focus on critical thinking and use of findings by the individual practitioner. The 2001 version provided clarification that this guided problem-solving process also applies to groups of practitioners engaged in Research Utilization/EBP” (Melnyk & Fineout-Overholt, 2015, p. 245). This model facilitates the integration of evidence into practice, many individuals can be involved as contributors in this method, but a core group may be needed in planning the different stages of the model.

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553 Words | 3 Pages

When implementing evidenced-based practice, there are five major steps to its development: ask, acquire, appraise, apply and assess. Research involves gathering data, comparing, and analyzing it to produce information that is viable to a particular topic being evaluated. Critical appraisal is one of the most important components to evidence-based practice. According to the Center for Evidence-Based Medicine (n.d.), critical appraisal is the process of carefully and thoroughly evaluating research. The reason behind critical appraisal of research is to identify the level of evidence, how well it was conducted and evaluate it for relevance to one’s practice (Fineout-Overholt, Melnyk, Stillwell & Williamson, 2010).

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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).

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243 Words | 1 Pages

Evidence-based practice. Eells (2014,

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Personal Critique Assessment After reviewing the study based on IPSRT-G, there were several factors that indicated the study was poorly designed. This experiment expressed a low validity, internally and externally, due to the population, sample size, participant selection, and dual therapeutic treatments. The population of the referrals from the clinicians was unfortunately too low. It would have been best for the researchers to have requested more referrals from other medical institutions and clinicians to participant in this process.

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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.

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In this system articles are rated based on eight standards, including a clear purpose statement, objective literature review, suitable methodology, repeatability of intervention, reliability measure, sufficient sample size, clear results, generalizability of findings. Scores of 1, 2, and 3 were given in eight areas leading to a total possible score of 24. A score of 1 indicated insufficient information; a score of 2 meant adequate information, and a score of 3 equaled thorough, clear, and concise information. Articles were also rated by level of evidence (table 2). 1A equaled a meta-analysis of multiple well designed controlled studies, 1 equaled well designed randomized controlled trials, 2 equaled well designed non-randomized controlled trial (quasi-experimental), 3 equaled non experimental designs, and 4 equaled expert opinion

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957 Words | 4 Pages

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

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Predominant glottic view obtained in classic LMA, Ambu Aura40 and in I-gel was 2 (50%), 1 (63%) and 3(40%) respectively. Graph 2: Showing glottic view seen through fibreoptic bronchoscope. Oropharyngeal leak pressure Oropharyngeal leak pressures are commonly performed with the LMA to indicate the degree of airway protection, the feasibility for positive pressure ventilation and the likelihood for successful supraglottic airway placement.14 We found a higher mean OPLP with I-gel 36.23 ± 3.00 and least with LMA classic 30.90 ± 2.15 which was of statistical significance p=0.000 (Table-5, graph-3).

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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.

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Systematic review clinical assessment and evaluation of all studies that discusses the same clinical issue, simply its summary of outcomes of researched studies in a quantitative manner and hence it's named Meta analysis. After setting a question and searching for studies that meets the eligibility criteria and reading it very well to obtain adequate and precise results for Meta analysis detection of bias in the individual studies is an important issue to avoid inadequate results and to be sure that the data collected is confidence wise.1 So bias is critical topic and must be focused in.

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Introduction Evidence-based practice(EBP) is defined as "the integration of best research evidence with clinical expertise, and patient values in making clinical and patient care decisions." (Sackett et al., 2001, p. 1). It also involves the integration of research evidence, scientific theories, local circumstances and existing resources. While undertaking evidence-based practice has the advantage of improving clinical practice and the quality of care, the development of EBP is still not prevalent in nursing. In this essay, barriers hindering the development of EBP in nursing will be discussed and elaborated with examples.

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636 Words | 3 Pages

Evidence-based practice is defined as “the integration of best research evidence with clinical expertise and patient values” (American Psychological Association [APA], 2006, p. 284). The term had originated from the Institute of Medicine, but is

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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).

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