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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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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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Critical Appraisal: The Most Important Components To Evidence-Based Practice

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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Evidence Based Practice In Nursing: A Case Study

821 Words | 4 Pages

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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1495 Words | 6 Pages

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130 Words | 1 Pages

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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1564 Words | 7 Pages

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1519 Words | 7 Pages

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1298 Words | 6 Pages

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