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Evidence Based Practice Model

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Recommended: Evidence-based practice pros and cons

The theory of evidence based practice is not only an approach that targets for quality of patients but also highly improves the level of accountability in the health care sector by promoting a life-time learning process. Evidence based practice addresses the compulsory need for quality research evidence and quality practice all in struggle to support the care of a patient. Below is a brief description of the five models of evidence based practice(“ LibGuides at Oregon Health & Science University,” n.d.). Ask: Get some information about the consideration of people, groups, or populaces. Acquire: Secure the best accessible proof with respect to the inquiry. Critically appraise: Fundamentally assess the proof for legitimacy and materialness …show more content…

It is therefore, of great importance that the medical professional in charge of a given patient, in this case a TKA patient follow all the five models of evidence based practice. This will ensure that patients get quality care while at the same time the professionals get to improve their experiences(“EBP in Nursing,” n.d.). It is important that medical practitioners gather enough info about the patient they are dealing with especially in the “ask” model. This will enable them come up with the best care and also aid in guiding them on what information they are to research on. Furthermore, it is important that the medical practitioners prepare the patient(s) on what is to happen so that they know what to expect and also prescribe a post-operative guide which has to be followed until the patient has fully recovered. Which model(s) would you recommend for implementation to this research problem? …show more content…

Conclude your paper with your recommendation of which of the model(s) would best be applied to the research problem and why? According to (“Anesthesia-E-ssential-October-1-2012,” n.d.), While patient-controlled IV absence of pain is normal and considered powerful to lower the danger of perioperative hypothermia, Canadian scientists set out to figure out whether temperature. Complete knee arthroplasty patients were randomly investigated and subjected to a system that frequently triggers perioperative hypothermia. Every one of the patients got bupivacaine spinal anaesthesia and intrathecal morphine; however half of them were secured with standard warm covers, while the other half wore outfits with convenient warming units that blow warmed air. Handheld remotes permitted patients to control their outfit's temperature. The examination found that not just were the single-use outfits compelling in alleviating hypothermia risk, patients utilizing them required less postoperative opioids and reported more prominent comfort with warmth than did those with standard covers. The group ascribed those outcomes to the predominant temperature control of the outfits which may have enhanced the general perioperative experience for those patients, reducing so as to include their

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Hypothermia could not be used for extended periods of time without risking possible neurological damage to the patient. This made it an impractical mode of repair for birth defects of the heart that were of greater complexity because of the more extensive work required. In addition to this, Hypothermia did not reduce the flow of blood to the heart enough to provide the surgeons even close to a clear field of vision; it was also not a method that was comprehensive enough to be taught to other surgeons, while many surgeons did not have the skill to complete an operation using hypothermia in the first place due to all of its corresponding obstacles. Another major problem with the hypothermia method was that the temperature range that would not cause neurological damage to the patient was not yet known. Lillehei collaborated with colleagues on a revolutionary approach that was a potential solution to some of the faults associated with the hypothermia method: cross-circulation.

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Moreover, there are some imperative factors that involve the local anaesthesia, age of the patient, comorbidities, fluids, and other which, must be consider by the practitioner at the time of dealing with the surgical patient (Woodhead & Wicker, 2005). However, there are few environmental elements that exist in the surgical patients that comprise the operation room temperature and some undesired physiological effects. Some other implications include the wound infections, pharmacotherapeutic effects, bleeding and shivering. Furthermore, this leads to a longer stay in the hospital because of the implications to be treated as it takes longer period to cure (Pudner,

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There are several guidelines that can suggest management of acute postoperative pain; such as education of the healthcare staff, effective planning techniques, medicinal management and conservative strategies, methods to improve organisation, and improvement of discharge protocols which will decrease the incidence of mismanagement or diagnosis errors (Chou et al., 2016). Understanding the mechanism of acute pain in postoperative care, and the development of new analgesic treatments can also effectively improve the correct management of the pain (Wu, & Raja, 2011). The mismanagement of the pain can cause

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538 Words | 3 Pages

Carper’s four patterns of knowing can be identified within the case study. Empirical knowledge was utilized by employing evidenced based practice to guide nursing interventions (McEwen, 2014). The clinician was utilizing NCEP ATP-III target levels to guide their practice and was sharing the knowledge with the patient. Furthermore, the clinician had instructed the patient to continue their current statin therapy to treat her hyperlipidemia and scheduled follow-up appropriately. Esthetic knowledge often refers to the art of nursing or the ability of a nurse to act appropriately in a given situation (McEwen, 2014).

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When a medical team deliberately reduces the core body temperature of their patients, they are using a technique called induced hypothermia. A human’s healthy, body temperature will typically hover around 98.6 degrees fahrenheit; however, once hypothermia consumes the patient, their body will reduce to a temperature between 89.6 and 93.2 degrees fahrenheit. Today, there are technologies that will use cooling blankets or cooling catheters, which contain cold saline and are inserted into the femoral vein, to rapidly drop the patient’s body temperature. The ultimate goal of induced hypothermia is to prevent neural and cell damage in the brain after traumatic brain injured patients.

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434 Words | 2 Pages

We all know that pain is usually one of the major complaint of patients with chronic problems or those recovering post operatively thereby making pain evaluation a fundamental requisite in the outcome assessment during hospital visits. Interpreting the data from a pain assessment scale is not as straightforward as it may seem since the provider must consider the intensity, related disability, duration, and affect to define the pain and its effects on the patient (Williamson & Hoggart, 2005). Pain rating scales are used in the clinical settings to measure pain and these include Visual Analogue Scale (VAS), Verbal Rating Scale (VRS), Numerical/numeric Rating Scale (NRS) (Haefeli & Elfering, 2006). Each scale is unique on its own in terms of sensitivity and simplicity that generates data that can be statistically analyzed for audit purposes. The EHR in our hospital utilizes the three rating scales mentioned as part of the pain assessment tool to measure pain that sets the tone for the direction of the type of pain management will .be given to the

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“Evidence-based practice (EBP) is the integration of patient preferences and values, clinical expertise, and rigorous research to make decisions that lead to improved outcomes for patients and families” (Melnyk and Fineout-Overholt, 2015, p. 171). The need for evidence based practice will help ensure the patient will receive the highest level of quality of care. Each member of the health care team, work together with the common goal of identifying the needs of the patient and offering the most safe, efficient, and effective care. Patient and family centeredness is one of the values identified with the decisions that are being made on the behalf of the patient with evidence based practice (Melnyk and Fineout-Overholt, 2015, p. 176). By focusing

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The goal is to improve the health and safety of patient while also providing care in a cost-effective manner to improve the outcome for both the patient and the health care system at large. According to Melyn and Fineout-overholt(2005)Evidence-based practice should be a problem-solving approach to clinical practice that integrates a systematic search for critical appraisal of the most relevant evidence to answer a burning clinical question.

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The Bedside Shivering Assessment Scale which measures from 0 being no shivering, 1 is mild with shivering to neck and/or thorax, 2 being moderate with shivering including the upper extremities, and 3 being severe with shivering all over the body. Treatment ranges from skin counterwarming, Acetaminophen, Magnesium Sulfate, Dexmedetomidine, Propofol and lastly a neuromuscular blockade, Vecuronium (Presciutti et al, 2012). A therapeutic hypothermia checklist guideline helps to keep everything in check any up to

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600 Words | 3 Pages

PLoS One, 8(9) doi:http://dx.doi.org.ezp.waldenulibrary.org/10.1371/journal.pone.0075629 Koren, L., Peled, E., Trogan, R., Norman, D., Berkovich, Y., & Israelit, S. (2015). Gender, age and ethnicity influence on pain levels and analgesic use in the acute whiplash injury. European Journal of Trauma and Emergency Surgery, 41(3), 287-291. doi:http://dx.doi.org.ezp.waldenulibrary.org/10.1007/s00068-014-0419-2 Rodway, G.,W., Huether, S.,E., & Belden, J., (2017) Pain, Temperature, Sleep, and Sensory Function In Huether, S. E., & McCance, K. L. (2017).

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One medication my doctor suggested nearly killed me. After taking the drug, I developed a temperature of 107 degrees, even when I took fever suppressants the temperature never faltered. I received all of my care at the Dartmouth-Hitchcock Medical Center, a three hour drive into northern New Hampshire. The drive took double as it occurred during a typical New England blizzard. When I reached the hospital my physician gave me another dose, thinking it would remedy the situation.

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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

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947 Words | 4 Pages

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.

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1298 Words | 6 Pages

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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This is due to the steep temperature gradient between the ice water and the skin. However, the use of large barrels or tubs to submerge patients in iced water is logistically not feasible for use during en rout cooling. The solution then is to provide an alternative cooling system that is more portable and at the same time, able to deliver an acceptable or improved temperature gradient in cooling. Ideally, cooling rates of >0.080C/min is found to be more effective in reducing the morbidity and mortality associated with heat injury

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