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.
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
Therefore, practice and research needs to be clearly identified and be kept separated because they represent two different acts. When a patient gives healthcare professionals the permission to “practice”, it is solely for the purpose to improve their health outcomes. By accepting and allowing practice, it does not constitute an agreement be participate in a research. It would be crossing the boundaries to perform a research when the healthcare professionals were expected to improve patient’s well-being.
Organizational Culture and Readiness Having a positive attitude towards Evidence Based Practice (EBP) and valuing the importance of EBP practice for patients is the most important factor in the practice of EBP among nurses (Stokke, K., Olsen, N., Espehaug, B., & Nortvedt, M. (2014). An “Organizational Culture and Readiness Assessment” survey was conducted among nurses at a hospital following the Appendix K in (Melnyk & Fineout-Overholt, 2011, p 594). Most nurses agreed that the hospital is prepared for further implementation of Evidence Based Practice (EBP). Majority of them believe that the nursing staff, the physician team, and administrators actively practice EBP. The rationale behind this comes from the overall environment of the hospital.
Evidence-Based Practice and The Quadruple Aim Dawn Renee Henderson College of Nursing, Walden University NURS – 6052 C, Essentials of Evidence-Based Practice Dr. Linda Johanson Sunday, March 5, 2023 Evidence-Based Practice and The Quadruple Aim Evidence-based practice (EBP) is an approach that involves integrating the best available evidence with clinical expertise and patient preferences to inform clinical decision-making. The Quadruple Aim framework is a widely recognized model in healthcare that aims to optimize healthcare outcomes by focusing on four key areas: improving patient experience, enhancing population health, reducing healthcare costs, and improving the work-life of healthcare providers. EBP can support the Quadruple Aim
The impact of evidence based practice (EBV) has reflected across the nursing practice, education and science. I have been able to acquire a better knowledge of how research relates to nursing practice, and how findings could be used to transform the field of nursing. As a nurse, I have been able to recognize shortcomings with element of practice, process and procedures. However, I lack a strong ability to create a strategy for change. From this class, I have been able to know the constituents of an evidence based project including a PICOT question.
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.
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
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.
This can be very challenging to deal with for both the nurse and family members (Copstead & Banasik, 2010). These behavioral changes should be addressed by providing a significant amount of relaxing and therapeutic activities to help cope with anxiety and tension. The nurse should make the patients environments as quiet and relaxing as possible while constantly orienting the patience back to reality with continued references to the present time, date, season and personal memorabilia. Personal photo should be label in order to refresh the patient’s memory. When interacting with the patient the nurse should always introduce themselves and make eye contact.
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).
Maintain calm milieu RATIONALE: reducing anxiety is a major goal in treating these types of illnesses. 3. Focus on short term goals and small successes RATIONALE: small success will help to integrate the personality into a better overall healthier state. 4. Observe for suicidal ideation RATIONALE: this is appropriate for patients that feel “crazy” and can result to suicidal thoughts.
Develop a model with client using her own thoughts, anxiety symptoms, attentional strategies, etc.; 2. Identify key safety behaviors and their adverse effects using role-playing with other patients. Have client interact in different social situations and have her try to figure out how to avoid using her safety behaviors; 3. Shifting focus of attention of client to an external social situation and have client self-monitor to see how she responds; 4. Show client video of her own safety behaviors and other times when she was socially anxious in order to show her how she actually looked; 5.
