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Evidence Based Practice Essay

1549 Words7 Pages

Introduction Nurses as a professional, we are obligated to deliver the best care to patients. Every interventions that we performed are expected to be based on evidences and underpinned by rationales. In recent years, the idea of evidence-based practice is prevalent (G). To promote the development of evidence-based practice, we have to address the barriers and facilitators (B). In the following, I am going to give a description on evidence-based practice. Then, I will discuss the barriers that hinder and the facilitators that promote the development of evidence-based practice in the nursing field. Evidence-based practice Evidence-based practice is defined as the conscientious, explicit and judicious use of current best evidence in making …show more content…

Nurses may considered it as ‘theoretical’ and the changing process for practice is complex (C). They are reluctant to change because they think their professional expertise might be overridden (C). Undeniably, there are nurses in ward that are having abundant amount of clinical experiences. Therefore, their clinical decisions will mainly be guided by their own personal experiences but rarely on scientific research (C). It is not easy for them to accept evidenced-based practice and therefore, it is difficult for them to start develop the skills in …show more content…

In regard to the deficit of knowledge towards evidence-based practice, nurses reported that the provision of training programme related to research aspect would be a facilitator for the development of evidence-based practice (F). On the other hand, if the training programme is successful, nurses’ negative perceptions towards evidence-based practice may also change. The development for evidence-based practice will possibly be facilitated. Educational level is another facilitator (A). Nurses with academic degree is considered as an important facilitator. These nurses are possibly having an earlier exposure to the research aspect than the non-degree holder. They may be more capable in finding literatures and be more familiarize with the process of evidence-based practice. In the ward, they can give advices for the other nurses and also advocate them to implement change. As a result, they can be a facilitator for the development of evidence-based

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The two Evidence Based Practice models that I decided to compare are the Johns Hopkins Nursing model and the ACE Star model. The Johns Hopkins Nursing model “helps bedside nurses translate evidence to clinical, administrative, and educational nursing practice” ( p. 302). The Johns Hopkins Nursing model focuses on nursing and nursing practice. The model helps nurses translate evidence-based practice into practice and enhances nursing autonomy, leadership, and engagement with interdisciplinary colleagues (). While on the other hand the ACE Star model focuses taking several forms of knowledge and turning it into evidence-based practice.

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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

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A family nurse practitioner could apply theory, information from research, and knowledge learned in class to formulate patient education strategies as well as to create patient education material. The nursing profession advocates for evidence-based practice. This requires the nurse to know, in order to provide proper care. Therefore, it is important to link research to nursing practice because the data collected through research makes it easier to make clinical decisions (Pipe, Wellik, Buchda, Hansen, & Martyn, 2005). An understanding of nursing theory would also prove important in handling nursing dilemmas by offering a systematic guide for handling nursing issues.

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According to Barrett, when attempting to define what nursing science is, it remains quite a mystery. With various different worldviews, with wide range of theoretical and practical knowledge evolving over time, has made it a challenge to come with a universal definition. To ensure that nurses are current with the best practical and evidence based practices, it is important to focus on nursing-discipline-specific knowledge. Fawcett stresses the importance of using nursing discipline-specific knowledge in the form of explicit nursing conceptual models, because it governs the foundation of what and why nurses do what they do. Fawcett makes it clear that nurses must develop adequate knowledge in order to apply new evidence based treatments and

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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).

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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.

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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

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What is Evidence-based practice? Evidence-based practice is an all-around systematic approach to patient care that was built up on research and proven treatment results within nursing in order to increase the patient outcomes. Evidence based practice is define as “the integration of current evidences and practices to make decisions about patient care”. (Medical Surgical Nursing, 2018). Evidence-based practice not only includes the best proven research for practicing patient-centered care, but also merges the patient’s preferences and values into consideration.

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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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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).

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In the last decades evidence-based practice (EBP) has been expanded in a number of health fields including public health, nursing, social work, mental health and also in educational settings and has come to shape policy in these areas. Through the years the approach is growing and broadening, despite the challenges encounter by practitioners and other professionals involved in research in various and different fields, as for example

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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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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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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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