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Evidence-Based Practice

1000 Words4 Pages

Research studies show that evidence-based practice (EBP) leads to higher quality care, improved patient outcomes, reduced costs, and greater nurse satisfaction than traditional approaches to care.1-5 Despite these favorable findings, many nurses remain inconsistent in their implementation of evidence-based care. Introduction The purpose of this paper is to explore the relationship between nurses' duty hours, and patient outcome, emphasizing increased negative risk from nurse fatigue, relating to patient injury or death. For flexibility, most nurses today prefer working fewer days per week longer hours per day. The data results of today concludes that longer work days of 10 hours or more proves to be a detrimental to the patient as well …show more content…

Developing inquiries that are the base of EBP. Step 1: Ask clinical questions in PICOT format. Inquiries in this format consider patient population of interest (P), intervention or area of interest. (I), comparison intervention or group. (C), outcome (O), and time (T). The PICOT format provides an efficient framework for searching electronic databases, one designed to retrieve only those articles relevant to the clinical question. Step 2: Search for the best evidence. The search for evidence to inform clinical practice is tremendously streamlined when questions are asked in PICOT format. Step 3: Critically appraise the evidence. Once articles are selected for review, they must be rapidly appraised to determine which are most relevant, valid, reliable, and applicable to the clinical question. 1. Are the results of the study valid? 2. What are the results and are they important? 3. Will the results help me care for my …show more content…

Research evidence alone is not sufficient to justify a change in practice. Clinical expertise, based on patient assessments, laboratory data, and data from outcomes management programs, as well as patients' preferences and values are important components of EBP. Step 5: Evaluate the outcomes of the practice decisions or changes based on evidence. After implementing EBP, it's important to monitor and evaluate any changes in outcomes so that positive effects can be supported, and negative ones remedied. Just because an intervention was effective in a rigorously controlled trial doesn't mean it will work the same way in the clinical setting. Step 6: Disseminate EBP results. Clinicians can achieve wonderful outcomes for their patients through EBP, but they often fail to share their experiences with colleagues and their own or other health care organizations. This omission causes non-evidence-based duplication of effort, and, perpetuates clinical approaches.

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With Reference to the CYP IAPT Core Principles, critically discuss Evidence Based Practice and Routine Outcome Monitoring and the challenges of implementing these within the modality of parenting and within the wider context of practise within the children centres Introduction Studies published by Green, Meltzer, McGinnity, Goodman and Ford in 2004 estimated that 9.6% or nearly 850,000 children and young people aged between 5 -16 had a mental health disorder and it was estimated that a staggering 76% of those CYP with anxiety and depression disorders were not accessing mental health services compared to 35% of adults. As a result of such studies, The children and young people’s improving Access to Psychological Therapies programme (CYP IAPT) was conceived and aimed to transform the delivery of Child and Adolescent Mental Health Services (CHAMS) across England. CYP IAPT has four core principles, Evidence Based Practice (EBP), Routine Outcome Monitoring (ROM), Participation, and Reflective Practice. This essay will focus on the two principles of EBP and ROM and will consider the challenges of implementing these within the modality of parenting and within the wider context of practise within the children centres.

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Are the findings reliable?? How likely is it that the findings would be same if repeated? Objectivity:? Can the findings be objectively confirmed/verified?

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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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Another contributor to quality care is the use of evidence-based practice (EBP). EBP is an approach to solving issues that integrate the best evidence from well-designed studies from a clinician?s expertise. These studies extrapolate the evidence from patient assessments, preferences, values, and practice data. The findings from these studies yield research that leads to higher quality of care, positive patient outcomes, increased quality of care, and decreased costs (Mazurek, Fineout-Overholt, Gallagher-Ford, & Kaplan, 2012).

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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.

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Another issue with the evidence-base program is with the randomized control trial (RCT). The used of the randomized control trial is usefulness but not value. According to Tanenbaum (2005), the effectiveness is due to the methods used can be difficult to understand and can have biases associated with the program (p. 165).

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Using the PICOT format is very helpful when defining a clinical problem or concern and in generating a clinical question. The PICOT is helpful because it develops an in depth question that will answer a clinical problem. The PICOT format is a useful method for summarizing research questions. When evaluating research articles that answer the question discussed, PICOT is helpful because it narrows down to the actual population, patient or problem the research is looking for as well as the specific intervention and looks at the outcome. Using the PICOT format assists the nurse to define the different variables in the study.

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Panagiota Copanitsanou, Nikolaos Fotos, and Hero Brokalaki mentioned that negative effects may lead to poor patient outcomes due to the increased mortality, complications, and readmissions. With that being said, it is vital for nurses to work in an environment that is well staffed and trained without the use of having nurses work more hours than they already are required to. It is known that having good management, balanced work schedule, and a safe environment all contributes to nurses with less patient burnout which then can provide a higher quality of

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The purpose of this discussion is to define research and evidenced-base practice in nursing. I will also provide a sample question for each definition. Evidence Based Practice vs Nursing Research Evidence based practice is defined as the collection, evaluation, and integration of valid research. It is combined with clinical expertise and an understanding of patient and family values as well as preferences for informed clinical decision making (LoBiondo-Wood & Haber, 2014).

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A heavy nursing workload can influence the care provider’s decision to perform various procedures. A heavy workload may also reduce the time spent by nurses collaborating and communicating with physicians, therefore affecting the quality of nurse-physician collaboration” (ncbi). This is important because it tells us that nurses wouldn 't have enough time to perform tasks that can affect the patients’ care. If nurses are being overworked because of a nurse shortage, then patients’ would not have the best quality care they would need, which can be a

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This assignment has impacted my perspective on evidence-based practice by helping me build clinical reasoning skills and knowledge of difference diagnoses that will enables me to apply the most high-quality and appropriate intervention strategies that is proven effective in improve patient’s treatment outcome.

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The context of practice and a conscientious use of evidence would include the above definitions allude to this also. These definitions then point the major steps in EBP that can be easily remembered using the 5 A’s (asking, accessing, appraising, applying and auditing) (Hoffmann et.al, 2013). The major benefit to clients is that EBP aims to “provide the most effective care that is available” (Hoffman et.al.

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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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Just like a saw needs to stop being used in order to be sharpened, a nurse needs time off to recuperate; it’s as simple as that (Covey, 1989). It is important not to burn the candle at both ends, working more than the designated shifts and longer than 12 hours should be avoided. An example used regarding medication errors and working too many hours involves a nurse working a double shift on a pediatric oncology unit didn’t correctly prime an IV line and caused cardiac arrest in a patient (Kelley, 2004). Although nurses work three days a week, their hours remain the same as other full time employees that work the typical 5 day schedule. A nurse’s time off should be valued because they are the last line for patient care, they are the ones administering the medication the doctor prescribes and the pharmacy makes (Kelley, 2004).

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Nurses fatigue is growing problem nurse face each day in the healthcare environment, and he can be caused by long hours, sleep deprivation, and possibly by accepting extra assignments can be dangerous for both nurses and patient. These inadequacies can result in major implications for the health and safety of registered nurses and can compromise patient care which can lead to fatalities. (American Nurses Association, 2014). In my experience, being fatigued from working much 12-hour shifts consecutively was very difficult as I felt extremely tired, resulting in lack of focus, missing important details during the handing over the process with impaired cognitive functioning. This I found was detrimental to the patients and myself as it impedes quality and has a deleterious effect on patient safety.

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