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Evidence based nursing practice in clinical settings
Evidence based nursing practice in clinical settings
Evidence based practice in nursing
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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.
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).
Evidence-Based Practice Application The practice of nursing has changed over the years from a task-oriented job to a science-based profession (Brown, 2013). With this change, research studies have become a pivotal part of the nursing profession, providing the information that is used to expand, improve, and generate new nursing knowledge (Brown, 2013). Evidence-based practices (EBP) in nursing are based on the best available research data generated from these studies (Weng et al., 2013). An example of the research used in documenting an EBP was found in an article by Hammonds et al.
The objective of this essay is to explore and analyse a research topic relevant to me as a practitioner. This research critique will then be utilised in practice. . According to Jolley 2010 research is the driving force in improving care to patients through evidence based research. Research based practice is a hallmark of professional nursing as stated by (ICN)cite .Closing
Evidence-based nursing practice help to improve individual bedside practice because nurses work in the ward based on knowledge they obtained from previous research. It can also answer problematic clinical practice issue since it aim at solving problem, it improves nurse’s quality and reduces variations in care. Nurses are also confident in their decisions due to the fact that they know what they’re doing and can as well prove it because every patient deserves care that is based on the best scientific knowledge and ensures high quality and are cost-
It is the responsibility of the organization to create a culture of evidence-base practice. Instructing nursing students about EBP can require different teaching and evaluation strategies to practicing nurses (Streurer, 2010). The questions that arise from a practicing nurse may provide more information than a student of nursing. Therefore, Streuer urges organizations to adopt a model for evidence-based practice, such as the Stevens (2004) ACE Star Model of Knowledge Transformation.
Evidence-based practice change: Fall-risk assessment, and management and treatment among community-dwelling older adults in primary care setting Outcomes to measure: According to DiCenso, Guyatt, & Ciliska (2005), evaluation is an important step to determine the impact of the evidence-based practice change. The evaluation process after the implementation of the evidence-based practice change helps to assess whether the change has happened and had the intended impact. Upon the completion of the evaluation process, the practice change can remain unchanged, modified, or discarded (Gawlinski, 2007). DiCenso et al.
Furthermore, evidence-based practice indicates when making decisions about patient care based on quality evidence reduces complications and lowers healthcare cost (Brewer, 2011). Standardizing patient care nationally, using the most up to date research, is the goal of evidence-based care. Historical perspective of research in nursing
Discussion of Evidenced-Based Practice as a Science The science of nursing is based on evidence-based practices and constitutes the core of nursing. What is wrong with the patient? Why are they here? What information do you have to support your care plan?
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.
I want to highlight the importance of evidence-based practice in nursing. As well as the role of nursing research in improving patient outcomes; Also argues that care and empathy are essential qualities
(Brown,2014;Doran, 2011)cites that, since nursing is a practice career, it is vital to do research in order to progress and improve knowledge that nurses can use to develop clinical practice and promote quality results. One of the competencies for entry to the register of the nursing and midwifery council (2010) in the UK, in relation to research is that: All nurses must appreciate the value of evidence in practice, be able to understand and appraise research apply relevant theory and research findings to their work, and identify areas for further investigation. Research in nursing is an important component to the health care field. Research in nursing aids in the implementation of new changes in the life long care of the individuals and is
Reflection on Evidence Based Practices. The American Psychological Association defines Evidence-Based Practice in psychology as a combination of the best research with the highest clinical expertise that takes into context a patient’s culture and preferences (APA, 2005). The empirical data gathered is intended to provide effective and practical mental health assessments for the public supported by competent psychologists. The Oregon Addictions and Mental Health Division AMH defines evidence-based practice as a combination of the best research evidence with the highest clinical expertise to provide the patient with the most competent care (Oregon AMH, 2007).
The field of nursing science has been evolving with great speed and nursing knowledge has been transforming into clinical practice. However, Stevens (2013) indicated for meaningful impact on performance and better patient health outcomes, new knowledge must be implemented effectively across the entire care team within a systems context, and measurable terms. Furthermore, the Future of Nursing report from the IOM, 2011a, recommended that nurses lead interprofessional teams in improving delivery systems and care brings to the fore the necessity for new competencies, beyond evidence-based practice (EBP), that are requisite as nurses transform healthcare ( as cited in Stevens, 2013). Evidence-based practice has been and will continue to be one of the most important method that will shape advanced practice nursing environment. Knowledge translation has been facilitating the effective and timely incorporation of evidence-based information into the practices of health professionals in a way as to effect optimal health care outcomes and maximize the potential of the health care system ( as cited in Sudsawad, 2007).
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).
