...or valid. Thus, knowing when to determine if the evidence based research is effective and adoptive, or providing conclusive information that can support the changes to happen in a hospital practice is important an factor too ensuring those changes are valid for the hospital. Therefore, having the professionalism and logic reasoning to always put your patient preference first before acting is very important, and good evidence based demonstration that can provide research and analytical...
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...Evidence based practice is utilizing the managers knowledge and utilizing the research that is available in making progress on the improvement of patient care. When using evidence based practices you always want to utilize the patients experiences while in the health care facility because they are the consumer and need to be satisfied with the care given (UNC, 2015). When utilizing evidence based practices in a clinical setting can be hard and cause rifts in the employee satisfaction but utilizing evidence based practices can improve the results for patient outcomes, ensure the care given to patients are standard across the health care industry and lower costs of the care being provided to the patients. Utilizing evidence based evidence to improve patient care and decide what new practices can be utilized within the health care facility can make it possible for your facility to participate in a very competitive market in health care services (Spruce, 2015). Health care is going from ensuring...
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...How Evidence based practice is applied in my health care practice setting. In everyday nursing practice, nurses are encouraged to incorporate and utilize evident base practice in their day to day nursing care. Evidence-based practice is using scientific evidence to determine best practice. Scientific evidence is important in clinical decision making. EBP is very relevant and critical in today’s clinical and nursing practice and it is evident in quality care. It is used to attain best clinical outcomes. For the following reasons, the process of EBP has to be monitored through ongoing quality monitoring and improvement. Nurses in all patient care setting should apply EBP to their day to day nursing intervention, implementation and evaluation of nursing practice. The goal of evidence based practice in nursing leads to cost efficiency, time efficiency, quality patient care. It is used to improve practice, using interventions to reach desired patient outcome by looking at a problem area. EBP gives my nursing setting knowledge and information of evidence needed to care for patients from diverse backgrounds necessary to improve health outcomes. In clinical setting, developing and initial implementation of evidence based practice involves a lot of processes and strategies. An example of evidence based practice in my in my work setting is hourly rounding. The introduction and implementation of hourly rounding in my hospital setting has lead to good patient outcome, patient satisfaction...
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...Evidence Based Practices Abstract Quality nursing and outcomes have a strong correlation with evidence based practices, a model that guides patient provider decision making and health care. Evidence based practices uses contentious and judicious use of current best evidence in decision making about the care of individual patients. Strong nursing and organizational leadership is needed to invest in nurses ability and the resources to facilitate evidence based practices. With business principles applied to quality health care the return on investment can increase revenues, saving costs, increases patient safety, and achieves the highest quality care. Keywords: clinical decision making, patient safety, best health care outcomes Evidence Based Practices in Nursing Evidence based practices occurs in many disciplines but most recently it has occurred in the discipline of nursing. Evidence based practices helps to identify and recognize the best health outcomes for patients and their families obtained through clinical expertise and best scientific evidences. Health care professionals are constantly asking questions in regards to health care practices in regards to how and why practices are being performed the way they are. Health care professionals want to know if the way they are caring for a patient is the best way or is there another method that is more effective. In a dynamic health care setting these questions are being asked to ensure quality care and safety for patients...
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...Evidence Based Practice. Research Methods. Evidence-Based Practice (EBP), the skill of using correct research methods, the importance of making informative decisions based on the best EBP within the health care industry as well as an example of EBP in regards to infection control and hand washing procedures will be key issues discussed throughout this essay. The health profession is continually developing and adapting in its implementation to health care techniques and skills due to changing world health conditions. It is therefore imperative that research be constantly conducted to analyse new research relating to health care to ensure health care practitioners are using techniques derived from the most current evidence (Aveyard & Sharpe, 2009). Evidence Based Practice can be defined as, “the conscientious, explicit and judicious use of current best evidence in making decisions about the health care of patients” (Sackett, Richardson, Rosenberg, & Haynes, as cited in Craig & Smyth 2007). The basis of EBP is that decisions are made by assessing not only the information at hand, but also integrating clinical experience, the most current evidence available, critical thinking and keeping in mind the patient’s best interest and preferences (Aveyard & Sharpe, 2009). Evidence based practice was developed because of the commitment of health care practitioners to social research and science (Mullen, as cited in Liamputtong...
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...Inquiry into health care Assignment 1 This essay aims to thoroughly examine the importance of evidence-based practice within the health care setting. The use of evidence-based practice as a practical framework to locate, appraise and apply the best research will further discussed throughout this essay. In addition this essay will explore how health care professionals can use the five steps of evidence based practice (EBP) as a practical framework to overcoming barriers to locating, appraising and applying the best research evidence in relation to Occupational Health and Safety (OHS). The use of hand washing in relation to infection control will be the OHS area explored. Evidence based practice is a framework that involves an expert finding experimental evidence concerning the value of or effectiveness of altered treatment options, the significance of this evidence is then established in relation to the patients situation (Liamputtong, 2010).Evidence Based Practice generates the need for clinically vital information regarding clinical and health care issues (Liamputtong, 2010). This clinically vital information is gathered by altering evidence into answerable questions, once this information is gathered the appraised information will be put into clinical practice and evaluated based on performance (Liamputtong, 2010). The importance of the five steps of Evidence Based Practice is consistent and conclusive. Before EBP, clinical knowledge was primarily relied on in areas...
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...Title: Evidence Based Practice in Nursing Name Course Tutor April 20th, 2013 Introduction The paper herein provides a critical discussion of evidence based practice (EBP) in nursing. It clearly elaborates on the meaning and definition of EBP as used by nurses as well as the importance of evidence based decision making as it relates to nursing care. It broadly examines the concept of EBP in nursing care and its relevance to nursing practice and to the delivery of quality patient care. Subsequently, the essay will also expound on the broad research methods that are used in evidence based nursing and conclusively show how this evidence can be applied in day to day health care practice. The Definition and Importance of EBP Evidence based practice in nursing has wide and varied definitions among the nurses in practice and in academic centres. However, the most generally accepted definition is the integration of the best research evidence with clinical expertise and patient values (Sacket et al., 2000). Van, Schoonhoven & Grol (2008 at p. 382) while citing Sacket et al., (2000), define evidence based nursing as the conscientious, explicit and judicious use of current best evidence available in making decisions that are pertinent to the care of individual patients. It is the optimal use of the available research evidence in nursing (Van, Schoonhoven & Grol, 2008). In other literature, evidence based practice (EBP), in nursing has been defined to mean the...
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...EVIDENCE BASED PRACTICE BENCY GNANASIGHAMANI AMERICAN SENTINEL UNIVERSITY Introduction Medical and health care is one of the most dynamic human disciplines, and large amounts of money are spent annually on high-quality and sophisticated research, resulting in an exponential growth in health care literature. Regularly, new and more effective medicines, medical devices, and procedures are invented. One major objective behind all these efforts is to help doctors, nurses, and medical technicians provide the best possible care and treatment to patients. In addition to using traditional and well-established procedures and practices, health care practitioners are adopting innovative interventions that are based on best practices as well as solid research-based evidence. Evidence-based practice is one such technique and is quickly gaining popularity due to its potential to effectively handle clinical issues and provide better patient care (ANA 2003). Implementation of Evidence Based Practice places additional demands on nurses to apply credible evidence to individual client situations through searching related evidence, using clinical judgments, and considering client values and system resources. To effectively apply the Evidence Based Practice process, in addition to the basic skills required to undertake nursing work, a nurse must have the ability to: identify knowledge gaps, formulate relevant questions, conduct an efficient...
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...Examine the ways that health professionals can use the five steps of evidence-based practice (EBP) as a practical framework to overcoming barriers to locating, appraising and applying best research evidence. Use an occupational health and safety practice as an example. Examples of occupational health and safety practices include: * Use of professional protective equipment (e.g. gloves) * Safety considerations when using equipment (e.g. sharps) * (or a topic you select yourself in negotiation with your LIC) Health professionals are very good at seeking information from their clients and their families and also from the settings in which they work but however they have not been as aware of the information that they can gain from research. Although they need information from many sources, evidence based practice shows how research can also play a role in informing clinical decisions, (Hoffmann ,2010). Health professionals use the five steps of evidence-based practice (EBP) as a structure to overcoming barriers and applying best research. Examples of this include use of professional protective equipment and safety considerations when using equipment. Liamputtong (2010) states that evidence based practice is a “process that requires the practitioner to find empirical evidence about the effectiveness or efficacy of different treatment options and then determine the relevance of the evidence to a particular clients situation” (pp. 252). Sackett (1996, pp...
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...Evidence-based practice has gained particular salience in nursing and health care and is also applicable to social practice.(Photo: Medioimages/Photodisc/Photodisc/Getty Images) In theory, practice and theory are the same. In practice, they are not. Evidence-based practice has gained prominence over more theoretical approaches in several areas, particularly in the field of health care. Theory-guided and evidence-based practice share the common goal of making the right decision and finding the most effective solution for a perceived problem. However, they have some core philosophical differences. Sponsored Links * Full-Text Journal Library Browse millions of journal articles from top academic publications. www.questia.com/Journals Features Greek philosopher(Photo: Maros Markovic/iStock/Getty Images) At its core, the divide between evidence-based practice and theory-guided practice can be traced back to an ancient divide often found in science and philosophy: That of rationalism versus empiricism. Extreme rationalists claim that our senses are limited and place all their trust in reason. In contrast, empiricists claim that sense experience is the source of all our concepts and knowledge. While their positions are not so extreme, theory-guided practice follows a rather rationalist approach, while evidence-based practice favor empirical knowledge. Read more : http://www.ehow.com/about_6646089_difference-practice-evidence-based-practice.html The movement for evidence-based...
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...field of health information technology for nursing is rapidly growing. Advancements in electronic documentation for health care, such as the electronic medical record (EMR), can be an overwhelming addition to the workload of nurses. There is resistance by nurses in use of electronic documentation (Sharifian, Askarian, Nematolahi, & Farhadi, 2014). It is this writer’s opinion that nurses are under informed regarding the rationale for changes taking place in documentation and the implications. The purpose of this paper is to provide nurses with the basics of the Federal regulations outlined in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and the Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH) that require electronic documentation to be compliant and receive reimbursement. It also reviews how data are collected to determine the reimbursement for care (meaningful-use) and its role in evidence-based practice (Wright, Feblowitz, Samal, McCoy, & Sittig, 2014). Included is a review of the negative impact resistance generates on health organization reimbursement and the relevance it has on nurse staffing, jobs, wages, and satisfaction, along with, evidence reinforcing the training and support of nurses as a means to promote proper use of electronic documentation and increase user satisfaction. Federal Laws and Requirements for Compliance Health care agencies in the United States are implementing health care information...
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...Barriers to Using Evidence-Based Medicine Melanie Ossman Granite State College Professor Philip Wyzik HLTC 600 March 4, 2011 Thesis The Institute of Medicine recommends the use of evidence-based medicine as a primary tool for achieving the aims outlined by their six themes of improvement. Specifically, EBM relates to their aim to make health care more effective: “to provide health care that is effective and efficient.” (Institute of Medicine, 2001) In recent years, evidence-based medicine has gained increasingly broad-based support in health care, but many doctors still aren’t using it. With a lean towards Pharmacy management, I researched the barriers providers and institutions are faced with in successfully incorporating evidence-based medicine and how initiating organizational improvements can help. The research highlights some important considerations to be aware of that gives evidence-based medicine a bad name, the pitfalls to avoid, and some ways providers and institutions are working to overcome them. Introduction This paper begins by giving an overview of evidence-based medicine, what it is, and the benefits to be realized by providers, insurers, and patients. I compared that to what providers were using before EBM. Next, I examine the barriers to successfully incorporating evidence-based medicine, and the negative perceptions that dissuade their use by clinicians. Identified are the disadvantages such as source information bias, ethics considerations...
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...Whether you're negotiating for your firm or for your position in it, you'll do better if you avoid some common pitfalls. Successful bargaining means looking for positives in every possible circumstance. "If I can trade off issues that I care about more and you care about less, then we've been able to create value in a transaction." "That's the silver lining." Sometimes negotiators fall into traps and leave resources on the table because they can't see that silver lining. Successful negotiators make detailed plans. They know their priorities and alternatives, should they fail to reach an agreement. You must know your bottom line, your walk away point. In addition, you need to understand time constraints and know whether this is the only time you will see your opponents in negotiation. Usually it's not. You may make this common mistake when there is a "congruent issue," when both parties want the same thing. For example: In the context of an overall negotiation involving salary, bonus, and vacation, the boss wants to transfer a junior manager to San Francisco. The manager is eager for the San Francisco assignment. But frequently, the employee will look at the situation and believe that since the boss gave him a desired promotion the employee must compromise on the transfer location. The employee might actually suggest a transfer to Atlanta. His psychology is: "I can't expect to get everything I want, so I'll take the middle." The boss is ambivalent about the transfer and figures...
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...Research and Evidence Based Practice in Nursing Nurses are constantly challenged to stay up to date with new information to provide the best quality care to their patients. They are often challenge by offering ideas on how to approach old and new problem in health care (LoBiondo-Wood, Geri, and Judith Haber, (2014). Research in nursing is ongoing processes which provide continue education for all health care providers. Research allow health care providers especially nurses to advocate for their patients and provide best possible care they need (Hundley, Vanora, 2015). The purpose of this discussion is to explain the meaning of research and evidence based practice in nursing with example of each and a research and clinical sample question. A research...
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...Chapter 17- Evidence-based practice in therapeutic health care Objective: What evidence-based practice is About a 5-step approach to evidence-based practice To discuss evidence hierarchies and evidence quality To apply the evidence to current practice To provide a case study for a therapy question To provide a case study for a diagnostic question Key terms: Clinical practice guidelines Evidence-based practice Randomised controlled trial Systematic review Evidence-based practice: the use of best research evidence, along with clinical expertise, available resources and the patient's preferences to determine the optimal management option in a specific situation. Randomised controlled trail: a clinical trail where participants are randomly assigned to groups in order to receive different interventions. This randomization removes many of the effects that may bias the true result. Systematic review: a comprehensive identification and synthesis of the available literature on a specified topic. Clinical practice guidelines: systematically developed statements that assist the health professional and the patient to make decisions about what is the appropriate health care in specific circumstances. Critical summaries (systemic reviews and clinical practice guidelines) now provide practitioners with readily accessible access to research evidence. The availability of theses documents on the web means that patients have almost as much access to the 'critical...
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