...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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...Findings from a variety of research support that EBP improves the quality of care, patient satisfaction, enhances health outcomes, and reduces costs (Melnyk & Fineout-Overholt, 2015). The use of evidence-based practice has a significant impact in reducing cost in the health care system, in contrast to using outdated practices and policies. (Saba, V. K. & McCormick, K. A., 2011). Implementation of EBP benefits nurses since they would use their resources effectively and methodically instead of being wasted in the trying to provide competent client care with unsupported traditions. (Hanberg & Brwon, 2006). EBP has been recognized as a crucial factor in meeting the Triple Aim in healthcare, which are enhancing the patient experience,...
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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 (EBP) has being the pillar of effective nursing practice, leading to improved patient outcomes and quality of life. Nursing as a profession incorporates research, patients’ values, and clinical expertise into practice and process. Middle-range concept is an uncomplicated concept that provides nurses with accurate actions or interventions, and is easily understood, the best part is that is scientifically competence. The purpose of middle range concept is to produce evidence-based practice by developing on the jobs of other concepts and directly related to a pattern through practice and research. Clinical nurses find middle range concept directly pertinent to nursing care, because the scope is narrow and it is cost effective...
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...It is no secret that a multitude of barriers exists as to why evidence-based practice (EBP) initiatives are difficult to integrate into the actual clinical environment (Melnyk & Fineout-Overholt, 2015). One is convinced that there is hope to overcome perhaps one of the most resistant and persistent barriers, that is, the opposition of nurses to the notion of “change” to implement new practices that are supported by EBP. One’s hope arises from the fact that the education/knowledge base of the nursing staff (in the current environment) varies tremendously. There is a mix of education that ranges from associate nurses (now working to obtain their bachelor’s degree) to masters prepare nurses. Also, the experience mix is varied from new nurse graduates...
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...Evidence based-practice (EBP) in nursing can be defined as a systematic, calculated series of interventions and actions employed by health care providers in order to deliver effective care. The goal of EBP is to improve processes in caregiving, sustain positive patient outcomes and inform best practices (Stevens, 2013). Two examples of areas in nursing practice which has improved care outcomes after employing evidence-based practices are prevention of surgical site infection programs and utilization of a surgical checklist to prevent wrong site surgeries. Infection control program to prevent surgical wound infection Surgical site infections (SSI) are serious complications occurring in procedural areas. At best, unplanned antibiotic therapy...
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...Hand hygiene is a practise of evidence-based medicine and the number one way to prevent health-care associated infections (Garbutt, 2011). The term of hand hygiene applies to adequate hand washing, antiseptic hand-wash, antiseptic hand-rub, or surgical hand antisepsis (Garbutt, 2011). Evidence-based practices have been put into place to prevent such infections from occurring. The present paper will examine ways in which health professionals use the five steps of evidence based practices (EBP) to locate, appraise and apply the best available research evidence. In this case, the five steps of EBP will be assessed in conjunction to the practise of good hand hygiene. Liamputtong (2013, p.267) has explained evidence-based practise (EBP) as the use of the best research evidence, clinical expertise, available resources, and patient preferences in respect to clinical decision-making. EBP is taught and practised using five steps to reduce inconsistency and increase efficiency and effectiveness of health care (Liamputtong, 2013, p.267). According to Liamputtong (2013, p.267) the first step of EBP is to ask an answerable question stating the population, intervention, comparison and outcome of the question (PICO). Next, acquire the best available evidence using research strategies (Liamputtong, 2013, p.267). This evidence is then appraised to determine its quality and relevance (Liamputtong, 2013, p.267). The fourth step it to apply the evidence integrated with clinical expertise and...
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...This week was much aprendizage, remember something learned in the progam RN and was the best to recount what has meaning for Florence Nightanle nursing career. I can say that I'm starting to see the difference in knowledge of a nurse with a BSN nurse with a regular partner. Learn what it means if the Evidence-Based Nursing, concept mapping, nursing process and learn from the theories in nursing. Knowing how important it is The Evidence-Based Nursing is a new movement That is based on the conceptual foundations of the Evidence-Based Medicine, it Arises as a Means for better nursing professionals to meet the challenges of Their Work,: such as the existence of a huge volume of scientific information Constantly evolving, the need to offer high...
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...Evidence-Based Practices in Nursing Evidence-based practice can be defined as any research done whose findings enhance the ability to make better decisions regarding health care. (effective healthcare) There have been countless studies done on a multitude of topics. All of this research has led to more effective treatment and better outcomes for patients. An example of an evidence-based project performed in 2014 is one on catheter associated urinary tract infections.(Clagg) This is an immense problem in hospital and nursing home settings. There are many ways we can examine this study to see how the nurses involved with these particular patients can decrease the risk of these infections. Patients admitted in the hospital are much easier to do this type of evidence based research on due to availability of data. In the hospital, the nurse can monitor the patient’s intake and output, the color of the patient’s urine, and whether or not it has any odor or sediment.(Clagg) This research may also be done in a nursing home setting with twenty-four hour nursing care. This type of research would be difficult in the patient who was at home with a Foley catheter without having a home health nurse multiple times per day. The steps of the nursing process closely relate to evidence-based practice. This is because the nursing process is designed to deliver complete care. The nurse taking care of the patient must evaluate the patient’s needs based on subjective and objective data, develop...
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...Indeed, nursing is a crucial element in improving any patient’s condition. The overall goal of nursing is to provide safe and effective patient centered care in efforts to improve patient condition. Nursing professionals must to be careful when completing interventions, because those interventions could either have a positive or negative effect on the patient condition. Research is a way nurses can validate effectiveness of everyday nursing practices and provide reasoning for the interventions done (Fain, 2015). For example, a bedbound patient needs frequent rotating in an effort to maintain skin integrity and prevent pressure ulcer development. This intervention did not always exist; research findings proposed this intervention. Also, research studies are vital in nursing practices, because it brings the ineffective practices to the forefront and introduce more effective practices (Fain, 2015). In the 1900’s, safety needles, needle boxes, red bags, etc. did not exist. However, these safety techniques have been implemented in today’s nursing practice to ensure patient and nurse safety. The development and progression of nursing practice has been successful thus far due to research....
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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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...When I hear the word research, my initial thought is someone or a group of people putting in endless amount of time into a matter of concern to either find an answer or to come to a conclusion about a topic. My initial thought about research tends to hold a more negative aspect, because personally, I find it hard to decipher whether or not I have enough reliable data to reach a conclusion. Evidence based research is what has built the nursing profession. Through evidence based research, we can find ways to keep patients and staff safer and produce more efficient policies and procedures. I have used evidence based research in my nursing career way more than I initially realized. From reading chapter one in Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice, I realized that how I prioritize my work flow and go about certain tasks is based off of evidence based research. A specific area that I have used evidence based practice is preventing falls. It was found that most falls occur because individuals were either trying to or coming from the restroom unassisted. In our policy and procedures it used to state that staff should assist patients to the restroom every two hours. When the fall’s committee started to see a trend of falls around meal times, policy was able to be changed to help reduce that...
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...Running head: EVIDENCE-BASED NURSING PRACTICE Evidence-Based Nursing Practice Karen Medley Walden University NURS 4000 Section 05, Research and Scholarship for Evidence-Based Practice) July 22, 2012 Abstract For patients that have indwelling catheters, with the evidence-based practice and standards of care, UTI’s does still continue to be an ongoing problem today. In one of the large hospitals in my area had recently developed a poster and video approach with special focus on alternatives to urinary catheterization, removing catheters early, and the reinforcement of sterile technique prior insertion and foley catheter care were used to educate nursing staff and improve outcomes. The purpose of this paper is to educate nursing on how to be proactive with this issue and to inform the providers when there is no further need for the catheters to reduce infections in patients. Practice setting problem Urinary tract infections (UTIs) account for approximately 35% of nosocomial infections but are the lowest in mortality and cost (Burke, 2003). Patients with UTIs as a secondary diagnosis have an average length of stay of 9.1 days versus those without a urinary catheter of 4.7 days. As individuals live longer, the probability of them being hospitalized and requiring specialized care services is increased (Hobbs, 2001). Hospitalization of any aged person increases the risk for them to have a urinary indwelling catheter, which predisposes them to a nosocomial urinary tract infection...
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...Having embarked on the BSN and being educated in nursing research have empowered me as a nurse and also made me more aware than ever before of the importance of being knowledgeable on research. According to Schaefer 2013, nursing research has been a life-changing experience as it allows one to gain new knowledge. Nursing research has allowed me to see the importance of evidence-based practice and how it validates nursing interventions. The new knowledge gained had enhanced my ability to analyze and critique a research article, a task which always appeared difficult for me before I came to understand the existence and the importance of nursing research. Prior to doing nursing research, I had always thought that research is boring and only...
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...Evidence based practice (EBP) is the judgment of current situation in making decisions for the care of an individual. Basically, evidence based practice is the information which can be helpful to improve the care of other individuals in similar situations. There are many different techniques and skills that have been changed by evidence based practice. one of the related situations in my experience is skin to skin contact of a new born with parents. This action takes place right after the delivery of the newborn. Through years, research has shown that this action improves the health condition of the new born in both physical and psychological aspects. Nurses play an important role in educating and encouraging the patient regarding this action....
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