...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.71)...
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...Assignment cover sheet Note: (1) The attention of students is drawn to: the Academic Regulations, the Academic Honesty Policy and the Assessment Policy, all of which are accessible viahttp://students.acu.edu.au/309246 (2) A de-identified copy of your assignment may be retained for University quality (audit) processes, benchmarking or moderation. |Student ID Number/s: |Student Surname/s: |Given name/s: | |S00158530 |Patel |Purvi | | | | | |Course:Bachelor of nursing |School:Australian catholic University | |Unit code:HLSC122 |Unit title:Inquiry in Healthcare | |Due date:30/03/2014 |Date submitted:30/03/2014 | |Lecturer-in-Charge: Joe Perry |Tutorial Group/Tutor: T, 06 | |Assignment Title and/or number: Assignment 1 ...
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...Journal for Specialists in Pediatric Nursing INTRODUCTION It can be observed today that nursing is a dynamic profession,both internally and externally due to constant change occurring in the profession. As a dynamic profession, nursing is responsive and is adapting to meets the needs of patients and the public.Nursing is a practice discipline, which is dependant upon a high level of professionalism,ethics and human values that demand for intellect, skills and a high sense of social responsibility.The knowledge and essential skill that increased dramatically make nurses leading and developing new services in health care delivery. Nurses roles and resposibilities will continue to change in line with the health reforms that are improving care for patients.Therefore, nurses need to be encouraged to integrate the best available evidence with clinical judgment and the current climate in health care requires nuses to be able to apply the best evidence, usually through using research in order to provide the most effective health care. EVIDENCE BASED PRACTICE Evidence- based practice(EBP) is currently seen as being central to the delivery of quality healthcare. EBP has been...
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...The author’s intention is to identify an aspect of clinical practice which lends itself to change at a micro level. The definition of a micro-change is an intervention of change aimed at the individual or the way small teams work. The micro-level change is not to be confused with a service change (Walsh, 2009). When considering a change in practice we need to firstly understand why we need to make a change? Secondly when making a change, we need to justify a decision. This can be achieved by exploring the components which encompass decision making within nursing practice. Cullum et al (2007) identifies four requirements:-Clinical experience, valid researched evidence, available resources and lastly but no less important the patient preferences and experiences. The area of clinical practice to be studied is within a community district nursing team consisting of 7 qualified nurses and 3 health care assistants. The location is situated within a seaside town with a large population of over 65 year olds. Through clinical experience, the author has found a flaw in quality of care when nursing staff are using the overview assessment document which has been adapted from the single assessment process produced by the Department of Health (DOH, 2002). When assessing nutrition there is a series of six questions and an asterisk to consider the “Malnutrition Universal Screening Tool” (MUST, 2003) however experience in practice would suggest the tool (MUST, 2003) isn't used and a local...
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...Evidence-based practice is a lifelong problem solving approach to clinical practice that integrates external evidence from a systemic search; one’s own clinical expertise, which include internal evidence; patient preferences and values (Melnyl & Fineout-Overholt, 2015, p. 3). Evidence-based practice will be importing when nurses want to provide the highest quality of care and the best patient outcomes (Melnyl & Fineout-Overholt, 2015, p. 6). It will allow nurses to access the best evidence to answer many clinical questions in a timely fashion and to apply that evidence into clinical practice to improve patient care and outcomes (Melnyl & Fineout-Overholt, 2015, p. 7). The role of the BSN-prepared nurse in evidence-based practice is to overcome...
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...Evidence based practice (EBP) in nursing has many varied definitions among the nurses, my favorite definition is “the integration of the best research evidence with clinical expertise and patient values” (Sacket et al., 2000). My practice setting to date has been my clinical rotations and preceptorship. While my experience in the hospital setting is limited, there is a key observation I have made regarding evidence based practice and desired patient outcomes. This observation is based on three codes I witnessed in three different hospitals. Having completed my ACLS and EKG certification on summer break last year just prior to beginning my high acuity rotation, I was familiar with the protocol for running a code. There are very clear guidelines set forth by the AHA (which is the only course accepted by the hospitals in Palm Beach County). According to the AHA, these guidelines are” based on the scientific consensus of resuscitation experts from a variety of countries, cultures, and disciplines,” ("2010 Guidelines for CPR and ECC," 2013) using the most recent research, clinical application, and positive patient outcomes. These guidelines having been implemented into the respective hospital’s “safe practice” employee protocol, it was interesting and frightening to see just how horribly wrong things could go when not following EBP. The first two codes I witnessed were nothing short of a disaster, it was chaos, at one point no one was even doing CPR. The third code I witnessed...
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...In this article, Mel Gray and Catherine McDonald argue that while evidence-based practice (EBP) has a role in social work practice, it is most effective in a medical setting and it is not an entirely good fit for the profession of social work. Social work is unique and separate from the medical field, from the diverse range of client backgrounds, experiences, and needs to its Code of Ethics which include social justice and set it apart from the field of medicine. The authors review social work’s move towards being included in scientific fields as well as the political, positivist undercurrent of EBP. They offer ethical reasoning as an alternative or addition to EBP. Implications of the research/conceptual model on human diversity & cultural...
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...Evidence Based Practice Diane Sheley University of St. Mary Evidence Based Practice Evidence-based practice analyzes research findings, quality improvement information, various forms of evaluation data, and expert opinion to identify ways to improve patient outcomes. “Research findings, knowledge from basic science, clinical knowledge, and expert opinion are all considered "evidence"; however, practices based on research findings are more likely to result in the desired patient outcomes across various settings and geographic locations. The impetus for evidence-based practice comes from payer and healthcare facility pressures for cost containment, greater availability of information, and greater consumer savvy about treatment and care options. Evidence-based practice demands changes in education of students, more practice-relevant research, and closer working relationships between clinicians and researchers. Evidence-based practice also provides opportunities for nursing care to be more individualized, more effective, streamlined, and dynamic, and to maximize effects of clinical judgment. When evidence is used to define best practices rather than to support existing practices, nursing care keeps pace with the latest technological advances and takes advantage of new knowledge developments.” (Youngblut & Brooten, 2001). Evidence-based practice is used to close the gap between the research being conducted and the actual practice of nursing. Research is a key component...
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...Evidence-Based Practice and Outcomes In today’s health care, where the clinicians’ performance must prove and measure their quality of care in order to be reimbursed, care providers find solutions through the utilization of evidence-based practice (EBP) that leads to quality outcomes. Moreover, Winters and Echeverri (2012) asserted the Institute of Medicine’s mandate that all health care clinicians are expected to be competent in EBP to meet the challenge of the current health system. Since there is a significant wide gap between the knowledge translation and clinical practice, Melnyk and Fine-Out Overholt (2015) offered strategies to assist clinicians and organizational leaders in incorporating EBP into a consistent health care practice....
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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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...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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...The evolution of nursing has been positively affected through the manifestations of evidence-based practice. The realm of nursing changed education, clinical experiences, and history as scholarly critiqued research cultivated into evidence-based practice. Research developments necessarily influence clinical and educational objectives favorably. Nursing importance provides a foundation including factual sources that builds the practical application of nursing. Research not only provides a quality education while completing studies, but it also allows learning incessantly. Such continual knowledge benefits nurses individually and together professionally. Why do we need evidence-based practice? Evidence-based practice allows a more...
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...In Australia, Evidence-based practice (EBP) has been educated as nursing pre-registration requirements for registration, since EBP is recognized as the gold standard for quality healthcare over the past decade (Linton & Prasun, 2013; Leung, Trevena & Waters, 2016). Every day, nurses need to make a huge amount of decisions about patients’ care and procedures. However, the Nursing and Midwifery Board of Australia (NMBA) publishes the Registered nurse standards for practice 1.1, which requires the registered nurse to access, analyse and use the EBP for safe quality practice (NMBA, 2016). This essay will discuss that nurses are expected to be at the forefront of implementing EBP into clinical practice. Furthermore, it will also discuss an opposing...
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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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