Evidence-Based Practice In The Workplace

Deb Kanya Initial Post Polit & Beck, (2012) describe Evidence-Based Practice (EBP) as an integration of clinical expertise, patient values, and the best research evidence. One of the more challenging aspects of EBP is the actual research on a particular topic. The fact is there is a multitude of journals and reviews etc. on any given subject; for this reason it is imperative that one knows how to conduct a proper search for pertinent information. Due to the complexity of literature searches and the amount of information available it is prudent to follow a guide while doing research.

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.

Therefore, practice and research needs to be clearly identified and be kept separated because they represent two different acts. When a patient gives healthcare professionals the permission to “practice”, it is solely for the purpose to improve their health outcomes. By accepting and allowing practice, it does not constitute an agreement be participate in a research. It would be crossing the boundaries to perform a research when the healthcare professionals were expected to improve patient’s well-being.

As Manager it is important that you ensure and encourage staff to embrace the idea of evidence based practice.

Organizational Culture and Readiness Having a positive attitude towards Evidence Based Practice (EBP) and valuing the importance of EBP practice for patients is the most important factor in the practice of EBP among nurses (Stokke, K., Olsen, N., Espehaug, B., & Nortvedt, M. (2014). An “Organizational Culture and Readiness Assessment” survey was conducted among nurses at a hospital following the Appendix K in (Melnyk & Fineout-Overholt, 2011, p 594). Most nurses agreed that the hospital is prepared for further implementation of Evidence Based Practice (EBP). Majority of them believe that the nursing staff, the physician team, and administrators actively practice EBP. The rationale behind this comes from the overall environment of the hospital.

Retrieved from http://www.mghpcs.org/pcs/magnet/Documents/Monday/MM_010713.pdf McClellan, M. (2013). Improving health care quality: The path forward. Brookings. Retrieved from https://www.brookings.edu/testimonies/improving-health-care-quality-the-path-forward/ Stevens, K. (2013). The impact of evidence-based practice in nursing and the next big ideas.

Outcome three in the Doctor of Nursing Practice (DNP) program has prepared me to use analytic methods to appraise critically existing literature and other evidence to determine and implement the best evidence for practice.(Raup, King, Hughes & Faidley, 2010). For example, at the start of the DNP program, I lacked experience in research and understanding of the literature review, now I have the ability to develop, direct and evaluate quality improvement methodologies to promote safe, timely, effective, efficient, equitable, and patient-centered care. Technology and the database research assisted me in forming my question, proposal, and project by providing evidence-based data and available resources. Two key examples that facilitated my growth

EBP was first initiated as a strategy for research and implementation in medical science by using blind studies and clinical trials in order to develop effective treatments from collected evidence. The challenge of EBP is that it has proven to be a failed practice in many fields. For example, using random clinical trials (RCT) where results are influenced by multi factors in leadership development is not an appropriate research strategy for evidence-based practices. The growth of evidence based practices has spreaded rapidly as a methodology for providing what works and to establish predictable results in fields other than clinical care and medicine and with this practice there will be controversies. It is said that random clinical trials are not always the best for decisions it can be misleading.

Evidence based practice (EBP) is a process of integrating high quality evidence into practice or care provided by health professionals and decision makers in health care. This discussion will explore the meaning of the term Evidence Based Practice further and discuss its origins. EBP requires finding the best available evidence to inform practice, its greatest benefit being the best possible care for a client. Other benefits and limitations will be further discussed below. EBP demands the client be seen as an individual and their unique circumstances be considered in the application of evidence

Background and Significance There is a great demand on nurses in clinical practice to implement evidence based practice (EBP) in their daily care. However, Implementing EBP is not easy and can be challenging for healthcare organizations (Koehn & Lehman, 2008; Majid et al., 2011). In Saudi Arabia (SA), healthcare organizations have been challenged to foster an environment that embraces EBP in clinical practice. Unfortunately, most of the efforts to support healthcare providers’ implementing EBP into their practice are focused on medical staff; little is done to support nursing staff and other healthcare professionals. The Ministry of National Guard Health Affairs (MNGHA) in Riyadh, SA, where this capstone project was implemented, is facing the

The goal is to improve the health and safety of patient while also providing care in a cost-effective manner to improve the outcome for both the patient and the health care system at large. According to Melyn and Fineout-overholt(2005)Evidence-based practice should be a problem-solving approach to clinical practice that integrates a systematic search for critical appraisal of the most relevant evidence to answer a burning clinical question.

In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).

Outcome-based practice represents a prescriptive approach to practice. According to these definitions, knowledge is created by researchers, and handed to practitioners to be applied in practice situations. The second type of definition suggests that practitioners investigate practice problems, and assess research in accordance with their clinical judgment and then, thirdly, collaborate with our residents. Some define outcome-based practice with a focus not on the research, but rather on the practitioner; on her or his professional judgment, skills, and knowledge acquisition processes.

It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as

Before EBP was imbedded into healthcare, nurses relied in the advice of senior nurses and what they learned through education and trial and error. Floranc enightengal ……. However, it wasn’t until the mid-1800s that evidence-based medicine had its beginnings, but did not come into play until the year of 1972. Through many years different modifications, various groups of nurses have drafted their own versions of evidence-based practice guidelines into play.