Evidence Based Practice Model

It was a privilege to work with Laura on a team rehabilitating a severely impaired brainstem CVA patient. She uses evidence based practice to modify treatment approaches to promote positive outcomes for both her patients physical needs as well as cognitive-communicative needs. A perfect example of this was scheduling her PT session prior to an SLP comm/cog session with increasing cardiovascular effort to promote improved cognitive

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.

In my opinion, to ensure that a treatment program is evidence based, a probation officer must know current “evidence-based practices” that already work in Probation and Parole supervision. They should have knowledge of evidence-based practices that apply to program providers, field officers, supervisors, and administrators. Ultimately, I believe that it is always necessary to improve one’s knowledge and skills, then apply them into practice, utilizing only what constitutes an evidence-based effective approach.

Evidence- Based Practice Evidence based practice has influenced the way that induvials view sexually transmitted disease. It allows us to look at the information we have gathered previously, interpret it and then determine what needs to be changed and what seems to be working properly. When looking at EBP, we can tell that with the use of protection such as condoms and dental dams, the percentage of STDs being transmitted has lowered. When sexually active individuals did not use preventative measure, the percentage of STDs grew. EBP also has proven to show that the more partners one has, the risk of catching an STD becomes higher.

There are several guidelines that can suggest management of acute postoperative pain; such as education of the healthcare staff, effective planning techniques, medicinal management and conservative strategies, methods to improve organisation, and improvement of discharge protocols which will decrease the incidence of mismanagement or diagnosis errors (Chou et al., 2016). Understanding the mechanism of acute pain in postoperative care, and the development of new analgesic treatments can also effectively improve the correct management of the pain (Wu, & Raja, 2011). The mismanagement of the pain can cause

We all know that pain is usually one of the major complaint of patients with chronic problems or those recovering post operatively thereby making pain evaluation a fundamental requisite in the outcome assessment during hospital visits. Interpreting the data from a pain assessment scale is not as straightforward as it may seem since the provider must consider the intensity, related disability, duration, and affect to define the pain and its effects on the patient (Williamson & Hoggart, 2005). Pain rating scales are used in the clinical settings to measure pain and these include Visual Analogue Scale (VAS), Verbal Rating Scale (VRS), Numerical/numeric Rating Scale (NRS) (Haefeli & Elfering, 2006). Each scale is unique on its own in terms of sensitivity and simplicity that generates data that can be statistically analyzed for audit purposes. The EHR in our hospital utilizes the three rating scales mentioned as part of the pain assessment tool to measure pain that sets the tone for the direction of the type of pain management will .be given to the

“Evidence-based practice (EBP) is the integration of patient preferences and values, clinical expertise, and rigorous research to make decisions that lead to improved outcomes for patients and families” (Melnyk and Fineout-Overholt, 2015, p. 171). The need for evidence based practice will help ensure the patient will receive the highest level of quality of care. Each member of the health care team, work together with the common goal of identifying the needs of the patient and offering the most safe, efficient, and effective care. Patient and family centeredness is one of the values identified with the decisions that are being made on the behalf of the patient with evidence based practice (Melnyk and Fineout-Overholt, 2015, p. 176). By focusing

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

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.

Carper’s four patterns of knowing can be identified within the case study. Empirical knowledge was utilized by employing evidenced based practice to guide nursing interventions (McEwen, 2014). The clinician was utilizing NCEP ATP-III target levels to guide their practice and was sharing the knowledge with the patient. Furthermore, the clinician had instructed the patient to continue their current statin therapy to treat her hyperlipidemia and scheduled follow-up appropriately. Esthetic knowledge often refers to the art of nursing or the ability of a nurse to act appropriately in a given situation (McEwen, 2014).

One medication my doctor suggested nearly killed me. After taking the drug, I developed a temperature of 107 degrees, even when I took fever suppressants the temperature never faltered. I received all of my care at the Dartmouth-Hitchcock Medical Center, a three hour drive into northern New Hampshire. The drive took double as it occurred during a typical New England blizzard. When I reached the hospital my physician gave me another dose, thinking it would remedy the situation.

What is Evidence-based practice? Evidence-based practice is an all-around systematic approach to patient care that was built up on research and proven treatment results within nursing in order to increase the patient outcomes. Evidence based practice is define as “the integration of current evidences and practices to make decisions about patient care”. (Medical Surgical Nursing, 2018). Evidence-based practice not only includes the best proven research for practicing patient-centered care, but also merges the patient’s preferences and values into consideration.

This is due to the steep temperature gradient between the ice water and the skin. However, the use of large barrels or tubs to submerge patients in iced water is logistically not feasible for use during en rout cooling. The solution then is to provide an alternative cooling system that is more portable and at the same time, able to deliver an acceptable or improved temperature gradient in cooling. Ideally, cooling rates of >0.080C/min is found to be more effective in reducing the morbidity and mortality associated with heat injury

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.

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).