Evidence Based Practice Research

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.

Evidence base practice (EBP) is a proactive methodology to improving patient care. Nurses are now called upon to research, identify and analyze practice problems so that questions can be answered on how to deliver care. Therefore, the translation of research into practice require strategies such as protocol and guideline to disseminate EBP within an organization (Yoder-Wise, 2015). By researching barriers to breastfeeding in the neonatal intensive care (NICU), policy changes are noted to be indicated.

Nurse educations are current on evidence-based teaching, educations and research. Nurse educators are committed to education research, and evidence-based teachings. Again, although an indirect patient care role, nurse educators are responsible for ensuring for ensuring the implementation of best practiced (Gardner,

The complexity of our population and the evolution of our health care system have forced the implementation of changes to the nursing profession. Even though the main function of the nurse as educator has not changed, the way that nurses and health professionals provide care to patients, families and communities has changed over time and it will continues to change as we facing new challenges (Grand Canyon University, 2011) . Health promotion education and preventing care is the future of nursing. Evidence-based practice (EBP) and technology evolution will be the tools that will allow nurses and providers to adjust to the new challenges and to be able to deliver effective and outstanding care to our better educated and more demanding population.

The context of practice and a conscientious use of evidence would include the above definitions allude to this also. These definitions then point the major steps in EBP that can be easily remembered using the 5 A’s (asking, accessing, appraising, applying and auditing) (Hoffmann et.al, 2013). The major benefit to clients is that EBP aims to “provide the most effective care that is available” (Hoffman et.al.

And by using EBP we can ensure safe and effective care for our patients as a

Inclusion, diversity, and equity aim to promote a culturally sensitive and unbiased healthcare environment, which is a crucial element of EBP. Respect and service emphasize the importance of patient-centered care, another critical element of EBP. Discovery and responsibility focus on advancing research and using evidence-based practices to provide the best possible care to patients. Lastly, excellence aligns with the principles of EBP that aim to provide the best possible care to patients based on the available

Evidence based practice (EBP) is to demonstrate the best practice, which has been supported, with a clear rationale to back it up, while acknowledging the patient/clients best interest. In this professional outline it will be discussed why EBP is so important to start with student nurses career and continuing throughout the nursing career and the second main point will be on the impact it has on patient outcomes regardless of discipline. I believe if this mind set is instilled early in the nurses career the practice will evolve it a more proactive

The profession of nursing has embraced evidence based practice (EBP) as evidence based care combines evidence from research, clinical experience, and patient preferences that help us to ensure that patient care is effective, considerate, and cost effective for facilities and the population served, while meeting the specific needs of each patient Research that leads to EBP tells nurses and health care providers what practices/treatments that work, what does not work, and with whom and where they work best. An example of EBP is that the Affordable Car Act requires that all reimbursable treatments follow the guidelines and recommendations made by the U.S. Preventative Services Task Force (USPSTF). The USPSTF recommendations are derived from

Cleary-Holdforth and Leufer (2009) explains that evidence based practice is a holistic approach to the delivery of care with the individual at the centre. It involves more than simply using research and is a partnership between inter-professional clinicians, patients and the best available evidence to ensure optimal care for the patient. In terms of evidence based practice this makes it important as it outcome to making patients care better as well as improving the patient exceptions of care. It has been suggested that evidence-based practice is important in health care as it provides the care that meets the individual needs of the patients and helps us identifies gaps in knowledge when we research into subjects.

1. CONCEPT 1-EVIDENCE-BASED PRACTICE IN NURSING This concept was deducted from module 2 with the topic “Concept of Evidence-based practice”. Evidenced-based nursing is a way of making decision and providing nursing care that is based on clinical issues and combine it with the most current, relevant research that is available on that issue. Evidence based nursing utilize the most up to date method of providing care, which have been proven via assessing high quality studies and statistically with significant research findings.

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).

The five steps for evidence based practice are: 1. Ask questions that are focused on client situation in relation to nursing practice – To effectively apply an Evidence Based Practice approach (EBP) The nurse must first decipher an appropriate question to gathering the evidence from the client. The nurse must consider what they need to know and what has already not worked in the past. Asking the right question is critical to ensure the clients, practitioners and nurses values and beliefs are upheld as all the opinions are valuable and support the EBP approach.

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

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).