Becoming an Effective Practitioner

Evidence-Base practice (EBP) is defined as: “based on problem identified from the practitioner’s area of practice; a combining of best evidence and professional expertise and an integration of this into current practice; about ensuring patients receive quality care, being part of quality improvement processes; about collaboration and requiring a team approach” (French, 1999). Scott and Mcsherry (2008) supported the French’s assertion, proposing the key elements of EBP are that it is a theory-driven process, which involves the use, evaluation and application of research; identification of best evidence; evaluation of care; problem solving; decision-making; clinical expertise; and requires patient involvement. Evidence-based practice is made of evidence, clinical expertise, patient preference, the context of care (Barker, 2013). In brief, evidence-based practice is the parameter in the nursing practice that it requires that the nurses gather and use clinical evidence to make decision for the patients so that in the nursing process they can deliver the quality of care for the patients (Ellis, 2013). In the other words, in the nursing practice all the nursing procedures performed by the clinical evidence supported.

Evaluating EvidenceBefore research should be used in practice, it must be evaluated. There are many complexities and nuances in evaluating the research evidence for clinical practice. Evaluation of research behind evidence-based medicine requires critical thinking

Once an area of evidence-based practice has been chosen for investigation, the reviewer must locate current evidence sources and, using a structured approach, assess each for applicability to the issue being investigated. The aim of this paper is to use a Rapid Critical Appraisal Checklist (Melnyk and Fineout-Overholt, 2011) to support these sources of evidence into a review that discusses the importance of daily, high-level, multidisciplinary communication and patient safety. The summaries of these evaluations will be provided as an appraisal of each study.

Evidence-based practice is an approach in the decision making of using the best evidence about the care of a patient.it is an integration of clinical expertise, patient values and the available evidence from ongoing research .taking into consideration internal and external influences, it promotes critical thinking in the application of the evidence in patient care. The impact of EBP has been echoed in the optimal health care, quality of life and clinical outcomes (Mabbott, 2011). Application of EBP in the plan of care has resulted in benefits such as reduced costs, decreased variation in care and nurse satisfaction. The EBP movement is one component essential aimed at transforming the current knowledge into a plan of care decisions to improve

Evidence-based practice is an approach used by health care professionals to continually use current best evidence-based research to make ethical and reliable decisions regarding patient care. “Research to promote evidence-based practice is becoming more and more a part of the regular work of health care leaders” (Grand Canyon University, 2015, p. 1). However, it is important to determine the difference between solid research and flawed research that provides unreliable inferences. Evidence-based research includes focusing on a clinical question; and includes the review and incorporation of several studies to strengthen the results of the new study (Grand Canyon University, 2015). Roddy et al. and Ganz et al. articles will be assessed to determine if the recommended changes were backed by solid research that warrants changes in a hospital.

Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).

Nurses are responsible in providing holistic, quality care to their clients. In order to effectively provide such care Boswell and Cannon (2009, p. 2 & 7) states that nurses must base their provision of care on the most current, up-to-date health information available and sound nursing knowledge. This is where evidence-based practice (EBP) comes in. Polit and Beck (2010, p. 4) defined EBP as "the use of the best clinical evidence in making patient care desicions". This usually comes from research conducted by nurses and other healthcare professionals. Thus it is pertinent that research reports are critically analyzed.

ARMSTRONG, M. (2011) How to be an even better manager. 8th ed. London: Kognan Page.

Effective practice involves children being able to get as much support possible, from the practitioners and other professionals, in order for them to achieve the Early Years Goals in the EYFs. For this to happen the practitioners will need to plan many activities revolving around the children’s individual needs and have many opportunities available in the setting for the children to develop their learning and development. Practitioners will also have to work in partnership with the children’s parents/carers as they are the ones that know their children best. A method that can be seen in most setting is a Home Dairy that is given to each child’s parent/carers. The idea of it is that when a child is in setting the practitioner is able to write what the child has done during that day (e.g. what they had for snack, what they play with or what activities they were involved in etc.) which then the parents/carers are able to see when the child goes home and if the parents/carers have any concerns they are able to write in the dairy and the practitioners

Evidence-based practice is defined as the “integration of best current evidence with clinical expertise and patient or family preferences and values for the delivery of optimal health care” (Quality and Safety Education for Nurses, 2012). It is “the use of research in clinical decision making” (Brower, 2017).With the tremendous changes in the healthcare landscape, many processes have to be evaluated for its relevance, reliability,

IMPLEMENTATION  Implementation of evidence-based practice (EBP) is regarded as core competence to improve healthcare quality.  Implementation of EBP mainly involves four sequential steps : first, framing a clear question based on a clinical problem; second, searching for relevant evidence in the literature; third, critically appraising the validity of contemporary research; and fourth, applying the findings to clinical decision-making.  Numerous studies have investigated the perceptions of EBP among a variety of healthcare-related professional groups .  Overall, most healthcare professionals hold positive attitudes toward EBP but lack sufficient knowledge and skills for implementation.

The authors clearly state that the objective of this paper is to explore how both general practitioners and practice nurses in primary care level make individual as well

In conclusion, this essay was dealt about a critical appraisal of qualitative study using CASP tool. By doing this module as a nursing student, this helped the author of this essay, to understand the importance of using the critical appraisal in the clinical practice. It also made the student nurse aware, by practicing the critical skills will help to improve the professional standard of competence according to the NMC code (2016). In order to improve the skills in the nursing practice, the student nurse decided to use a structure for her critical frame work, maintaining a reflective diary, and use the up to date evidence in the practice.

Evidence based practice known as EBP can benefit from Meta evaluation to address health programs by the qualitative feedback. The feedback can come in ways such as a graph or reports. Results develop in the (SMART) form stages to read and understand

The clinical practice question of this posed here includes will be used to examine the effects of ivabradine to the heart