Disadvantages Of Evidence Based Nursing

Evidence based practice is an integral part of nursing care. According to the Academy of Medical-Surgical Nurses, evidence based practice is defined as, “the conscientious use of current best evidence in making decisions about patient care.” (AMSN) The use of evidence based practice has drastically improved patient outcomes, increased quality and safety of healthcare, and reduced costs for facilities. (Melnyk, 2016) In this paper I will provide the history of evidence based practice, how it has already been incorporated and impacted healthcare, and why it is important to nursing and healthcare as a whole.

The process of using Evidence Based Practice in a patients care plan consists of five key stages. Asses the patient and formulate the problems from this you will then need to access the relevant clinical articles. Using this information you should then be able to assess which is the best method of treatment discarding any misleading or ambiguous articles. You then need to incorporate this knowledge into the patients care plan. Finally you need to evaluate and assess the patient during treatment to ensure effectiveness.

Jefferson Democracy supported a advocated a political system that supported public education, free press, free voting, limited government, and concerning land democracy and move away from aristocratic rule. His presidency changed some of his values, therefore, he wanted a republican system, which states and federal government share. Jefferson’s domestic policies included decreasing the size of government, establishing the development of the first national court system, and furthering what he saw as the agrarian republic. Jefferson was responsible for two cut backs, such as he repealed the taxes Hamilton had appointed, which down sized the number of federal employees. He also cut back the military by having a small army on the western frontier

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.

Mill 's Utilitarianism and Ross ' Intuitionalism both use moral intuitions as core components of their moral theories, though their valuation of these intuition in making morally sound decisions differ. I will argue that it is this mis-valuation of moral intuition in Utilitarian tradition that makes the moral theory unstable and prone to criticism. Ross ' deontological approach to moral intuitions provides a more believable, and morally acceptable account of the role these intuitions play in making ethical decisions. In this paper I will begin with underlying both Ross ' and Mill 's valuation of moral intuitions in the framework of their moral theories, followed by a brief explanation of each philosophers view of “what makes an act moral”. Having established these I will, with the aid of an anecdote about a child and a sled, describe my difficulties with Mill 's utilitarian approach to ethics. Finishing with an assessment of some utilitarian complaints about Ross ' theory. Ultimately Utilitarianism provides a commendable theory for widely applicable and practical moral action, but it 's inability to address conflicts with strong moral intuitions weakens it 's argument leading me to favor that of Ross ' more flexible, yet not relativistic, intuitionalism.

Nursing care involves a wide range of interventions which are then draw diverse evidence base of knowledge and research of nurses. When providing evidence in practice it is very important that the records are accurately maintained in order for the evidence to be considered. The main reason for research to be evaluated and critiqued is due to evidence based practice. When carrying out Evidence Based Practice it is important to start off with a clear precisely aimed outcome that needs to be achieved. Evidenced based nursing is also the approach that nurses take to provide their patients with the best care that they can. This doesn’t just begin with the patient but stems to the families. The magnet hospital model upholds this to an exceptional level. They make it their goal to provide absolutely best care for their patients and they are awarded for it. Archiebald Cochran was a pioneer in evidenced based nursing. He published “Effectiveness and Efficiency” in 1971 where he criticized the lack of reliability in EBN. He argued the need for evidence in nursing. Being the founder of evidence based nursing his influence and dedication were said to be the key in making well-formed decisions about healthcare. EBN consists of formulating a question, gathering evidence to answer clinical questions, deciding which would be best, assessment of the patient, and evaluation. EBN paved the way for nursing

In nursing, best research evidence means methodologically sound, clinical relevant research about the effectiveness and safety of nursing interventions, the accuracy and precision of nursing

The key steps involved in evidence based practice come from a thirst for knowledge that once ignited makes the next step to asking a well worded clinical question easier. A well formulated question improves patient outcomes and supports the implementation of change. One such method looks at foreground and background questions. A background question is usually a basic knowledge question and is usually answered by a textbook. Foreground questions are usually specific and once answered can help in clinical changes. An acronym useful for formulating a well worded question is PICOT. ( Stillwell, Fineout-Overholt, Melnyk, Williamson, 2010).

As a provider of care, professional nurses depend on research, theories, and evidence based practice to guide the care they provide to patients. Nurses deliver care to their patients based on information they have learned through many years of school and training. Training for nurses and other providers of care is founded on theories, research, and evidence based practice in the healthcare field. Theories, research, and evidence based practice are all important for providing care to patients and each can be used in a different manner depending on the situation. Clinicians often use research based evidence to design and implement care that is high-quality and cost effective for patients. Evidence based practice can be used to provide care to patients in a steadily changing clinical environment. (PDF page 8-9). Nursing theories are frequently used as frameworks for establishing nursing care interventions and assessing

Evidence based practice is when recent research is integrated into the clinical setting for maximum delivery of health care. A lot of evidence based practice was developed from research studies conducted by nurses such as decubitis ulcer prevention. Knowing and demonstrating the scientific methods and processes will help to advance nursing care by providing better interventions for patient care. Patient care plans should be developed based on evidence (Dycus, 2009). With monitoring outcomes from evidence based practice it can be determined if the care caused improvement in the healthcare setting. Using quality measures such as charts and diagrams to understand performance.

something is done in a specific way. It also takes into consideration the preferences of

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).

Evidence-Base practice (EBP) is defined as based on problems identified from nursing practice; using best evidence and professional expertise and merging them into current practice to ensure patients receive quality care (French, 1999). Evidence-based practice is a part of quality improvement process; it is made of evidence, clinical expertise, patient preference and the context of care (Barker, 2013). In brief, evidence-based practice is the guideline in the nursing practice that requires nurses gather and use clinical evidence to help diagnose or assess patients correctly by using their knowledge and experience in order they can deliver the quality of care to the patients (Ellis, 2013). In the other words, in the nursing practice the clinical evidence supports all the nursing procedures performed.

Evidence base practice is essential in nursing practice. It incorporates 3 key components which are clinical expertise, patient values, and best research evidence in order to provide the most effective and safe decision making for patient care. Neglecting a key component can affect the accuracy and efficiency of a research. Clinical expertise is based on a clinician’s experience, skill, education level and understanding in a certain area of nursing practice. Patient values can impact evidence base practice depending on their needs, preferences, expectations, values, understanding, and concerns. Best research evidence can be obtained from clinical research with supporting evidence base literature and sound methodologies. Each component will be discussed in further detail and how it links to clinical decision making by registered nurses in order to achieve the best evidence-based practice available.

The harmony among clinical and research orientation is essential to professional nurses as they dynamically enhance the nursing’s scientific knowledge by way of research. Evidence facilitates advancements in nursing and inhibits the usage of unjustified nursing errors and practices. Finally, evidence-based practice substitutes usage of trial and error and improves development, evaluation, and professional progression. Evidence-based practice is used by professional nurses for the sake of influencing the standard of care and for encouraging a self-directed nursing environment.