Evidence Based Practice

According to Stevens (2013), the call to develop and implement evidence-based practice (EBP) within all healthcare disciplines is fueled by legislative demands for improvement in standard medical metrics such as mortality and morbidity. However, increasing demands by the public for evidence related to the metrics and outcomes of such concepts as quality of life illustrate what may be more important to the client (Stevens, 2013). This client-directed focus has resulted in patient-centered outcomes research (PCOR) (Stevens, 2013). "The Patient-Centered Outcomes Research Institute (PCORI) helps people make informed health care decisions, and improves health care delivery and outcomes, by producing and promoting high integrity, evidence-based information

Jeremy, nice posting about continuing to advance evidence-based practice (EBP). Stevens (2013) wrote that clinical leaders have the chance to advance ahead and change healthcare from a systems view, thus directing their efforts on evidence-based practice (EBP) for proven effectiveness, patient commitment, and patient safety. I see that through this program that this is only the beginning, I have the sturdy foundation from which I can build from the bottom up. Now that my eyes are open more and I challenge the organization or leaders more with the data to support my claims, I am now the squeaky wheel that grates on your nerves.

In our research, we have compared three very different tools for ranking evidence based practice methods. Each of these tools could be effectively utilized in any healthcare facility or healthcare organization.

Applying evidenced-based practice has three steps. Step one is making sure the research is creditable. Going into detail about step one should model a social work practice. In a social work practice, you always want to make sure you are looking for clarity and in some cases it helps to paraphrase it or reword it differently. As a social worker you have to be non-judgmental and try to understand every perspective. You have to be unbiased when it comes to wording and how it affects the meaning of the conversation. Also, making sure the research on the surveys or interviews are fair and represent the entire population. The second step is when you match your outcome of the research in your own “practice wisdom." As a social worker you want to compare the research you made with prior experience. You want to have different perspective and information that help you understand the client better. Lastly, the last step is to ask questions to the clients about their significance of what they have accomplished by working with you. Just asking what the client has learned can help

Nurses have many responsibilities. Providing safety and the highest quality client care is one of the top priorities. The collective goal for the Quality and Safety Education for Nurses (QSEN) is to educate nurses and future nurses to constantly refine their knowledge, skills and attitude to provide the highest safety and quality to their patients (Cronenwett et al., 2009). Evidenced-based Practice is one of competencies written by QSEN. This is a process which involves the healthcare provider to efficiently and effectively collect appropriate data and research activities to provide optimal healthcare to the patients (Cronenwett et al., 2009).

The incorporation of evidenced-based practice (EBP) into nursing practice is supported by research to positively improve the quality of care and improve patient outcomes. EBP is important to the nursing profession because it also leads to increased job satisfaction, teamwork, and levels of engagement in clinicians (Melnyk, et al., 2017). Miniature research projects such as quality improvement projects, surveys, and clinical research studies are frameworks used to get feedback and data from patients during their time spent in health care systems. EBP is not the standard of care in many health care systems (Melnyk, et al., 2017). This due to many factors, including lack of EBP mentors, nursing programs that do not incorporate EBP into the curriculum,

The authors Brady and Lewin discuss the concept of evidence- based practice and the current challenges. The authors describe evidenced- based practice (EBP) as the integration of three important components: evidence from research, clinical expertise, and patient values. They described with surprise the majority of nurses are not aware of current research findings to support their nursing practices. The authors found nurses rely on their experience, traditions, policies and procedures in their practice.

In this essay, I am going to consider how evidence-based practice can be used to support, justify, legitimate and/or improve clinical practice. I am also going to explore and discuss primary and secondary research evidences about how nursing interventions can potentially improve the quality of life of patients in the community suffering from heart failure. I will gather these evidences using a literature search which I will include an account of. Using a critiquing framework for support, I will appraise both primary and secondary evidences that I have chosen. I will also look at potential non-evidential factors that can influence evidence utilisation in practice. Finally, a conclusion will be drawn.

Evidence based practice (EBP) is using the most current scientific evidence when making decisions about patient care. Evidence based nursing uses the best evidence available, combined with nursing expertise and preferences of the patient/family to create the best patient care possible (Stanhope & Lancaster, 2014). The definition of EBP continues to broaden in scope in order to include every approach to practice, and now includes both external and internal evidence involving clinical questions to achieve the desired patient outcome (Stanhope & Lancaster, 2014).

A nursing definition of evidence-based practice (EBP) is a problem solving approach to clinical practice that integrates a systematic search for and clinical appraisal of the most relevant evidence to answer a burning clinical question, one’s own clinical expertise and patient’s preferences and values. The three skills that were selected for further review; nasogastric tube insertion, central venous device care, and chest tube management and care. A skill that is commonly relevant in the intensive care unit is the insertion of a nasogastric tube. A nasogastric tube is a flexible tube that provides access to the stomach through the nose. Nasogastric tubes are essential to provide nutrition to patients with functional gastrointestinal tracts

Goodwin, V., Richards, S., Henley, W., Ewings, P., Taylor, A., Campbell, J., & ... Campbell, J. L.

Evidence-Based Practice Reflective Essay Caring for patients can be very challenging at times and patients as well as a family often has many questions. They want to know the “why” of the problem. Evidence-based practice helps clarify the reason behind care and treatment not only for ourselves but the patients.

Once the survey is complete there are nurses within the organization that will review the suggestions and determine its value based on evidenced based practice. Evidence based is important to be used because it can support changes that need to made within the organization (International Council of Nurses, 2012). “When enough research evidence is available, the practice should be guided by research evidence in conjunction with clinical expertise and patient values” (Titler, 2008).

Evidence based practice, also known as EBP, by definition, is an interdisciplinary tool based on using patient care and expectations, along with evidence to create a safe clinical environment and practice. EBP involves combining an investigative approach with caring, incorporating best evidence from studies, data from patient care, clinical experience and expertise, and patients’ preferences and values (Makic, Martin, Burns, Philbrick & Rauen, 2013).

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).