Evidence Based Research Medicine is a highly specialized and challenging field that requires a nurse to evaluate all circumstances critically and determine the optimal method of care and practice for a patient. One of the most effective tools that nurses can use to ensure the best care of their patients is clinical research, both published and conducted by nurses. Clinical research can explain hospital phenomenon and explores various treatments and protocols (Timmermans, 2005). In many ways, it takes the experimentation out of hospital procedures and replaces it with the proven most optimal solution. With medicine changing and growing on a daily basis, practices that are research-based are becoming a common phenomenon. These practices utilize the most modern studies to determine their care protocols down to the drugs that are prescribed. This paper will explore the advantages, disadvantages, and feasibility of this approach to medicine. Evidence based research offers many advantages to traditional experiential practice. With more developed countries researching medical issues and large businesses funding research projects that would have otherwise been impossible, there are many treatments and cures that doctors might not be otherwise aware of (Eddy, 2005). Additionally, evidence based research provides the physician or nurse a means of educating the patient on their condition and treatment by providing them with applicable studies and information. This is often the
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.
Indeed, "new and validated knowledge that forms the basis j Y for evidence-based practice (EBP) most commonly is discovered in academic settings. But findings need to be translated into a protocol or guideline that can be used to guide practice," according to Conner, (2014, p.40). Evidence-based projects have lead to many improved clinical practice changes at the bedside and healthcare in general; and they are highly promoted and supported by different healthcare organizations.
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.
Showing knowledge of up-to-date health practices is simply not enough. A nurse must have an adequate ability to research and discover current trends and best practices in his or her specific clinical setting (QSEN Institute, 2014). So, while creating this clinical practice project, a proficient knowledge of how to research for evidence-based
In this 21st century, health care is advancing remarkably and achieving various results through research. Research is vital to bring about new inventions, techniques and improvements and create a new body of knowledge. In nursing, research helps to bring about improvements in current practice, knowledge, patient outcomes as well as to create new polices and upgrade the existing ones. For example, a “re-challenge protocol” was created by the researchers to reduce the drug reactions caused by two chemotherapeutic agents. Likewise, numerous research is conducted to improve scientific knowledge in various fields of science. One such knowledge in the field of science is the nursing knowledge.
According to The American Nurses Association (ANA) Evidenced-based practice is a "scholarly and systematic problem-solving paradigm that results in the delivery of high quality healthcare" (American Nurses Association, 2010, p. 65). Through the use of evidence-based practice nurse and other health care professional have the ability to create clinical decisions, which allows clinical questions to be answered and aid in quality improvement. Furthermore creating a safe, efficient, productive environment for patients and staff that may result in improving patient outcomes and reduce expenses. Nursing research helps health care providers provide evidence-based practice, which may result in quality improvement (Rebar & Gersch, 2015).
Evidence-based practice is the practice of making clinical decisions based off the best available research evidence coupled with the nurse’s own expertise, while also taking into account, the patient’s assessments and own personal preferences. This use of research has proven effective at providing better outcomes and lower healthcare costs, yet there are several barriers, such as time, education, and support, which prevent nurses from consistently using evidence-based practice (AJN, 2012). The top three barriers to the use of evidence-based practice are lack of time, education, and support in implementing new practices and using them consistently.
This paper will discuss how evidence based practice effects nursing practice and how nurses can apply what they learn to their practice. Evidence based practice is a great way to improve the quality of care we provide. “Evidence based practice means using the best available research findings to make clinical decisions that are most effective and beneficial for patients” (Chitty & Black, 2011, p.258). By allowing nurses to participate in research and development, we are able to see firsthand how effective our intervention can be. Nurses run into all kinds of problems on a daily basis and they are able to share their experience and expertise to help develop a better way to solve a problem.
Evidence based practices are important to explore for various diseases so that their efficacy level can be determined and medical staff can be trained accordingly. Particularly speaking in the context of chronic diseases, evidence based practices are to be evaluated with the joint efforts of multiple healthcare institutions so that it can bring benefits to the overall healthcare industry.
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
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).
In the past few decades, many nursing practices were relied on state regulation, cost, or insurance policy. However, evidence based practice (EBP) are increasingly recognized and emphasized to change in nursing practice. For many clinical settings, there are thousands of resources available today. Not only most of nursing practice are made based on a pilot study but also implied to bring most benefits of the care.
Any method used can have advantages and disadvantages, but it is the role of the researcher to provide the best research method, in an unbiased way, in order to produce substantial information needed regarding their patient. This information is a vital part of the nursing assessment process, and in my example above, will help me determine the care plan to be implemented for the patient to receive the best and safest care. By understanding the strength and weaknesses to each type of method, we are able to provide better care to each of our
The findings from good, current, reliable, valid or trustworthy research are the basis for maintaining high standards of care and all nurses must practice based on the most up to date evidence (NMC 2008). It is now an important part of nursing to actively participate in research and evidence based practice in order to continually improve the standard of the health care system. This process ensures that nurses are kept up to date with relevant information needed to provide the most effective care for patients.
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.