The Importance Of Evidence Based Practice

Many individuals do not like the idea of change, but as health care professionals we know that change is a part of our profession. Evidence-based practice is present and the future of health care practice and needs to be fully supported by every health care team member. The gap between understanding EBP and applying it needs to be a thing of the

Evidence - Based Nursing, An introduction (2008, p. 285 ) “ The rapidity of change and the reorganization of nursing services within the health care sector presents challenges for the advancement of EBP. Managers and administrators should facilitate the uptake of practice based on current, high-quality research by formalizing the expectation that nurses care be Evidence Based”.

“Evidence-based practice (EBP) is using the best available research findings to make clinical decisions that are most effective and beneficial for patients” (Chitty & Black, 2007, p. 275). As a professional, evidence based practice incorporates critical thinking and improving your clinical judgement. In order to stay up to date with evidence based practice the nurse can attend continued education, professional conferences, read journals, and become a member of a professional organization (Chitty & Black, 2007, p. 276). The AANP

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.

Evidence Based Practice (EBP) is a process that permits us to evaluate study, scientific strategies, and other evidence resources centered on high quality outcomes and put on the results to run-through [Academic of Medical-Surgical nurse (AMSN, 2014)].

According to Dr. David Sackett (1996) Evidence Based Practice (EBP) is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.”

EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” (Sackett D, 1996)

Evidenced Based Practice (EBP) is essential to enable all nurses to provide the most current up to date practises for their patients. This process involves research, systematic review of current practises, critical thinking skills, evaluation and application to the clinical setting. In addition to this, the nurse must take into account the patients’ preferences. For nurses to have professional autonomy they must be able to justify their actions and demonstrate an understanding of why they perform the tasks they do. This defines them as unique professionals judged by their knowledge and not simply by their hands on skills.

Evidence-based practice (EBP) is the essence of quality health care in an ever-changing reality. It embodies clinical experiences, the patient, and supported research, to establish the most effective patient care (Brown, 2014). The best possible patient outcomes stem from staying current with changes in practice, and EBP communicates those changes through evidenced research. According to the Institute

Evidenced-based practice (EBP) is now considered to be best practice but, although great strides have been made in applying the research in practice, there is still progress to be made. EBP is central to delivering the highest quality healthcare and ensuring the best outcomes for patients. However, EBP guiding the practice in healthcare systems is not the norm in many healthcare systems across the United States (Melnyk & Fineout-Overholt, 2011). The most overwhelming evidence for using EBP in practice is that is provides better outcomes in patients and provides a higher quality of care. Therefore, patients are more satisfied, healthcare costs are reduced and there is a reduction in differences in delivery of care according to geographic area (Melnyk & Fineout-Overholt, 2011).

The patient is a 58-year-old African American gentleman who presented to the ED with complaints of nausea, vomiting, diarrhea and generalized malaise associated with no fever, chills. The patient missed his dialysis treatment on Friday because he was not feeling well and he could not get himself to the dialysis center. The dialysis center rescheduled his treatment to Sunday but again he was unable to get himself to the center secondary to feeling generally weak. He denies any fever, chills or chest pain. His medical history is significant for diabetes mellitus, dyslipidemia, hypertension, renal failure, end-stage on dialysis. He also is partially deaf and blind. Initial laboratory work reveals him to have a CO2 of 20, BUN of 90, creatinine

I believe that Andunjar's story about the Camp Fire candy is slightly effective. The essay is about her loosing weight, so when the essay opened up about eating a lot of candy, I was quite intrigued. The first sentence was very effective at grabbing my attention, but the transition between the story and the rest of the essay was a bit foggy. I found myself reading over it a few times debating were the incident had ended. Another flaw that I saw was that the story did not seem to tie in very well to the overall message of the story. However, the ultimate goal is to get the reader to read the essay in its' entirety, and I feel that it did an outstanding job in doing

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.