...Title: Evidence Based Practice in Nursing Name Course Tutor April 20th, 2013 Introduction The paper herein provides a critical discussion of evidence based practice (EBP) in nursing. It clearly elaborates on the meaning and definition of EBP as used by nurses as well as the importance of evidence based decision making as it relates to nursing care. It broadly examines the concept of EBP in nursing care and its relevance to nursing practice and to the delivery of quality patient care. Subsequently, the essay will also expound on the broad research methods that are used in evidence based nursing and conclusively show how this evidence can be applied in day to day health care practice. The Definition and Importance of EBP Evidence based practice in nursing has wide and varied definitions among the nurses in practice and in academic centres. However, the most generally accepted definition is the integration of the best research evidence with clinical expertise and patient values (Sacket et al., 2000). Van, Schoonhoven & Grol (2008 at p. 382) while citing Sacket et al., (2000), define evidence based nursing as the conscientious, explicit and judicious use of current best evidence available in making decisions that are pertinent to the care of individual patients. It is the optimal use of the available research evidence in nursing (Van, Schoonhoven & Grol, 2008). In other literature, evidence based practice (EBP), in nursing has been defined to mean the...
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...Inquiry into health care Assignment 1 This essay aims to thoroughly examine the importance of evidence-based practice within the health care setting. The use of evidence-based practice as a practical framework to locate, appraise and apply the best research will further discussed throughout this essay. In addition this essay will explore how health care professionals can use the five steps of evidence based practice (EBP) as a practical framework to overcoming barriers to locating, appraising and applying the best research evidence in relation to Occupational Health and Safety (OHS). The use of hand washing in relation to infection control will be the OHS area explored. Evidence based practice is a framework that involves an expert finding experimental evidence concerning the value of or effectiveness of altered treatment options, the significance of this evidence is then established in relation to the patients situation (Liamputtong, 2010).Evidence Based Practice generates the need for clinically vital information regarding clinical and health care issues (Liamputtong, 2010). This clinically vital information is gathered by altering evidence into answerable questions, once this information is gathered the appraised information will be put into clinical practice and evaluated based on performance (Liamputtong, 2010). The importance of the five steps of Evidence Based Practice is consistent and conclusive. Before EBP, clinical knowledge was primarily relied on in areas...
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...a need for scholarly inquiry and nursing research in order to maintain autonomy and distinction of the Nursing perspective separate from other disciplines. An editorial published in the Journal of Nursing Scholarship noted that “the distinguishing feature of a profession is how its practitioners use knowledge to make a difference” (Hegyvary, 2007). The evidence generated by Nursing scholars influences global health initiatives and policy worldwide. The need for field wide scholarly inquiry, the application of rigorous scientific standards to research, and the importance of stringent ethical and legal protection for research subjects has been the subject of numerous articles, books, and papers. The Nursing Profession has a responsibility to engage in scholarly research for many reasons that will be discussed in depth within this paper. Importance of Nursing Research to the Nursing Profession As noted in the introduction, in order to maintain its status as a unique, autonomous profession, Nursing as a field must continually refine and expand its scientific knowledge base. The AACN position statement summarizes the importance of research to the profession by stating “The essence of a discipline is its body of scientific knowledge, its system of values and ethics, and its societal worth” (AACN, 2006). It is important to firmly establish that Nursing is an independent profession and not a subset of Medicine. If Nursing were a subset of medicine it would stand to reason that the...
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...The Importance and Implications of Evidence Based Practice-Research Patricia Davis Immaculata University The Importance and Implications of Evidence Based Practice-Research Evidence based practice is a way of providing health care that is guided by incorporating current knowledge and clinical expertise. This research and resource information corrects clinical problems, application of quality interventions, and evaluates the outcomes for further improvements in the future. Evidence based practice is an approach that improves the impact of nursing, psychology and social work. It gives research the cause and effect that gives validity to the information. The purpose of evidence based practice is ensuring that patients receive the best quality care and keep nurses, nursing care, and knowledge up to date. The American Nurses Association (ANA) recognizes the importance of evidence based practice (EBP), and that it incorporates the registered nurse to integrate, participate in the formulation, and contribute to the knowledge of research to improve healthcare outcomes (ANA, 2010). Evidence based research results in favorable patient outcomes across various geographic locations. The impetus for evidence-based practice comes from decisions of efficacy, and healthcare facility pressures for cost containment. Evidence practice stresses changes in the education of students, more practice-relevant research, and closer working relationships between clinicians and researchers...
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...Evidence Based Practice Nursing Implications Evidence Based Practice Nursing Implications Evidence based practice has been changing the direction of care and clinical research with regards safety, patient centered, and cost efficient care delivered to patients. The purpose of this paper will show the importance of Evidence Based Research by defining this form of research and the importance of using the research to improve on nursing practice. It will also show research examples of qualitative and quantitative studies and how it would improve patient outcomes and nursing practice within the Neonatal Intensive Care Unit. Barriers will be discussed that prevent nursing from using and embracing the current research. Finally, the conclusions will summarize the main points of this paper. Importance of Evidence Based Research The importance of evidence based research is, and should, be the driving force on nursing practice to patients. It should go hand in hand with the critical thinking skills that nurses already have and use with regards to care. Evidence Based Research is important because it is an accumulation of information that forms clinical practice. Evidence based research incorporates the patient/family, cost, and safety of care to be delivered. It changes the care from; the way it was always done to the way research proves it should be done, which may still be the way it was always done. The difference is that the now the processes are backed by highly reviewed...
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...consensus reports and research to improve the nation’s health. The IOM also provides objective conclusions to questions of national health importance. The IOM is a committee that bases their decisions off of reviewed research and analysis that support their deliberations. The Health Professions Education report (IOM, 2003) forcefully impacted the health care profession we know today by making huge changes in the way we prepare our healthcare staff in both academics and clinical practice settings. These new standards included curriculum revisions focusing on evidence-based research and practice, as well as implementing new training programs for medical professionals currently in practice to reinforce or update their skills. Clinical education was urged to now revolve around The five core competencies listed below. Provide patient-centered care -be respectful of your patient’s values and beliefs, opinions, and expressed needs;be punctual to pain and suffering; deliver continuous care; listen to,educate, clearly inform, with, and educate patients; share decision making and plan of care management; and continue to advocate disease prevention, wellness, and promotion of healthy lifestyles, including a focus on population health. Work in interdisciplinary teams - cooperate with all, collaborate with all, communicate with all , and integrate care in teams to gain your patient’s trust. Employ evidence-based practice - utilize quality research with clinical examples and...
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...field of nursing research. Write 1–3 sentences in each cell of the table below to describe the importance, goal, or influence of each item. |Publications |First publication date and importance: | |Nursing Research |First Published: 1952 (Burns & Grove, 2007. p. 9) | | |Importance: | | |“Research conducted by the ANA and other specialty groups provided | | |the basis for nursing practice standards that currently guide | | |professional practice. The increase in research activity in the | | |1940’s prompted the first publication of Nursing Research” (Burns & | | |Grove, 2007, p. 9). | |Sigma Theta Tau Journal published by this organization is |First Published: 1967 (Burns & Grove, 2007. p. 10) | |now called Image—The Journal of Nursing Scholarship |Importance: | | ...
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...Future of Nursing Health care reform and technology are contributing factors affecting the future of nursing. The need to continue education for higher degree is becoming evident; nurses can no longer use the former mind- set traditional way to perform practice. Nurses need to be more flexible and be willing to incorporate new treatment options into their care. Nurses will continue to be guided by the use of nursing theories to promote quality care. Nurses need to become proactive in their education and in developing their leadership skills to remain competitive in their changing roles (Suhr, 2008). Evidence-Based Practice Historically, evidence based-practice (EBP) was used back to Florence Nightingale’s era and reinforced to current nursing practice. Nurses used to practice based on traditions and experiences by selecting nursing interventions to influence outcomes. Little scientific evidence supported clinical decision and expected outcomes during that time. EBP began to apply quality improvement studies to develop critical pathways and care in the early efforts to study interventions outcome (Mcdonald, 2001). “Evidence-Based Practice (EBP) combines information about the results of well-designed research, clinical expertise, patient concerns and patient preferences. EBP serves as the foundation in the form of a set of values, sources and criteria upon which to gain access to, select and critique knowledge for nursing practice” (Waite & Killian, 2010). Research...
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...of the importance of Evidenced-Based Practice (EBP), and how it ensures quality healthcare and positive patient outcomes. We will take a look at a simple procedure such as hand washing and show why it is an EBP protocol. Why Is Hand Washing So Important? Everyone in the world is responsible for good hand hygiene. As healthcare providers, it is important to teach our patience the importance of good hand hygiene to prevent spread of infection and or disease. By doing this, you are involving patients in their care and helping the greater cause of disease prevention. All healthcare facilities include hand hygiene protocols. Where I work, the hospital policy is that we wash our hands upon entering a patient’s room, put on gloves, remove gloves, wash hands upon leaving that patient’s room, then wash hand again upon entering the next patient’s room…and continue that routine with each patient. We were allowed to us hand sanitizer up to three times, in place of washing with soap and water, providing the patient is not on contact or any other special precautions. For the most part, most of do this, but I did not see everyone following this protocol, especially doctors. Most of the staff only use the sanitizer all of the time. The only time hand washing protocol seems to be followed fully is when I witness sterile procedures. This is a problem and causes increased occurrence of healthcare associated infections (HAIs), but it is difficult to ensure healthcare staff practice proper...
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...Evidence Based Nursing Practice: Pressure Ulcers Jane Smith Research and Scholarship for Evidence-Based Practice March 10, 2010 Evidence-Based Nursing Practice: Pressure Ulcers The primary goals for conducting nursing research are to generate new knowledge to promote positive outcomes for patients, enhance quality and cost-effectiveness of care, improve the healthcare delivery system, and validate the credibility of the nursing profession through evidence-based practice (Schmidt & Brown, 2012). The purpose of this paper is to explore the practice-related problem of pressure ulcers and the importance of the problem in the nursing profession. Practice Setting Problem Pressure ulcers are a serious concern in caring for adults in all types of settings (Stotts & Gunningberg, 2007). I have personally observed and cared for numerous patients with debilitating, painful decubitus wounds to their bodies both in long-term care and acute care settings. I will never forget a patient that I took care of at a long-term care facility; even after pain medications she would plead that she would rather die than have me change her pressure ulcer dressing. It is heartbreaking to know that the majority of these pressure ulcers could have been prevented had the correct measures taken place. It is essential for all healthcare providers to examine and explore the evidence based guidelines and information regarding pressure ulcers...
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...describe the importance, goal, or influence of each item. Publications | First publication date and importance: | Nursing Research | First published: “1952” (Burns &Grove, 2011, p. 11). Importance: To report finding by using clinical research in health and illness (“Nursing Research”, 2012). | Sigma Theta Tau Journal published by this organization is now called Image—The Journal of Nursing Scholarship | First published: “1967” (Burns &Grove, 2011, p. 11). Importance: To provide information based on research improve nursing care to people worldwide (“Journal Of Nursing Scholarship”, 1999-2012). | Research in Nursing and Health | First published: “1978”(Burns &Grove, 2011, p. 11). Importance: A research journal to provide nursing and health care providers theories and research to improve health care (“Research In Nursing And Health”, 2000-2012). | Western Journal of Nursing Research | First published: 1979 (Burns &Grove, 2011, p. 11).Importance: The Western Journal of Nursing Research circulates information on research, debates, and books. It also maintains ongoing debates related to nursing (“Western Journal of Nursing”, 2012). | Scholarly Inquiry for Nursing Practice | First published: 1987 (Burns &Grove, 2011, p. 11).Importance: It provides research findings to improve nursing practice, education, and patient outcomes. It is currently known as Research and Theory for Nursing Practice (“Research And Theory For Nursing Practice”, 2012). | ...
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...Chapter 17- Evidence-based practice in therapeutic health care Objective: What evidence-based practice is About a 5-step approach to evidence-based practice To discuss evidence hierarchies and evidence quality To apply the evidence to current practice To provide a case study for a therapy question To provide a case study for a diagnostic question Key terms: Clinical practice guidelines Evidence-based practice Randomised controlled trial Systematic review Evidence-based practice: the use of best research evidence, along with clinical expertise, available resources and the patient's preferences to determine the optimal management option in a specific situation. Randomised controlled trail: a clinical trail where participants are randomly assigned to groups in order to receive different interventions. This randomization removes many of the effects that may bias the true result. Systematic review: a comprehensive identification and synthesis of the available literature on a specified topic. Clinical practice guidelines: systematically developed statements that assist the health professional and the patient to make decisions about what is the appropriate health care in specific circumstances. Critical summaries (systemic reviews and clinical practice guidelines) now provide practitioners with readily accessible access to research evidence. The availability of theses documents on the web means that patients have almost as much access to the 'critical...
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...appropriate in predicting the 30-day readmission rates, although using a combination of the models was an improvement to that predictor. The authors are all physicians, PhDs, or have a Master’s degree- helping to establish credibility. The authors also make a statement as to the funding of the project and that they (the authors) were solely responsible for all data collection, design and submission approval writing for the project, also lending credibility to the study. The references used for this study were appropriate in age, of the 28; 13 were within the last five years. Statistical data was gathered by experts and calculations made through third party experts, lending validity to the study. This article does not use the words ‘Evidence-Based Practice’ (EBP), but the CMC model is an EBP model, and many of the newer references make note to EBP. Although this was an interesting article, I may not use this in my final project. I...
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...country saw a new Affordable Health Care Act 2010 which cited numerous responsibilities and accountabilities on healthcare professionals. The nurses and physicians are warranted to generate a system that is more patient-centered and provide the optimal level of care. The IOM report “The future of nursing: Leading change, Advancing health”, summarizes the significance of changing nursing practice in numerous arenas to encounter distinctive needs of clients by executing the highest level of excellent care. The last few decades have witnessed nursing role evolving significantly and becoming integral part of the healthcare system. The IOM report has a remarkable influence on the nursing future. The IOM report released by the national academics of science lays utmost importance on the potential theory and uses evidence-based practice in order to improve the safety and quality of care rendered in the health care setting. In this paper, we will discuss the effect of IOM report on the various arenas of nursing practice, education, leadership, and management. The technology has changed our lives significantly and nursing is no exception to it. The modern technology has brought in many changes in nursing and healthcare system. The nursing have seen numerous changes and will continue to grow in near future. In the healthcare industry, the technology has been instrumental in reducing medical errors and enhance client safety. According to IOM.” Changes in health care necessitates the system...
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...replace the professional level of nursing education. The ADN program require about 2 yrs for the student to complete. The Adn nurses are associate degree in nursing, ADN nurses have clinical skills and hands on basic skills but they lack both management and leadership skills with in the nursing field. Additionally they lack research skills used in nursing as well as knowledge on informatics the use of technological advances in enhancing quality medical delivery. ADN gives you the fundamentals of nursing practices. They basic theory, skills, competencies knowledge of scope of practice and legalities for licensure and the essential general education core that is necessary as a foundation [English, psychology, biology chemistry, anatomy and physiology , etc].it gives you the bare minimum knowledge required to pass the Nclex licensure exam.ADN nurses not able to neither make technical decisions nor carry out research. BSN is knowledge theory research based and the emphasis is on the entire picture of the field of nursing exposing the nurse to human diversity and global perspective ethical, legal, political , historical and social influences using liberal art including biblical...
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