...Evidence based practice is utilizing the managers knowledge and utilizing the research that is available in making progress on the improvement of patient care. When using evidence based practices you always want to utilize the patients experiences while in the health care facility because they are the consumer and need to be satisfied with the care given (UNC, 2015). When utilizing evidence based practices in a clinical setting can be hard and cause rifts in the employee satisfaction but utilizing evidence based practices can improve the results for patient outcomes, ensure the care given to patients are standard across the health care industry and lower costs of the care being provided to the patients. Utilizing evidence based evidence to improve patient care and decide what new practices can be utilized within the health care facility can make it possible for your facility to participate in a very competitive market in health care services (Spruce, 2015). Health care is going from ensuring...
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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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...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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...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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...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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...Evidence Based Policing Criminology Professor Currie Gauvreau Strayer University Brandy Gates February 17, 2012 Evidence-based policing is generally defined as the use of best available research to affect the outcomes of the work of policemen. It also refers to the methods undertaken with respect to the implementation of guidelines, the evaluation of units, officers and agencies. In a nutshell, evidence-based policing refers to the use of research in order to properly guide the practice of the practitioners and to evaluate them (Dempsey & Forst, 2011). Evidence-based policing thus gives paramount importance to the use of the best evidence so as to significantly affect best practice. In this sense, evidence-based policing attempts to eliminate unsystematic experience as the most common basis used for police work (Waring & Weisburd, 2002). There have been numerous attempts that are aimed towards the improvement of policing. Many researchers have already claimed that most police work transcends beyond calling their emergency number. In this sense, it has been suggested that various guidelines be implemented in order to ensure the transformation of police institutions, making them more reflexive and smart (Dempsey & Forst, 2011). The concept of evidence-based policing therefore eliminates the reliance on someone’s past and activities in order to solve a crime. Instead, evidence-based policing, as its name suggests, highlights the importance of proper...
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...Implementation of Evidence-Based Practice Sheila Wright Submitted to Sharon Mooney, RN, MSN in partial fulfillment of NR 460R Evidence-Based Practice in Nursing Regis University April 9, 2010 Implementation of Evidence-Based Practice Throughout history, nursing practice has experienced change. Florence Nightingale initiated the greatest change in nursing in the mid-1800’s when she gathered data regarding the morbidity and mortality of soldiers (Chitty & Black, 2007). Nightingale recognized there was a need for change to improve patient outcomes. Her determination to provide the best possible care, based on the evidence she gathered, has inspired a profession. Today, the process of using research to care for patients is referred to as evidence-based practice. The purpose of this paper is to define and explain the importance of evidence-based practice, discuss qualitative and quantitative research studies which affect medical-surgical areas, and barriers preventing research utilization and how they may be overcome. Definition of Evidence-Based Practice There are numerous definitions of evidence-based practice (EBP). EBP is defined by Boswell and Cannon (2007) as, “A research-based, decision-making process used to guide the delivery of holistic patient care by nurses” (p. 340). Cope (as cited in Chitty & Black, 2007), defines EBP as “using the best available research findings to make clinical decisions that are most effective and beneficial for patients”...
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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 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 outcomes and patient opinions and beliefs for...
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...current influences of research utilization in practice The use of research-based practice has helped establish nursing as a profession and preserved its credibility. It is imperative for current nurses to utilize research in their practice. Although the use of research-based practice has grown, there are many barriers described by nurses as to why it is not always incorporated into practice. Responses as to why it is not always used include, “a lack of awareness of relevant research findings, lack of knowledge of the research process and the skills to access, understand, critically evaluate and implement research findings, insufficient time to read, evaluate and implement research findings and not enough support from the organization and from other healthcare professionals as well as a lack of autonomy and authority to change practice” ("Use of research findings in nursing practice | Practice | Nursing Times," 2007). With all of the research conducted in the nursing field, it is imperative to educate nurses on the importance of its use. Not only will the use of research improve the care for our patients, but also the quality of the care received. Quality of care is of great importance in the medical field, with insurance providers requiring evidence-based practices for reimbursement purposes it should be top priority for facilities to provide the appropriate resources necessary for research to be applied. Where research is being used, evidence as to the effectiveness of treatments and...
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...The use of Evidence-Based Practice by qualified practitioners will imply the correlation usage of a more systematic practice able to recognize and evaluate individual patients in an accurate way. It refers to the best evidence formulating a clinical assessment parallel to the best possible expertise, and answering to all the client´s expectations when getting a treatment. Sherman (1998) describes, for example, the inherent rules in Evidence-Based Practice coming from the best available research for important outcomes in the guidelines, evaluation of certain agencies, units and even officers, as in the case of forensic psychologists and police crime- investigators forces, as well as, in the medical setting. Now, when we talk about Practice-Based Practice, in reality we are talking about When suggesting a...
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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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...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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...have learned, evidence-based practice is the gold standard for guiding nursing policies that result in quality care and best patient outcomes. Unfortunately, despite significant evidence supporting the need for practice change, many barriers exist that prevent integrating evidence into practice. According to Schmidt and Brown (2012), using research, nurses have a direct role in contributing to evidence-based practice changes. When a discrepancy is identified between a care standard and nursing practice, resulting in negative patient outcomes, nurses have a responsibility to take actions to change the practice. When investigating a discrepancy, nurses utilize existing evidence and research to shape new policies supported by scientific evidence. Schmidt and Brown explain that Roger’s model of diffusion mirrors the process in which evidence-based practice originates in small institutions and eventually diffuses into standards of care. According to these authors, evidence-based practice is cultivated and supported at five levels: by the individual nurse, the healthcare institution, and at the regional, national, and international levels. By involving participation at all five levels, evidence-based practice changes can be implemented and supported. The change process involved in creating policies supported by evidence is often time consuming and complex. After compiling evidence supporting the practice change, incorporating this evidence into practice and implementing...
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