...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 Practices Abstract Quality nursing and outcomes have a strong correlation with evidence based practices, a model that guides patient provider decision making and health care. Evidence based practices uses contentious and judicious use of current best evidence in decision making about the care of individual patients. Strong nursing and organizational leadership is needed to invest in nurses ability and the resources to facilitate evidence based practices. With business principles applied to quality health care the return on investment can increase revenues, saving costs, increases patient safety, and achieves the highest quality care. Keywords: clinical decision making, patient safety, best health care outcomes Evidence Based Practices in Nursing Evidence based practices occurs in many disciplines but most recently it has occurred in the discipline of nursing. Evidence based practices helps to identify and recognize the best health outcomes for patients and their families obtained through clinical expertise and best scientific evidences. Health care professionals are constantly asking questions in regards to health care practices in regards to how and why practices are being performed the way they are. Health care professionals want to know if the way they are caring for a patient is the best way or is there another method that is more effective. In a dynamic health care setting these questions are being asked to ensure quality care and safety for patients...
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...Evidence-Based Practices in Nursing Evidence-based practice can be defined as any research done whose findings enhance the ability to make better decisions regarding health care. (effective healthcare) There have been countless studies done on a multitude of topics. All of this research has led to more effective treatment and better outcomes for patients. An example of an evidence-based project performed in 2014 is one on catheter associated urinary tract infections.(Clagg) This is an immense problem in hospital and nursing home settings. There are many ways we can examine this study to see how the nurses involved with these particular patients can decrease the risk of these infections. Patients admitted in the hospital are much easier to do this type of evidence based research on due to availability of data. In the hospital, the nurse can monitor the patient’s intake and output, the color of the patient’s urine, and whether or not it has any odor or sediment.(Clagg) This research may also be done in a nursing home setting with twenty-four hour nursing care. This type of research would be difficult in the patient who was at home with a Foley catheter without having a home health nurse multiple times per day. The steps of the nursing process closely relate to evidence-based practice. This is because the nursing process is designed to deliver complete care. The nurse taking care of the patient must evaluate the patient’s needs based on subjective and objective data, develop...
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...Findings from a variety of research support that EBP improves the quality of care, patient satisfaction, enhances health outcomes, and reduces costs (Melnyk & Fineout-Overholt, 2015). The use of evidence-based practice has a significant impact in reducing cost in the health care system, in contrast to using outdated practices and policies. (Saba, V. K. & McCormick, K. A., 2011). Implementation of EBP benefits nurses since they would use their resources effectively and methodically instead of being wasted in the trying to provide competent client care with unsupported traditions. (Hanberg & Brwon, 2006). EBP has been recognized as a crucial factor in meeting the Triple Aim in healthcare, which are enhancing the patient experience,...
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...Running head: EVIDENCE-BASED NURSING PRACTICE Evidence-Based Nursing Practice Karen Medley Walden University NURS 4000 Section 05, Research and Scholarship for Evidence-Based Practice) July 22, 2012 Abstract For patients that have indwelling catheters, with the evidence-based practice and standards of care, UTI’s does still continue to be an ongoing problem today. In one of the large hospitals in my area had recently developed a poster and video approach with special focus on alternatives to urinary catheterization, removing catheters early, and the reinforcement of sterile technique prior insertion and foley catheter care were used to educate nursing staff and improve outcomes. The purpose of this paper is to educate nursing on how to be proactive with this issue and to inform the providers when there is no further need for the catheters to reduce infections in patients. Practice setting problem Urinary tract infections (UTIs) account for approximately 35% of nosocomial infections but are the lowest in mortality and cost (Burke, 2003). Patients with UTIs as a secondary diagnosis have an average length of stay of 9.1 days versus those without a urinary catheter of 4.7 days. As individuals live longer, the probability of them being hospitalized and requiring specialized care services is increased (Hobbs, 2001). Hospitalization of any aged person increases the risk for them to have a urinary indwelling catheter, which predisposes them to a nosocomial urinary tract infection...
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...Evidence based practice (EBP) has being the pillar of effective nursing practice, leading to improved patient outcomes and quality of life. Nursing as a profession incorporates research, patients’ values, and clinical expertise into practice and process. Middle-range concept is an uncomplicated concept that provides nurses with accurate actions or interventions, and is easily understood, the best part is that is scientifically competence. The purpose of middle range concept is to produce evidence-based practice by developing on the jobs of other concepts and directly related to a pattern through practice and research. Clinical nurses find middle range concept directly pertinent to nursing care, because the scope is narrow and it is cost effective...
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...Evidence based practice (EBP) is the judgment of current situation in making decisions for the care of an individual. Basically, evidence based practice is the information which can be helpful to improve the care of other individuals in similar situations. There are many different techniques and skills that have been changed by evidence based practice. one of the related situations in my experience is skin to skin contact of a new born with parents. This action takes place right after the delivery of the newborn. Through years, research has shown that this action improves the health condition of the new born in both physical and psychological aspects. Nurses play an important role in educating and encouraging the patient regarding this action....
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...Evidence based-practice (EBP) in nursing can be defined as a systematic, calculated series of interventions and actions employed by health care providers in order to deliver effective care. The goal of EBP is to improve processes in caregiving, sustain positive patient outcomes and inform best practices (Stevens, 2013). Two examples of areas in nursing practice which has improved care outcomes after employing evidence-based practices are prevention of surgical site infection programs and utilization of a surgical checklist to prevent wrong site surgeries. Infection control program to prevent surgical wound infection Surgical site infections (SSI) are serious complications occurring in procedural areas. At best, unplanned antibiotic therapy...
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...Module 2 Assignment 2 Brooke Gaillard UNA Evidence Based Practice and Nursing Scholarship NU-615 Dr. Michelle Nelson February 15, 2018 Module 2 Assignment 2 After reviewing past studies, I have found that the laparoscopic gastric sleeve surgery has been beneficial in some obese patients. The gastric bypass has shown to lower blood sugar levels, improve blood pressure and cholesterol levels, help with joint pain, and help with sleep apnea. Bariatric patients can also be affected psychologically. I have seen were the gastric sleeve bypass surgery has improved bariatric patient’s quality of life and boosted their self confidence. Those who see successful results after have the gastric sleeve surgery don’t feel embarrassed to go out in public anymore and can participate in activities they...
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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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...enhance the quality of care the nurse must be able to put knowledge into action. Therefore, all evidence-based nursing practices first began as theories. Nevertheless, Taylor (2007) explains nursing professors often find it difficult to translate didactic lecturing knowledge into clinical practice for the students (Chan et al., 2011, p. 1139). Nurses work in a complex setting and the scenarios are fluid at times. Moreover, the clinical setting may differ slightly from the information delivered in lecture and the textbook and applying nursing theories to practice presents a challenge for some students and instructors. However, application of nursing knowledge gained from the classroom to clinical instruction is a major focus of the student (Chan et al., 2011, p. 1047). Chan et al. (2011), believes that clinical instructors need more development with integrating the clinical practice, critical thinking skills and nursing process or problem-solving skills (p. 1047). There’s no one solution to caring for individuals with compromised health issues. According to Rich and Butts (2018), theory and practice are inseparable; they used an analogy of a human without a...
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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 and Applied Nursing Research Joyce Windham Western Governors University Article Larson, E., Quiros, D., Lin, S. (2007). Dissemination of the CDC’s Hand Hygiene Guidelines and Impact on Infection Rates. American Journal Infection Control, 35, 666-675. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2137889. Graphic BackgroundInformation|This study examines the implementation of the Center for Disease Control and Prevention (CDC) hand hygiene guidelines and analyzes whether compliance impacts patient outcomes, especially hospital acquired infections (HAI). The correlation of hand hygiene (HH) and HAI is very well described in this study. Rates for HAI were determined both pre and post implementation of the guidelines. A structural abstract is included with this study. There is an introduction which explains the intent of the study is to and examine how the CDC guidelines are implemented, the compliance rates for HH and how that relates to HAI rates.| Review of Literature|There have been numerous clinical practice guidelines by federal and professional organizations which were intended to improve quality of patient care and minimize variances in clinical practices. There have been three versions of the HH guidelines with the last version in 2002. There have been few studies done to correlate the practices of HH with HAI rates. This study was conducted in 2007 but is still relevant today. Compliance with HH guidelines...
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...Reflection Essay Nursing Ethics and Evidence-Based Practice Rachel Lutz Professional Nursing December 10, 2010 Throughout this course I have been able educate myself on many areas of nursing that involve more than just patient care. One area that I found particularly interesting was ethical principlism. Ethical principlism involves using a set of ethical principles to provide framework that will support moral behavior and decision making while caring for patients. (Masters, 2009, p.92) There are four principles that define this idea. These include autonomy, beneficence, nonmaleficence, and justice. Both beneficence and nonmaleficence go hand in hand to show how nurses truly work for the good of the patient. Beneficence involves nurses taking action to promote well being for their patients. While nonmaleficence teaches nurses to refrain from certain actions that could cause harm. (Masters, 2009 p. 93) I believe that these concepts are very important in nursing. One must be able to understand that caring for a patient is more than acquiring skills. You need to have compassion and love in the care you provide. Nursing must be more than just a job. If the desire to help the patient is not present, the ability for the nurse to make the proper judgments can be skewed. Patient advocacy is a key requirement for a nurse. It is important that nurses are able to be taught ethical principles that will guide their thinking toward the good of the patient. Masters describes...
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...Evidence Based Practice: Nursing Care of Infants Affected by Heroin Abuse Christina Anderson Cochise College Lisa Benson February 16, 2011 Evidence Based Practice: Nursing Care of Infants Affected by Heroin Abuse According to Wang (2010), the prevalence of prenatally exposed newborns to one or more illicit drugs averages approximately 5.5 percent. Substance abuse during pregnancy can negatively affect the fetus and neonate. According to the National Drug Intelligence Center (n.d.), heroin is a highly addictive and rapidly acting opiate that is produced from morphine. According to Murray & McKinney (2010), the signs and symptoms observed in the neonate will be different depending on the type of drug used by the mother, but common signs seen in a neonate experiencing neonatal abstinence syndrome include: irritability, jitteriness, diarrhea, frequent regurgitation, and tachypnea. In cases where heroin is used, these signs and symptoms most commonly become apparent 1 and 144 hours after birth, and may last from 7 to 20 days (Cloherty, Eichenwald, & Stark, 2008). Nursing Diagnosis An appropriate nursing diagnosis for an infant experiencing withdrawal from heroin would be disturbed sensory perception related to altered sensory reception as manifested by irritability, jitteriness, and restlessness (Ackley & Ladwig, 2008; Cloherty, et al., 2008). This disturbed sensory perception could exacerbate the infant’s already increased heart rate, respiratory rate, and fluid loss...
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