...In Australia, Evidence-based practice (EBP) has been educated as nursing pre-registration requirements for registration, since EBP is recognized as the gold standard for quality healthcare over the past decade (Linton & Prasun, 2013; Leung, Trevena & Waters, 2016). Every day, nurses need to make a huge amount of decisions about patients’ care and procedures. However, the Nursing and Midwifery Board of Australia (NMBA) publishes the Registered nurse standards for practice 1.1, which requires the registered nurse to access, analyse and use the EBP for safe quality practice (NMBA, 2016). This essay will discuss that nurses are expected to be at the forefront of implementing EBP into clinical practice. Furthermore, it will also discuss an opposing...
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...BENEFITS OF EVIBENCE BASED PRACTICE According to a stimulation analysis (Hovmand &Gillespie (2010) adoption and implementation of EBP improved the organizational performance by utilizing highly reliable services and efficient clinical interventions. EBP has been supported by an electronic clinical procedural resource which helps in standardization of care and annual cost savings (Schoville et al., 2014).This electronic reference tool gives you efficient reference in no time and improves bedside patient care and safety. By using updated evidences the clinical experts save time since there is no need for written policies and procedures. An overview of costs and savings analysis explained an apparent savings of $360,899 annually....
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...Paige Weber Overcoming Barriers In Evidence-Based Practice University of Louisiana at Lafayette Overcoming Barriers in Evidence-Based Practice All healthcare organizations will experience some kind of change over time. When it comes to using evidence- based practice within a healthcare system, deciding on what to implement is the easy part. The hard part is implementing the practice and making it stick. There are many barriers for why implementing EBP is not easily attainable by nurses. Some of these barriers include, "lack of time, lack of value placed on research in practice, lack of knowledge about EBP, lack of technical skills to find evidence, lack of resource to access evidence, lack of ability to read research, resistance to change, and lack of organizational support for EBP” (Schmidt & Brown, 2015, p. 10-11). Personal Barriers A barrier that I can personally relate to is the resistance to change barrier. While orienting to a new job in labor and delivery, I was paired with a preceptor who was a far more experienced nurse than I was. She taught me the ins and outs of labor and delivery, as well as, explained to me why things are done the way they are done. Since she started as a labor and delivery nurse, there has been more research and more evidence-based practice strategies that have come out. My preceptor was resistant to these practices. She felt like there was no reason she should change the way she did certain things. Because she was resistant to change, I felt...
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...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 where minimal research...
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...Core Competency: Evidenced-Based Practic C 08/13 Evidenced-Based Practice is ”the practice of nursing in which the nurse makes clinical decisions on the basis of the best available current research evidence, his or her own clinical expertise, and the needs and preferences of the patient.” (Mosby, 2009, p. 677). Utilizing Evidenced Based Practice is a way to give the best, most effective care to patients. This paper will discuss methods and results of a study and how the results were obtained. Next, I will discuss possible barriers to EBP, and ways to overcome these barriers; and finally, facilitators to EBP. The study that was used was “Clinical Nurse Specialists’ Approaches in Selecting and Using Evidence to Improve Practice.” The purpose of this study was to determine the method that CNS use to incorporate evidence in everyday practice. The method was a telephone survey with a 75% response rate. journals, internet, and online research data bases rather than their peers and experiences. The study also pointed out downfalls or barriers to EBP including financial resources and resistant organizational culture (Profetto-McGrath, Negrin, Hugo & Smith, 2010, p. 38). Although Evidenced-Based Practice is beneficial for improved patient care and outcomes, there are some barriers to using this source. First there is inadequate research that is up to date with some of the more complicated problems, studies that are not complete or hard to read and understand, and studies...
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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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...Reflective Practice – Part A Originally reflective practice was commonly used to deal with well documented problems in professional practice. However the use of reflective practice has made a shift to also be used in main stream educational practice. (Bradury et al. 2009) This then makes it credible to use reflective practice to assess my progress so far at university. I will do this by sing Driscoll model of reflection (by Barton) model of reflection that I undertook in class. Using Driscoll ‘What?’ ‘So what?’ Now what? Reflection model, along with headstart I identified potential weaknesses that could hinder my university study. After completing headstart it was apparent what my ‘what?’ was ‘writing in higher education’ came up as something...
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...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. The evidence based practice...
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...Valley College Tracheostomy Care In this paper I will compare and contrast between EBP (evidence based practice) and SCVMC’s (Santa Clara Valley Medical) policy regarding tracheostomy care/suctioning. Current EBP states that “the patient's respiratory status must remain the focus, and no set schedule should exist for tracheostomy suctioning” (Schreiber 123). SCVMC’s policy states that RN’s (registered nurses) and LVN’s (licensed vocational nurses) should suction tracheostomies depending on the doctors’ orders and as needed by the patient based on assessment/status. All in all, SCVMC’s policy does principally coincide with the current EBP discussed in this paper, which would aid in providing...
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...Evidence Based Practice & Pressure Ulcers Matthew Slawter Chamberlain College of Nursing NR451 RN Capstone Course November 2014 Evidence Based Practice & Pressure Ulcers Evidence based practice (EBP) gives nurses a method to use critical appraised data and scientific evidence that is proven to confirm the delivery of quality health care to a patient population. Pressure ulcer prevention continues to be a major and growing concern among todays patients and healthcare providers. This problem is a concern because prevention of pressure ulcers can be accomplished through good skincare techniques and increased education of nurses. The field of nursing along with the healthcare industry can benefit from simply decreased the occurrence of pressure ulcers. The general purpose of this proposal is to determine if the value nurses place on skincare and pressure ulcer prevention can decrease the incidence pressure ulcers. Change Model Overview The John Hopkins Nursing Evidence-Based Practice Process is simply related to the complex challenges organizations and nurses face with the implementation of evidence-based practice and translation. Furthermore, this process provides guidelines for managing the process, structure, and evidence translation among various healthcare settings and outcomes of EBP projects. Nurses should use this process as a guide to facilitate change as it suggest leadership and planning for EBP measurement, identification, evaluation and monitoring...
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...Evidence to Action: A Model Analysis Tera J. Gwaldis, RN St. Johns River State College July 8, 2015 Discussion In order to understand evidence-based practice (EBP), it is important to recognize that EBP is detrimental to the quality improvement of patient outcomes while also helping to control the cost of health care. EBP is an approach to problem-solving and clinical decision- making that incorporates the best available evidence from well-designed studies based on clinician experiences and patients’ principles, values and preferences (Melnyk & Fineout-Overholt, 2015). The assessment of the effectiveness of EBP models can help to decide which models would be most practical and applicable to the actual practice setting. The Iowa Model of Evidence-Based Practice stands out as a model that will be carefully deliberated for the reason that it can be used successfully to initiate a practice change at the unit and organizational levels. The Iowa model is used throughout a multitude of clinical and academic settings. This model merges research utilization and quality improvement using processes that are innately clear and logical to nurses and is unique in that it uses the concept of “triggers” meaning that evidence-based practice may possibly be prompted by either facts or data from an outside organization, or by specific clinical problems (Brown, 2014). The Ace model uses an interdisciplinary approach for conveying knowledge for use in healthcare and nursing practice...
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...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 allows nurses to assess the value of the most current practices and the possible contribution to patient outcomes and professional service delivery by enhancing and incorporating best practices to the concept of EBP. Advancing and fostering...
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...Evidence-based practice (EBP) has been defined as the unification of the best existing data from a wide variety of sources, including investigative studies, clinical experience and expertise, and patient preferences to guide healthcare decisions and formulate plans of care (Missal, Schafer, Halm, & Schaffer, 2010). In community-oriented nursing, the focus is on the delivery of services and interventions to a population or group of individuals (Stanhope & Lancaster, 2014). In essence, a nurse’s knowledge of the community, as evidenced by the awareness and inclusion of community values and beliefs in healthcare strategies, is an integral component of EBP. Knowledge of the community and its defining characteristics and needs is essential to the successful translation of EBP from theory into reality. The healthcare team and the target community must possess a common vision with equivalent goals and priorities. Incongruent objectives ultimately hinder the implementation and sustainability of EBP (Kilbourne et al., 2012). For example, a community health initiative that aims to reduce risk factors for heart disease may not be well received if the principal concern of the community is access to potable water. Even though the initiative may have been formulated within the context of EBP, it may fail as the community attributes greater value to clean drinking water than reducing heart disease. According to Layde et al. (2012), it is not uncommon for community health initiatives...
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...Explain how evidence-based practice is utilized in your current or previous professional setting facility. As I read the article titled, “Evidence-Based Practice in Nursing”, it sets the tone and tenor to the nursing profession to include “careful review of research findings according to guidelines that nurse scholars have used to measure the merit of study or group of studies” (Mc Ewen & Wills, 2011). The one that stood out and best fit the practice at the Veteran Hospital Administration was well-defined by Miller, Ward, Young (2010) by stating” EBP, “is the process by which nurses make clinical decisions using the best available research evidence, their clinical expertise and the health care preferences of their clients”. The Veteran Hospital...
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...education, informatics, practice, and administration (Polit & Beck, 2012). Research validates the knowledge and information that helps nurses to make necessary decisions and take actions. Research in nursing began with the efforts of Florence Nightingale when she collected information and came up with the analysis of factors affecting soldier’s mortality during Crimean war. Thorough analysis helped to make significant changes in nursing practice and care, and awareness to public. Since then, nursing has come long way in the field of research and its application to the nursing profession (Polit & Beck, 2012). Research utilization (RU) became famous in 1980 when the changes to nursing education and research were impelled by the need to develop knowledge for nursing practice. Research utilization uses findings from one or more studies and translates into new knowledge that can be used in the real world. Research utilization begins with research of new knowledge and inventions that is later used for practice. Estabrooks (1999) identified three distinct types of research utilization. The indirect RU involves changes in nurses’ thinking; direct RU involves the use of findings in direct patient care, and persuasive RU involves the use of finding to persuade others especially in decision-making. RU had impact on the nursing profession till 1990, but later evidence-based practice became more prominent in research and practice (Polit & Beck, 2012). Evidence-base Practice (EBP) and research utilization...
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