...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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...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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...EVIDENCE BASED PRACTICE BENCY GNANASIGHAMANI AMERICAN SENTINEL UNIVERSITY Introduction Medical and health care is one of the most dynamic human disciplines, and large amounts of money are spent annually on high-quality and sophisticated research, resulting in an exponential growth in health care literature. Regularly, new and more effective medicines, medical devices, and procedures are invented. One major objective behind all these efforts is to help doctors, nurses, and medical technicians provide the best possible care and treatment to patients. In addition to using traditional and well-established procedures and practices, health care practitioners are adopting innovative interventions that are based on best practices as well as solid research-based evidence. Evidence-based practice is one such technique and is quickly gaining popularity due to its potential to effectively handle clinical issues and provide better patient care (ANA 2003). Implementation of Evidence Based Practice places additional demands on nurses to apply credible evidence to individual client situations through searching related evidence, using clinical judgments, and considering client values and system resources. To effectively apply the Evidence Based Practice process, in addition to the basic skills required to undertake nursing work, a nurse must have the ability to: identify knowledge gaps, formulate relevant questions, conduct an efficient...
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...Evidence-based practice has gained particular salience in nursing and health care and is also applicable to social practice.(Photo: Medioimages/Photodisc/Photodisc/Getty Images) In theory, practice and theory are the same. In practice, they are not. Evidence-based practice has gained prominence over more theoretical approaches in several areas, particularly in the field of health care. Theory-guided and evidence-based practice share the common goal of making the right decision and finding the most effective solution for a perceived problem. However, they have some core philosophical differences. Sponsored Links * Full-Text Journal Library Browse millions of journal articles from top academic publications. www.questia.com/Journals Features Greek philosopher(Photo: Maros Markovic/iStock/Getty Images) At its core, the divide between evidence-based practice and theory-guided practice can be traced back to an ancient divide often found in science and philosophy: That of rationalism versus empiricism. Extreme rationalists claim that our senses are limited and place all their trust in reason. In contrast, empiricists claim that sense experience is the source of all our concepts and knowledge. While their positions are not so extreme, theory-guided practice follows a rather rationalist approach, while evidence-based practice favor empirical knowledge. Read more : http://www.ehow.com/about_6646089_difference-practice-evidence-based-practice.html The movement for evidence-based...
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...Teachers and school leaders: making a difference through evidence-based practice A research paper for ACT Government schools ISBN 978-0-9757487-4-9 © Australian Capital Territory, Canberra 2007 Apart from any use as permitted under the Copyright ACT 1968, no part may be reproduced by any process without written permission from the ACT Department of Education and Training, ACT Government, PO Box 1584, Tuggeranong ACT 2901. Produced for the ACT Department of Education and Training by the Measurement, Monitoring and Reporting Directorate. Telephone: Canberra 6205 9214 Fax: Canberra 6205 8353 ACT Government Homepage address 2 Introduction The purpose of this paper is to provide a research base for the ACT Department of Education and Training’s discussion paper for ACT government school teachers: Teachers and school leaders: making a difference through evidence-based practice. Evidence-based practice is defined as the collection and analysis of relevant data and research and the application of this evidence to teaching and learning and to whole school improvement. The conceptual framework of the School Excellence Initiative underpins the paper. This places student achievement and learning at the centre of any discussion. In the research literature, there are many, often contradictory definitions of data, information and knowledge. This paper will use ‘data’ as a collective (singular) noun and define terms as follows: • data: a collection...
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...HPNA Position Statement Evidence-Based Practice Background Increased attention is being directed toward the development of methods that can provide valid and reliable information about what works best in healthcare. The careful scientific evaluation of clinical practice became a prominent focus during the second half of the 20th century.1 More recently, attention has been paid to methods of determining which of multiple proven approaches to a healthcare problem works best for which patients.2 Evidence-based practice encompasses implementing the best-known practices into the clinical setting using a scientific approach. It evolved from evidence-based medicine, which was developed in Canada to teach medical students. “Evidence-based medicine has been defined as the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.”3, p. 3 The National Quality Forum’s report A National Framework and Preferred Practices for Palliative and Hospice Care Quality is a consensus report that is a first step toward introducing evidence-based measures into palliative practice on a formal, national level.4 The Agency for Healthcare Research and Quality (AHRQ) supports organizations in their efforts to improve the quality and efficiency of healthcare by facilitating the use of evidence-based research findings in clinical practice.5 The nursing discipline has also embraced evidence-based practice over the past 25 years, initially through...
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...areas of nursing practice, which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles. NRS-433V Module 1 DQ 2 What similarities and differences can you identify between the nursing process and the research process? NRS-433V Module 2 DQ 1 The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature. NRS-433V Module 2 DQ 2 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Why should it be studied? Justify your rationale. NRS-433V Module 3 DQ 1 The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. What are the differences and similarities between two of the three types of studies? NRS-433V Module 3 DQ 2 Qualitative data has been described as voluminous and sometimes overwhelming to the researcher. In what ways could a researcher manage and organize the data? NRS-433V Module 4 DQ 1 Extraneous variables may have an influence on the dependent variable. In what ways do researchers...
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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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...Barriers to Using Evidence-Based Medicine Melanie Ossman Granite State College Professor Philip Wyzik HLTC 600 March 4, 2011 Thesis The Institute of Medicine recommends the use of evidence-based medicine as a primary tool for achieving the aims outlined by their six themes of improvement. Specifically, EBM relates to their aim to make health care more effective: “to provide health care that is effective and efficient.” (Institute of Medicine, 2001) In recent years, evidence-based medicine has gained increasingly broad-based support in health care, but many doctors still aren’t using it. With a lean towards Pharmacy management, I researched the barriers providers and institutions are faced with in successfully incorporating evidence-based medicine and how initiating organizational improvements can help. The research highlights some important considerations to be aware of that gives evidence-based medicine a bad name, the pitfalls to avoid, and some ways providers and institutions are working to overcome them. Introduction This paper begins by giving an overview of evidence-based medicine, what it is, and the benefits to be realized by providers, insurers, and patients. I compared that to what providers were using before EBM. Next, I examine the barriers to successfully incorporating evidence-based medicine, and the negative perceptions that dissuade their use by clinicians. Identified are the disadvantages such as source information bias, ethics considerations...
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...Promoting Evidence-Based Education: The Role of Practitioners Round table presented at the British Educational Research Association Conference, Cardiff University, 7-10 September 2000 Robert Coe, Carol Fitz-Gibbon and Peter Tymms Curriculum, Evaluation and Management Centre, Durham University Mountjoy Research Centre 4, Stockton Road, Durham DH1 3UZ Tel: 0191 374 4504; Fax: 0191 374 1900; Email: r.j.coe@dur.ac.uk http://www.cem.dur.ac.uk/ebeuk Abstract A number of recent initiatives from Durham University’s Curriculum, Evaluation and Management Centre have sought to involve teachers in creating, accessing and applying evidence about what works in their practice. The ‘gold-standard’ of evidence in this context is taken to be multiple replications of small scale, randomised controlled trials of feasible interventions in real-life settings. The aims, form and progress of these initiatives will be reported, and a number of questions will be raised: What do we mean by ‘Evidence-Based Education’? How can it best be promoted? What kinds of research can teachers do? How good can it be? Can it genuinely contribute to knowledge? Is it a distraction or enhancement of teachers’ core role? How do traditional models of Action Research fit with this approach? Is there an existing body of knowledge that can inform practice? How can teachers gain access to it? Under what conditions might such knowledge have an impact on practice? ...
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...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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...Evidence Based Practice. Research Methods. Evidence-Based Practice (EBP), the skill of using correct research methods, the importance of making informative decisions based on the best EBP within the health care industry as well as an example of EBP in regards to infection control and hand washing procedures will be key issues discussed throughout this essay. The health profession is continually developing and adapting in its implementation to health care techniques and skills due to changing world health conditions. It is therefore imperative that research be constantly conducted to analyse new research relating to health care to ensure health care practitioners are using techniques derived from the most current evidence (Aveyard & Sharpe, 2009). Evidence Based Practice can be defined as, “the conscientious, explicit and judicious use of current best evidence in making decisions about the health care of patients” (Sackett, Richardson, Rosenberg, & Haynes, as cited in Craig & Smyth 2007). The basis of EBP is that decisions are made by assessing not only the information at hand, but also integrating clinical experience, the most current evidence available, critical thinking and keeping in mind the patient’s best interest and preferences (Aveyard & Sharpe, 2009). Evidence based practice was developed because of the commitment of health care practitioners to social research and science (Mullen, as cited in Liamputtong...
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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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...RUNNING HEAD: CHANGE USING EVIDENCE BASED RESEARCH Change Using Evidence Based Research Glenda Doctor Western Governor’s University Procedure, basis for practice, rationale and explanation The procedure for the use of povidone-iodine for surgical cite antisepsis is: skin preparation for surgery includes the use of sterile drapes to drape the patient and square off surgical area with sterile towels to absorb excess solution. The incision site is where the prep begins and proceeds outward from that point. Iodine soap or scrub, wet the skin with sterile water the iodine scrub will be added to the point of lather, the site is to be scrubbed for 5 minutes. Excess solution is to be blotted with sterile towels or sterile gauze. When iodine paint is used the iodine paint will be applied and allowed to dry before first incision. This practice of surgical skin preparation has been a standard for many years. At this facility povidone-iodine is used predominantly however a few surgeons do use chlorhexidine, it has typically been surgeon choice for skin preparation. Studies have shown that Chlorhexidine-alcohol is a superior product to povidone-iodine to reduce skin colonization and reduce surgical site infection, (Darouiche, Wall, Itani, Otterson, Webb, Carrick, & ... Berger, 2010). No specific use for either product was found in the policy and procedures for the hospital on the hospital web site. There were no available protocols involving the products that...
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...Research and Evidence Based Practice in Nursing Nurses are constantly challenged to stay up to date with new information to provide the best quality care to their patients. They are often challenge by offering ideas on how to approach old and new problem in health care (LoBiondo-Wood, Geri, and Judith Haber, (2014). Research in nursing is ongoing processes which provide continue education for all health care providers. Research allow health care providers especially nurses to advocate for their patients and provide best possible care they need (Hundley, Vanora, 2015). The purpose of this discussion is to explain the meaning of research and evidence based practice in nursing with example of each and a research and clinical sample question. A research...
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