The Seven Steps of Evidence-Based Practice Summary In the article “The Seven Steps of Evidence-Based Practice”, Bernadette M. Melnyk, distinguished foundation professor of nursing at the University of Arizona outlines the argument that despite of proven positive outcomes such as “improved patient outcome, reduced cost, and greater nurse satisfaction” of implementing the evidence-based practice, majority of nurses still remain reluctant in using EBP or use it in the irregular manner. The author suggests to implement the seven step EBP approach using the “PICOT” method. As the author claims that because of financial deficits, not all hospital able to adopt EBP; even if patients have achieved positive outcomes because of implementation of the EBP, majority of nurses refuse to share their experiences with other colleges; even if EBP brought positive outcomes during trials, there is no prove that it may be actual for clinical practice. In conclusion, the author suggests to create sort of feedback team to report EBP results to other health care organizations through local meetings, press conferences, or professional publications.…
The evidence-based practice is a clinical activity which is based on the belief that decision about the delivery of care to clients should be informed by the best available and current scientific evidence (Beanland et al 2011). So as a nurse it is important to understand why evidence based practice is essential when caring for a patient and to be able to apply the best possible evidence to each individual situation.…
A number of studies reveal that the advantages of implementing evidence-based practice by nurses and other health professional’s results in the advancement quality of care that leads to enhanced patient outcomes. Furthermore, the current use of evidence-based in the clinical setting would result in increased patient outcome since the evidence-based practice includes multidisciplinary recommendations that could facilitate all nurses in addressing questions related to the best patient care.…
The health care organizations should provide nurses mandatory evidence-based practice (EBP) programs annually to develop and ensure competencies that enable staff nurses to use evidence in their practice. Moreover, nurse managers and leaders need to create a supportive environment for EBP, such as providing resources for searching for evidence. In order to have the administrative support, managers and leaders need to communicate with policymakers and set out related policies with evidence-based research to make the EBP as the daily basis of nursing care. Consequently, it should be…
Evaluation may be developmental, intended to deliver direction for the development and implementation of an outcome-oriented (Billings & Halstead, 2012). Evidence-based practice (EBP) is decision- making on the care delivery to patients, which is based on current identified and validated research evidence, consumers’ preferences, expert opinions and society expectation(Adams & Barron, 2010). This requires the baccalaureate nurses to make clinical decision pertaining to patient’s care. Therefore, the best clinical decision -making should be based on EBP with the intention to achieve quality patient…
Evidence based practice helps us to ensure that we are providing the best possible care to our patients. By basing our care on practices that have outcomes based on evidence just makes since. They have been tested and proven to be effective on patients. We don’t have to do trial and error to find out what works the best for our patients, the work has been done for us. This gives our patients the best care possible. Many changes have been made over the past 10 years based on evidence based practices. There are many resources available to nurses, nurse managers, administrators and others that provide research that has been completed. These resources include different kinds of studies that have been performed. They include cohort studies, case…
Evidence-based practice is an anticipated core experience of all health care clinicians irrespective of position. Role modeling and participating in the skills are necessary to develop evidence-based practice into clinical and nonclinical courses and also an important part in developing positive attitudes toward evidence-based practice, that’s the first step for using evidence to guide practice decisions (Winters). One way to accelerate EBP In health care organizations are by obtaining support from entire culture. Advance practice and staff nurses as well as administrators must have the knowledge and have to believe about the importance of EBP and provide critical skills to support evidence-based care. The knowledge of nursing is built on a…
Evidence-based practice (EBP) has been emphasized since the publication of the Institute of Medicine’s report “To Err Is Human”. Nurses should be able to not only provide standard care within the scope of practice but also deliver safe care based on the best EBP that is most up-to-date at that time. Furthermore, research is developed based on the current evidence-based practice. Research nurses work on new projects to conceptualize innovative ideas, generate literature research, and conduct clinical trials to develop new evidence-based practice. The reason why evidence-based practice and research are important is because health…
Prevost, S.S. (2014). Evidence-based practice. In C.C. Burns (Eds.), Professional issues in nursing: challenges and opportunities (3rd ed., pp.18-29). Baltimore, MD. Philadelphia, PA: Lippincott Williams & Wilkins…
Evidence-Based Practice is the act of researching medical techniques in order to make practicing medicine safer and more efficient. Even though this process sounds easy, there are some problems with it. Many nurses practice with Evidence-Based Practice every single day, but others do not get the opportunity to use this practice. The concept of Evidence-Based Practice is simple. Healthcare professionals research why they do certain things, such as inserting an IV, in order to make their work more efficient.…
Evidence-based practice (EBP) is an interdisciplinary approach to clinical practice that has been gaining ground following its formal introduction in 1992. It started in medicine as evidence-based medicine (EBM) and spread to other fields such as dentistry, nursing, psychology, education, library and information science and other fields. Its basic principles are that all practical decisions made should 1) be based on research studies and 2) that these research studies are selected and interpreted according to some specific norms characteristic for EBP. Typically such norms disregard theoretical and qualitative studies and consider quantitative studies according to a narrow set of criteria of what counts as evidence. If such a narrow set of…
I think that evidence based practice is a very important aspect of nursing that should drive treatment, policy and procedure. Even though evidence based practice is informative and provides the best or leading theories to better our patients there doesn’t seem to be a standard to when evidence based practice is rolled out throughout different hospital systems. Some hospitals are using the latest and greatest methods for treating patients and some hospitals are years behind. Why is it that there isn’t a set standard on how long a hospital has to transfer to the new method and why don’t hospitals push to be using the best known care for their patients to improve outcomes. We as nurses should want to provide the best care to our patients as possible and it seems that the standard of care varies widely between different hospitals and hospital systems without an easy way for patients to be able to discern which ones are using evidence to drive their treatment.…
According to Masters (2017, p. 255), “evidence-based practice (EBP) is a mechanism that allows nurses to provide safe, high-quality patient care based on evidence grounded in research and professional expertise rather than tradition, myths, hunches, advice from peers, outdated textbooks, or even what the nurse learned in school 5, 10, 15 years ago”. EBP allows nurses to apply current evidence using advanced technology and expert knowledge appropriately. It also allows nurses to practice safely and efficiently while making sound decisions based on relevant research. I believe as a nurse EBP gives me a sense of confidence that allows me improve the quality of care delivered by utilizing my advanced education and knowledge of the nursing…
The use of evidence based practice in healthcare assist with providing the best and current practice and improving patient outcome (Boswell.c., & Cannob, S. 2012). According to Hopp and Rittenmeyer (2012), evidence based practice is define as the continuous and current use if the best evidence in decision making about the care of each patients. This involves the commbination of each clinical expertise, as well as considering patient choices with the best available external clinical evidence from systematic research. Evidence based practice has enhance and continue to improve the care given to patients in each healthcare, particularly within nursing. The purpose of this study is to outlined and find ways to include evidence based…
Nurses are responsible in providing holistic, quality care to their clients. In order to effectively provide such care Boswell and Cannon (2009, p. 2 & 7) states that nurses must base their provision of care on the most current, up-to-date health information available and sound nursing knowledge. This is where evidence-based practice (EBP) comes in. Polit and Beck (2010, p. 4) defined EBP as "the use of the best clinical evidence in making patient care desicions". This usually comes from research conducted by nurses and other healthcare professionals. Thus it is pertinent that research reports are critically analyzed.…