Go to MEDLINE at http://www.pubme44d.gov and conduct a search on your clinical question. Please type your search history in the table below:…
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.…
Nurses should use evidence-based practice (EBP) guidelines because the evidence retrieved in them is the most current, best evidence. EBP guidelines include clinician expertise, patient preferences, and desirable patient outcomes.“EBP closes the gap between research and practice, providing more reliable and predictable care than that based on tradition, opinion, and trial and error” (Lewis, Dirksen, Heitkemper, & Bucher, 2014, p 13). EBP guidelines are central to patient’s plan of care. These guidelines are validated by many evidence-based scientific studies such as evidence findings, data from quality improvement projects, and professional organization standards. They recommend the most appropriate clinical choices, treatments, and care for…
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.…
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 nursing practice is essential to the delivery of high-quality care that optimizes patients’ outcomes. Studies continue to show improved outcomes when best evidence is used in the delivery of patient care. (American Association of critical care nurses).…
professionals use the best evidence possible to make clinical decisions (Blais and Hayes, 2011). It involves complex and conscientious decision-making based not only on the available evidence but also on patient characteristics, situations, and preferences.…
Nursing research is used everyday in nursing thru evidence-based practice. Evidence-based practice is used to make clinical decisions by using the best possible evidence garnered through liable sources( Attree,M. 2007). An Rn is always learning with thru textbooks,continuing education, and policy. This research allows the Rn to integrate evidence-based practice into their patient care. It is important that the Rn stays update on research so that she is giving the best possible care to her patients. For example most nurses think it is important to put a patient in trendelenburg for hypotension, but is proving in new research shows that there is no improvement in blood pressure with this use. This is an example of new research and improving patient…
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…
Schulman, C. S. (2008). Strategies for starting a successful evidence-based practice program. AACN Advanced Critical Care, 19(3), 301-311. doi:10.1097/01.aacn.0000330381.4176.2a…
The trend towards chronic disease management provided by nurses utilizing evidence based practice (EBP) has increased, however barrier for acceptance for nurses as a care team member continues. A pilot study reported by Laughlin and Beisel (2010) reported the evolution, acceptance and barriers of nurses in a primary care setting as a member of the treatment team providing chronic disease management. In addition the study focused attention on the skill sets nurses utilizes to provide care of chronic conditions, emphasized the nurse being uniquely qualified to assess the needs of patients with chronic illness, the nurses ability to formulate a plan of care and facilitate coordination of care (p. 414). Although nurses have the experience and…
The field of nursing is always improving and evolving. It is progressively moving forward as new information and research fuel our ability to provide proper patient care. In fact, I have seen the field change and develop in more ways than I can shake a stick. One of the most profound differences came with the inundation of technology and the connectivity of the internet. Never before has the patient been able to access so much information at their fingertips, or have medical professionals had such unprecedented access to patient records and global resources along with cutting edge techniques.…
I would like to use EBP in my nursing practice, especially when assigned to patient with unfamiliar diagnosis. Searching online journal can provide important information needed to care for my patient. Currently, in medical surgical unit, we are no longer allowed to delay wound care dressing after 48 hours. We were never told the reason why we must not delay wound beyond 48 hours. I could use my research skills to find needed evidence; and to accomplish needed evidence, I must ask clinical questions, search literature, screen finding, appraise articles and apply finding. Following this steps, studies shows that early removal of wound dressing had significant shorter stay and incurred lower treatment cost than those in delay of dressing (Toon,…
Did you get this nursing technique out of one of our books? If so, which one? Implementing evidence-based practice into our careers as nurses is a great thing to do in my opinion. Keeping up with all of the new evidence and procedures out there is key in what we do. “The most important reasons for consistently implementing EBP are that it leads to the highest quality of care and the best patient outcomes” (Melnyk & Fineout-Overholt, 2015, p. 6). It is our job to take the best care of our patients as possible and referencing evidence-based practice while on the job I definitely believe would help. We all need to remember that we are only human and we do not know everything. Refreshing our brains on how to complete a task or adverse reactions…
Change is always going to be hard for some. I definitely understand why change would be difficult in a health care setting. As nurses we prefer doing tasks a certain way and to change that around means modifying what we are used to. Melnyk & Fineout-Overholt (2015) state that implementing new EBP requires restructuring the flow of daily work and educated or motivated providers can have difficulty. I believe pilot testing is a great way to make small changes before EBP is implemented throughout an entire facility. This way changes can be made, questions can be asked, and it will improve the overall practice.…