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.…
There are many personal and organizational obstacles which impede the professional nurse from using scientific evidence-based standards into practice. According to Schmidt and Brown ((2012) “studies have shown that nurses do not use EBP due to individual and organizational factors” (P.8). These include the lack of time, resistance to change and lack of skills. “Barriers such as nurses not valuing research, being resistant to change lack of time and resources.” Schmidt & Brown (2012).…
Evidence Based Practice (EBP) is defined as “The conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence based medicine means integrating individual clinical expertise with the best available external evidence from systematic research” (Gerrish & Lacey, 2010). EBP is critically important in today’s clinical settings because of its potential to save both nursing time and healthcare dollars (Gerrish & Lacey, 2010). Using the evidence to guide practice streamlines nursing care. Practices that are not necessary are eliminated, and ineffective practices are replaced with practices that result in the desired outcomes. Using research also decreases the need for trial-and-error methods for finding what works best. In each case, nursing time is not spent on ineffective procedures or trying…
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…
The focus of this assignment is to look at Evidence Based Practice (EBP), why it is important for nursing to be evidence based and the barriers to implementation of EBP.…
EBP is a way of providing healthcare, which is directed by a thoughtful incorporation of the best accessible scientific knowledge with clinical expertise. Nurses are the leading part of the nation’s health care workforce that makes nurses central to the translation of evidence-based practice as a practice mean. Critical care nurses are in a place to critically appraise and apply best evidence in daily practice to improve patients’ outcomes. It is important for critical care nurses to frequently assess their current practice to confirm that they are applying the current best evidence rather than practicing on the basis of tradition. As health care professionals, each of us are accountable for discovering new knowledge to guide practice, dispersing…
Take for example, the evidence-based practices (EBP), which prove beneficial in improving quality and costs of healthcare. The NP in her clinical role incorporates EBP in treating patients. In order to successfully implement these practices, it is vital that nurse administrators and nurse educators provide time, educational skills, and resources necessary to support and sustain EBP (Melnyk, Fineout-Overholt, Gallagher-Ford, & Kaplan, 2012). In this scenario, it is imperative that both the clinical and non-clinical roles need to work together to achieve the common goal of implementing and sustaining…
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…
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…
Nurses are expected to establish and make use of the best research evidence to enhance the clinical effectiveness of patient care and improve patients’ health outcomes. Barriers exists to knowledge of research utilization in their practice settings. In their study, Dalheim, Harthug, Nilsen and Nortvedt (2012), reported that inadequate time and resources to find research, unsupportive physicians, inaccessibility to information, and lack of authority to implement the finding, were the key barriers for nurses to use evidence based practice EBP (Dalheim et al, 2012). The barriers and assumption that evidence based research (EBR) is cumbersome make nurses to opt use of the gained knowledge from their experience in their practice instead of the advocated…
My name is Tammy and I have been Registered Nurse for nearly 20 years now. I have worked in a variety of settings and have carried many titles. For the past 10 years or so, I have primarily been a hemodialysis nurse and I’ve embraced the love I have for this specialty. I recently entered the RN to BSN program at The Ohio State University. I am learning about Evidence Based Practice, or EBP for short, which is a fairly new concept for me. I work in a relatively small environment for an extremely large healthcare company. I work in an outpatient hemodialysis clinic where we provide approximately 250 hemodialysis treatments per week to about 100 patients. My company is an international company with nearly 3,000 clinics in the US and abroad serving…
Nurses must be confident and comfortable in their knowledge of basic principles so they can provide appropriate care to the patients and they must implement suitable interventions to deal with patients’ responses to this common treatment effectively (Chlan, Tracy, & Grossbach, 2011). All health care professionals should have access to up-to-date evidence in order to sustain best practices (Chlan, et al., 2011). As an alternative to practice that is based solely on the experience and knowledge of practitioners, EBP has been introduced in the field of nursing (Chlan, et al.,…
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…
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.…