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.…
Dissemination of information is one of the significant factors in any system development. The firm stakeholders, policy makers and individual in departments involved employs skills and research outcome to win out the approximations to achieve the set ends and aims. Through the use of newsletters, magazine, flyers, brochure, posters, presentation and interviews, the firm will pass along knowledge to the different individual in the organization. In the nursing field, information about Evidence Base Practice is of importance. It should be shared amongst the practicing nurses in order for it to be implemented easily across the department (Hanrahan, Marlow, Aldrich, & Hiatt, 2010).…
This case study based on an elderly man named David is 56years old and has a number of personal health issues that are affecting his daily life and on top on that his wife has a history of breast cancer.…
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…
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…
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…
In preparation for her meeting with the Unit Practice Council, Michele needs to be able to explain what evidence-based practice is and why adopting evidence-based practice will be beneficial to the unit. “Evidence-based practice is a problem-solving approach to clinical decision making within a health care organization. It integrates the best available scientific evidence with the best available experiential (patient and practitioner) evidence. EBP considers internal and external influences on practice and encourages critical thinking in the judicious application of such evidence to the care of individual patients, a patient population, or a system” (Newhouse, Dearholt, Poe, Pugh,&White,…
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…
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…
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…
Melnyk,B. M. & Fineout-Overholt, E. (2005). Evidence-base practice in nursing and healthcare: a guide to best practice. Philadelphia: Lippincott Williams & Wilkins.…
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…