In the article, Back to Basics: Implementing Evidence- based Practice, the author, Lisa Spruce (2015), explains that health care is transitioning from volume based to value-based care. In order to create this value-based care, we need to put into action, evidence based practice (Spruce, 2015). Evidence based practice takes into consideration effectiveness by using research, patient preference and clinic experience, as well as cost-effectiveness (Spruce, 2015). When using this type of practice, a clinician is more likely to follow policy if they are able to understand and explain why they follow certain procedures, instead of just complying to a rule because it is a rule (Spruce, 2015).…
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.…
Medicine has changed over the years as we discover new and safer ways to approach different situations. These changes mainly occur because of evidence-based practice. In this discussion board I will describe how organizational infrastructure and culture assistance the implementation of nursing evidence-based practices. Subsequently, I will explain the process my organization uses for implementing evidence-based practice.…
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…
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…
Clinical guidelines are systematically developed statements to assist practitioners and patients in making decisions about appropriate health care for specific circumstances (Reames, Krell, Ponto, & Wong, 2013). Healthcare providers rely on guidelines to implement evidence-based practice protocols. The process of developing protocols requires an interprofessional collaborative team which includes hospital administration working with and supporting physicians, nurses, patient advocates and other staff members (n.d., 2015).…
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…
I agree with you that it is impossible for a nurse to know every disease and treatment options. I think it is important for us as nurses to remember this as well and to stop and think before we answer a medical question. Also the medical field is changing all the time and one way of thinking in the past may not be what research says is best now. In chapter three Fain discusses evidence-based nursing stating that it is, “the conscientious, explicit, and judicious use of theory-derived, research-based information in making decisions about care delivery to” patients (Fain, 2013, p47). It is important for us nurses to take the time and do the research so that we can provide the best care.…
Patient-centered care is globally becoming the focus in the health care system, resulting in the integration of evidence-based practice to improve care. Evidence-based practice has been introduced to the health care industry to incorporate clinical expertise, scientific research, and the values as well as preferences of patients to ensure that the patient is the focus of care. Nurses play a crucial role in the implementation of evidence-based practice to ensure that clinical decisions based on current evidence, patient values, and clinical expertise guide the care provided to the patient. To improve care, nurses must consider what decisions should be made for the care of a patient through careful assessment of patient preferences while also…
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…
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.…