References: Christensen, T., Christensen, M., (2007) The Implementation of a Guideline of Care for Patients…
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).…
The nursing practice heavily relies on the evidence based clinical information to determine current standards of practice within the nursing scope of practice. A multitude of informational journals and peer reviewed articles are readily available to help guide…
Evidence-based committees are responsible for making sure that policies and procedures are based upon not only current, but also validated evidence. The members that make up the committee have specialized training in developing, reviewing, as well as evaluating clinical literature. These committees have set standards for methodology…
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 used as a framework for planning, implementing and evaluating care provided to clients as stated by the Agency for Healthcare Research and Quality (AHRQ, 2014). According to the AHRQ (2014), evidence-based research provides the basis for grounding clinical practice guidelines and recommendations in order to provide effective healthcare to patients. Furthermore, the AHRQ reported that the United States of America implement a preventive task force of experts to prevent and provide evidence based medicine to improve the health of all Americans with preventive medication and health screening (2014). It is the belief of this writer that clients value their health and strength, therefore preventive medication and health…
*Clinical practice guidelines (also called "medical practice guidelines") are explicit descriptions representing preferred clinical processes. They are standardized guidelines in the form of scientifically established protocols designed to guide physicians' clinical decisions.…
The definition of Evidence Based Practice (EBP) is “professional understanding and action that is based on the thoughtful use of knowledge and information from available, reliable, and dependent sources” (Brown, 2002). The definition also includes the balance of clinical experience, proven evidence from scientific studies with patient input. This input from patients will incorporate their culture, values and other preferences.. Evidence Based Practice is a fluent process that requires nurses to be current and correct on information as it pertains to their daily practice. The intent of EBP is to improve the quality of the care that is delivered to the client. This increased knowledge, whether it is correct or incorrect, is a motivating factor for nursing professionals to have current and correct information available when working with clients in making healthcare decisions. Healthcare professionals, especially nurses, are the touch point of health care and are the key to cost effective quality care. To ensure that decisions are based on sound information nurses must utilize EBR.…
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.…
Melnyk,B. M. & Fineout-Overholt, E. (2005). Evidence-base practice in nursing and healthcare: a guide to best practice. Philadelphia: Lippincott Williams & Wilkins.…
In 1893, physicians realized the importance and the value of the standardized language (Rutherford, 2008). This recognition increase when the physician realizes how the standardization improved the communication between health care professionals (Rutherford, 2008). With the beginning of the standardization system, medical diagnosis developed many classification and codification diseases to have evidence in the medical practice (Rutherford, 2008). An example of this classification system is DMS-IV for mental disorders diagnosis (Rutherford, 2008). This standardization helps the multidisciplinary team understand the patient’s diagnosis (Rutherford, 2008). In 1973, The American Nurse Association introduce the standardized language and for the years to come has been developed different nursing communication systems as Nursing Interventions (NIC), Nursing Outcomes (NOC). The use of standardized nursing languages enhance communication care not only nationally, but internationally (Rutherford, 2008). This is very important because the help and the care will be the same at any place in the world. This help every nurse to know what an effective care…
I completely agree with all of you. As a nurse practitioner, I strongly believe in evidence based practice guidelines, but on the other hand I do not believe in "cookbook medicine". I advocate to the patient that they should play a key role in their OWN health care and decision making. My job is to deliver the best possible care to each individual and I tell my patient's that it is their job to meet me half way so that the best possible outcome is reached. I try to provide my patients with resource that are reputable sources such as the American College of Cardiology and the American Heart Association. I also challenge the patient to be proactive in their own healthcare and to not be afraid to ask questions and to not be afraid to ask…
Kimberly, I enjoyed reading your post and I concur, an employer should assess the employee’s initial competence. Additionally, increasing competencies via education and making staff accountable has contributed to positive results for both the patients and employers (Esper & Walker, 2014). Throughout my research I learned that the employer benefits the most by educating and standardizing care processes as a best practice. Standardizing care process prevents delays and variations of care that may lead to poor outcomes (Cherry & Jacobs, 2014). In conclusion, the safety of patients and the reduction in poor outcomes for staff and employers can be traced to initial education and competency. Therefore, taking the time and effort to properly train…