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:…
Peer review is an important aspect of evidence-based practice. It is priceless to receive constructive feedback from colleagues. It will help open our eyes to areas we did not pay attention to. Two heads are always better than one. I am glad to hear that you will be using the feedback from your colleagues. So what will you do different if you have to do this exercise all over? Good luck in your future…
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…
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 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…
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…
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,…
One of the most common and disabling psychological disorders encountered within mental health and general medical settings is that of an anxiety disorder (Dattilio & Kendall 2000). Research has indicated that people with learning disabilities are more prevalent to psychological disorders than the general population (Hassiotis et al 2000) consequently it could be hypothesised that prevalence rates of anxiety disorders are similar if not greater within the learning disabled population. Professional literature suggests that cognitive-behaviour therapy (CBT) has been an effective treatment against anxiety disorder (Beck 1995) however; this literature has predominately concentrated its focus to within the confines of mental health and general medical settings (Dattilio & Kendall 2000). The ability of people with learning disabilities to identify, evaluate and respond to their dysfunctional thoughts and beliefs, fundamentals of CBT (Beck 1995) have put into question the very use of this treatment programme for this particular client group (Kroese et al 1997). From a professional and personal perspective and through the utilisation of the Seedhouse (1998) 'Ethical Grid' responding to an anxiety disorder by way of CBT could be considered an ethically acceptable clinical intervention. Nationally and locally through government directives, 'Valuing People' (Department of Health 2001) and initiatives such as Health Action Plans (Department of Health 2002) services have recognised that they need to be more responsive to the mental health needs of people with learning disabilities. As a learning disability nurse wishing to ascertain the effectiveness of CBT as a practical intervention when presented with the dual-diagnosis of anxiety disorder and learning disability, is through the use of 'evidence-based practice'.…
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…
The results of several studies show that preoperative anxiety is associated with negative postoperative outcomes. These studies were conducted on men, women and children, all undergoing surgery for various diagnoses. A study conducted in Singapore on school aged children found a statistically significant correlation between preoperative anxiety and pain intensity 24 hours postoperatively (Chieng, Gu, & Chan, 2012). A broader study on 241 children, that lasted four years, concluded that not only was preoperative anxiety associated with postop pain, but with sleep problems, emergence…
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…
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…
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…
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…
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.…