Every nurse, at some point, has questioned why something is done. Perhaps the procedure misuses time, is painful for the patient, or is unnecessarily unsafe for the nurse. Is this process or procedure utilized because of an outdated method or is it proven to be the best practice? Thus, every nurse, and especially nurse leaders, have the unique ability to question, research, and discover enhanced nursing processes that can improve patient and nurse outcomes alike. The purpose of this discussion board is to discuss evidence-based practice in depth, including the nurse leader’s role, strategies for implementation, forces behind change, how organizational infrastructure and culture help or hinder implementations, and finally, describe the process
Before EBP was imbedded into healthcare, nurses relied in the advice of senior nurses and what they learned through education and trial and error. Floranc enightengal ……. However, it wasn’t until the mid-1800s that evidence-based medicine had its beginnings, but did not come into play until the year of 1972. Through many years different modifications, various groups of nurses have drafted their own versions of evidence-based practice guidelines into play.
Evidence-based practice in nursing and healthcare Introduction Evidence-based health care refers to the careful and thoughtful decision-making that happens during patient care, which is greatly influenced by valid and clinically relevant research, to provide quality patient care and improve patient outcomes (Broom and Adams, 2012). As such, the main aim of the evidence-based health care is to help healthcare providers make choices that best affect individual patients, of which they have to base their judgment on current and valid information. Evidence-based practice is a process that necessitates practitioners to examine the patient, come up with a clinical query, carry out a research pertaining the question, and attain supportive evidence.
Evidence based practice (EBP) is to demonstrate the best practice, which has been supported, with a clear rationale to back it up, while acknowledging the patient/clients best interest. In this professional outline it will be discussed why EBP is so important to start with student nurses career and continuing throughout the nursing career and the second main point will be on the impact it has on patient outcomes regardless of discipline. I believe if this mind set is instilled early in the nurses career the practice will evolve it a more proactive
Nursing profession is a practice that utilizes findings based on facts and/or evidence. In that, research plays a vital role in building a strong foundation to support the knowledge of nursing. In the profession of nursing field, research and/or evidence provides rationalized, cost-effective, and quality care interventions through validation (Barbara & Susan, 2014). It also assists with existing knowledge in creation of new ideas and innovations. Decisions are made based on research results. Since nursing is a practice, participation in research by nurses provide various opportunities in gaining knowledge about scientific-based evidence at an individual or organizational level. According to Barbara & Susan (2014), Evidence-based practice is
The term Evidenced-based practice (EBP) is one of the most talked about concepts in healthcare. Nursing scholars, worldwide, have sought to provide healthcare workers with the evidence from research to be transform this into clinical care. To ease this transference of data into practice, scholars have developed EBP models. These models direct the researcher with the process from hypothesis to implementation of the data. The perplexity of EBP is that the data can come from research, clinical experience, patients, or local context and environment (Rycroft-Malone, et al., 2012). Because of the complexities of driving research in the healthcare field, different models were developed with different healthcare agendas in mind.
Evidence-based practice will definitely be more likely to thrive in environments where nurses feel they are being supported by both management staff and available resources. When nurses are offered further resources such as hands on training or simulation training that is backed by evidenced based research they can feel more secure and confident in the job they are able to perform during their shift. Nurses can thrive in their work place organization by building onto their basic knowledge and therefor enabling the nurse to climb the clinical ladder. As our book states “continuing to apply learning contributes to ongoing evidence based practice as one uses newer research and theory as a part of one’s practice.” Nurses who take control of their
I enjoyed reading your discussion post. Nurses must understand how organizational infrastructure and culture affects implementing and sustaining evidence-based practice. Although an evidence-based practice may be well documented and proven to positively, impact patient care, organizational structure and culture may present barriers to change. For example, financial constraints, tradition, or attitudes of leadership may hinder the implementation of evidence-based practice (Huber, 2014). Change agents or opinion leaders can influence the promotion and adoption of nursing evidence-based practice through creativity and persistence (Huber, 2014).
The impact of evidence based practice (EBV) has reflected across the nursing practice, education and science. I have been able to acquire a better knowledge of how research relates to nursing practice, and how findings could be used to transform the field of nursing. As a nurse, I have been able to recognize shortcomings with element of practice, process and procedures. However, I lack a strong ability to create a strategy for change. From this class, I have been able to know the constituents of an evidence based project including a PICOT question.
The hospital sees an average of ten thousand visits to the emergency department, and an average of six hundred admissions yearly. There is only about one thousand total surgeries performed on a yearly basis, which includes both inpatient and outpatient surgeries. This hospital has a long-term care facility, and a primary care group practice attached to the
Patient with critical condition need to be considered as they need to be closely monitor by health professionals in the hospital. The Consultation document ‘Care in the Community’ (DHSS, 1981) made several suggestions for moving people who do not need nursing care out of long -stay hospital (Social Policy and Social Welfare, 1983). By limiting services, NHS is trying to increase its care to what it may be refer as ‘treatment’. Giving priorities to both conditions are necessary but doing this by choosing the right environment and what is best for patient is more important. In family members, it might affect elderly people that might require help such as nursing care.