Introduction According to Sackett et al. (1996), evidence-based practice (EBP) is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It integrated clinical expertise, patient values and the research evidence.” Historically, care of the patient was mostly affected by authoritative experiences and opinions. However, EBP made a change to emphasis on data-based and clinically relevant studies. EBP became more concerned in clinical setting.
I find the uptake of evidence-based practice is one of the fields that has profoundly affected the paradigm shift and is woven into each of the nursing fields, and since wide researches have been conducted so far, it imperative to note that the available material will equip and provide needed assistance. Stevens (2013) argues that the use of the knowledge which is gained from quality improvement efforts will definitely generate evidence needed to make systems improvements and transform healthcare. Therefore, utilizing the available resources in addition to conducting further researches, exploring on well-intended expert opinions and working together with the willing partners from the academy for discovering what works to improve health care guarantees growth of the profession. It is true that there a number of challenges to improving the profession, but there is no magic bullet for bringing success into the practice, several strategies are needed. Furthermore, what works in the context of care should be identified and the context variables implementation.
Barrier recognition is the first step to overcome the barrier to deliver evidence based practice. Group discussions can be organized to overcome organizational barriers and insights and opinions of emergency nurses can be taken into consideration to develop strategies. Nurses must be educated regarding the positive patient outcomes when evidence based practice is implemented (Bernadette, 2002). Encouraging case scenarios and initiating logical questioning to assist emergency nurses to understand the benefits of EBP.Basic skills to access Evidence based research and the process of EBP must be taught to all nurses.Organisational culture change needs to be initiated. Management support and encouragement are the main key elements for success in implementing EBP (Bernadette, 2002).Evidence based research must be encouraged at undergraduate levels to initiate and encourage interest in research and to evaluate current nursing practices.
This paper addresses two articles, Evidence-based approaches to breaking down language barriers by Allison Squires and Rapid response teams: What’s the latest? by Shirley A. Jackson. The first article discusses how language creates a barrier between nurses and patients and how to possibly overcome these barriers. Squires talk about how the barriers affect patient care negatively and the consequences of miscommunication such as re-admissions and non-adherence to medication regimen. On the other hand, the latter article discusses about rapid response teams (RRTs) and their roles and well as challenges they have to face while delivering care.
Clinical nurses faces many challenges to use the EBP and that where the NE intervenes since they have the persuasive and decisional power to make EBP utilized within the organization. (Lavoie, Anderson, Bonneville, Drevniok, & Lavigne, 2012).
be highly effective for improving clinical outcomes and reducing cost. Teaching methods that incorporate opportunities for interdisciplinary education and collaborative practice are required to prepare nurses for their unique professional role and to understand the role of other disciplines in the care of patients. Nursing shortages have a negative impact on patient care and are costly to the health care industry. A significant nursing shortage exists today, particularly in acute and long-term care settings. It results from many factors.
It is the responsibility of the organization to create a culture of evidence-base practice. Instructing nursing students about EBP can require different teaching and evaluation strategies to practicing nurses (Streurer, 2010). The questions that arise from a practicing nurse may provide more information than a student of nursing. Therefore, Streuer urges organizations to adopt a model for evidence-based practice, such as the Stevens (2004) ACE Star Model of Knowledge Transformation. The phases in this model move from discovery of a clinical practice question to the dissemination of EBP findings (Streurer, 2010).
Although during the early and mid-1900s few nurses contributed to this foundation initiated by Nightingale, the nursing profession has more recently provided major leadership for improving care through application of research findings in practice. The plea that each nurse must care enough about her own practice ensure it is based on the best possible information is not new. Recognition of importance of use of evidence from research in order to rationalize nursing interventions cannot be over emphases. Nursing research encompasses a holistic approach and views the treatment of patient, family members and caregivers as a whole. By utilizing this holistic approach, quality of care is enhanced and the patient will receive the best care at minimum cost.
Employing the concepts of evidence based in integration with the patient centred approach by respecting and recognizing patients’ differences and preferences, helps the nurses to focus on the specific healthcare needs of the individual by developing holistic plans and interventions (Maylahn 2013). It also makes the patients feel more satisfied and they readily cooperate with the nurses and this thing not only makes the achievement of intended goals more successful, but also speeds up the process (Department of Health 2010). Hence it can be said that EBP is inevitable in providing the most effective and safe nursing care to the patient. The topic that I chose to pursue my research on is the “Depression during pregnancy and postpartum among women of ethnic minorities in the Western countries”. This topic is extremely important because it is observed clinically that the depression during pregnancy bears lethal consequences not only for the depressed mother but also for the child.
(1) Recent evidence suggests that three broad strategies based on the principles, strategies, and tactics of evidence-based medicine ' (EBM) can work. (2)By way of background, evidence-based medicine is said to have five linked ideas: Clinical and other health care decisions should be based on the best patient- and population-based as well as laboratory-based evidence. (2) Identifying the best evidence calls for the integration of epidemiological and bio-statistical ways of thinking with those derived from pathophysiology and personal experience of health care professionals or decision makers of the EBM (examples include using likelihood ratios to increase the power