According to Hinkle and Cheever (2014), Evidence-based practice is not about emerging new knowledge or confirming existing knowledge. It is about interpreting the evidence and applying it to clinical decision-making. And clinical opinion validates existing knowledge based on a theory.
Evidence based practice is defined as the collection, evaluation, and integration of valid research. It is combined with clinical expertise and an understanding of patient and family values as well as preferences for informed clinical decision making (LoBiondo-Wood & Haber, 2014).
There are many definitions of Evidence-Based Practice (EBP) and has been described as the integration of research evidence, Clinical expertise and patient values which all inform best practice (Sackett et al, 2000)
This model consists of three steps integrated with subcategories. The steps are: Identification of a question of practice. Second step consists of evidence collection with a subcategory of searching, critiquing, summarizing, analyzing, and recommending. Third step: Translation the evidence into practice with subcategory, evaluation feasibility and implementation. The JHNEP model has been used in universities for it addresses all the components of EBP. The model outlines specific steps to a practice question, evaluating, and developing recommendations and implementing practice change. It also has a rating scale to determining the value of evidence for research and non-research data. Unlike ACE, it includes both clinician and patient expertise. The critical appraisal component guides the teaching process of evidence review to students. While it is adaptable to clinical settings, is has little emphasis in the organization cultural
As we further our education to become advanced practice nurses (APNs), it is crucial that we understand the behaviors or core competencies expected of all APNs. For the purpose of this discussion, I will evaluate the core competency of quality and how I will integrate this behavior into my daily practice.
Evidence based practice (EBP) is a process of integrating high quality evidence into practice or care provided by health professionals and decision makers in health care. This discussion will explore the meaning of the term Evidence Based Practice further and discuss its origins. EBP requires finding the best available evidence to inform practice, its greatest benefit being the best possible care for a client. Other benefits and limitations will be further discussed below. EBP demands the client be seen as an individual and their unique circumstances be considered in the application of evidence based care. This tailored care fits well with my current work as a midwife and my studies in Child and Family Health where partnership models of care
The role of nurse changes as new research emerges and finds new and improved ways of helping patients to be restored to health. As Aveyard and Sharp (2016) suggested, evidence based practice requires that the approach is clear but also up to date and it based on the best type of evidence available at the point in time. The Nursing and Midwifery Council Code (2015) is to always provide the best possible service related to the best available evidence that is also in line with the patient’s preferences. It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care.
This assignment has impacted my perspective on evidence-based practice by helping me build clinical reasoning skills and knowledge of difference diagnoses that will enables me to apply the most high-quality and appropriate intervention strategies that is proven effective in improve patient’s treatment outcome.
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
Some of the databases that were searched for information about my PICOT questions were not directly related to patients in long-term care facilities. The Databases that were searched included CINAHL, National Guideline Clearing House, Ovid, and EBSCO, articles related to my PICOT was found on National Guideline Clearing House and Ovid. Some of the key words that were used during the search were Hendrich II fall risk tool, fall in Long-term care facilities, Geriatric falls, fall prevention and predicting fall. National Guideline Clearing (www.guideline.gov) produced about ten results directly related to the content in the PICOT question and CINAHL had thirty nine results.
Evidence based practice addresses the compulsory need for quality research evidence and quality practice all in struggle to support the care of a patient. Below is a brief description of the five models of evidence based practice(“ LibGuides at Oregon Health & Science University,” n.d.).
Polit & Beck, (2012) describe Evidence-Based Practice (EBP) as an integration of clinical expertise, patient values, and the best research evidence. One of the more challenging aspects of EBP is the actual research on a particular topic. The fact is there is a multitude of journals and reviews etc. on any given subject; for this reason it is imperative that one knows how to conduct a proper search for pertinent information. Due to the complexity of literature searches and the amount of information available it is prudent to follow a guide while doing research. Trying to determine the credibility and importance of information is daunting. Therefore using a tool to determine the strength of resources is important.
Evidence-based nursing practice help to improve individual bedside practice because nurses work in the ward based on knowledge they obtained from previous research. It can also answer problematic clinical practice issue since it aim at solving problem, it improves nurse’s quality and reduces variations in care. Nurses are also confident in their decisions due to the fact that they know what they’re doing and can as well prove it because every patient deserves care that is based on the best scientific knowledge and ensures high quality and are cost-
Giving care to a patient is not a straightforward process because a patient is made up of advanced systems. Symptoms and the severity of a disease process are dependent on a particular patient, and it may not always be uniform from patient to patient. Because of this, nurses must be able to use their knowledge appropriately to help a patient. Nurses use techniques, such as Evidence Based Practice, in order to integrate new and advanced knowledge into their patient care (Canada, 2016). By exercising evidence based practice, nurses effectively seek knowledge, take experience from past situations, and apply this intelligence to best give patient care (Canada, 2016). Because of this fact, knowledge can be seen as a vital quality to
Evidence-based practice is an all-around systematic approach to patient care that was built up on research and proven treatment results within nursing in order to increase the patient outcomes. Evidence based practice is define as “the integration of current evidences and practices to make decisions about patient care”. (Medical Surgical Nursing, 2018). Evidence-based practice not only includes the best proven research for practicing patient-centered care, but also merges the patient’s preferences and values into consideration. EBP developed by incorporating scientific research with clinical experience and patient preferences in order to reach they highest form of care possible with modern mediction. Today,