Evidence Based Practice History

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Definition and History of Evidence-Based Practice In the field of nurse anesthesia there are always clinical advances and an explosion of new information. So how does an anesthesia provider put all this new knowledge to good use in a clinical setting? Historically, nursing programs and medical schools have taught students to base their clinical decisions on expertise, experience, or single-sourced literature instead of a careful systematic review of all the available evidence (Pellegrini, 2006). Evidenced based practice recognizes that clinicians need to place less emphasis on scientific authority, custom, or ritual and more emphasis on the most current evidence that is present in literature. As more peer reviewed journals were available…show more content…
His ultimate goal was to make the research summaries of clinical trials readily accessible to healthcare providers. In 1993 between his work and the era of informatics explosion the initiation of the Cochrane Collaboration was officially founded. The Cochrane Collaboration enables health care providers to make sound clinical decisions by preparing, maintaining, and disseminating systematic reviews through a network of medical databases (Polit & Beck,…show more content…
The secondary evaluation was an analysis according to the route of intravenous verses topical administration. If the data in regards to laryngeal spasm had a classification of severity, they only included data was only that of severe laryngospasm. Each of the random controlled trials evaluated were assessed for risk of bias as described by the Cochrane Handbook for Systematic Reviews of Interventions. However a low risk of bias was established to all studies because it was determined that a lack of blinding of patients would be unlikely to affect the incidence of laryngospasms. The Grading of Recommendations Assessment, Development and Evaluation approach was used for evaluating the quality of evidence in this study and data was summarized using a risk ratio (RR) with a 95% CI. The random-effects model was used to combine the results of the

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