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.
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.
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.
Reflection on Evidence Based Practices. The American Psychological Association defines Evidence-Based Practice in psychology as a combination of the best research with the highest clinical expertise that takes into context a patient’s culture and preferences (APA, 2005). The empirical data gathered is intended to provide effective and practical mental health assessments for the public supported by competent psychologists. The Oregon Addictions and Mental Health Division AMH defines evidence-based practice as a combination of the best research evidence with the highest clinical expertise to provide the patient with the most competent care (Oregon AMH, 2007). The APA definition and the Oregon AMH definition stress equally an integration of best practices or programs, best research evidence, clinical expertise, and an awareness of client cultural values as the qualifying factors in an acceptable evidence based practice.
The aspect of a concept labels a phenomenon or an obstacle fact perceived through the senses. Concepts do assist in the formulation of a mental image based on an object or condition. Concepts also help us to name occurrences and things in the world and as well as assist in communication (Medeiros et al. 2015). The two distinct practice concepts in nursing that I would take into account includes patient profile concepts which refer to those ideas laying the foundation for a patient-centered approach for nurses (Marriner-Tomey, 1989).
1. Define research, nursing research, and evidence-based practice, and describe the purposes of research in implementing an evidence-based practice. Research is investigating and studying of materials and sources to establish facts and reach new conclusions or to report knowledge about something. Research can also mean to validate something that already exists based on some kind of theory. Nursing research is providing evidence used to support nursing practices, generate new knowledge, and promote evidenced-based nursing practice, ensure credibility of nursing profession, provide accountability for nursing practice and document effectiveness of nursing care.
The objective is to discuss the role of evidence-based design in facility planning and design as a key element in helping the field of facility planning and management continue to strengthen professional practice. The descriptive exploratory design was the research method. The discussion draws was done with the relevant literature and recent research. Evidence-based design principles utilizes “best information available from research” when making design decisions and improvements in the organization’s clinical outcomes, economic performance, productivity, customer satisfaction, and cultural measures” (Hamilton, 2003) which generate the expected outcome and cost effective. the findings from a study assessing the relationship between the physical attractiveness of outpatient facilities on patients’ perceived quality of care, directions for research on facilities and their relationship to teamwork and collaboration among multi-disciplinary care teams.the issues associated with implementing evidence-based design, and suggest practice-based research to garner the benefits of systematic assessment in the context of real world time and resource constraints.
It also was cited by him as Newell (1992) pointed out that reflection is a cornerstone of the nursing profession. Like many other health care professionals nurses engage in lifelong learning. Reflection helps nurses to be autonomous, qualified, and self directed professionals to move forward with a vision. I strongly believe that engaging in reflective practice is associated with development of situational learning, patient centred care, and the transformation of care to a new level. Literatures declared that by engaging in reflective practice nurses can improve the quality of care (Greenwood 1993), stimulate personal growth (Smyth 1992) enhance professional growth (van Manen 1977), close the gap between theory and practice (Conway 1994) and gain insight and improve practice in the future (Schon 1987).
The purpose of this discussion is to define research and evidenced-base practice in nursing. I will also provide a sample question for each definition. Evidence Based Practice vs Nursing Research 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). Nursing research is defined as the systematic, rigorous, critical investigation that aims to answer questions about nursing phenomena (LoBiondo-Wood & Haber, 2014).
- Case study – Nurses pick on cases of patients, audit them and research on them to enable all in all the best nursing practice for that particular case studied. 5.2 SOCIAL CONTEXT Qualitative research uses the social science and Governmental research to understand social recommendations regarding future developments and programs, including whether or not government should be involved. 5.3. APPLICATION IN CURRENT