Evidence Based Practice Summary

When implementing best healthcare practices within a healthcare setting an evidence based practice approach is used. With this method we are not looking to develop new ideas we are looking for ways to improve existing practice. This is done by using the best evidence to improve patient care. The best evidence is achieved through research from various sources. These sources include: the latest scientific knowledge, best clinical practices, clinical judgement, and critical thinking. Translating the information gathered from each source into best practice is the ultimate goal of evidence based practice. With this being the bases of the approach I feel the fundamentals of evidence base practice requires sound scientific knowledge, sound clinical

What is Evidence-based practice? 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.

The gradual growth of interest in mental health resulted in deinstitutionalization, or the discharge of prison and asylums in the 1960’s. This resulted in the development of new medication and ways to treat mental illness (Simmons, 1990). This changed allowed the once permanent patients of the asylums to be released into society into the care of their loved ones (Newman, 1998). However, this was unsuccessful as the government did not develop and improve community services.

For example, nurses work with patients 24 hours of a day, 365 days a year while other professionals are likely to work a 9-5 shift and will often not work at weekends. This makes mental health nurses to have more contact time with patients. Another difference is that nurses provide holistic care, unlike a social worker who deals with the social needs of a patient. In spite of the differences in roles, all healthcare professionals work together as a team to provide care for patients.

Deb Kanya Initial Post 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.

Treatment Plan of Ms. Smith Micah Sparks Grand Canyon University Treatment Plan Case History for Treatment Plan Psychological Evaluation Name: Sally Smith SS#: 000-00-0000 DOB/Age: 6/10/1972 42-years-old Date of Examination: 11/26/2016 Examiners: Fred Looney, PhD Chief Complaint: Mental Sources of Information: Clinical Interview with Sally Smith Medical Records Brief Mental Status Examination Wechsler Adult Intelligence Scale-IV (WAIS-IV) Background Information: Ms. Smith is a 42-year-old African American female born November 10, 1972. She currently lives in with her mother.

Research is designed to contribute to knowledge which has resulted in the formation of evidence based practice. The influence of evidence-based practice is endorsed across nursing practice and education. The need for an effective, safe, and efficient health system has resulted in the call for evidence based practice to become the bases for new knowledge being transformed into working clinical procedures, being effectively implemented and working for the advantage of the patient and the entire care team. Evidence based practice is an approach to problem solving and an aid for decision making which integrates best evidence and patient care data. If delivered in an environment of caring and in a supportive organisation, the highest quality

Research studies show that evidence-based practice (EBP) leads to higher quality care, improved patient outcomes, reduced costs, and greater nurse satisfaction than traditional approaches to care.1-5 Despite these favorable findings, many nurses remain inconsistent in their implementation of evidence-based care.

Before the Mental Health Systems Act of 1980, people with mental health illnesses were confined to public psychiatric hospitals where they were neglected and poorly medicated. Patients’ needs were unmet due to the lack of knowledge and prevention services which led to a number of deaths of the mentally ill. Due to the lack of services, hospitals were not equipped with early detection or prevention programs that would have reduced the number of hospitalized patients. Before the federal government partnered with the state 's, funding was limiting which led to the government overlooking the individual needs of each community or state. Another problem that needed revision was aftercare.

In mental health there are a lot of different roles of different agencies and professionals within the assessments, both of these are for the protection of the service user and service provisions these include mental health services which are set up and run by the NHS organisations as well as some voluntary sectors there are also private companies which are paid for by or commissioned by the NHS. A local GP should be able to recognise a service users symptoms and diagnose the service users symptoms of mental health or psychosis then they should refer the service user to an intervention service were they will then be assessed. These assessments will then be carried out on the service user, which will then provide them with the right services

For this week’s discussion post I will identify a situation where evidence-based practice has been applied in my workplace. Evidence-based guidelines are put in place and into practice after research has been completed. This helps with intertwining practice and research and are established by professional organizations, government agencies, institutions, or expert panels (LoBiondo-Wood & Haber, 2014). These clinical guidelines give clinicians findings to help in the decision making process of diseases or treatments.

Social workers often need their own psychiatrist first, in order to be the most efficient in their practice. This aspect is known as the “psycho” part of the Biospycho-social Spiritual perspective. There are several aspects of my being that I can affectively contribute to the social work profession. For example, I utilize my time effectively. I take very in depth notes, and I am also a comprehensive listener.

Ms. Lewis was referred by Maricopa county correctional health services to receive an evaluation for potential to transfer to the mental health unit. She was serving a 10-year sentence for manufacturing and possession of illegal substances. She had served 1-year of her sentence and reported symptoms of anxiety, obsessive rumination, and sleep disturbances. Notification of Purpose and Limits of Confidentiality Upon arriving for her appointment, the Informed Consent and confidentiality agreement was discussed both verbally and in writing with Ms. Lewis. The purpose of evaluation was reviewed along with mandated reporting laws and danger to self (DTS) and danger to others (DTO).

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.

The theory of evidence based practice is not only an approach that targets for quality of patients but also highly improves the level of accountability in the health care sector by promoting a life-time learning process.