According to Barrett, when attempting to define what nursing science is, it remains quite a mystery. With various different worldviews, with wide range of theoretical and practical knowledge evolving over time, has made it a challenge to come with a universal definition. To ensure that nurses are current with the best practical and evidence based practices, it is important to focus on nursing-discipline-specific knowledge. Fawcett stresses the importance of using nursing discipline-specific knowledge in the form of explicit nursing conceptual models, because it governs the foundation of what and why nurses do what they do. Fawcett makes it clear that nurses must develop adequate knowledge in order to apply new evidence based treatments and
Evidence-based practice specifically focuses on a holistic approach that encompasses clinical expertise, patient values, and the best researched evidence to improve patient care outcomes. As healthcare trends change to comply with the adoption of enhanced technology, compliance of government healthcare reimbursements, and higher quality care, strong leadership and continued research is needed (Huber, 2014). Nurse leaders have the vital, but sometimes challenging duty of promoting evidence-based practices in a usually complex healthcare setting. Not only should the nurse leader gather clinical data that may help improve patient outcomes and nurse practices, nurse leaders should also encourage a work environment that is open to the change that results from evidence-based practice discoveries. Through the development of a building-block approach, nurse leaders can promote evidence-based practices by incorporating the process in every aspect of the healthcare structure they supervise. A successful leader promotes evidence-based practices by inspiring, enabling, and articulating the whole nursing team to embrace the best evidenced practices. Strategies for implementation of evidence-based changes stem from a complex network of a whole team that is focused on improving healthcare outcomes. This change
Evidence based practice is using the most recent research to asses the patient and provide them with the best outcome. “The NMC’s (2015a) Code: Professional Standards of Practice and Behaviour for Nurses and Midwives states that it is the responsibility of each nurse and midwife to maintain their knowledge and skills and to practice using the best available evidence.” The purpose of this paper is to mention challenges that nurses face when trying to implement EB, blah blah blah. What it is what it isn’t why it makes a difference and why its crucial.
This concept is taken from Research and Nursing Research block 3, module 2 entitled ‘’Evidenced Based Practice’’
The two Evidence Based Practice models that I decided to compare are the Johns Hopkins Nursing
The term Evidenced-based practice (EBP) is one of the most talked about concepts in healthcare. Nursing scholars, worldwide, have sought to provide healthcare workers with the evidence from research to be transform this into clinical care. To ease this transference of data into practice, scholars have developed EBP models. These models direct the researcher with the process from hypothesis to implementation of the data. The perplexity of EBP is that the data can come from research, clinical experience, patients, or local context and environment (Rycroft-Malone, et al., 2012). Because of the complexities of driving research in the healthcare field, different models were developed with different healthcare agendas in mind.
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
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.
Evidence-based health care refers to the careful and thoughtful decision-making that happens during patient care, which is greatly influenced by valid and clinically relevant research, to provide quality patient care and improve patient outcomes (Broom and Adams, 2012). As such, the main aim of the evidence-based health care is to help healthcare providers make choices that best affect individual patients, of which they have to base their judgment on current and valid information. Evidence-based practice is a process that necessitates practitioners to examine the patient, come up with a clinical query, carry out a research pertaining the question, and attain supportive evidence.
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
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 practice is the act of incorporating clinical expertise, best research evidence and patient values and preferences in delivering care. This system, as opposed to previous methods that used the same standard of care for each patient, evaluates treatment plans based on research and the practioners own experiences. The usual workup of this type of practice is to ask a series of “why” questions and meticulously observe patient patterns to paint a better picture of the environmental factors surrounding the patient’s condition. This method advanced treatment modalities as practioners were able to better incorporate external factors in the assessment. Previous styles of care such as defensive medicine, forced providers to aggressively
Evidence base practice (EBP) is a proactive methodology to improving patient care. Nurses are now called upon to research, identify and analyze practice problems so that questions can be answered on how to deliver care. Therefore, the translation of research into practice require strategies such as protocol and guideline to disseminate EBP within an organization (Yoder-Wise, 2015). By researching barriers to breastfeeding in the neonatal intensive care (NICU), policy changes are noted to be indicated. The objective of this Dissemination Plan is to identify and organize the activities to be performed in order to promote breastfeeding in the NICU to the key stakeholder and the greater community.
According to Melyn and Fineout-overholt(2005)Evidence-based practice should be a problem-solving approach to clinical practice that integrates a systematic search for critical appraisal of the most relevant evidence to answer a burning clinical question.
Due to the structure of health care in the United States, nurses are often responsible not only for patients’ education about their ailments, but also for designing and implementing plans and procedures to encourage general health education and wellness (Bastable, 2011). The advanced nurse should work to improve both personal nursing skills and the nursing skills of colleagues (Rolfe 2014). As such, nurses must be strong collaborators and life-long learners who are able to explain their justifications, processes, and skills to patients and one another. Although the world is developing an affinity for accumulation and implementation of evidence-based practice and although nurses pride themselves on their ability to learn and teach