Ganz et al. (2009) and Roddy et al. (2009) both emphasize the importance of utilizing evidence-based research in health care services. Ganz et al. (2009) research study is a quantitative study which seeks to determine what is the best evidence-based research that relates to oral care practices for ICU nurses. The purpose of this study is to describe the oral-care practices of ICU Nurses, compare these practices to current evidence, and determine whether personal demographics or professional characteristics were related to evidence-based, oral-care practice (Ganz et al., 2009). The independent variable in this study is the ICU nurses personal demographics and profession while the dependent variable is the measure of the priority in oral care …show more content…
The error in this study was controlled by the researchers reference back to similar research such as this study. The researchers utilized a barrier scale and factored in the nurses educational level, position, and skill level. Some studies on this subject resulted to nurses with higher degrees had higher confidence at experience as using evidence-based research as part of their nursing care practice (Ganz et al., 2009). The conclusion of this study states that although nurses upholds oral care as high priority, most of the critical care nurses in this study do not conduct this care skill with the most current evidence-based practices or even with the proper methods, even though the American Association of Critical Care Nurse (AACN) recommends an oral care hygiene program that that brushes the teeth, gums, and tongue at least twice a day (Ganz et al., 2009). In regards to the second part of the research question, the researchers concluded that evidence-based practices didn’t have an association with personal demographics or level of …show more content…
(2006) and Ganz et al. (2009) are exemplary research studies that can potentially benefit a health care system in implementing a change. However, I do not hold either of these studies as a reliable source for reference. Roddy et al. (2006) possessed many contradictory information and inconclusive data. This research states that the VAS-SOR method cannot be assessed by external entities (Roddy et al., 2006), therefore, the researchers aren’t confident on this study having a universal function and being applicable in other instances of management recommendation. In addition, this study doesn’t factor in cost-effectiveness, safety, and professional input. The new SOR method doesn’t have enough credibility to be seriously utilized before a randomized control trial. Ganz et al. (2009) research study mentioned that in these nursing facilities there weren’t any writing protocols that emphasize evidence-based practices for oral-care. Therefore, this overturns the entire claim of the research question. This study also stated some contradictory findings when it came to
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The details of the study included literature review, purpose, method, data analysis, results, discussion, limitations, nursing implications, recommendations for future research and conclusion. The results were clearly presented. Study limitations were identified. The conclusion was based on study results. This review was of good quality.
The profession of nursing has embraced evidence based practice (EBP) as evidence based care combines evidence from research, clinical experience, and patient preferences that help us to ensure that patient care is effective, considerate, and cost effective for facilities and the population served, while meeting the specific needs of each patient Research that leads to EBP tells nurses and health care providers what practices/treatments that work, what does not work, and with whom and where they work best. An example of EBP is that the Affordable Car Act requires that all reimbursable treatments follow the guidelines and recommendations made by the U.S. Preventative Services Task Force (USPSTF). The USPSTF recommendations are derived from
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. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as
Introduction Melnyk and Fineout-Overholt (2019) defined Evidence-Based Practice (EBP) as a problem-solving approach to clinical decision-making. It involves using the best available evidence through a systematic search and critical appraisal of relevant evidence, combined with clinical expertise and patient preferences, to improve individual, group, community, and system outcomes. EBP is a lifelong approach to clinical decision-making that combines the best available evidence with clinical expertise and patient values to improve outcomes (Melnyk & Fineout-Overholt, 2019). The University of Missouri Hospital, locally known as MU Health Care, is an organization that emphasizes its mission, vision, and values, all critical elements of evidence-based practice.
Crabtree et al. (2016) state that EBP can positively impact the cost of care while still maintaining high-quality services. For example, implementing evidence-based interventions such as early discharge planning or reducing unnecessary diagnostic tests can reduce costs without compromising the quality of care. The success of EBP in reducing costs is demonstrated in a study on the EBP Nurse Scholars course, which increased nurses' confidence in critically reviewing literature and improved their EBP skills, resulting in increased use of EBP resources in clinical practice (Crabtree et al., 2016). By utilizing EBP to implement cost-effective interventions, healthcare organizations can reduce the overall cost of care while still providing high-quality services, supporting the Quadruple Aim in
In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).
Before EBP was imbedded into healthcare, nurses relied in the advice of senior nurses and what they learned through education and trial and error. Floranc enightengal ……. However, it wasn’t until the mid-1800s that evidence-based medicine had its beginnings, but did not come into play until the year of 1972. Through many years different modifications, various groups of nurses have drafted their own versions of evidence-based practice guidelines into play.
Evidence based practice (EBP) is need and used within the nursing leadership of health care today, redesigning care tgiven to patients that is effective, safe, and efficient. (Huber, 2014). The purpose of this discussion board is to discuss the helpful attributes of an organizational infrastructure and culture implementation of nursing evidence-based practices and to discuss what process my organization uses for implementing evidence-based practice. Evidence-based practice (EBP) programs within healthcare organizations is helpful in that it enable the nurses to develop competencies to promote the quality,safety and clinical decision making, problem solving as well as allows for cost effective outcomes within their environment (Stevens, 2013).
With these changes, we as nurses are able to provide the best care possible for our patients. In the BSN program, I learned the importance of having peer reviewed research for validity. Also, I would like to one day take part in a research study at my facility in order to contribute to the advancement of the nursing field. Sound peer reviewed research is very important in the nursing field.
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. In developing evidence-based practice, a clinical question must first be put into place.
Over the past decade, the healthcare profession has changed tremendously with the support of the evidence-based nursing practice. The evidence-based nursing practice is a multidisciplinary approach which involves the integration of a problem-solving that lead to the context of patient caring, patient’s data analysis, clinical experience, and expertise, and patients’ preferences and values. The fundamental function of the evidence-based nursing practice is to reduce or eliminate the uncertain in the clinical care, in order to achieve efficient and effective service delivery. The fundamental concept of evidence-based nursing practice methodology can be effective in the application of practice guideline. In the effectiveness and the efficiency
ENSURING EVIDENCE BASED PRACTICE SIGNIFICANCE OF THE CONCEPT Evidence base practice can be defined as the integration of clinical experience and skills, patient values and best research evidence into decision making process for patients’ care (Saclett D, 2002) The integration of the three elements into decision making process enables the practitioner a better opportunity for enhanced clinical outcome and improved quality of life. Evidence alone is not enough in decision making hence the integration of the three elements. In order to ensure effective public health programme the practitioner must ensure that every decision made is evidence based.
Perhaps I am not the only person that is finding it difficult to distinguish between research nursing and evidence based nursing. Most of what we do comes from both sources. In research nursing we characterize the problem and through evidence based we close the gap between what we know and what we do every day (Stevens, 2013). By performing evidence based nursing we increase effectiveness, improve performance, efficiency and better patient outcomes. Yet when we perform evidence based nursing we are researching the effectiveness of already known knowledge to apply to present situations.
The goal is to improve the health and safety of patient while also providing care in a cost-effective manner to improve the outcome for both the patient and the health care system at large. 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.
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).