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. Trying to determine the credibility and importance of information is daunting. Therefore using a tool to determine the strength of resources is important. …show more content…
The most crucial component of searching databases is determining which terms to use. Through trial and error, I found that using the words nausea and vomiting yielded many articles on my subject. Under the Cochran Database of Systematic Reviews, Joanna Briggs Institute and Database of Abstract of Reviews of Effects (DARE) there is a total of 472 articles 24 of which are pertinent to my research topic. Although the first level of the hierarchy yielded many articles, level two was not as successful. At the critically appraised topics portion of the pyramid, the databases are the National guideline clearing house, Annual Reviews, and Best BETs. Of the 488 articles in these three databases, none applied to my subject matter. Moving on to the next level, critically appraised individual articles the databases are: EvidenceUpdates from BMJ, ACP Journal Club, Evidence-Based Nursing. Unfortunately, this too was unproductive, of the 49 articles none was relevant to the subject of multimodal medication versus single dose or no medication for postoperative nausea and vomiting. The above databases and levels use what Walden University (2012) describes as ?filtered resources.? The bottom four levels of the evidence pyramid use ?unfiltered resources? Walden University (2012). CINHAL Plus with Full Text yielded …show more content…
For example, there is specific information about each trial reviewed. The information is broken down into considerable detail. Although the articles from the CINHAL database are not as detailed, they are informative in other ways. Some of the articles may give opinions coupled with statistics from studies whereas the systematic reviews appear to have more of a mathematical component (statistics). Tip when searching
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Keeping an open mind and being transparent when doing a literature search is key in producing a comprehensive and meaningful literature review. Discussion 5: 1) Read “How to search evidence” PowerPoint, and 2) discuss at least 5 things what you learned about searching evidence. Five points learned from the Power Point include: 1. Using professional databases such as PubMEd, CINAHL, Cochrane, EBSCO, etc. is essential in finding reliable, current and valid data. 2.
According to Hinkle and Cheever (2014), Evidence-based practice is not about emerging new knowledge or confirming existing knowledge. It is about interpreting the evidence and applying it to clinical decision-making. And clinical opinion validates existing knowledge based on a theory. Furthermore, Evidence-based practice is a practice that is supported by the reaches that considers the health care setting, patients, and clinical judgment (Hinkle and Cheever, 7) This week I was able to practice in relaxation techniques with my patient.
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
Evidence-Based Practice and The Quadruple Aim Dawn Renee Henderson College of Nursing, Walden University NURS – 6052 C, Essentials of Evidence-Based Practice Dr. Linda Johanson Sunday, March 5, 2023 Evidence-Based Practice and The Quadruple Aim Evidence-based practice (EBP) is an approach that involves integrating the best available evidence with clinical expertise and patient preferences to inform clinical decision-making. The Quadruple Aim framework is a widely recognized model in healthcare that aims to optimize healthcare outcomes by focusing on four key areas: improving patient experience, enhancing population health, reducing healthcare costs, and improving the work-life of healthcare providers. EBP can support the Quadruple Aim
Objective #5, synthesizing research is the back bone of good nursing. We have been taught that every action we take as nurses should be evidence based in order to deliver the best most effective nursing care. Throughout the nursing curriculum we have written a various evidence based papers which have molded our nursing practices and the way we deliver care. Artifact #1 is an in-depth look at research on the myocardial infarction (MI) protocol, how it was developed, and its effectiveness. The paper was written for the Health promotion III course.
Locally, the practice of EBP is new and recently developed and applied in studies and practice (MOH 2012). The professional code of conduct for nurses and midwives (ONMC 2011) supports the implementation of EBP as this code states clearly to nurses that in order to be competent they need to update their knowledge and skill according to the current scope and standard of practice. What is more, care delivery should be based on the existing evidence and not be purely based on the nurse’s experience and traditional practices, it should be based on valid and approved research (ONMC 2011 ). Overall, using evidence in practice improve
EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” (Sackett D, 1996) Carnwell defines EBP as ‘[the] systematic search for, and appraisal of, best evidence in order to make clinical decisions that might require changes in current practice, while taking into account the individual needs of the patient.’
The primary search engine that the student researcher utilized was from Google Scholar. The student researcher has found over seventy articles that were
The two Evidence Based Practice models that I decided to compare are the Johns Hopkins Nursing model and the ACE Star model. The Johns Hopkins Nursing model “helps bedside nurses translate evidence to clinical, administrative, and educational nursing practice” ( p. 302). The Johns Hopkins Nursing model focuses on nursing and nursing practice. The model helps nurses translate evidence-based practice into practice and enhances nursing autonomy, leadership, and engagement with interdisciplinary colleagues (). While on the other hand the ACE Star model focuses taking several forms of knowledge and turning it into evidence-based practice.
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
According to University College London (UCL) (2011), critical evaluation helps to filter necessary information, identify studies that are applicable clinically and also for continuous professional development (CPD). However, evaluation of an article, is assessed using pre-designed instrument that encourages a more thorough and systematic method; it is designed for different study design and ask specific questions as pertain validity of the study such as: if the study has given an answer to the research question and has met its set aims and objectives, the methodology, analysis and interpretation of findings (Harder, 2014; Burls, 2009; Whiffin and Hasselder, 2013). It could be said that a good critical assessment plays a vital in evidence-based practice. Therefore, a critical appraisal skills programme (CASP, 2009) checklist will be used to evaluate the selected paper for this
Over the last decade, there has been a noteworthy change in the way that healthcare professionals use evidence from scientific research in their clinical practice. There has been plenty of evidence that a gap existed between research and practice. The concept of evidence-based health care has become part of the language of clinicians, managers, policy makers, and researchers in health services throughout the world. Though the notion of evidence-based health care is far from the new and the extent of its uptake in clinical practice is uneven, the diffusion and adoption of the ideas associated with evidence-based health care during the 1990s provide a remarkable testament to their power and their relevance to the current problems and challenges
Systematic review clinical assessment and evaluation of all studies that discusses the same clinical issue, simply its summary of outcomes of researched studies in a quantitative manner and hence it's named Meta analysis. After setting a question and searching for studies that meets the eligibility criteria and reading it very well to obtain adequate and precise results for Meta analysis detection of bias in the individual studies is an important issue to avoid inadequate results and to be sure that the data collected is confidence wise.1 So bias is critical topic and must be focused in.
It is not conined to medical ield but has the ability to limit the search to medical research only. Most research are not yet published and researchers can ind high quality information for health statistics. Using the database website (http://www.srdb.org) needs free registration. 2. Registries.