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Evidence-Based Practice

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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. Introduction The purpose of this paper is to explore the relationship between nurses' duty hours, and patient outcome, emphasizing increased negative risk from nurse fatigue, relating to patient injury or death. For flexibility, most nurses today prefer working fewer days per week longer hours per day. The data results of today concludes that longer work days of 10 hours or more proves to be a detrimental to the patient as well…show more content…
Developing inquiries that are the base of EBP. Step 1: Ask clinical questions in PICOT format. Inquiries in this format consider patient population of interest (P), intervention or area of interest. (I), comparison intervention or group. (C), outcome (O), and time (T). The PICOT format provides an efficient framework for searching electronic databases, one designed to retrieve only those articles relevant to the clinical question. Step 2: Search for the best evidence. The search for evidence to inform clinical practice is tremendously streamlined when questions are asked in PICOT format. Step 3: Critically appraise the evidence. Once articles are selected for review, they must be rapidly appraised to determine which are most relevant, valid, reliable, and applicable to the clinical question. 1. Are the results of the study valid? 2. What are the results and are they important? 3. Will the results help me care for my…show more content…
Research evidence alone is not sufficient to justify a change in practice. Clinical expertise, based on patient assessments, laboratory data, and data from outcomes management programs, as well as patients' preferences and values are important components of EBP. Step 5: Evaluate the outcomes of the practice decisions or changes based on evidence. After implementing EBP, it's important to monitor and evaluate any changes in outcomes so that positive effects can be supported, and negative ones remedied. Just because an intervention was effective in a rigorously controlled trial doesn't mean it will work the same way in the clinical setting. Step 6: Disseminate EBP results. Clinicians can achieve wonderful outcomes for their patients through EBP, but they often fail to share their experiences with colleagues and their own or other health care organizations. This omission causes non-evidence-based duplication of effort, and, perpetuates clinical approaches.
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