Evidence-based Practice in Nursing Care Essay
Evidence based practice which is a problem solving approach in the way that health care professionals deliver care is based on studies and patient care data with clinician expertise and patient preferences and values. It provides scientific approach that helps nurses to deliver quality care to a particular population. Evidence based practice has earned energy in nursing. It provides possibilities to more individualized nursing care. It also offers opportunities for nursing care to enlarge his dynamist and make the best use of clinical judgment. Evidence-based practice is an important method that nurses can use to provide an excellent care to patients and their relatives. Research has shown that nurses that treat their patients by using …show more content…
It promotes patient’s satisfaction and positive health care outcomes. According to Pape evidence based practice is the “combination of best research evidence, clinical experience and client’s desires”. (2003: 155)
It is significant for nurses to understand research method because providing care should be based on the best available scientific evidence. It is combined with clinical judgments and patient’ preferences to obtain an outcome which is the best quality cost -effectiveness of patient care. It is not only important for nurses to know the right thing to do but also to know why it is the right thing to do. For example some nurses know that a particular method must be implemented but ignore the scientific reasoning behind it, which means they don’t know what research support the method. Some nurses implement evidence based practice method without questioning the reason why are they putting it into practice. For nurses to get committed to evidence based practice they must know strategies to search for many relevant information from publications currently available. As we know that there is a relationship between
Write a Report on the Use of Evidence Based Nursing Within Long Term Conditions (Ltc), Including Personal Reflection on How You Have Recently Used Evidence Based Practice in the Care of a Person with a Long Term Condition.
Write a report on the use of evidence based nursing within long term conditions (LTC), including personal reflection on how you have recently used evidence based practice in the care of a person with a long term condition.
1. Introduction. 2.1. This report discusses the significance of using evidence based nursing for the treatment and management of long term conditions. It focuses on how evidence based practice influences the patient care and includes personal reflection of caring for a person with a long term condition with experience of using evidence based care.
2. What is evidence based nursing? 3.2. Evidence based nursing practice indicates making decisions about a patient’s care on the basis of current best …show more content…
These apply to health and social services working with local agencies involved in supporting people to live independently, such as providing transport, housing, employment, benefits and pensions. Another study to support this is the Personal Health Plan which was set up in July 2008. It has been developed specifically for people with long term conditions to help them to adapt to life with a long term condition and to take control of their care. 5.5. Evidence shows that this research based practice and the use of national clinical guidelines has improved quality of care and the patient’s outcome (McInnes, 2001). Although there is room for improvement; national service frameworks are devised for patients living with only one long term condition, and many suffer from a range of conditions that also need better management.
5. Personal Reflection. 6.6. On reflection, whilst observing nurses in practice, I found that a lot of the sources of information came from reliance on humans as information sources. Experiential sources, such as the Multiple Sclerosis Clinical Nurse Specialist or other experienced colleagues, appeared the most accessible, useful and reliable
Essay on Evidence Based Care And Person Center Care
Evidence based care and person center care The definitions of evidence-based nursing is borrowed from evidence-based medicine, which is defined by Sackett as the conscientious, explicit and judicious use of current best external and scientific evidence in making decisions about the medical care of individual patients (Sackett, 1996). Correspondingly, this means that evidence-based nursing is a method of critically selecting and appraising the scientific literature and applying the scientific evidence that has been found in a specific nursing situation.
Gibbs (2003) takes this idea further, stating, “Placing the client ‘s benefits first, evidence-based practitioners adopt a process of lifelong learning that involves continually posing specific questions of direct practical importance to clients, searching objectively and efficiently for the current best evidence relative to each question, and taking appropriate action guided by evidence (p.6). An addition is made to this definition by Muir Gray (1997) “an approach to decision making in which the clinician uses the best evidence available, in consultation with the patient, to decide upon the option which suits that patient best” (Muir Gray, 1997, p. 9). According to Canadian Nurses’s Association (2010) “Evidence-based decision-making is a continuous
Decision Making Of A Nursing Essay
Decision Making in Nursing
Nurses make decisions that have life and death implications (Payne, 2015). Nurses must be accountable for their decisions as well as the consequences of those actions (College of Registered Nurses of British Columbia, 2012). Clinical decision making is a complex process that requires the nurse to draw from personal knowledge, client history, previous clinical experience, as well as intuition (Banning, 2008; Benner, 1984; Blum, 2010; Payne, 2015; Tanner, 2006). These decisions impact how efficiently, competently, and satisfactorily the client is treated (Etheridge, 2007). Decision making models have been developed to assist nurses with their critical thinking to ensure safe client care and improve client outcomes (Lauri & Salantera, 1995; Tanner, 2006). Due to the multi-dimensional process that decision making involves, using a framework to organize information, as well as evidence-based practice, ensures client safety and best practice (Lauri & Salantera, 1995). Using evidence-based practice to guide decisions promotes an optimal standard of care that nurses aim to achieve by keeping the client at the forefront of their care (Sandstrom et al., 2011).
In this paper, I will define and explore critical thinking and decision making in nursing
Best Practice Guidelines For Nursing Essay
Best Practice Guidelines in Relation to Medical Surgical Nursing
The Registered Nurses Association of Ontario (RNAO) states that “since 1925 the RNAO has advocated for healthy public policy, promoted excellence in nursing practice, increased nurses’ contribution to shaping the health-care system, and influenced decisions that affect nurses and the public they serve.” One of the ways the Registered Nurses Association of Ontario has achieved these goals is by developing a highly appraised program which advises nurses on evidence-based strategies to implement in their practice of patient care through the Best Practice Guidelines (BPG). Since 1999 the Best Practice Guideline Program employs the latest research to optimize the outcomes of nursing care (RNAO, n.d.). Through a rigorous, systematic process a best practice guideline is formed. BPGS range from the treatment of care from breastfeeding to care at the end of life. Additionally, it is important to cover all degrees of nursing care to ensure all patients are receiving competent, contemporary and complete care. Furthermore Best Practice Guidelines make evidenced based practice more appealing by determining the relevant literature and appropriate nursing methods which are then organized into an
Essay on The Effect Of Evidence Based Practice Nursing Care
Throughout most of history the perception of a nurse was interpreted as a bedside maid that served the doctor they worked under. However, nurses have defined, applied, and birthed evidence-based practice for over a hundred years (What’s, 2011). The application of evidence-based practice nursing care is parallel with the effect on improved patient outcomes (Davis, 2016). The evidence based practice has evolved into a need for health care power teams that work together to continuously research the best outcomes for the patients in their care as a unit, then sharing that knowledge with other health care partners (Kerr,2007). Furthermore, the trinity relationship that exists between research, evidence-based practice, and quality control work behind the scenes to produce a decline in errors with patient’s while improving overall patient centered care (Hughes, n.d.). Nurses that know the importance of evidence-based practice, how to implement it successfully, and have the willingness to evolve endlessly are the ones that set the standard in future care based on these standards.
Evidence- based practice has become an important revolution in the nursing community. Nurses should understand the meaning of this revolution
Essay on Nursing Care Based On Opinion And Ritual
After analysing opinion and ritual, an evaluation will be made suggesting that evidence from research is stronger in regard to how nurse’s can provide the best care to their patients. Identifying and examining knowledge-based methods throughout this essay such as research, quality improvement and evidence-based practice (EBP) will demonstrate that nursing care based on opinion and ritual, limits the quality of health care delivered to each patient.
The nature of research is fundamental to health care, and the power it exercises during its practice. As part of a multidisciplinary health care team, it is important to be aware that research in nursing can be improved or altered through the synthesis of knowledge from other health discipline’s research (Jirojwong et all., 2014). Just as architecture holds the power to change the horizon, knowledge holds the power to change health care. The use of evidence from research in clinical decision-making should be central to one’s nursing practice and meeting patients’ needs (Smith & Cappleman, 2014). Using the best available evidence to deliver high standards of care at all times is a core standard in the profession of nursing.
Mosby’s Medical Dictionary defines research as “a systematic inquiry that investigates
Application Of Evidence Based Practice Essays
Introduction
Evidence-based practice is most often defined as “integrating individual clinical expertise with the best available external clinical evidence from systemic research”. (Sackett, 1996). This is where the art of nursing and the science of nursing become one, and the result is to produce the best possible outcome for the patient in the clinical area, and promote a higher quality of life. Nursing has changed dramatically since its beginning in the 16th century where the religious matriarchs were considered the caretakers of the sick; to the present where nurses are able to hold doctorate degrees, and lead interdisciplinary teams that develop standard practices that are beneficial for the wellbeing of the patient. In 1960, nursing was recognized as an applied science, and this was a changing moment for the profession in the way of nursing research and knowledge. However, it was not until the early 1990’s that the nursing profession began to expand and embark on yet another growth spurt. Nurses became more proactive and began collecting evidence, and obtaining research to create policies and procedures for a set standard of care. The implementation of this process has been proven more effective in patient care. However, we cannot lose focus of our nursing
Evidence Based Practice Essay
Implementation of Evidence Based Practice
Rosemary Garcia
Implementation of Evidence Based Practice Evidence Based Practice Nursing is the utilization by nurses of Evidence Based Research findings that, according to Houser (2012), steer the nurse toward integration of clinical expert opinion and experience with an unbiased exhaustive review of the best scientific evidence professional nursing care literature can provide while incorporating patient values and preferences. Evidence Based Practice Nursing entails adopting a systematic critical thinking decision making process guided by a deliberate and defined chosen Evidence Based Nursing model path that involves searching, …show more content…
They also minimized inherent cultural bias that could have potentially arisen if the sample had been solely from one country or region. The conclusion was that nurses would benefit from additional education regarding how best to address these concerns. Implementing these Evidence Based Research findings helps improve nursing practice.
As noted earlier, the prevalence of pressure ulcers, their prevention and treatment is a common dilemma in a long term setting and nursing homes want to demonstrate success in this area as part of the quality of care. One method used to identify and monitor pressure ulcers is the Minimum Data Sheet (MDS) prevalence ulcer (PU) indicator. Bates-Jensen et al (2003) in a quantitative research descriptive study sought to determine whether the minimum data sheet pressure ulcer indicator of a high or low score reflected differences in processes related to pressure ulcer prevention and treatment. The convenience sample consisted of 321 residents from 16 different
The paper herein provides a critical discussion of evidence based practice (EBP) in nursing. It clearly elaborates on the meaning and definition of EBP as used by nurses as well as the importance of evidence based decision making as it relates to nursing care. It broadly examines the concept of EBP in nursing care and its relevance to nursing practice and to the delivery of quality patient care. Subsequently, the essay will also expound on the broad research methods that are used in evidence based nursing and conclusively show how this evidence can be applied in day to day health care practice.
The Definition and Importance of EBP …show more content…
Nurses are continuously advised to make decisions regarding the care they give to the patients based on the most relevant evidence that is valid and available at the time. Like most of the other health disciplines, nursing is also shifting from the traditional intuition-based practice to EBP (Eizenberg, 2010). The importance of EBP in nursing cannot thus be underestimated due to the following reasons.
Evidence based practice helps nurses to provide high quality patient care that is based on the best research and knowledge (Beyea & Slattery, 2006). It is essentially important to use EBP as opposed to making decisions based on traditions, outdated literature, myths and mere advice of colleagues. This way, it improves the health care system since it facilitates consistent decision making based on the best evidence available (Eizenberg, 2010). It helps the nurses to make informed clinical decisions based on updated research and technology therefore enabling them to be more efficient and more accurate in the delivery of health care.
EBP is also important in nursing because it results in better patient outcomes (Beyea & Slattery, 2006). It contributes to greater nurse efficiency and professionalism which
Essay on Application Of Evidence Based Practice
The application of evidence-based practice (EBP) in nursing has created substantial impressions in science, education, and practice in the discipline. The field does not develop new nursing knowledge or validate existing data; rather, it enables medical practitioners to use tried and tested techniques to make clinical decisions. This paper review literature to reveal the way EBP incorporates patient values, preferences, and clinical experiences in nursing practice. The analysis section translates the implications of evidence and knowledge when implementing best practice in nursing into clinical practice. This is followed by an explicit explanation of the relevance and numerous benefits of EBP in nursing. Lastly, the conclusive paragraph highlights the key points raised in the literature review and analysis sections.
Review of literature Researchers have advanced several definitions of evidence-based practice in literature. According to Sortedahl (2012), it is the explicit use of research derived from theory to make critical decisions about caring for individuals or patient groups while considering the needs and preferences of each individual. Melnyk & Fineout-Overholt (2005) advanced a definition that is pertinent to nursing education.
