16/5/ · Evidence-based practice has gained massive relevance in the field of nursing because of the need for accountability and efficiency among the nurses. The increasing demand for healthcare services in the global society has created a situation where nurses are Accordingly, Evidence-Based Practice (EBP) can be defined as: "A dedicated problem-solving approach in clinical practice that applies the best available evidence derived from reliable research, clinician's expertise, and patient's values and preferences in patient care decision making process." Evidence-based practice involves a great deal more than simply reading nursing periodicals on a regular basis. Nurses can take a more proactive approach to evidence-based practice by identifying authentic problems and concerns, and then using that to guide their inquiries into current blogger.comted Reading Time: 10 mins
Guidance to Evidence based practice Free Essay Example
Overview of Evidence Based Practice EBP in Nursing. Evidence-Based Practice EBP forms the basis of effective care delivery in nursing. For this reason, nursing students will occasionally be required to write an assignment on evidence-based practice EBP. Note that just like writing a care plan for nursingor writing a nursing diagnosisthe EBP is a major area of assessment for nursing students.
It is therefore important for every nurse practioner and nurse student to understand evidence-based practice EBP. Accordingly, Evidence-Based Practice EBP can be defined as:. Generally, application of EBP in nursing entails the use of nursing literature in the patient treatment process. The application of EBP in nursing would require you to integrate the best available clinical evidence with your nursing expertise and patient values in the treatment process.
Per se, the best available evidence is adjusted to suit the circumstances and preferences of the patient with the aim of enhancing the quality of evidence based practice in nursing essay decisions.
It is therefore an essential tool in the improvement of patient care. In academics, it is usually important to effectively illustrate your understanding of EBP when writing either your nursing essay or nursing research paper. Knowledge in EBP as such comes in handy when executing your key assignments. All that said, EBP is founded on six key steps as illustrated below.
Step 1: Asking an Answerable Question. Clinical nursing practice requires the nurse to find answers to treatment questions.
This entails asking the appropriate PICO question for nursing. This practice requires you to get an evidence-based answer. As such, the first step towards getting this answer entails asking the appropriate clinical question.
It is evident that clinical nursing questions could be complex, wide, and multi-leveled. Answering such clinical questions requires a methodological approach. Notably, there are five categories of these questions that include:. Diagnosis : These questions address the process of identifying and establishing evidence based practice in nursing essay cause and nature of an injury or a disease through clinical evaluation. Etiology : Questions under this category address the origins or causes of a disease.
Meaning : Questions in this category address how an individual experiences a phenomenon. In Mexican-Americans male adults with lupus Phow does Cortisol-corticosteroid I compared to azathioprine-Immunosuppressive C affect kidney function O? Are women between 18 and 35 years P who have given birth I compared to those who have not given birth C at higher risk for developing cervical cancer O within the first 5 years of oral contraception use T?
In EBP, you should aim to use systematic reviews as first choice source of information. Systematic reviews are usually determined by. their address of focused and clearly designed question, and. their use of systematic and explicit methods in identifying, selecting, and examining relevant research as well as collecting and analyzing data in the studies encompassed in the review.
However, it is clear that there lacks systematic reviews for every nursing clinical question. The nurse is therefore obligated to look for other types of studies. Notably, the level of evidence for different category of questions vary from one study to another.
This is as illustrate below. Type of Question. Type of Study with Highest Evidence Level. Cohort study with all subjects receiving both the study test as well as the gold standard reference test. Step 2: Evidence based practice in nursing essay for Available Literature.
After asking the PICO question evidence based practice in nursing essay nursing, you should proceed to looking for appropriate literature. This is the second step in EBP and entails searching available materials for respective evidence. In this step, you should use the PICOT question components to help identify the search terms instrumental to your search strategy.
This is as illustrated below. The search should utilize the different PICOT elements. This search should involve both internal evidence practice data in healthcare records and external evidence journal articles. Notably, evidence based practice in nursing essay, there are two major categories of external evidence that include 1 textbooks and journals and 2 consolidated resources. Journal articles could be searched through numerous journal articles websites like Google Scholar, JSTOR, and Bioline International.
On the other hand, consolidate resources databases may include CINAHL, MEDLINE, and PsycINFO. Step 3: Appraising Literature for Evidence. This step requires you to evaluate the articles found through the search process to determine whether they are good for use in clinical practice, evidence based practice in nursing essay, not good for use in clinical practice, or okay but containing some limitations that require discretion when applying the results in clinical practice.
As such, critical appraisal seeks to determine whether the research in the articles is accurate, reliable, and applicable. Usually, critical appraisals look at 3 key areas that include:.
Whether the results are relevant to the patients under treatment. This part of the appraisal examines key areas that encompass:. What the research question was. What study design type was used, and whether it was the most appropriate for entailed research question.
What the study characteristics are, and whether they are compatible with the entailed research question. Whether the results are valid presence of potential research biases and their impact on the results.
This part of the appraisal looks at different issues, including:. Whether the outcome measures evidence based practice in nursing essay in the study are relevant and comprehensive. This part of the appraisal looks at whether the study results could be generalized effectively for proper application in the current clinical practice.
It looks at key issues like:. Whether similar definitions are evidence based practice in nursing essay. Whether a similar patient population is used, evidence based practice in nursing essay. Whether similar protocols can be followed. Whether the health systems are similar, evidence based practice in nursing essay. Step 4: Integrating the Research Evidence into Decision Making.
This step involves applying the acquired evidence in clinical settings in order to improve the quality of patient care, patient outcomes, patient care consistency, and cost containment. It provides answers to respective PICO question for nursing.
Per se, the application of this evidence is usually a complex process that involves individual clinician, clinical teams, clinical systems, and clinical organizations.
Obviously, the application process should evidence based practice in nursing essay certain procedures as outlined by different models. Note that the John Hopkins Model is the most commonly used model. Step 5: Evaluating the Effectiveness of the Evidence. This step entails monitoring and evaluating changes in clinical outcomes resulting from the application of the evidence.
It is important in ensuring that positive outcomes are supported and negative outcomes are remedied. Evaluation can also be used to detect flaws in clinical implementation process and accurately determine the category of patients that stands the most benefits.
Step 6: Dissemination of Results. This step involves sharing the EBP experiences with colleagues, other clinical field professionals, and respective organizations. You are required to share answers to the entailed PICO question for nursing.
Dissemination is essential for improvement of clinical practice as evidence based practice in nursing essay as avoiding duplication of efforts. Clearly, some of the common dissemination channels include EBP rounds, conferences, professional newsletters, peer-reviewed journals, and general audience publications. Evidence-Based Practice EBP in Nursing Overview of Evidence Based Practice EBP in Nursing Evidence-Based Practice EBP forms the basis of effective care delivery in nursing.
Accordingly, Evidence-Based Practice EBP can be defined as: "A dedicated problem-solving approach in clinical practice that applies the best available evidence derived from reliable research, clinician's expertise, and patient's values and preferences in patient care decision making process.
Step 1: Asking an Answerable Question Clinical nursing practice requires the nurse to find answers to treatment questions. This framework stands for: P: Patient or Population I: Intervention or Indicator C: Comparison or Control O: Outcome T: Time P atient or P opulation looks at the patient s characteristics, including gender, age, or condition. I ntervention or I ndicator reviews elements such as exposure, evidence based practice in nursing essay, diagnostic test, or therapy you are interested in for a particular condition of population.
C omparison or C ontrol looks at the alternative to be contrasted with the identified intervention or indicator. O utcome stands for the measurable results you intend to realize. T ime entails the duration within which the outcomes should be monitored or revealed. Sample Questions Intervention Question In Mexican-Americans male adults with lupus Phow does Cortisol-corticosteroid I compared to azathioprine-Immunosuppressive C affect kidney function O? Etiology Question Are women between 18 and 35 years P who have given birth I compared to those who have not given birth C at higher risk for developing cervical cancer O within the first 5 years of oral contraception use T?
Systematic reviews are usually determined by; 1. their address of focused and clearly designed question, and 2. Type of Question Type of Study with Highest Evidence Level Diagnosis Cohort study with all subjects receiving both the study test as well as the gold standard reference test.
Search terms Alternatives The elderly Cholinesterase Geriatric, aged, old, etc. Memantine Patient Intervention Comparison Outcomes The search should utilize the different PICOT elements. Step 3: Appraising Literature for Evidence This step requires you to evaluate the articles found through the search process to determine whether they are good for use in clinical practice, not good for use in clinical practice, evidence based practice in nursing essay, or okay but containing some limitations that require discretion when applying the results in clinical practice.
Usually, critical appraisals look at 3 key areas that include: 1. What the results are. Why the study was done.
What is Evidence-Based Practice?
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WhatsApp Evidence-based practice (EBP) is widely recognised within the role of nursing. Its implementation and purpose in the delivery of care is seen as an important driver for nursing practice and clinical outcomes (Cullen & Adams ). It has been defined as the Section 1: Nursing research is a systematic inquiry aimed at developing trustworthy evidence to create rationale for evidence-based practice (EBP); EBP is using the best evidence to make patient-care decisions and underpins nursing practice (Polit and Beck, ) 16/5/ · Evidence-based practice has gained massive relevance in the field of nursing because of the need for accountability and efficiency among the nurses. The increasing demand for healthcare services in the global society has created a situation where nurses are
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